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HomeMy WebLinkAboutAG 20-949 - WHITMAN GLOBAL CARPET & FLOOR CARERETURN TO: Mary J EXT: 6901
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT./DIV: Parks/Maintenance
2. ORIGINATING STAFF PERSON:, Derreck Presnell EXT: 3. DATE REQ. BY:
4. TYPE OF DOCUMENT (CHECK ONE):
❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT
❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT
❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES / CDBG
❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E G. BOND RELATED DOCUMENTS)
❑ ORDINANCE ❑ RESOLUTION
9 CONTRACT AMENDMENT (AG#): 20-949 ❑ INTERLOCAL
❑ OTHER
5. PROJECT NAME: Carpet Cleaning Service Contract
6. NAME OF CONTRACTOR: Corporate Floors Inc dba Whitman Global Carpet and Floor Care
ADDRESS: 18734 142nd Avenue NE, Woodinville, WA 98072 TELEPHONE
E-MAIL: FAX:
SIGNATURE NAME: Lotfie, WhitmanTITLE President
7. EXHIBITS AND ATTACHMENTS: ❑ SCOPE, WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE ❑ ALL
OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS
8. TERM: COMMENCEMENT DATE: November 19, 2020 COMPLETION DATE: December 31, 2026
9. TOTAL COMPENSATION $ No Change (INCLUDE EXPENSES AND SALES TAX, IF ANY)
(IF CALCULATED ON HOURLY LABOR CHARGE -ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: [--]YES ❑ NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED ®YES ®NO IF YES, $ PAID BY. ❑ CONTRACTOR ❑ CITY
RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED
❑ PURCHASING: PLEASE CHARGE TO: "I^
10. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
❑ PROJECT MANAGER
❑ DIRECTOR
❑ RISK MANAGEMENT (IF APPLICABLE)
9 LAW DK 03-12-2021
11. COUNCIL APPROVAL (IF APPLICABLE) COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE:
12. CONTRACT SIGNATURE ROUTING 3 / 3�2 (� 2
❑ SENT TO VENDOR/CONTRACTOR DATE SENT: / ] a 12� DATE REC'D:
❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
❑ CREATE ELECTRONIC REMINDER/NOTIFICATION FOR 1 MONTH PRIOR TO EXPIRATION DATE
(Include dept. support staff if necessary and feel free to set notification more than a month in advance if council approval is needed.)
ITIAL/DATE SIGNED
❑❑ LAW DEPARTMENT
ATORY (MAYOR OR DIRECTOR)
❑ CITY CLERK 0 — Z
❑ ASSIGNED AG# AG
COMMENTS:
Whitman Global Carpet & Floor Care has changed their name to Corporate Fllors Inc dba Whitman Global Carpet and Floor Care. No other changes.
2/2017
CITY OF CITY HALL
4 33325Federal Way Feder 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www ci yoi(ederalway.com
AMENDMENT NO. 1
TO
MAINTENANCE AGREEMENT
FOR
CARPET CLEANING
This Amendment ("Amendment No. 1") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Corporate Floors Inc dba Whitman Global Carpet and Floor Care, ("Contractor"). This
amendment will update the business name of the Contractor to its new name filed with the state of Washington. The
City and Contractor (together "Parties"), for valuable consideration and by mutual consent of the Parties, agree to
amend the name of the Contractor for the Agreement for Carpet Cleaning ("Agreement") dated effective November
19, 2020, as follows:
1. NAME OF CONTRACTOR. Whitman & Associates has changed their name. Going forward, the business
name of the Contractor in the Agreement shall be Corporate Floors Inc. dba Whitman Global Carpet and
Floor Care, a Washington corporation.
2. GENERAL PROVISIONS. All other terms and provisions of the Agreement, together with any prior
amendments thereto, not modified by this Amendment, shall remain in full force and effect. Any and all acts
done by either Party consistent with the authority of the Agreement, together with any prior amendments
thereto, after the previous expiration date and prior to the effective date of this Amendment, are hereby
ratified as having been performed under the Agreement, as modified by any prior amendments, as it existed
prior to this Amendment. The provisions of Section 13 of the Agreement shall apply to and govern this
Amendment. The Parties whose names appear below swear under penalty of perjury that they are authorized
to enter into this Amendment, which is binding on the parties of this contract.
[Signature page follows]
AMENDMENT - 1 - Rev. 3/2017
[tTx or CITY HALL
k Federal Way Feder 8th Avenue South
Federal Way. WA 98003-6325
(253) 835-7000
www cdvaffedemc hti in, com
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
CITY OF FEDERAL WAY:
By: _ (iz—w—pp
Jim F ll, Mrayor
DATE: ill/o
%
CORPORATE FLOORS INC DBA WHITMAN
GLOBAL CARPET AND FLOOR CARE:
By:
Printed Name:{
Title: } 2
DATE:��'
ATTEST:
Adphhniie Courtney, CMC, i Clerk
APPROVED AS TO FORM:
—� .
n(�
J. Ryan Call, City Attorney
STATE OF WASHINGTON )
) ss.
COUNTY OF IL►
On this day personally appeared before me to me known to be the
re5 i dnit of r)— a that executed the foregoing
instrument, and acknowledged the said Inst=ent to be the free and voluntary act and deed of said corporation, for
the uses and purposes therein mentioned, and on oath stated that he/she was authorized to execute said instrument
and that the seal affixed, if any, is the corporate seal of said corporation.
GIVEN my hand and official seal this day of C� rG� , 20A
E'C t l l l l i l Notary's signature v
q�.o i�� Notary's printed name
= �`�gk°"�qr�,, 0 �i, otary Public in and f the State of Washington.
_4; oT-4.�.Z.
° �'' My commission expires G
U@ LAG =
,rop WASH����
AMENDMENT - 2 - Rev. 3/2017
- 1 .9 DATE(MM/DDIYYYY)
CERTIFICATE OF LIABILITY INSURANCE
��. 3/11/2021
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
Box Insurance Agency
1200 S. Main St., Ste 1600
Grapevine TX 76051
INSURED
Corporate Floors, Inc.
dba Whitman Global Carpet & Floor Care
1712 Minters Chapel Rd., #100
Grapevine TX 76051
N0.ME: Certificates Administrator
PHONE
rerc u., c.no- 817-865-1806
INSURER(S) AFFORDING COVERAGE
INSURER A: Charter Oak Fire Insurance
CORP-F1 INSURER B : Twin City Fire Insurance Co.
INSURER C : Travelers Property Casualty Com ar
INSURER D.-
INSURER E:
INSURER F :
of America 1 25674
COVERAGES CERTIFICATE NUMBER: 1066352999 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 J]Lh LSUBR POLICY EFF POLICY EXP LIMITS
LTR I TYPE OF INSURANCE POLICY NUMBER MM/DDIYYYY MMiDDffMI
A
X I
COMMERCIAL GENERAL LIABILITY
Y
Y
Y-660-OJ17954A
1/1/2021
1/1/2022
EACH OCCURRENCE
$1,000,000
CLAIMS -MADE X OCCUR
PREMISES lEa uen
$ 100.000
X
MED EXP Any one person
$ 5.000
WA Stop Gap
PERSONAL &ADV INJURY
$ 1.000.000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000.000
PRODUCTS - COMP/OP AGG
$ 2 000,000
POLICY X P L&_ LOC
JE
FIOTHER:
$
A
AUTOMOBILE LIABILITY
Y
Y
BA-21-343052
1/1/2021
1/1/2022
COMBINED SINGLE LIMIT
Ma aceidartt.)
$1,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
BODILY INJURY (Per accident)
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
Per acdderk
$
$
C
X
UMBRELLA LIAB
X
OCCUR
Y
Y
CUP-OJ201457
1/1/2021
1/1/2022
EACH OCCURRENCE
$10,000,000
AGGREGATE
$ 10,000,000
EXCESS LIAB
CLAIMS -MADE
DED X RETENTION $
FOLLOW FORM
$ FOLLOW FORM
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANYPROPRIETOR/PARTNER/EXECUTIVE Y
PER OTH
STATUTE
E L EACH ACCIDENT
$
E L DISEASE - EA EMPLOYEE
$
OFFICER/MEMBEREXCLUDED?
(Mandatory In NH)
N / A
E.L. DISEASE -POLICY LIMIT
$
If yes, describe under
DESCRIPTION OF OPERATIONS below
B Commercial Crime
Third Party
46KBO240454
1/1/2021
1/1/2022
Limit
Deductible
$2,000.000
$10.000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
Certificate To Include: City of Federal Way
f Ci7TICSt"RTF I•I(ll nl=p CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Federal Way
33325 8th Avenue South
Federal Way WA 98003
AUTHORIZED REPRESENTATIVE
U� 0
U 1988-2U15 AGUKU GUMVUKA I IUN. All rignLs reserves.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE
POLICY NUMBER: Y-660-OJ17954A
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
XTEND ENDORSEMENT FOR SERVICE INDUSTRIES
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
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 this 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. Broadened Named Insured
B. Blanket Additional Insured — Broad Form Vendors
C. Damage To Premises Rented To You
• Perils of fire, explosion, lightning, smoke,
water
• Limit increased to $300,000
D. Blanket Waiver Of Subrogation
E. Blanket Additional Insured — Owners, Managers
Or Lessors Of Premises
F. Blanket Additional Insured — Lessors Of Leased
Equipment
G. Incidental Medical Malpractice
H. Personal Injury —Assumed By Contract
PROVISIONS
A.- BROADENED NAMED INSURED
1. The following is added to SECTION II — WHO
IS AN INSURED:
Any organization, other than a partnership or
joint venture, over which you maintain owner-
ship or majority interest on the effective date
of the policy qualifies as a Named Insured.
However, coverage for any such organization
will cease as of the date during the policy pe-
riod that you no longer maintain ownership of,
or majority interest in, such organization.
2. The following replaces Paragraph 4.a. of
SECTION II —WHO IS AN INSURED:
I. Amended Bodily Injury Definition
J. Bodily Injury To Co -Employees And Co -Volunteer
Workers
K. Aircraft Chartered With Crew
L. Non -Owned Watercraft — Increased From 25 Feet
To 50 Feet
M. Increased Supplementary Payments
• Cost of bail bonds increased to $2,500
• Loss of earnings increased to $500 per day
N. Knowledge And Notice Of Occurrence Or Offense
O. Unintentional Omission
P. Reasonable Force — Bodily Injury Or Property
Damage
B. BLANKET ADDITIONAL INSURED — BROAD
FORM VENDORS
The following is added to SECTION II — WHO IS
AN INSURED:
Any person or organization that is a vendor and
that you have agreed in a written contract or
agreement to include as an additional insured on
this Coverage Part is an insured, but only with re-
spect to liability for "bodily injury" or "property
damage" that:
a. Is caused by an "occurrence" that takes place
after you have signed and executed that con-
tract or agreement; and
b. Arises out of "your products" which are dis-
tributed or sold in the regular course of such
vendor's business.
a. Coverage under this provision is afforded
only until the 180th day after you acquire The insurance provided to such vendor is subject
or form the organization or the end of the to the fotlowing provisions:
policy period, whichever is earlier, unless a. The limits of insurance provided to such ven-
reported in writing to us within 180 days. dor will be the limits which you agreed to pro-
CG D4 67 07 13 © 2013 The Travelers Indemnity Company. All right reserved. Page 1 of 7
Includes copyrighted material of Insurance Services Office, Inc. with its permission
COMMERCIAL GENERAL LIABILITY
vide in the written contract or agreement, or
the limits shown in the Declarations of this
Coverage Part, whichever are less.
b. The insurance provided to such vendor does
not apply to:
(1) "Bodily injury" or "property damage" for
which the vendor is obligated to pay
damages by reason of the assumption of
liability in a contract or agreement. This
exclusion does not apply to liability for
damages that the vendor would have in
the absence of the contract or agreement;
(2) Any express warranty unauthorized by
you;
(3) Any physical or chemical change in "your
products" made intentionally by such
vendor;
(4) Repackaging, unless unpacked solely for
the purpose of inspection, demonstration,
testing, or the substitution of parts under
instructions from the manufacturer, and
then repackaged in the original container;
(5) Any failure to make such inspections, ad-
justments, tests or servicing as vendors
agree to perform or normally undertake to
perform in the regular course of business,
in connection with the distribution or sale
of "your products";
(6) Demonstration, installation, servicing or
repair operations, except such operations
performed at such vendor's premises in
connection with the sale of "your prod-
ucts"; or
(7) "Your products" which, after distribution
or sale by you, have been labeled or re-
labeled or used as a container, part or in-
gredient of any other thing or substance
by or for such vendor.
Coverage under this provision does not apply to:
a. Any person or organization from whom you
have acquired "your products", or any ingre-
dient, part or container entering into, accom-
panying or containing such products; or
b. Any vendor for which coverage as an addi-
tional insured specifically is scheduled by en-
dorsement.
C. DAMAGE TO PREMISES RENTED TO YOU
Exclusions c. through n. do not apply to dam-
age to premises while rented to you, or tem-
porarily occupied by you with permission of
the owner, caused by:
a. Fire;
b. Explosion;
c. Lightning;
d. Smoke resulting from such fire, explosion,
or lightning; or
e. Water.
A separate limit of insurance applies to such
damage to premises as described in Para-
graph 6. of Section III — Limits Of Insurance.
This insurance does not apply to damage to
premises while rented to you, or temporarily
occupied by you with permission of the
owner, caused by:
a. Rupture, bursting, or operation of pres-
sure relief devices;
b. Rupture or bursting due to expansion or
swelling of the contents of any building or
structure, caused by or resulting from wa-
ter;
c. Explosion of steam boilers, steam pipes,
steam engines, or steam turbines.
2. The following replaces Paragraph 6. of SEC-
TION III — LIMITS OF INSURANCE:
Subject to 5. above, the Damage To Prem-
ises Rented To You Limit is the most we will
pay under Coverage A for damages because
of "property damage" to any one premises
while rented to you, or temporarily occupied
by you with permission of the owner, caused
by fire; explosion; lightning; smoke resulting
from such fire, explosion, or lightning; or wa-
ter. The Damage To Premises Rented To
You Limit will apply to all damage proximately
caused by the same "occurrence", whether
such damage results from fire; explosion;
lightning; smoke resulting from such fire, ex-
plosion, or lightning; water; or any combina-
tion of any of these.
The Damage To Premises Rented To You
Limit will be the higher of:
a. $300,000; or
1. The following replaces the last paragraph of b. The amount shown on the Declarations of
Paragraph 2., Exclusions, of SECTION I — this Coverage Part for Damage To Prem-
COVERAGES — COVERAGE A BODILY IN- ises Rented To You Limit.
JURY AND PROPERTY DAMAGE LIABIL-
ITY:
Page 2 of 7 © 2013 The Travelers Indemnity Company. All right reserved. CG D4 67 07 13
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
3. The 'following replaces Paragraph a. of the
definition of "insured contract' in the DEFINI-
TIONS Section:
a. A contract for a lease of premises. How-
ever, that portion of the contract for a
lease of premises that indemnifies any
person or organization for damage to
premises while rented to you, or tempo-
rarily occupied by you with permission of
the owner, caused by:
(1) Fire;
(2) Explosion;
(3) Lightning;
(4) Smoke resulting from such fire, ex-
plosion, or lightning; or
(5) Water.
is not an "insured contract';
4. The following replaces Paragraph 4.b.(1)(b)
of SECTION IV — COMMERCIAL GENERAL
LIABILITY CONDITIONS:
(b) That is insurance for premises rented to
you, or temporarily occupied by you with
the permission of the owner;
D. BLANKET WAIVER OF SUBROGATION
The following is added to Paragraph 8., Transfer
Of Rights Of Recovery Against Others To Us,
of SECTION IV — COMMERCIAL GENERAL LI-
ABILITY CONDITIONS:
We waive any right of recovery we may have
against any person or organization because of
payments we make for injury or damage arising
out of premises owned or occupied by or rented
or loaned to you; ongoing operations performed
by you or on your behalf, done under a contract
with that person or organization; "your work'; or
"your products". We waive this right where you
have agreed to do so as part of a written contract,
executed by you prior to loss.
E. BLANKET ADDITIONAL INSURED — OWNERS,
MANAGERS OR LESSORS OF PREMISES
The following is added to SECTION II — WHO IS
AN INSURED:
Any person or organization that is a premises
owner, manager or lessor and that you have
agreed in a written contract or agreement to
name as an additional insured on this Coverage
Part is an insured, but only with respect to liability
for "bodily injury", 'property damage", "personal
injury" or "advertising injury" that:
COMMERCIAL GENERAL LIABILITY
a. Is "bodily injury" or "property damage" caused
by an 'occurrence" that takes place, or "per-
sonal injury" or "advertising injury" caused by
an offense that is committed, after you have
signed and executed that contract or agree-
ment; and
b. Arises out of the ownership, maintenance or
use of that part of any premises leased to
you.
The insurance provided to such premises owner,
manager or lessor is subject to the following pro-
visions:
a. The limits of insurance provided to such
premises owner, manager or lessor will be
the limits which you agreed to provide in the
written contract or agreement, or the limits
shown on the Declarations of this Coverage
Part, whichever are less.
b. The insurance provided to such premises
owner, manager or lessor does not apply to:
(1) 'Bodily injury" or "property damage"
caused by an 'occurrence" that takes
place, or "personal injury" or "advertising
injury" caused by an offense that is com-
mitted, after you cease to be a tenant in
that premises; or
(2) Structural alterations, new construction or
demolition operations performed by or on
behalf of such premises owner, manager
or lessor.
c. The insurance provided to such premises
owner, manager or lessor is excess over any
valid and collectible other insurance available
to such premises owner, manager or lessor,
unless you have agreed in a written contract
for this insurance to apply on a primary or
contributory basis.
F. BLANKET ADDITIONAL INSURED — LESSORS
OF LEASED EQUIPMENT
The following is added to SECTION II — WHO IS
AN INSURED:
Any person or organization that is an equipment
lessor and that you have agreed in a written con-
tract or agreement to include as an additional in-
sured on this Coverage Part is an insured, but
only with respect to liability for "bodily injury",
"property damage", "personal injury" or "advertis-
ing injury" that:
a. Is "bodily injury" or "property damage" caused
by an 'occurrence" that takes place, or "per-
sonal injury" or "advertising injury" caused by
an offense that is committed, after you have
CG D4 67 07 13 © 2013 The Travelers Indemnity Company. All right reserved. Page 3 of 7
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
COMMERCIAL GENERAL LIABILITY
signed and executed that contract or agree-
ment; and
b. Is caused, in whole or in part, by your acts or
omissions in the maintenance, operation or
use by you of equipment leased to you by
such equipment lessor.
The insurance provided to such equipment lessor
is subject to the following provisions:
a. The limits of insurance provided to such
equipment lessor will be the limits which you
agreed to provide in the written contract or
agreement, or the limits shown on the Decla-
rations of this Coverage Part, whichever are
less.
b. The insurance provided to such equipment
lessor does not apply to any "bodily injury" or
"property damage" caused by an "occur-
rence" that takes place, or "personal injury" or
"advertising injury" caused by an offense that
is committed, after the equipment lease ex-
pires.
c. The insurance provided to such equipment
lessor is excess over any valid and collectible
other insurance available to such equipment
lessor, unless you have agreed in a written
contract for this insurance to apply on a pri-
mary or contributory basis.
G. INCIDENTAL MEDICAL MALPRACTICE
1. The following is added to the definition of "oc-
currence" in the DEFINITIONS Section:
Unless you are in the business or occupation
of providing professional health care services,
"occurrence" also means an act or omission
committed in providing or failing to provide
"incidental medical services" to a person.
2. The following is added to the DEFINITIONS
Section:
"Incidental medical services" means:
a. Medical, surgical, dental, laboratory, x-ray
or nursing service or treatment, advice or
instruction, or the related furnishing of
food or beverages;
b. The furnishing or dispensing of drugs or
medical, dental, or surgical supplies or
appliances;
c. First aid; or
d. "Good Samaritan services".
"Good Samaritan services" means any emer-
gency medical services for which no compen-
sation is demanded or received.
3. The following is added to Paragraph 2.a.(1) of
SECTION II —WHO IS AN INSURED:
Unless you are in the business or occupation
of providing professional health care services,
Paragraphs (1)(a), (b), (c) and (d) above do
not apply to any "bodily injury" arising out of
any providing or failing to provide "incidental
medical services" by any of your "employ-
ees", other than an employed doctor. Any
such "employees" providing or failing to pro-
vide "incidental medical services" during their
work hours for you will be deemed to be act-
ing within the scope of their employment by
you or performing duties related to the con-
duct of your business.
4. The following exclusion is added to Para-
graph 2., Exclusions, of SECTION I — COV-
ERAGES — COVERAGE A BODILY INJURY
AND PROPERTY DAMAGE LIABILITY:
Sale Of Pharmaceuticals
"Bodily injury" or "property damage" arising
out of the willful violation of a penal statute or
ordinance relating to the sale of pharmaceuti-
cals committed by, or with the knowledge or
consent of, the insured.
5. The following is added to Paragraph 5. of
SECTION III — LIMITS OF INSURANCE:
For the purposes of determining the applica-
ble Each Occurrence Limit, all related acts or
omissions committed in the providing or fail-
ing to provide "incidental medical services" to
any one person will be considered one "oc-
currence".
6. The following is added to Paragraph 4.b., Ex-
cess Insurance, of SECTION IV — COM-
MERCIAL GENERAL LIABILITY CONDI-
TIONS:
This insurance is excess over any valid and
collectible other insurance, whether primary,
excess, contingent or on any other basis, that
is available to any of your "employees" for
"bodily injury" that arises out of providing or
failing to provide "incidental medical services"
to any person to the extent not subject to
Paragraph 2.a.(1) of SECTION II — WHO IS
AN INSURED.
Page 4 of 7 © 2013 The Travelers Indemnity Company. All right reserved. CG D4 67 07 13
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
H. PERSONAL INJURY — ASSUMED BY CON-
TRACT
1. The following replaces Exclusion e., Contrac-
tual Liability, in Paragraph 2. of SECTION I
— COVERAGES — COVERAGE B PER-
SONAL AND ADVERTISING INJURY LI-
ABILITY:
e. Contractual Liability
"Personal injury" or "advertising injury" for
which the insured is obligated to pay
damages by reason of the assumption of
liability in a contract or agreement. This
exclusion does not apply to:
(1) Liability for damages that the insured
would have in the absence of the
contract or agreement; or
(2) Liability for damages because of
"personal injury" assumed in a con-
tract or agreement that is an "insured
contract", provided that the "personal
injury" is caused by an offense com-
mitted subsequent to the execution of
the contract or agreement. Solely for
the purposes of liability assumed in
an "insured contract", reasonable at-
torneys fees and necessary litigation
expenses incurred by or for a party
other than an insured will be deemed
to be damages because of "personal
injury", provided that:
(a) Liability to such party for, or for
the cost of, that party's defense
has also been assumed in the
same "insured contract"; and
(b) Such attorney fees and litigation
expenses are for defense of that
party against a civil or alternative
dispute resolution proceeding in
which damages to which this in-
surance applies are alleged.
2. The following replaces the third sentence of
Paragraph 2. of SUPPLEMENTARY PAY-
MENTS — COVERAGES A AND B:
Notwithstanding the provisions of Paragraph
2.b.(2) of Section I — Coverage A — Bodily In-
jury And Property Damage Liability or Para-
graph 2.e. of Section I — Coverage B — Per-
sonal and Advertising Injury Liability, such
payments will not be deemed to be damages
because of "bodily injury", "property damage"
or "personal injury", and will not reduce the
limits of insurance.
COMMERCIAL GENERAL LIABILITY
3. The following replaces Paragraph 2.d. of
SUPPLEMENTARY PAYMENTS — COVER-
AGES A AND B:
d. The allegations in the "suit" and the in-
formation we know about the "occur-
rence" or offense are such that no conflict
appears to exist between the interests of
the insured and the interests of the in-
demnitee;
4. The following replaces the first subparagraph
of Paragraph If. of the definition of "insured
contract" in the DEFINITIONS Section:
If. That part of any other contract or agree-
ment pertaining to your business (includ-
ing an indemnification of a municipality in
connection with work performed for a
municipality) under which you assume the
tort liability of another party to pay for
"bodily injury," "property damage" or "per-
sonal injury" to a third person or organiza-
tion. Tort liability means a liability that
would be imposed by law in the absence
of any contract or agreement.
I. AMENDED BODILY INJURY DEFINITION
The following replaces the definition of "bodily in-
jury" in the DEFINITIONS Section:
"Bodily injury" means bodily injury, mental an-
guish, mental injury, shock, fright, disability, hu-
miliation, sickness or disease sustained by a per-
son, including death resulting from any of these at
any time.
J. BODILY INJURY TO CO -EMPLOYEES AND
CO -VOLUNTEER WORKERS
The following is added to Paragraph 2.a.(1) of
SECTION II — WHO IS AN INSURED:
Paragraph (1)(a) above does not apply to "bodily
injury" to a co -"employee" in the course of the co -
"employee's" employment by you or performing
duties related to the conduct of your business, or
to "bodily injury" to your other "volunteer workers"
while performing duties related to the conduct of
your business.
K. AIRCRAFT CHARTERED WITH CREW
The following is added to Exclusion g., Aircraft,
Auto Or Watercraft, in Paragraph 2. of SECTION
I — COVERAGES — COVERAGE A BODILY IN-
JURY AND PROPERTY DAMAGE LIABILITY:
This exclusion does not apply to an aircraft that
is:
CG D4 67 07 13 © 2013 The Travelers Indemnity Company. All right reserved. Page 5 of 7
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
COMMERCIAL GENERAL LIABILITY
(a) Chartered with crew to any insured;
(b) Not owned by any insured; and
(c) Not being used to carry any person or prop-
erty for a charge.
L. NON -OWNED WATERCRAFT
1. The following replaces Paragraph (2) of Ex-
clusion g., Aircraft, Auto Or Watercraft, in
Paragraph 2. of SECTION I — COVERAGES
— COVERAGE A BODILY INJURY AND
PROPERTY DAMAGE LIABILITY:
(2) A watercraft you do not own that is:
(a) Fifty feet long or less; and
(b) Not being used to carry any person or
property for a charge.
2. The following is added to Paragraph 2. of
SECTION II — WHO IS AN INSURED:
Any person or organization that, with your ex-
press or implied consent, either uses or is re-
sponsible for the use of a watercraft that you
do not own that is:
(1) Fifty feet long or less; and
(2) Not being used to carry any person or
property for a charge.
M. INCREASED SUPPLEMENTARY PAYMENTS
1. The following replaces Paragraph 1.b. of
SUPPLEMENTARY PAYMENTS — COVER-
AGES A AND B of SECTION I — COVER-
AGES:
b. Up to $2,500 for cost of bail bonds re-
quired because of accidents or traffic law
violations arising out of the use of any
vehicle to which the Bodily Injury Liability
Coverage applies. We do not have to fur-
nish these bonds.
2. The following replaces Paragraph 1.d. of
SUPPLEMENTARY PAYMENTS — COVER-
AGES A AND B of SECTION I — COVER-
AGES:
d. All reasonable expenses incurred by the
insured at our request to assist us in the
investigation or defense of the claim or
"suit", including actual loss of earnings up
to $500 a day because of time off from
work.
N. KNOWLEDGE AND NOTICE OF OCCUR-
RENCE OR OFFENSE
The following is added to Paragraph 2., Duties In
The Event of Occurrence, Offense, Claim or
Suit, of SECTION IV — COMMERCIAL GEN-
ERAL LIABILITY CONDITIONS:
e. The following provisions apply to Paragraph
a. above, but only for the purposes of the in-
surance provided under this Coverage Part to
you or any insured listed in Paragraph 1. or 2.
of Section II — Who Is An Insured:
(1) Notice to us of such "occurrence" or of-
fense must be given as soon as practica-
ble only after the "occurrence" or offense
is known to you (if you are an individual),
any of your partners or members who is
an individual (if you are a partnership or
joint venture), any of your managers who
is an individual (if you are a limited liability
company), any of your trustees who is an
individual (if you are a trust), any of your
"executive officers" or directors (if you are
an organization other than a partnership,
joint venture, limited liability company or
trust) or any "employee" authorized by
you to give notice of an "occurrence" or
offense.
(2) If you are a partnership, joint venture, lim-
ited liability company or trust, and none of
your partners, joint venture members,
managers or trustees are individuals, no-
tice to us of such "occurrence" or offense
must be given as soon as practicable only
after the "occurrence" or offense is known
by:
(a) Any individual who is:
(1) A partner or member of any part-
nership or joint venture;
(ii) A manager of any limited liability
company;
(iii) A trustee of any trust; or
(iv) An executive officer or director of
any other organization;
that is your partner, joint venture
member, manager or trustee; or
(b) Any "employee" authorized by such
partnership, joint venture, limited li-
ability company, trust or other organi-
zation to give notice of an "occur-
rence" or offense.
(3) Notice to us of such "occurrence" or of-
fense will be deemed to be given as soon
as practicable if it is given in good faith as
soon as practicable to your workers'
compensation insurer. This applies only if
you subsequently give notice to us of the
"occurrence" or offense as soon as prac-
ticable after any of the persons described
Page 6 of 7 © 2013 The Travelers Indemnity Company. All right reserved. CG D4 67 07 13
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
in Paragraphs e.(1) or (2) above discov-
ers that the 'occurrence" or offense may
result in sums to which the insurance
provided under this Coverage Part may
apply.
However, if this policy includes an endorse-
ment that provides limited coverage for "bod-
ily injury" or "property damage" or pollution
costs arising out of a discharge, release or
escape of "pollutants" which contains a re-
quirement that the discharge, release or es-
cape of "pollutants" must be reported to us
within a specific number of days after its
abrupt commencement, this Paragraph e.
does not affect that requirement.
O. UNINTENTIONAL OMISSION
The following is added to Paragraph 6., Repre-
sentations, of SECTION IV — COMMERCIAL
GENERAL LIABILITY CONDITIONS:
The unintentional omission of, or unintentional er-
ror in, any information provided by you which we
COMMERCIAL GENERAL LIABILITY
relied upon in issuing this policy will not prejudice
your rights under this insurance. However, this
provision does not affect our right to collect addi-
tional premium or to exercise our rights of cancel-
lation or nonrenewal in accordance with applica-
ble insurance laws or regulations.
P. REASONABLE FORCE — BODILY INJURY OR
PROPERTY DAMAGE
The following replaces Exclusion a., Expected Or
Intended Injury, in Paragraph 2. of SECTION I —
COVERAGES — COVERAGE A BODILY IN-
JURY AND PROPERTY DAMAGE LIABILITY:
a. Expected or Intended Injury or Damage
"Bodily injury" or "property damage" expected
or intended from the standpoint of the in-
sured. This exclusion does not apply to "bod-
ily injury" or "property damage" resulting from
the use of reasonable force to protect any
person or property.
CG D4 67 07 13 © 2013 The Travelers Indemnity Company. All right reserved. Page 7 of 7
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
POLICY NUMBER: Y-660-OJ17954A
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED - AUTOMATIC STATUS
IF REQUIRED BY WRITTEN CONTRACT
(CONTRACTORS)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
1. The following is added to SECTION II — WHO IS
(a) The Additional Insured — Owners,
AN INSURED:
Lessees or Contractors — Scheduled
Any person or organization that:
Person or Organization endorsement
CG 20 10 07 04 or CG 20 10 04 13,
a. You agree in a "written contract requiring in-
the Additional Insured — Owners,
surance" to include as an additional insured
Lessees or Contractors — Completed
on this Coverage Part; and
Operations endorsement CG 20 37
b. Has not been added as an additional insured
07 04 or CG 20 37 04 13, or both of
for the same project by attachment of an en-
such endorsements with either of
dorsement under this Coverage Part which
those edition dates; or
includes such person or organization in the
(b) Either or both of the following: the
endorsement's schedule;
Additional Insured — Owners, Les -
is an insured, but:
sees or Contractors — Scheduled
a. Only with respect to liability for "bodily injury",
Person Or Organization endorsement
"property damage" or "personal injury"; and
CG 20 10, or the Additional Insured —
Owners, Lessees or Contractors —
b. Only as described in Paragraph (1), (2) or (3)
Completed Operations endorsement
below, whichever applies:
CG 20 37, without an edition date of
(1) If the "written contract requiring insur-
such endorsement specified;
ance specifically requires you to provide
the person or organization is an additional
additional insured coverage to that per-
insured only if the injury or damage is
son or organization by the use of:
caused, in whole or in part, by acts or
(a) The Additional Insured — Owners,
omissions of you or your subcontractor in
Lessees or Contractors — (Form B)
the performance of "your work" to which
endorsement CG 20 10 11 85; or
the "written contract requiring insurance"
(b) Either or both of the following: the
applies; or
Additional Insured — Owners, Les-
(3) If neither Paragraph (1) nor (2) above ap-
sees or Contractors — Scheduled
plies:
Person Or Organization endorsement
(a) The person or organization is an ad-
CG 20 10 10 01, or the Additional In-
ditional insured only if, and to the ex-
sured — Owners, Lessees or Contrac-
tent that, the injury or damage is
tors — Completed Operations en-
caused by acts or omissions of you or
dorsement CG 20 37 10 01;
your subcontractor in the perform -
the person or organization is an additional
ance of "your work" to which the "writ -
insured only if the injury or damage arises
ten contract requiring insurance" sp-
out of "your work" to which the "written
plies; and
contract requiring insurance" applies;
(b) The person or organization does not
(2) If the "written contract requiring insur-
qualify as an additional insured with
ance" specifically requires you to provide
respect to the independent acts or
additional insured coverage to that per-
omissions of such person or organi-
son or organization by the use of:
zation.
CG D6 04 08 13 © 2013 The Travelers Indemnity Company. All rights reserved Page 1 of 3
COMMERCIAL GENERAL LIABILITY
2. The insurance provided to the additional insured
by this endorsement is limited as follows:
a. If the Limits of Insurance of this Coverage
Part shown in the Declarations exceed the
minimum limits of liability required by the
"written contract requiring insurance", the in-
surance provided to the additional insured will
be limited to such minimum required limits of
liability. For the purposes of determining
whether this limitation applies, the minimum
limits of liability required by the "written con-
tract requiring insurance" will be considered
to include the minimum limits of liability of any
Umbrella or Excess liability coverage required
for the additional insured by that "written con-
tract requiring insurance". This endorsement
will not increase the limits of insurance de-
scribed in Section III — Limits Of Insurance.
and collectible other insurance, whether primary,
excess, contingent or on any other basis, that is
available to the additional insured when that per-
son or organization is an additional insured, or is
any other insured that does not qualify as a
named insured, under such other insurance.
4. As a condition of coverage provided to the addi-
tional insured by this endorsement:
a. The additional insured must give us written
notice as soon as practicable of an "occur-
rence" or an offense which may result in a
claim. To the extent possible, such notice
should include:
(1) How, when and where the "occurrence"
or offense took place;
(2) The names and addresses of any injured
persons and witnesses; and
b. The insurance provided to the additional in-
sured does not apply to "bodily injury", "prop-
erty damage" or "personal injury" arising out
of the rendering of, or failure to render, any b
professional architectural, engineering or sur-
veying services, including:
(1) The preparing, approving, or failing to
prepare or approve, maps, shop draw-
ings, opinions, reports, surveys, field or-
ders or change orders, or the preparing,
approving, or failing to prepare or ap-
prove, drawings and specifications; and
(2) Supervisory, inspection, architectural or
engineering activities.
c. The insurance provided to the additional in-
sured does not apply to "bodily injury" or
"property damage" caused by "your work" and
included in the "products -completed opera-
tions hazard" unless the "written contract re-
quiring insurance" specifically requires you to
provide such coverage for that additional in-
sured during the policy period.
3. The insurance provided to the additional insured
by this endorsement is excess over any valid and
collectible other insurance, whether primary, ex-
cess, contingent or on any other basis, that is
available to the additional insured. However, if the
"written contract requiring insurance" specifically
requires that this insurance apply on a primary
basis or a primary and non-contributory basis, this
insurance is primary to other insurance available
to the additional insured under which that person
or organization qualifies as a named insured, and
we will not share with that other insurance. But
the insurance provided to the additional insured
by this endorsement still is excess over any valid
(3) The nature and location of any injury or
damage arising out of the "occurrence" or
offense.
If a claim is made or "suit" is brought against
the additional insured, the additional insured
must:
(1) Immediately record the specifics of the
claim or "suit" and the date received; and
(2) Notify us as soon as practicable.
The additional insured must see to it that we
receive written notice of the claim or "suit" as
soon as practicable.
c. The additional insured must immediately send
us copies of all legal papers received in con-
nection with the claim or "suit", cooperate with
us in the investigation or settlement of the
claim or defense against the "suit", and oth-
erwise comply with all policy conditions.
d. The additional insured must tender the de-
fense and indemnity of any claim or "suit" to
any provider of other insurance which would
cover the additional insured for a loss we
cover under this endorsement. However, this
condition does not affect whether the insur-
ance provided to the additional insured by this
endorsement is primary to other insurance
available to the additional insured which cov-
ers that person or organization as a named
insured as described in Paragraph 3. above.
5. The following is added to the DEFINITIONS Sec-
tion:
"Written contract requiring insurance" means that
part of any written contract or agreement under
which you are required to include a person or or -
Page 2 of 3 © 2013 The Travelers Indemnity Company. All rights reserved. CG D6 04 08 13
ganization as an additional insured on this Cover-
age Part, provided that the "bodily injury" and
"property damage" occurs, and the "personal in-
jury" is caused by an offense committed, during
the policy period and:
COMMERCIAL GENERAL LIABILITY
a. After the signing and execution of the contract
or agreement by you; and
b. While that part of the contract or agreement is
in effect.
CG D6 04 08 13 © 2013 The Travelers Indemnity Company. All rights reserved, Page 3 of 3
POLICY NUMBER: Y-660-OJ17954A COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNER, MANAGER OR LESSOR
OF PREMISES AT WHICH YOU ARE PERFORMING OR
HAVE PERFORMED OPERATIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE OF ADDITIONAL INSUREDS
Person Or Organization:
ANY PERSON OR ORGANIZATION THAT YOU AGREE TO INCLUDE AS AN
ADDITIONAL INSURED ON THIS COVERAGE PART FOR "BODILY INJURY"
OR "PROPERTY DAMAGE", PROVIDED THAT THE AGREEMENT WAS MADE BEFORE
THE "BODILY INJURY" OR "PROPERTY DAMAGE" OCCURS.
Project Or Location Of Covered Operations:
ANY PROJECT OR LOCATION TO WHICH AN AGREEMENT DESCRIBED IN THE PERSON
OR ORGANIZATION SECTION OF THIS SCHEDULE APPLIES
PROVISIONS
The following is added to SECTION II — WHO IS AN
INSURED:
1. Any person or organization shown in the Sched-
ule Of Additional Insureds that is a premises
owner, manager or lessor of premises at which
you are performing or have performed operations
is an insured, but only:
a. With respect to liability for "bodily injury" or
"property damage"; and
b. If, and only to the extent that, the "bodily
injury" or "property damage" is caused by
acts or omissions of you or your subcontrac-
tor in the performance of "your work" on or for
the project, or at the location, shown in the
Schedule Of Additional Insureds. The person
CG D7 65 0614 © 2014 The Travelers Indemnity Company. All rights reserved. Page 1 of 2
COMMERCIAL GENERAL LIABILITY
or organization does not qualify as an addi-
tional insured with respect to the independent
acts or omissions of such person or organiza-
tion.
2. The insurance provided to such person or organi-
zation does not apply to "bodily injury" or "prop-
erty damage" arising out of the rendering of, or
failure to render, any professional architectural,
engineering or surveying services, including:
a. The preparing, approving, or failing to prepare
or approve, maps, shop drawings, opinions,
reports, surveys, field orders or change or-
ders, or the preparing, approving, or failing to
prepare or approve, drawings and specifica-
tions; and
b. Supervisory, inspection, architectural or engi-
neering activities.
3. As a condition of coverage provided to the addi-
tional insured:
a. The additional insured must give us written
notice as soon as practicable of an 'occur-
rence" which may result in a claim. To the ex-
tent possible, such notice should include:
(1) How, when and where the 'occurrence"
took place;
(2) The names and addresses of any injured
persons and witnesses; and
(3) The nature and location of any injury or
damage arising out of the "occurrence".
b. If a claim is made or "suit' is brought against
the additional insured, the additional insured
must:
(1) Immediately record the specifics of the
claim or "suit' and the date received; and
(2) Notify us as soon as practicable.
The additional insured must see to it that we
receive written notice of the claim or "suit' as
soon as practicable.
c. The additional insured must immediately
send us copies of all legal papers re-
ceived in connection with the claim or
"suit', cooperate with us in the investiga-
tion or settlement of the claim or defense
against the "suit', and otherwise comply
with all policy conditions.
d. The additional insured must tender the
defense and indemnity of any claim or
"suit' to any provider of other insurance
which would cover the additional insured
for a loss we cover under this insurance.
Page 2 of 2 © 2014 The Travelers Indemnity Company. All rights reserved. CG D7 65 06 14
POLICY NUMBER:Y-660-OJ17954A
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
EARLIER NOTICE OF CANCELLATIONMONRENEWAL
PROVIDED BY US
This endorsement modifies insurance provided under the following:
ALL COVERAGE PARTS INCLUDED IN THIS POLICY
SCHEDULE
CANCELLATION:
WHEN WE DO NOT RENEW (Nonrenewal):
PROVISIONS:
A. For any statutorily permitted reason other than
nonpayment of premium, the number of days re-
quired for notice of cancellation, as provided in
the CONDITIONS Section of this insurance, or as
amended by any applicable state cancellation
endorsement applicable to this insurance, is in-
creased to the number of days shown in the
SCHEDULE above.
Number of Days Notice: 30
Number of days Notice: 30
B. For any statutorily permitted reason other than
nonpayment of premium, the number of days re-
quired for notice of When We Do Not Renew
(Nonrenewal), as provided in the CONDITIONS
Section of this insurance, or as amended by any
applicable state When We Do Not Renew
(Nonrenewal) endorsement applicable to this in-
surance, is increased to the number of days
shown in the SCHEDULE above.
IL T3 20 09 97 Copyright, The Travelers Indemnity Company, 1997 Page 1 of 1
POLICY NUMBER: Y-660-OJ17954A GENERAL PURPOSE ENDORSEMENT
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED ENTITY - NOTICE OF CANCELLATION
PROVIDED BY US (IL T4 05 03 11)
THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING:
ALL COVERAGE PARTS INCLUDED IN THIS POLICY
CONTINUATION OF FORM IL T4 05, PERSON OR ORGANIZATION:
PERSON OR ORGANIZATION:
ANY PERSON OR ORGANIZATION TO WHOM YOU HAVE AGREED IN A WRITTEN CONTRACT THAT
NOTICE OF CANCELLATION 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 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 ENDORSEMENT.
ADDRESS:
THE ADDRESS FOR THAT PERSON OR ORGANIZATION INCLUDED IN SUCH WRITTEN REQUEST
FROM YOU TO US.
IL T8 03 Page 1
POLICY NUMBER: Y-660-OJ17954A
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
TOTAL GENERAL AGGREGATE LIMIT
DESIGNATED PROJECT(S) - GENERAL
AGGREGATE LIMIT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Total General Aggregate Limit: $ 10, 000, 000
Designated Project(s): EACH "PROJECT" FOR WHICH YOU HAVE AGREED, IN
A WRITTEN CONTRACT WHICH IS IN EFFECT DURING
THIS POLICY PERIOD, TO PROVIDE A SEPARATE
GENERAL AGGREGATE LIMIT, PROVIDED THAT THE
CONTRACT IS SIGNED AND EXECUTED BY YOU
BEFORE THE "BODILY INJURY" OR "PROPERTY
DAMAGE" OCCURS.
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to this endorsement.)
A. The Total General Aggregate Limit stated in the
der COVERAGE C (SECTION 1), which can be at -
Schedule above is the most we will pay for the
tributed only to operations at a single designated
sum of all:
"project" shown in the Schedule above:
1. Medical Expenses under COVERAGE C
1. A separate Designated Project General Ag-
(SECTION 1);
gregate Limit applies to each designated "pro-
2. Damages under COVERAGE A (SECTION 1),
ject", and that limit is equal to the amount of
except damages because of "bodily injury" or
the General Aggregate Limit shown in the
"property damage" included in the "products-
Declarations.
completed operations hazard'; and
2. Subject to the Total General Aggregate Limit
3. Damages under COVERAGE B (SECTION 1)
stated in the Schedule above, the Designated
Project General Aggregate Limit is the most
regardless of the number of:
we will pay for the sum of all damages under
a. Insureds;
COVERAGE A, except damages because of
b. Claims made or "suits" brought;
"bodily injury" or "property damage" included
in the "products -completed operations haz-
c. Persons or organizations making claims or
and", and for medical expenses under COV-
bringing "suits"; or
ERAGE C regardless of the number of:
d. Designated "projects" listed in the SCHED- a. Insureds;
ULE above.
b. Claims made or "suits" brought; or
B. For all sums which the insured becomes legally
obligated to pay as damages caused by "occur- c. Persons or organizations making claims
rences" under COVERAGE A (SECTION 1), and or bringing "suits".
for all medical expenses caused by accidents un-
CG D3 21 01 04 Copyright, The Travelers Indemnity Company, 2004 Page 1 of 2
COMMERCIAL GENERAL LIABILITY
3. Any payments made under COVERAGE A for
damages or under COVERAGE C for medical
expenses shall reduce both the Total General
Aggregate Limit stated in the Schedule
above, and the Designated Project General
Aggregate Limit for that designated "project".
Such payments shall not reduce the General
Aggregate Limit shown in the Declarations
nor shall they reduce any other Designated
Project General Aggregate Limit for any other
designated "project" shown in the Schedule
above.
4. The limits shown in the Declarations for Each
Occurrence, Damage To Premises Rented To
You and Medical Expense continue to apply.
However, instead of being subject to the
General Aggregate Limit shown in the Decla-
rations, such limits will be subject to both the
Total General Aggregate Limit stated in the
Schedule above, and the applicable Desig-
nated Project General Aggregate Limit.
C. For all sums which the insured becomes legally
obligated to pay as damages caused by "occur-
rences" under COVERAGE A (SECTION 1), and
for all medical expenses caused by accidents un-
der COVERAGE C (SECTION 1), which cannot be
attributed only to operations at a single desig-
nated "project" shown in the Schedule above:
1. Any payments made under COVERAGE A for
damages or under COVERAGE C for medical
expenses shall reduce the amount available
under the Total General Aggregate Limit
stated in the Schedule above and the General
Aggregate Limit, or the Products -Completed
Operations Aggregate Limit, whichever is ap-
plicable; and
2. Such payments shall not reduce any Desig-
nated Project General Aggregate Limit.
As respects this Provision C., the limits shown in
the Declarations for Each Occurrence, Damage
To Premises Rented To You and Medical Ex-
pense continue to apply.
D. Part 2. of SECTION III — LIMITS OF INSURANCE
is deleted and replaced by the following:
2. The General Aggregate Limit is the most we
will pay for the sum of:
a. Damages under Coverage B; and
b. Damages from "occurrences" under
COVERAGE A (SECTION 1) and for all
medical expenses caused by accidents
under COVERAGE C (SECTION 1) which
cannot be attributed only to operations at
a single designated "project" shown in the
SCHEDULE above.
E. When coverage for liability arising out of the
"products -completed operations hazard" is pro-
vided, any payments for damages because of
"bodily injury" or "property damage" included in
the "products -completed operations hazard" will
reduce the Products -Completed Operations Ag-
gregate Limit, and not reduce the Total General
Aggregate Limit stated in the Schedule above, the
General Aggregate Limit, or the Designated Pro-
ject General Aggregate Limit.
F. For the purposes of this endorsement the Defini-
tions Section is amended by the addition of the
following definition:
"Project" means an area away from premises
owned by or rented to you at which you are per-
forming operations pursuant to a contract or
agreement. For the purposes of determining the
applicable aggregate limit of insurance, each
"project" that includes premises involving the
same or connecting lots, or premises whose con-
nection is interrupted only by a street, roadway,
waterway or right-of-way of a railroad shall be
considered a single "project".
G. The provisions of LIMITS OF INSURANCE
(SECTION III) not otherwise modified by this en-
dorsement shall continue to apply as stipulated.
Page 2 of 2 Copyright, The Travelers Indemnity Company, 2004 CG D3 21 01 04
POLICY NUMBER: Y-660-OJ17954A
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
OTHER INSURANCE -ADDITIONAL INSUREDS
This endorsement modifies insurance provided under the following
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PROVISIONS
COMMERCIAL GENERAL LIABILITY CONDITIONS
(Section IV), Paragraph 4. (Other Insurance), is
amended as follows:
1. The following is added to Paragraph a. Primary
Insurance:
However, if you specifically agree in a written con-
tract or written agreement that the insurance pro-
vided to an additional insured under this
Coverage Part must apply on a primary basis, or
a primary and non-contributory basis, this insur-
ance is primary to other insurance that is avail-
able to such additional insured which covers such
additional insured as a named insured, and we
will not share with that other insurance, provided
that:
a. The "bodily injury" or "property damage" for
which coverage is sought occurs; and
b. The "personal injury" or "advertising injury" for
which coverage is sought arises out of an of-
fense committed
subsequent to the signing and execution of that
contract or agreement by you.
2. The first Subparagraph (2) of Paragraph b. Ex-
cess Insurance regarding any other primary in-
surance available to you is deleted.
3. The following is added to Paragraph b. Excess
Insurance, as an additional subparagraph under
Subparagraph (1):
That is available to the insured when the insured
is added as an additional insured under any other
policy, including any umbrella or excess policy.
CG DO 37 04 05 Copyright 2005 The St. Paul Travelers Companies, Inc. All rights reserved. Page 1 of 1
POLICY NUMBER: BA-2L343052
COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BUSINESS AUTO EXTENSION 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. BROAD FORM NAMED INSURED
B. BLANKET ADDITIONAL INSURED
C. EMPLOYEE HIRED AUTO
D. EMPLOYEES AS INSURED
E. SUPPLEMENTARY PAYMENTS — INCREASED
LIMITS
F. HIRED AUTO — LIMITED WORLDWIDE COV-
ERAGE — INDEMNITY BASIS
G. WAIVER OF DEDUCTIBLE — GLASS
PROVISIONS
A. BROAD FORM NAMED INSURED
The following is added to Paragraph A.1., Who Is
An Insured, of SECTION II — COVERED AUTOS
LIABILITY COVERAGE:
Any organization you newly acquire or form dur-
ing the policy period over which you maintain
50% or more ownership interest and that is not
separately insured for Business Auto Coverage.
Coverage under this provision is afforded only un-
til the 180th day after you acquire or form the or-
ganization or the end of the policy period, which-
ever is earlier.
B. BLANKET ADDITIONAL INSURED
The following is added to Paragraph c. in A.1.,
Who Is An Insured, of SECTION II — COVERED
AUTOS LIABILITY COVERAGE:
Any person or organization who is required under
a written contract or agreement between you and
that person or organization, that is signed and
executed by you before the "bodily injury" or
"property damage" occurs and that is in effect
during the policy period, to be named as an addi-
tional insured is an "insured" for Covered Autos
Liability Coverage, but only for damages to which
H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF
USE — INCREASED LIMIT
I. PHYSICAL DAMAGE — TRANSPORTATION
EXPENSES — INCREASED LIMIT
J. PERSONAL PROPERTY
K. AIRBAGS
L. NOTICE AND KNOWLEDGE OF ACCIDENT OR
LOSS
M. BLANKET WAIVER OF SUBROGATION
N. UNINTENTIONAL ERRORS OR OMISSIONS
this insurance applies and only to the extent that
person or organization qualifies as an "insured"
under the Who Is An Insured provision contained
in Section II.
C. EMPLOYEE HIRED AUTO
1. The following is added to Paragraph A.1.,
Who Is An Insured, of SECTION II — COV-
ERED AUTOS LIABILITY COVERAGE:
An "employee" of yours is an "insured" while
operating an "auto" hired or rented under a
contract or agreement in an "employee's"
name, with your permission, while performing
duties related to the conduct of your busi-
ness.
2. The following replaces Paragraph b. in B.S.,
Other Insurance, of SECTION IV — BUSI-
NESS AUTO CONDITIONS:
b. For Hired Auto Physical Damage Cover-
age, the following are deemed to be cov-
ered "autos" you own:
(1) Any covered "auto" you lease, hire,
rent or borrow; and
(2) Any covered "auto" hired or rented by
your "employee" under a ,contract in
an "employee's" name, with your
CA T3 53 02 15 © 2015 The Travelers Indemnity Company. All rights reserved. Page 1 of 4
Includes copyrighted material of Insurance Services Office, Inc. with its permission
COMMERCIAL AUTO
permission, while performing duties
related to the conduct of your busi-
ness.
However, any "auto" that is leased, hired,
rented or borrowed with a driver is not a
covered "auto".
D. EMPLOYEES AS INSURED
The following is added to Paragraph A.1., Who Is
An Insured, of SECTION II — COVERED AUTOS
LIABILITY COVERAGE:
Any "employee" of yours is an "insured" while us-
ing a covered "auto" you don't own, hire or borrow
in your business or your personal affairs.
E. SUPPLEMENTARY PAYMENTS — INCREASED
LIMITS
1. The following replaces Paragraph A.2.a.(2),
of SECTION II — COVERED AUTOS LIABIL-
ITY COVERAGE:
(2) Up to $3,000 for cost of bail bonds (in-
cluding bonds for related traffic law viola-
tions) required because of an "accident"
we cover. We do not have to furnish
these bonds.
2. The following replaces Paragraph A.2.a.(4),
of SECTION II — COVERED AUTOS LIABIL-
ITY COVERAGE:
(a) With respect to any claim made or "suit"
brought outside the United States of
America, the territories and possessions
of the United States of America, Puerto
Rico and Canada:
(i) You must arrange to defend the "in-
sured" against, and investigate or set-
tle any such claim or "suit" and keep
us advised of all proceedings and ac-
tions.
(ii) Neither you nor any other involved
"insured" will make any settlement
without our consent.
(iii) We may, at our discretion, participate
in defending the "insured" against, or
in the settlement of, any claim or
"suit".
(iv) We will reimburse the "insured" for
sums that the "insured" legally must
pay as damages because of "bodily
injury" or "property damage" to which
this insurance applies, that the "in-
sured" pays with our consent, but
only up to the limit described in Para-
graph C., Limits Of Insurance, of
SECTION 11 — COVERED AUTOS
LIABILITY COVERAGE.
(4) All reasonable expenses incurred by the
(v) We will reimburse the "insured" for
"insured" at our request, including actual
the reasonable expenses incurred
loss of earnings up to $500 a day be-
with our consent for your investiga-
cause of time off from work.
tion of such claims and your defense
of the "insured" against any such
F. HIRED AUTO — LIMITED WORLDWIDE COV-
"suit", but only up to and included
ERAGE — INDEMNITY BASIS
within the limit described in Para -
The following replaces Subparagraph (5) in Para-
graph C., Limits Of Insurance, of
graph B.7., Policy Period, Coverage Territory,
SECTION II — COVERED AUTOS
of SECTION IV — BUSINESS AUTO CONDI-
LIABILITY COVERAGE, and not in
TIONS:
addition to such limit. Our duty to
make such payments ends when we
(5) Anywhere in the world, except any country or
have used up the applicable limit of
jurisdiction while any trade sanction, em-
insurance in payments for damages,
bargo, or similar regulation imposed by the
settlements or defense expenses.
United States of America applies to and pro-
hibits the transaction of business with or
(b) This insurance is excess over any valid
within such country or jurisdiction, for Cov-
and collectible other insurance available
ered Autos Liability Coverage for any covered
to the "insured" whether primary, excess,
"auto" that you lease, hire, rent or borrow
contingent or on any other basis.
without a driver for a period of 30 days or less
(c) This insurance is not a substitute for re -
and that is not an "auto" you lease, hire, rent
quired or compulsory insurance in any
or borrow from any of your "employees",
country outside the United States, its ter -
partners (if you are a partnership), members
ritories and possessions, Puerto Rico and
(if you are a limited liability company) or
Canada.
members of their households.
Page 2 of 4 © 2015 The Travelers Indemnity Company. All rights reserved. CA T3 53 02 15
Includes copyrighted material of Insurance Services Office, Inc. with its permission
You agree to maintain all required or
compulsory insurance in any such coun-
try up to the minimum limits required by
local law. Your failure to comply with
compulsory insurance requirements will
not invalidate the coverage afforded by
this policy, but we will only be liable to the
same extent we would have been liable
had you complied with the compulsory in-
surance requirements.
(d) It is understood that we are not an admit-
ted or authorized insurer outside the
United States of America, its territories
and possessions, Puerto Rico and Can-
ada. We assume no responsibility for the
furnishing of certificates of insurance, or
for compliance in any way with the laws
of other countries relating to insurance.
G. WAIVER OF DEDUCTIBLE — GLASS
The following is added to Paragraph D., Deducti-
ble, of SECTION III — PHYSICAL DAMAGE
COVERAGE:
No deductible for a covered "auto' will apply to
glass damage if the glass is repaired rather than
replaced.
H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF
USE — INCREASED LIMIT
The following replaces the last sentence of Para-
graph AA.b., Loss Of Use Expenses, of SEC-
TION III — PHYSICAL DAMAGE COVERAGE:
However, the most we will pay for any expenses
for loss of use is $65 per day, to a maximum of
$750 for any one "accident".
I. PHYSICAL DAMAGE — TRANSPORTATION
EXPENSES — INCREASED LIMIT
The following replaces the first sentence in Para-
graph A.4.a., Transportation Expenses, of
SECTION III — PHYSICAL DAMAGE COVER-
AGE:
We will pay up to $50 per day to a maximum of
$1,500 for temporary transportation expense in-
curred by you because of the total theft of a cov-
ered "auto' of the private passenger type.
J. PERSONAL PROPERTY
COMMERCIAL AUTO
(2) In or on your covered "auto".
This coverage applies only in the event of a total
theft of your covered "auto'.
No deductibles apply to this Personal Property
coverage.
K. AIRBAGS
The following is added to Paragraph B.3., Exclu-
sions, of SECTION III — PHYSICAL DAMAGE
COVERAGE:
Exclusion 3.a. does not apply to "loss" to one or
more airbags in a covered "auto' you own that in-
flate due to a cause other than a cause of "loss"
set forth in Paragraphs A.1.b. and A.1.c., but
only:
a. If that "auto' is a covered "auto' for Compre-
hensive Coverage under this policy;
b. The airbags are not covered under any war-
ranty; and
c. The airbags were not intentionally inflated.
We will pay up to a maximum of $1,000 for any
one 'loss".
L. NOTICE AND KNOWLEDGE OF ACCIDENT OR
LOSS
The following is added to Paragraph A.2.a., of
SECTION IV — BUSINESS AUTO CONDITIONS:
Your duty to give us or our authorized representa-
tive prompt notice of the "accident" or 'loss" ap-
plies only when the "accident" or "loss" is known
to:
(a) You (if you are an individual);
(b) A partner (if you are a partnership);
(c) A member (if you are a limited liability com-
pany);
(d) An executive officer, director or insurance
manager (if you are a corporation or other or-
ganization); or
(e) Any "employee" authorized by you to give no-
tice of the "accident" or "loss".
M. BLANKET WAIVER OF SUBROGATION
The following replaces Paragraph A.5., Transfer
Of Rights Of Recovery Against Others To Us,
of SECTION IV — BUSINESS AUTO CONDI-
TIONS:
The following is added to Paragraph A.4., Cover- 5. Transfer Of Rights Of Recovery Against
age Extensions, of SECTION III — PHYSICAL Others To Us
DAMAGE COVERAGE: We waive any right of recovery we may have
Personal Property against any person or organization to the ex-
tent required of you by a written contract
We will pay up to $400 for 'loss" to wearing ap- signed and executed prior to any "accident'
parel and other personal property which is: or "loss", provided that the "accident' or 'loss"
(1) Owned by an "insured"; and arises out of operations contemplated by
CA T3 53 02 15 © 2015 The Travelers Indemnity Company. All rights reserved. Page 3 of 4
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
COMMERCIAL AUTO
such contract. The waiver applies only to the The unintentional omission of, or unintentional
person or organization designated in such error in, any information given by you shall not
contract. prejudice your rights under this insurance. How-
N. UNINTENTIONAL ERRORS OR OMISSIONS ever this provision does not affect our right to col -
The following is added to Paragraph B.2., Con- lect additional premium or exercise our right of
cealment, Misrepresentation, Or Fraud, of cancellation or non -renewal.
SECTION IV — BUSINESS AUTO CONDITIONS:
Page 4 of 4 © 2015 The Travelers Indemnity Compa ny. All rights reserved . CA T3 53 02 15
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
POLICY NUMBER: BA-21_343052
COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED - PRIMARY AND
NON-CONTRIBUTORY WITH OTHER INSURANCE
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
PROVISIONS
1. The following is added to Paragraph A.1.c., Who
Is An Insured, of SECTION II — COVERED
AUTOS LIABILITY COVERAGE:
This includes any person or organization who you
are required under a written contract or
agreement between you and that person or
organization, that is signed by you before the
"bodily injury" or "property damage" occurs and
that is in effect during the policy period, to name
as an additional insured for Covered Autos
Liability Coverage, but only for damages to which
this insurance applies and only to the extent of
that person's or organization's liability for the
conduct of another "insured".
2. The following is added to Paragraph B.S., Other
Insurance of SECTION IV — BUSINESS AUTO
CONDITIONS:
Regardless of the provisions of paragraph a. and
paragraph d. of this part S. Other Insurance, this
insurance is primary to and non-contributory with
applicable other insurance under which an
additional insured person or organization is the
first named insured when the written contract or
agreement between you and that person or
organization, that is signed by you before the
"bodily injury" or "property damage" occurs and
that is in effect during the policy period, requires
this insurance to be primary and non-contributory.
CA T4 74 02 16 © 2016 The Travelers Indemnity Company. All rights reserved. Page 1 of 1
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
POLICY NUMBER: BA-21_343052
COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
EARLIER NOTICE OF CANCELLATIONMON RENEWAL
PROVIDED BY US - TEXAS
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
SCHEDULE
CANCELLATION:
WHEN WE DO NOT RENEW (Nonrenewal)
PROVISIONS:
A. For any statutorily permitted reason other than
nonpayment of premium, the number of days
required for notice of cancellation, as provided in
the CONDITIONS Section of this insurance, or
as amended by any applicable state cancellation
endorsement applicable to this insurance, is in-
creased to the number of days shown in the
SCHEDULE above.
Number of Days Notice: 30
Number of Days Notice: 30
B. For any statutorily permitted reason other than
nonpayment of premium, the number of days
required for notice of When We Do Not Renew
(Nonrenewal), as provided in the CONDITIONS
Section of this insurance, or as amended by any
applicable state When We Do Not Renew (Non -
renewal) endorsement applicable to this insur-
ance, is increased to the number of days shown
in the SCHEDULE above.
CA FO 85 02 15 © 2015 The Travelers Indemnity Company. All rights reserved. Page 1 of 1
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
3/29/2021 Washington State Department of Revenue
Washington State Department of Revenue
< Business Lookup
License Information:
Entity name: LOTTIE CORPORATION
Business
WHITMAN GLOBAL CARPET CARE
name:
Entity type:
Profit Corporation
UBI #:
601-416-627
Business ID:
001
Location ID:
0001
Location:
Active
Location address: 5010 BLACK LAKE BLVD SW
OLYMPIA WA 98512-2203
Mailing address: 5010 BLACK LAKE BLVD SW
OLYMPIA WA 98512-2203
Excise tax and reseller permit status: Click here
Secretary of State status: Click here
Endorsements
Endorsements held License # Count Details
New search Back to results
Status Expiratio First issu.
https://secure.dor.wa.gov/gteunauth/_/#6 1 /3
3/29/2021 Washington State Department of Revenue
Endorsements held License # Count Details
Federal Way 93-103777-00
General Business
- Non -Resident
Redmond RED 15-00024;
General Business
- Non -Resident
Woodinville
General Business
Active
Active
Active
Expiratio First issw
Feb-28-2 Jan-14-2i
Dec-31-2 May-19
Feb-28-2 Sep-18-2
Governing People May include governing people not registered with Secretary of State
Governing people
WHITMAN-MOSEBAR, LOTTIE
Registered Trade blames
registered trade ndines Status
WHITMAN GLOBAL Active
CARPET AND FLOOR CARE
First issued
Jan-17-2017
The Business Lookup information is updated
nightly. Search date and time: 3/29/2021 9:16:54
AM
Contact us
https://secure.dor.wa.gov/gteunauth/_/#6 2/3
3/29/2021 Washington State Department of Revenue
How are we doing?
Take our survey!
Don't see what you expected?
Check if your browser is supported
N/
https://secure.dor.wa.gov/gteunauth/_/#6 3/3
RETURN TO: Mary Jaenicke EXT: 6901
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT./DIV: Parks
2. ORIGINATING STAFF PERSON: Derreck Presnell EXT: 6959 3. DATE REQ. BY: 11/20/2020
4. TYPE OF DOCUMENT (CHECK ONE):
❑ CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT
❑ PROFESSIONAL SERVICE AGREEMENT R MAINTENANCE AGREEMENT
❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES / CDBG
❑ REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E,G. BOND RELATED DOCUMENTS)
❑ ORDINANCE ❑ RESOLUTION
❑ CONTRACT AMENDMENT (AG#): ❑ INTERLOCAL
❑ OTHER
5. PROJECT NAME: Carpet Cleaning Service Contract
6. NAME OF CONTRACTOR: Whitman Global Carpet & Floor Care
ADDRESS: 18734 142ND Ave NE Woodinville, WA 98072 TELEPHONE 425-485-7061
E-MAIL: Infoggowhitman.com FAX:
SIGNATURENAME: LOttle Whitman TITLE President
7. EXHIBITS AND ATTACHMENTS: 19 SCOPE, WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE ❑ ALL
OTHER REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS
8. TERM: COMMENCEMENT DATE: Upon Signing COMPLETION DATE: 12/3112026
9. TOTAL COMPENSATION $ $51,024.00 (INCLUDE EXPENSES AND SALES TAX, IF ANY)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: ❑ YES IN NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED ®YES ONO IF YES, $ PAID BY: ❑ CONTRACTOR 9 CITY
RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED
A PURCHASING: PLEASE CHARGE TO: 505-1100-331-518-30-480
10. DOCUMENT/CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
19 PROJECT MANAGER
❑ DIRECTOR
❑ RISK MANAGEMENT (IF APPLICABLE)
It LAW DK 11-6-202
11. COUNCIL APPROVAL (IF APPLICABLE) COMMITTEE APPROVAL DATE: COUNCIL APPROVAL DATE:
12. CONTRACT SIGNATURE ROUTING
❑ SENT TO VENDOR/CONTRACTOR DATE SENT: DATE RE CD:
❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
❑ CREATE ELECTRONIC REMINDER/NOTIFICATION FOR 1 MONTH PRIOR TO EXPIRATION DATE
(Include dept. support staff if necessary and feel free to set notification more than a month in advance if council approval is needed.)
INITIAL/DATE SIGNED
[LAW DEPARTMENT i
ATORY (MAYOR OR DIRECTOR)
1TY CLERK!'}�1
© ASSIGNED AG# {A
COMMENTS:
11/6/2020 - the business license expires 11/20/2020 and needs to be renewed with the state.
DK: Ex. B should include an annual cap of less that $20,000 or this should go to the council for approval.
2/2017
CITY Of CITY HALL
i. 33325 8th Avenue South
Federal Way. WA 98003-6325
Fe d e ra I Way
-...► (253) 835-7000
www cityoffederelway. corn
MAINTENANCE AGREEMENT
FOR
CARPET CLEANING
This Maintenance Agreement ("Agreement") is made between the City of Federal Way, a Washington municipal
corporation ("City"), and Whitman & Associates, Inc., a Washington Corporation ("Contractor"). The City and
Contractor (together "Parties") are located and do business at the below addresses which shall be valid for any notice
required under this Agreement:
WHITMAN & ASSOCIATES, INC.:
Lottie Whitman
18734 142nd Avenue N.E.
Woodinville, WA 98072
(425) 485-7061 (telephone)
info@gowhitman.com
The Parties agree as follows:
CITY OF FEDERAL WAY:
Derreck Presnell
33325 8th Ave. S.
Federal Way, WA 98003-6325
(253) 835-6961 (telephone)
Derreck.presnell@cityoffederalway.com
1. TERM. The term of this Agreement shall commence upon the effective date of this Agreement, which shall be the date
of mutual execution, and shall continue until the completion of the Work, but in any event no later than December 31, 2026
("Term"). This Agreement may be extended for additional periods of time upon the mutual written agreement of the City and
the Contractor.
2. WORK.
2.1 Work. The Contractor shall provide goods, materials or services and otherwise perform the work more
specifically described in Exhibit "A," attached hereto and incorporated by this reference ("Work"), performed to the City's
satisfaction, within the time period prescribed by the City and pursuant to the direction of the Mayor or his or her designee.
2.2 Warranties. The Contractor warrants that it has the requisite training, skill, and experience necessary to provide
the Work and is appropriately accredited and licensed by all applicable agencies and governmental entities, including but not
limited to obtaining a City of Federal Way business registration. The Contractor warrants it will provide services in a manner
consistent with the accepted practices for other similar services within the Puget Sound region in effect at the time those services
are performed. The Contractor warrants goods are merchantable, are fit for the particular purpose for which they were obtained,
and will perform in accordance with their specifications and Contractor's representations to City. The Contractor shall, at its
sole cost and expense, correct all Work performed which the City deems to have defects in workmanship and material
discovered within one (1) year after the City's final acceptance of the Work. This Agreement is subject to all warranty
provisions established under the Uniform Commercial Code, Title 62A RCW. In the event any part of the goods are repaired,
only original replacement parts shall be used —rebuilt or used parts will not be acceptable. When defects are corrected, the
warranty for that portion of the work shall extend for one (1) year from the date such correction is completed and accepted by
the City. The Contractor shall begin to correct any defects within seven (7) calendar days of its receipt of notice from the City of
the defect. If the Contractor does not accomplish the corrections within a reasonable time as determined by the City, the City
may complete the corrections and the Contractor shall pay all costs incurred by the City in order to accomplish the correction.
2.3 Time. Documentation, and Inspection. Work shall begin immediately upon the effective date of this Agreement.
Work shall be subject, at all times, to observation and inspection by and with approval of the City, but the making (or failure or
MAINTENANCE AGREEMENT - 1 - 3/2017
CITY OF CITY HALL
4 33325.�A*#
. Fe d e ra I Way Feder Avenue South
Federal
Way. WA 98003-6325
(253)835-7000
vvww cityoffederahvay com
delay in making) such inspection or approval shall not relieve Contractor of responsibility for performance of the Work in
accordance with this Contract, notwithstanding the City's knowledge of defective or non -complying performance, its
substantiality or the ease of its discovery.
2.4 Clean Up. At any time ordered by the City and immediately after completion of the Work, the Contractor shall,
at its own expense, clean up and remove all refuse and unused materials of any kind resulting from the Work. In the event the
Contractor fails to perform the necessary clean up, the City may, but in no event is it obligated to, perform the necessary clean
up and the costs thereof shall be immediately paid by the Contractor to the City and/or the City may deduct its costs from any
remaining payments due to the Contractor.
3. TERMINATION. Either party may terminate this Agreement, with or without cause, upon providing the other party
thirty (30) days written notice at its address set forth on the signature block of this Agreement. The City may terminate this
Agreement immediately if the Contractor fails to maintain required insurance policies, breaches confidentiality, or materially
violates Section 12 and may result in ineligibility for further City agreements.
4. COMPENSATION.
4.1 Amount. In return for the Work, the City shall pay the Contractor an amount not to exceed a maximum amount
and according to a rate or method as delineated in Exhibit "B," attached hereto and incorporated by this reference. The
Contractor agrees that any hourly or flat rate charged by it for its services contracted for herein shall remain locked at the
negotiated rate(s) for the Term. Except as otherwise provided in Exhibit `B," the Contractor shall be solely responsible for the
payment of any taxes imposed by any lawful jurisdiction as a result of the performance and payment of this Agreement.
4.2 Method of Payment. On a monthly basis, the Contractor shall submit a voucher or invoice in the form specified
by the City, including a description of what Work have been performed, the name of the personnel performing such Work, and
any hourly labor charge rate for such personnel. The Contractor shall also submit a final bill upon completion of all Work.
Payment shall be made on a monthly basis by the City only after the Work has been performed and within thirty (30) days after
receipt and approval by the appropriate City representative of the voucher or invoice. If the Work does not meet the
requirements of this Agreement, the Contractor will correct or modify the work to comply with the Agreement. The City may
withhold payment for such work until the work meets the requirements of the Agreement.
4.3 Defective or Unauthorized Work. If any goods, materials, or services provided under this Agreement are either
defective, unauthorized, or otherwise do not meet the requirements of this Agreement, the Contractor will correct or modify the
work to comply with the Agreement and the City reserves the right to withhold payment from the Contractor until the goods,
materials, or services are acceptable to the City. If Contractor is unable, for any reason, to complete any part of this Agreement,
the City may obtain the goods, materials or services from other sources, and Contractor shall be liable to the City for any
additional costs incurred by the City. "Additional costs" shall mean all reasonable costs, including legal costs and attorney fees,
incurred by the City beyond the maximum Agreement price specified above. The City further reserves its right to deduct these
additional costs incurred to complete this Agreement with other sources, from any and all amounts due or to become due the
Contractor.
4.4 Non -Appropriation of Funds. If sufficient funds are not appropriated or allocated for payment under this
Agreement for any future fiscal period, the City will not be obligated to make payments for Work or amounts incurred after the
end of the current fiscal period, and this Agreement will terminate upon the completion of all remaining Work for which funds
are allocated. No penalty or expense shall accrue to the City in the event this provision applies.
4.5 Final Payment: Waiver of Claims. Contractor's acceptance of final payment shall constitute a waiver of any and
all claims, except those previously and properly made and identified by Contractor as unsettled at the time request for final
payment is made.
MAINTENANCE AGREEMENT - 2 - 3/2017
CITY OF CITY HALL
4 33325Fe d e ra I Way Feder 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www crryoffederalway. com
5. INDEMNIFICATION.
5.1 Contractor indemnification. The Contractor agrees to release indemnify, defend, and hold the City, its elected
officials, officers, employees, agents, representatives, insurers, attorneys, and volunteers harmless from any and all claims,
demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgments, awards, injuries, damages, liabilities,
taxes, losses, fines, fees, penalties expenses, attorney's fees, costs, and/or litigation expenses to or by any and all persons or
entities, including, without limitation, their respective agents, licensees, or representatives, arising from, resulting from, or in
connection with this Agreement or the performance of this Agreement, except for that portion of the claims caused by the City's
sole negligence. Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115, then, in
the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the
concurrent negligence of the Contractor and the City, the Contractor's liability hereunder shall be only to the extent of the
Contractor's negligence. Contractor shall ensure that each sub -contractor shall agree to defend and indemnify the City, its
elected officials, officers, employees, agents, representatives, insurers, attorneys, and volunteers to the extent and on the same
terms and conditions as the Contractor pursuant to this paragraph. The City's inspection or acceptance of any of Contractor's
work when completed shall not be grounds to avoid any of these covenants of indemnification.
5.2 Industrial Insurance Act Waiver. It is specifically and expressly understood that the Contractor waives any
immunity that may be granted to it under the Washington State industrial insurance act, Title 51 RCW, solely for the purposes
of this indemnification. Contractor's indemnification shall not be limited in any way by any limitation on the amount of
damages, compensation or benefits payable to or by any third party under workers' compensation acts, disability benefit acts or
any other benefits acts or programs. The Parties further acknowledge that they have mutually negotiated this waiver.
5.3 City Indemnification. The City agrees to release, indemnify, defend and hold the Contractor, its officers,
directors, shareholders, partners, employees, agents, representatives, and sub- contractors harmless from any and all claims,
demands, actions, suits, causes of action, arbitrations, mediations, proceedings, judgments, awards, injuries, damages, liabilities,
losses, fines, fees, penalties expenses, attorney's fees, costs, and/or litigation expenses to or by any and all persons or entities,
including without limitation, their respective agents, licensees, or representatives, arising from, resulting from or connected with
this Agreement to the extent solely caused by the negligent acts, errors, or omissions of the City.
5.4 Survival. The provisions of this Section shall survive the expiration or termination of this Agreement with
respect to any event occurring prior to such expiration or termination.
6. INSURANCE. The Contractor agrees to carry insurance for liability which may arise from or in connection with the
performance of the services or work by the Contractor, their agents, representatives, employees or subcontractors for the
duration of the Agreement and thereafter with respect to any event occurring prior to such expiration or termination as follows:
6.1. Minimum Limits. The Contractor agrees to carry as a minimum, the following insurance, in such forms and
with such carriers who have a rating that is satisfactory to the City:
a. Commercial general liability insurance covering liability arising from premises, operations, independent
contractors, products -completed operations, stop gap liability, personal injury, bodily injury, death, property damage, products
liability, advertising injury, and liability assumed under an insured contract with limits no less than $1,000,000 for each
occurrence and $2,000,000 general aggregate.
b. Workers' compensation and employer's liability insurance in amounts sufficient pursuant to the laws of
the State of Washington;
C. Automobile liability insurance covering all owned, non -owned, hired and leased vehicles with a
minimum combined single limits in the minimum amounts required to drive under Washington State law per accident for bodily
injury, including personal injury or death, and property damage.
6.2. No Limit ofLiabili . Contractor's maintenance of insurance as required by the agreement shall not be
construed to limit the liability of the Contractor to the coverage provided by such insurance, or otherwise limit the City's
MAINTENANCE AGREEMENT - 3 - 3/2017
CITY of CITY HALL
Fe d e ra I Way Feder 8th Avenue South
8003
Federal Way. WA 98003-6325
(253) 835-7000
www cityoffederalway com
recourse to any remedy available at law or in equity. The Contractor's insurance coverage shall be primary insurance as
respect the City. Any insurance, self-insurance, or insurance pool coverage maintained by the City shall be excess of the
Contractor's insurance and shall not contribute with it.
6.3. Additional Insured.. Verification. The City shall be named as additional insured on all commercial general
liability insurance policies. Concurrent with the execution of this Agreement, Contractor shall provide certificates of
insurance for all commercial general liability policies attached hereto as Exhibit "C" and incorporated by this reference. At
City's request, Contractor shall furnish the City with copies of all insurance policies and with evidence of payment of
premiums or fees of such policies. If Contractor's insurance policies are "claims made," Contractor shall be required to
maintain tail coverage for a minimum period of three (3) years from the date this Agreement is actually terminated or upon
project completion and acceptance by the City.
6.4 Survival. The provisions of this Section shall survive the expiration or termination of this Agreement.
7. CONFIDENTIALITY. All information regarding the City obtained by Contractor in performance of this Agreement
shall be considered confidential subject to applicable laws. Breach of confidentiality by the Contractor may be grounds for
immediate termination. The Contractor will fully cooperate with the City in identifying and assembling records in case of any
public disclosure request.
8. WORK PRODUCT. All originals and copies of work product, including plans, sketches, layouts, designs, design
specifications, records, files, computer disks, magnetic media or material which may be produced or modified by Contractor
while performing the Work shall belong to the City upon delivery. The Contractor shall delivery all needed or contracted for
work project upon demand. All records submitted by the City to the Contractor will be safeguarded by the Contractor.
Contractor shall make such data, documents, and files available to the City upon the City's request. At the expiration or
termination of this Agreement, all originals and copies of any such work product remaining in the possession of Contractor shall
be delivered to the City.
9. .HOOKS AND RECORDS. The Contractor agrees to maintain books, records, and documents which sufficiently and
properly reflect all direct and indirect costs related to the performance of the Work and maintain such accounting procedures
and practices as may be deemed necessary by the City to assure proper accounting of all funds paid pursuant to this Agreement.
These records shall be subject, at all reasonable times, to inspection, review or audit by the City, its authorized representative,
the State Auditor, or other governmental officials authorized by law to monitor this Agreement.
10. INDEPENDENT CONTRACTOR / EMPLOYEE CONDITIONS.
10.1 Independence. The Parties intend that the Contractor shall be an independent contractor and that the Contractor
has the ability to control and direct the performance and details of its work, the City being interested only in the results obtained
under this Agreement. The City shall be neither liable nor obligated to pay Contractor sick leave, vacation pay or any other
benefit of employment, nor to pay any social security, income, or other tax which may arise as an incident of employment,
except as specifically provided in Section 4. Industrial or any other insurance that is purchased for the benefit of the City,
regardless of whether such may provide a secondary or incidental benefit to the Contractor, shall not be deemed to convert this
Agreement to an employment contract. If the Contractor is a sole proprietorship or if this Agreement is with an individual, the
Contractor agrees to notify the City and complete any required form if the Contractor retired under a State of Washington
retirement system and agrees to indemnify any losses the City may sustain through the Contractor's failure to do so.
10.2 Safety. Contractor shall take all necessary precautions and shall be responsible for the safety of its employees,
agents, and subcontractors at the work site and in the performance of the contract work and shall utilize all protection necessary
for that purpose. Contractor shall comply with all applicable provisions of federal, state and municipal safety and health laws
and codes, including without limitation, all OSHA/WISHA requirements, Safety and Health Standards for Construction Work
(Chapter 296-155 WAC), General Safety and Health Standards (Chapter 296-24 WAC), and General Occupational Health
Standards (Chapter 296-62 WAC). Contractor shall erect and properly maintain, at all times, all necessary guards, barricades,
signals and other safeguards at all unsafe places at or near the site for the protection of its employees and the public, safe
MAINTENANCE AGREEMENT - 4 - 3/2017
CITY OF CITY HALL
,4'S Federal
Way Feder 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederafway com
passageways at all road crossings, crosswalks, street intersections, post danger signs warning against known or unusual hazards
and do all other things necessary to prevent accident or loss of any kind. Contractor shall protect from damage all water, sewer,
gas, steam or other pipes or conduits, and all hydrants and all other property that is likely to become displaced or damaged by
the performance of the Work. The Contractor shall, at its own expense, secure and maintain a safe storage place for its materials
and equipment and is solely responsible for the same
10.3 Risk of Work. All work shall be done at Contractor's own risk, and Contractor shall be responsible for any
loss of or damage to materials, tools, or other articles used or held for use in connection with the work. Industrial or any other
insurance that is purchased for the benefit of the City, regardless of whether such may provide a secondary or incidental benefit
to the Contractor, shall not be deemed to convert this Agreement to an employment contract. Even though Contractor is an
independent contractor, the work must meet the approval of the City and shall be subject to the City's general right of inspection
to secure satisfactory completion
10.4 Prevailing Wages.
10.4.1 Wages of Employees. This Agreement is subject to the minimum wage requirements of Chapter 39.12
of the Revised Code of Washington, as now existing or hereafter amended or supplemented. In the payment of hourly
wages and fringe benefits to be paid to any of Contractor's laborers, workers and/or mechanics, Contractor shall not pay
less than the "prevailing rate of wage" for an hour's work in the same trade or occupation in the locality within the State
of Washington where such labor is performed, as determined by the Industrial Statistician of the Department of Labor
and Industries of the State of Washington, which current "prevailing rates of wage" are attached hereto as Exhibit "D"
and incorporated herein by this reference. Prevailing wages paid pursuant to this Agreement shall be the prevailing
wage rates that are in effect on the date when the bids, proposals, or quotes were required to be submitted to the City.
10.4.2 Agreements Exceeding One Year. Pursuant to WAC 296-127-023, or hereafter amended, the City agrees
to pay any increase in the current prevailing wages if and when this Contract is extended provided that the term of the
Contract exceeds one year. The City further agrees to pay the current prevailing wages at the time of additional yearly
extensions, and the Contractor agrees to pay its employees the increased prevailing wage.
10.4.3 Exemptions to Prevailing Wage. The prevailing wage requirements of Chapter 39.12 RCW, and as
required in this Agreement do not apply to: Sole owners and their spouses; any partner who owns at least 30% of a
partnership; the President, Vice President and Treasurer of a corporation if each one owns at least 30% of the
corporation.
10.4.4 Re ortin Re uirements. Contractor shall comply with all reporting requirements of the Department of
Labor and Industries of the State of Washington. Upon the execution of this Agreement, Contractor shall complete and
file a Statement of Intent to Pay Prevailing Wages with the Department of Labor and Industries. Upon completion of
the Work, Contractor shall complete and file an Affidavit of Wages Paid with the Department of Labor and Industries.
Contractor shall deliver copies of both the Statement of Intent to Pay Prevailing Wages and the Affidavit of Wages
Paid, certified by the Department of Labor and Industries, to the City.
10.4.5 Disputes. In the event any dispute arises as to what are the prevailing rates of wages for work of a
similar nature and such dispute cannot be resolved by the City and the Contractor, the matter shall be referred for
arbitration to the Director of the Department of Labor and Industries of the State of Washington and the decision
therein shall be final and conclusive and binding on all parties involved in the dispute.
11. CONFLICT OF INTEREST. It is recognized that Contractor may or will be performing professional services during
the Term for other parties; however, such performance of other services shall not conflict with or interfere with Contractor's
ability to perform the Services. Contractor agrees to resolve any such conflicts of interest in favor of the City. Contractor
confirms that Contractor does not have a business interest or a close family relationship with any City officer or employee who
was, is, or will be involved in the Contractor's selection, negotiation, drafting, signing, administration, or evaluating the
Contractor's performance.
MAINTENANCE AGREEMENT - 5 - - 3/2017
CITY OF CITY HALL
,. .:, Fe d e ra I Way Feder 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
mm. ciryoffederahvay. com
12. E Qt1 A L O P P(} f T t �NITY EMPLOYER. In all services, programs, activities, hiring, and employment made possible
by or resulting from this Agreement or any subcontract, there shall be no discrimination by Contractor or its subcontractors of
any level, or any of those entities' employees, agents, subcontractors, or representatives against any person because of sex, age
(except minimum age and retirement provisions), race, color, religion, creed, national origin, marital status, or the presence of
any disability, including sensory, mental or physical handicaps, unless based upon a bona fide occupational qualification in
relationship to hiring and employment. This requirement shall apply, but not be limited to the following: employment,
advertising, layoff or termination, rates of pay or other forms of compensation, and selection for training, including
apprenticeship. Contractor shall comply with and shall not violate any of the terms of Chapter 49.60 RCW, Title VI of the Civil
Rights Act of 1964, the Americans With Disabilities Act, Section 504 of the Rehabilitation Act of 1973, 49 CFR Part 21, 21.5
and 26, or any other applicable federal, state, or local law or regulation regarding non-discrimination.
13. GENERAL PROVISIONS.
13.1 Interpretation and Modification. This Agreement, together with any attached Exhibits, contains all of the
agreements of the Parties with respect to any matter covered or mentioned in this Agreement and no prior statements or
agreements, whether oral or written, shall be effective for any purpose. Should any language in any Exhibits to this Agreement
conflict with any language in this Agreement, the terms of this Agreement shall prevail. The respective captions of the Sections
of this Agreement are inserted for convenience of reference only and shall not be deemed to modify or otherwise affect any of
the provisions of this Agreement. Any provision of this Agreement that is declared invalid, inoperative, null and void, or illegal
shall in no way affect or invalidate any other provision hereof and such other provisions shall remain in full force and effect.
Any act done by either Party prior to the effective date of the Agreement that is consistent with the authority of the Agreement
and compliant with the terms of the Agreement, is hereby ratified as having been performed under the Agreement. No provision
of this Agreement, including this provision, may be amended, waived, or modified except by written agreement signed by duly
authorized representatives of the Parties.
13.2 Assignment and Beneficiaries. Neither the Contractor nor the City shall have the right to transfer or assign, in
whole or in part, any or all of its obligations and rights hereunder without the prior written consent of the other Party. If the non -
assigning party gives its consent to any assignment, the terms of this Agreement shall continue in full force and effect and no
further assignment shall be made without additional written consent. Subject to the foregoing, the rights and obligations of the
Parties shall inure to the benefit of and be binding upon their respective successors in interest, heirs and assigns. This
Agreement is made and entered into for the sole protection and benefit of the Parties hereto. No other person or entity shall have
any right of action or interest in this Agreement based on any provision set forth herein.
13.3 C ornpliance with_Laws. The Contractor shall comply with and perform the Services in accordance with all
applicable federal, state, local, and city laws including, without limitation, all City codes, ordinances, resolutions, regulations,
rules, standards and policies, as now existing or hereafter amended, adopted, or made effective. If a violation of the City's Ethics
Resolution No. 91-54, as amended, occurs as a result of the formation or performance of this Agreement, this Agreement may
be rendered null and void, at the City's option.
13.4 Enforcement. Time is of the essence of this Agreement and each and all of its provisions in which performance
is a factor. Adherence to completion dates set forth in the description of the Services is essential to the Contractor's performance
of this Agreement. Any notices required to be given by the Parties shall be delivered at the addresses set forth at the beginning
of this Agreement. Any notices may be delivered personally to the addressee of the notice or may be deposited in the United
States mail, postage prepaid, to the address set forth above. Any notice so posted in the United States mail shall be deemed
received three (3) days after the date of mailing. Any remedies provided for under the terms of this Agreement are not intended
to be exclusive, but shall be cumulative with all other remedies available to the City at law, in equity or by statute. The failure of
the City to insist upon strict performance of any of the covenants and agreements contained in this Agreement, or to exercise any
option conferred by this Agreement in one or more instances shall not be construed to be a waiver or relinquishment of those
covenants, agreements or options, and the same shall be and remain in full force and effect. Failure or delay of the City to
declare any breach or default immediately upon occurrence shall not waive such breach or default. Failure of the City to declare
one breach or default does not act as a waiver of the City's right to declare another breach or default. This Agreement shall be
MAINTENANCE AGREEMENT - 6 - 3/2017
CITY OF CITY HALL
Afto Federal Way 33325 Avenue South
Federall Way, WA 98003-6325
(253) 835-7000
www o1yoffederahvay com
made in, governed by, and interpreted in accordance with the laws of the State of Washington. If the Parties are unable to settle
any dispute, difference or claim arising from this Agreement, the exclusive means of resolving that dispute, difference, or claim,
shall be by filing suit under the venue, rules and jurisdiction of the King County Superior Court, King County, Washington,
unless the parties agree in writing to an alternative process. If the King County Superior Court does not have jurisdiction over
such a suit, then suit may be filed in any other appropriate court in King County, Washington. Each party consents to the
personal jurisdiction of the state and federal courts in King County, Washington and waives any objection that such courts are
an inconvenient forum. If either Party brings any claim or lawsuit arising from this Agreement, each Party shall pay all its legal
costs and attorney's fees and expenses incurred in defending or bringing such claim or lawsuit, including all appeals, in addition
to any other recovery or award provided by law; provided, however, however nothing in this paragraph shall be construed to
limit the Parties' rights to indemnification under Section 5 of this Agreement.
13.5 Execution. Each individual executing this Agreement on behalf of the City and Contractor represents and
warrants that such individual is duly authorized to execute and deliver this Agreement. This Agreement may be executed in any
number of counterparts, each of which shall be deemed an original and with the same effect as if all Parties hereto had signed
the same document. All such counterparts shall be construed together and shall constitute one instrument, but in making proof
hereof it shall only be necessary to produce one such counterpart. The signature and acknowledgment pages from such
counterparts may be assembled together to form a single instrument comprised of all pages of this Agreement and a complete set
of all signature and acknowledgment pages. The date upon which the last of all ofthe Parties have executed a counterpart of this
Agreement shall be the "date of mutual execution" hereof.
[Signature page follows]
MAINTENANCE AGREEMENT - 7 - 3/2017
CITY OF CITY HALL
Fe d e 1 a I Way Feder 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www cityoffederalway com
IN WITNESS, the Parties execute this Agreement below, effective the last date written below.
CITY OF FEDERAL WAY:
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DATE: I l,leg O
WHITMAN & ASSOCIATES, INC.:
ATTEST:
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Title: ��� I'� 4
DATE: G U 2—
STATE OF WASHINGTON )
ss.
COUNTY OF
APPROVED AS TO FORM:
J. Ryan Call, City Attorney
On this day personally appeared before meVVC-MV)t-Mi Vk-'to me known to be the
Pp �vEN� of W�KKKN � +47,;
i 0G that executed the foregoing
instrument, and acknowledged the said instrument to be the free and voluntary act and deed of said corporation, for
the uses and purposes therein mentioned, and on oath stated that lie/she was authorized to execute said instrument
and that the seal affixed, if any, is the corporate seal of said corporation.
GIVEN my hanand official seal this day of {JI�LI'�jd— , 20 'k.".
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MAINTENANCE AGREEMENT - 8 - 3/2017
CITY OF CITY HALL
' � 33325 8th Avenue South
Federal Way Federal Way, WA 98003-6325
(253) 835-7000
www crryoffederalway com
EXHIBIT "A"
SERVICES
1. The Contractor shall do or provide the following:
A. Type carpet cleaning:
• A low moisture method of cleaning, no encapsulation, with a dry time of forty-five (45)
minutes to one and half (1 1/2) hours maximum will be used. Carpet sections must be clean, dry and
ready for use
no later than 6:30 AM if it falls on a regular business day. Exceptions will be in the
24-7 Police area and with prior approval from the Contract Administrator or designee.
No wet type extraction system methods with more than an hour and one half
(I %) average dry time will be allowed The cleaning process shall not create a
condition in which the entire profile of the carpet becomes wet and the subfloor
must remain dry.
B. Acceptable method of carpet cleaning:
• Carpet areas to be cleaned; will first be fully vacuumed with a heavy duty commercial
power pile lifting machine to get loose and embedded foreign objects out while the
carpet is dry.
• A combination of a low moisture, eco-friendly method and an appropriate cleaning agent for each
type of carpet and conditions may be applied to aid in the cleaning of each type carpet along with an
industrial spin bonnet for the cleaning process.
• All equipment to be used shall be self-contained so that no hoses are running outdoors through
unsecured doors being left open.
• All cleaning products used shall be environmentally friendly, non -toxic and low to no VOC and with
no reports of sensitivity reactions.
■ Any carpet area cleaned shall be dry to touch no longer than an hour and one half (1 1/2) average after
completion of the section which was cleaned.
C. Spot Cleaning:
• Emergency spotting service shall be available 24/7 with a response time of no more than two hours.
• Spot cleaning service shall include; experienced and trained staff who know how to select and use
the appropriate cleaning solution on a specific fabric and for a specific stain.
• Spots to be dry to touch within forty-five (45) minutes of cleaning with no adverse effects, such as;
lightening of the fabric of the cleaned spot in relation to the surrounding carpet after fully dry.
MAINTENANCE AGREEMENT - 9 - 3/2017
CITY OF CITY HALL
4 33325A*
Fe d e ra I Way Feder 8th Avenue South
Federal Way. WA 98003-6325
(253) 835-7000
www criyoffederalway com
2. SPECIFICATIONS
A. The Contractor will furnish all labor, tools, specialized equipment, materials, and disposal of waste
material generated by the work, unless other arrangements have been made with the Contract
Administrator or appointed designee.
B. All fieldwork shall be performed under the supervision of a qualified employee. Laborers will be skilled
working with equipment and cleaning products.
C. The Contractor will ensure that employees comply with all applicable City of Federal Way and
Washington State regulations and practices with respect to work performed for the City of Federal Way.
D. The Contractor's personnel will conduct themselves on site in a professional manner at all times.
E. The Contract Administrator or appointed designee will inspect work performed by the Contractor. In the
event of work performance deficiencies, the Contract Administrator will notify the Contractor.
Notification may be verbal or written. The City may choose to: Require the Contractor to rectify the
deficiency within 48 hours, or hold payment.
F. Report any damage, or potential hazard, involving City property immediately to the City of Federal Way
Parks Department, (253) 835-6960. After hours emergencies should be reported to the Police/Fire
Communications Center - 911.
G. Hazardous conditions shall be immediately remedied or secured to prevent further damage and/or protect
public from injury. It is the Contractor's responsibility to provide close supervision of operations and
management of the site.
H. Incidents, altercations, or accident involving the public shall be reported to the Contract Administrator
within 24 hours. The Contract Administrator, at his or her discretion, may require a written report from
the Contractor describing the incident or accident.
I. Contractor will coordinate with the Parks Department when all work is to be performed.
All technicians and Supervisors must be in a Company identifiable uniform with ID badges and must be
able to pass a background check.
K. Managers and support personnel shall be available 24/7
L. All company vehicles must have signage identifying the Company.
MAINTENANCE AGREEMENT - 10 - 3/2017
4SCITY OF
.. Federal Way
EXHIBIT "B"
COMPENSATION
CITY HALL
33325 8th Avenue South
Federal Way, WA 98003-6325
(253) 835-7000
www ciryoffederalway com
1. Total Compensation: In return for the Services, the City shall pay the Contractor a total amount not to
exceed Fifty -One Thousand Twenty -Four and No/100 Dollars ($51,024.00), with no more than $19,999 payable
in any one calendar year.
2. Method of Compensation:
Rates not to exceed:
1 st and 2nd floor high use public areas shown in yellow on the attached bid floor plans, cleaned four (4) times per
year in the months of January, April, July and October unless other arrangements are made with the Contract
Administrator or designee.
This high use public area is to be based on a $4,252.00 rate per year.
1 st floor cubicles and offices area highlighted in blue shall be cleaned two (2) times per year in the months of April
and October unless other arrangements are made with the Contract Administrator or designee. 1 st floor cubicles and
offices area to be based on a $2,126.00 rate per year.
2nd floor cubicles and offices area highlighted in purple shall be cleaned two (2) times per year in the months of
January and July unless other arrangements are made with the Contract Administrator or designee. 2nd floor
cubicles and offices area to be based on a $2,126.00 rate per year.
Spot cleaning rate is $0 for the areas above. Minimum fee per visit of $289.00 for trips other than spot cleaning
visits for areas on the cleaning program.
Any additional services outside the base scope of services shall be invoiced at $89.00 per hour.
MAINTENANCE AGREEMENT - 11 - 3/2017
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C^ DATE (MMIDD/YYYY)
AC'C)R � CERTIFICATE OF LIABILITY INSURANCE
d _ 10/30/2020
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
CONTACT Terri L Smith
PRODUCER NAME
. FAX PHONE 425-486-7744 425-487-9457VIC'S INSURANCE CENTER WC•W, o PO BOX 625 n oss
INSURER(S) AFFORDING COVERAGE NAIC #
WOODINVILLE WA 98072 INSURERA: HARTFORD UNDERWRITERS INSURANCE COMF 30104
INSURED WHITMAN & ASSOCIATES INC. INSURER_B: HARTFORD ACCIDENT INDEMNITY COMPANY 22357
GLOBAL CARPET CARE INSURERC: HARTFORD FIRE INSURANCE COMPANY 19682
18734 - 142ND AVE N.E. 1NSUPT;k1)
INSURER E:
WOODINVILLE WA 98072
INSURER F
/+COTICIP`ATC /JIIIIAQCD• 9o9n1n3nirAQ1Q1nn RFVICICIN IVIIMRFR-
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 ArDL ;R16H' POLICY EFF POLICT EXP
LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYYI rY50ofYYYY LIMITS
X COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
DAMAGET TED
PREMISES6Ea occurrence)
S 1,000,000
CLAIMS -MADE X OCCUR
MED EXP (Any one person)
$ 10,000
X Prit-rialy/Nan-Contributory
A
Y Y
52SBAAH8RCO
10/30/2020
10/30/2021
X
Waiver of Subrogation
PERSONAL & ADV INJURY
$ 1,000,000
GEN'LAGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS -COMP/OP AGG
$ 2,000,000
F jECT1-1
POLICY LOC
OTHER:
AUTOMOBILE LIABILITY
!'^F.1BIi;E7 SIFiCL=LIMIT
$ 1,000,000
$
ANY AUTO
BODILY INJURY (Per person)
$
BOWNED
SCHEDULED
Y
Y
52UECCE1109 10/30/2020
10/30/2021 BODILYINJURY(Peraccident)
AUTOS ONLY AUTOSHIREDNON-OWNED
Ix
PROPERTY DAMAGE
$
AUTOS ONLY AUTOS ONLY
Lx
Par accldenl
X
UMBRELLA LIAR X OCCUR
EACH OCCURRENCE
$ 5,000,000
AGGREGATE
$ 5,000,000
A
EXCESS LIAR CLAIMS -MADE
Y
Y
52SBAAH8RCO
10/30/2020
10/30/2021
$
DED X RFTFNTION$ 10,000
WORKERS COMPENSATION
PERX OTH
. TATI" TF ER
AND EMPLOYERS' LIABILITY YIN
—
$ 1_,000,000
A
ANYPROPRIETOR/PARTNER/EXECUTIVE
N/A
N
52SBAAH8RCO
10/30/2020
10/30/2021
E-L- EACH ACCIDENT
-
OFFICER/MEMBEREXCLUE
(Mandatory In NH)
E.L. DISEASE - EA EMPLOYEE; S 1,000,000
If es, describe under
DESCRIPTION OF OPERATIONS below
E-L- DISEASE -POLICY LIMIT $ 1,000,000
$1,000,000
C
CRIME
Y
N
52 TP 0320039-20
01/17/2020
01/17/2021
DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required)
IF REQUIRED BY WRITTEN AGREEMENT OR CONTRACT CITY OF FEDERAL WAY, ITS ELECTED OFFICIALS, OFFICERS, EMPLOYEES, AGENTS,
REPRESENTATIVES, INSURERS, ATTORNEYS AND VOLUNTEERS ARE ADDITIONAL INSURED. FORMS SL0000, SL3018, SL3032 & S00002 ARE
ATTACHED
r F-0T1F11'^ATF 14f11 nFR CANUtLLAI ION
CITY OF FEDERAL WAY
33325 8TH AVENUE SOUTH
FEDERAL WAY WA 98003-6325
Email: jason.gerwen@cityoffederalway.com
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE ,
(91VtW-ZUI3 AL UKLJ t.UKI'•'VKA1IUN. HN ngnts Ft!bt21VCu.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
THE
HARTFORD
BUSINESS LIABILITY COVERAGE FORM
READ YOUR POLICY CAREFULLY
QUICK REFERENCE Beginning On Page
A. COVERAGES 1
Business Liability 1
Medical Expenses 2
Coverage Extension - Supplementary Payments 2
B. EXCLUSIONS 3
C. WHO IS AN INSURED 12
D. LIABILITY AND MEDICAL EXPENSES
LIMITS OF INSURANCE 14
E. LIABILITY AND MEDICAL EXPENSES GENERAL CONDITIONS 15
1. Bankruptcy 15
2. Duties In The Event Of Occurrence, Offense, Claim Or Suit 15
3. Legal Action Against Us 16
4. Separation Of Insureds 16
5. Representations 16
6. Otherinsurance 16
7. Transfer Of Rights Of Recovery Against Others To Us 18
F. LIABILITY AND MEDICAL EXPENSES DEFINITIONS 18
Form SL 00 00 10 18
-.
THE
HARTFORD
BUSINESS LIABILITY COVERAGE FORM
Various provisions in this Policy restrict coverage. Read the entire Policy carefully to determine rights, duties and what is
and is not covered.
Throughout this Coverage Part the words "you" and "your' refer to the Named Insured shown in the Declarations. The
words "we", "us" and "our" refer to the insurance company shown in the Declarations.
"Policy period", as used in this Coverage Part, means the period from the effective date of this Coverage Part to the
expiration date of the Coverage Part as stated in the Declarations or the date of cancellation, whichever is earlier.
The word "insured" means any person or organization qualifying as such under Section C. Who Is An Insured.
Other words and phrases that appear in quotation marks have special meaning. Refer to Section F. Liability And Medical
Expenses Definitions.
A. COVERAGES
Business Liability Coverage (Bodily Injury, Property Damage, Personal And Advertising Injury) Insuring
Agreement
a. We will pay those sums that the insured becomes legally obligated to pay as damages because of "bodily
injury", "property damage" or "personal and advertising injury" to which this insurance applies. We will have
the right and duty to defend the insured against any "suit" seeking those damages. However, we will have no
duty to defend the insured against any "suit" seeking damages for "bodily injury", "property damage" or
"personal and advertising injury" to which this insurance does not apply.
We may, at our discretion, investigate any "occurrence" or offense and settle any claim or "suit" that may
result. But:
(1) The amount we will pay for damages is limited as described in Section D. Liability And Medical Expenses
Limits Of Insurance; and
(2) Our right and duty to defend ends when we have used up the applicable limit of insurance in the payment
of judgments, settlements or medical expenses to which this insurance applies.
No other obligation or liability to pay sums or perform acts or services is covered unless explicitly provided for
under Coverage Extension - Supplementary Payments.
b. This insurance applies:
(1) To "bodily injury" and "property damage" only if:
(a) The "bodily injury" or "property damage" is caused by an "occurrence" that takes place in the
"coverage territory";
(b) The "bodily injury" or "property damage" occurs during the policy period; and
(c) Prior to the policy period, no insured listed under Paragraph 1. of Section C. Who Is An Insured and
no "employee" authorized by you to give or receive notice of an "occurrence" or claim, knew that the
"bodily injury" or "property damage" had occurred, in whole or in part. If such a listed insured or
authorized "employee" knew, prior to the policy period, that the "bodily injury" or "property damage"
occurred, then any continuation, change or resumption of such "bodily injury" or "property damage"
during or after the policy period will be deemed to have been known prior to the policy period.
(2) To "personal and advertising injury" caused by an offense arising out of your business, but only if the
offense was committed in the "coverage territory" during the policy period.
c. "Bodily injury" or "property damage" will be deemed to have been known to have occurred at the earliest time
when any insured listed under Paragraph 1. of Section C. Who Is An Insured or any "employee" authorized by
you to give or receive notice of an "occurrence" or claim:
(1) Reports all, or any part, of the "bodily injury" or "property damage" to us or any other insurer;
(2) Receives a written or verbal demand or claim for damages because of the "bodily injury" or "property
damage"; or
Form SL 00 00 10 18 Page 1 of 22
© 2018, The Hartford
(May include copyrighted material of Insurance Services Office, Inc., with its permission)
THE
HARTFORD
(3) Becomes aware by any other means that "bodily injury" or "property damage" has occurred or has begun
to occur.
d. Damages because of "bodily injury" include damages claimed by any person or organization for care, loss of
services or death resulting at any time from the "bodily injury".
e. Incidental Medical Malpractice
(1) "Bodily injury" arising out of the rendering of or failure to render professional health care services as a
physician, dentist, nurse, emergency medical technician or paramedic shall be deemed to be caused by
an "occurrence", but only if:
(a) The physician, dentist, nurse, emergency medical technician or paramedic is employed by you to
provide such services; and
(b) You are not engaged in the business or occupation of providing such services.
(2) For the purpose of determining the limits of insurance for incidental medical malpractice, any act or
omission together with all related acts or omissions in the furnishing of these services to any one person
will be considered one "occurrence".
2. Medical Expenses
Insuring Agreement
a. We will pay medical expenses as described below for "bodily injury" caused by an accident:
(1) On premises you own or rent;
(2) On ways next to premises you own or rent; or
(3) Because of your operations;
provided that:
(1) The accident takes place in the "coverage territory" and during the policy period;
(2) The expenses are incurred and reported to us within three years of the date of the accident; and
(3) The injured person submits to examination, at our expense, by physicians of our choice as often as we
reasonably require.
b. We will make these payments regardless of fault. These payments will not exceed the applicable limit of
insurance. We will pay reasonable expenses for:
(1) First aid administered at the time of an accident;
(2) Necessary medical, surgical, x-ray and dental services, including prosthetic devices; and
(3) Necessary ambulance, hospital, professional nursing and funeral services.
3. Coverage Extension - Supplementary Payments
a. We will pay, with respect to any claim we investigate or settle, or any "suit" against an insured we defend:
(1) All expenses we incur.
(2) Up to $1,000 for the cost of bail bonds required because of accidents or traffic law violations arising out of
the use of any vehicle to which Business Liability Coverage for "bodily injury" applies. We do not have to
furnish these bonds.
(3) The cost of appeal bonds or bonds to release attachments, but only for bond amounts within the
applicable limit of insurance. We do not have to furnish, finance, arrange for, guarantee, or collateralize
these bonds, whether the collateralization is characterized as premium or not.
(4) All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense
of the claim or "suit", including actual loss of earnings up to $500 a day because of time off from work.
(5) All court costs taxed against the insured in the "suit". However, such costs do not include attorneys' fees,
attorneys' expenses, witness or expert fees, or any other expenses of a party taxed against the insured.
(6) Prejudgment interest awarded against the insured on that part of the judgment we pay. If we make an
offer to pay the applicable limit of insurance, we will not pay any prejudgment interest based on that
period of time after the offer.
Form SL 00 00 10 18 Page 2 of 22
© 2018, The Hartford
(May include copyrighted material of Insurance Services Office, Inc., with its permission)
THE
HARTFORD
(7) All interest on the full amount of any judgment that accrues after entry of the judgment and before we
have paid, offered to pay, or deposited in court the part of the judgment that is within the applicable limit
of insurance.
Any amounts paid under (1) through (7) above will not reduce the Limits of Insurance.
b. If we defend an insured against a "suit" and an indemnitee of the insured is also named as a party to the
"suit", we will defend that indemnitee if all of the following conditions are met:
(1) The "suit" against the indemnitee seeks damages for which the insured has assumed the liability of the
indemnitee in a contract or agreement that is an "insured contract";
(2) This insurance applies to such liability assumed by the insured;
(3) The obligation to defend, or the cost of the defense of, that indemnitee, has also been assumed by the
insured in the same "insured contract";
(4) The allegations in the "suit" and the information we know about the "occurrence" are such that no conflict
appears to exist between the interests of the insured and the interest of the indemnitee;
(5) The indemnitee and the insured ask us to conduct and control the defense of that indemnitee against
such "suit" and agree that we can assign the same counsel to defend the insured and the indemnitee; and
(6) The indemnitee:
(a) Agrees in writing to:
(i) Cooperate with us in the investigation, settlement or defense of the "suit";
(ii) Immediately send us copies of any demands, notices, summonses or legal papers received in
connection with the "suit";
(III) Notify any other insurer whose coverage is available to the indemnitee; and
(iv) Cooperate with us with respect to coordinating other applicable insurance available to the
indemnitee; and
(b) Provides us with written authorization to:
(i) Obtain records and other information related to the "suit"; and
(ii) Conduct and control the defense of the indemnitee in such "suit".
So long as the above conditions are met, attorneys' fees incurred by us in the defense of that indemnitee,
necessary litigation expenses incurred by us and necessary litigation expenses incurred by the
indemnitee at our request will be paid as Supplementary Payments.
Notwithstanding the provisions of Paragraph 1.b.(b) of Section B. Exclusions, such payments will not be
deemed to be damages for "bodily injury" and "property damage" and will not reduce the Limits of
Insurance.
Our obligation to defend an insured's indemnitee and to pay for attorneys' fees and necessary litigation
expenses as Supplementary Payments ends when:
(1) We have used up the applicable limit of insurance in the payment of judgments or settlements; or
(2) The conditions set forth above, or the terms of the agreement described in Paragraph (6) above, are no
longer met.
B. EXCLUSIONS
1. Applicable To Business Liability Coverage
This insurance does not apply to:
a. Expected Or Intended Injury
(1) "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This
exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force
to protect persons or property; or
(2) "Personal and advertising injury" arising out of an offense committed by, at the direction of or with the
consent or acquiescence of the insured with the expectation of inflicting "personal and advertising injury".
Form SL 00 00 10 18 Page 3 of 22
C 2018, The Hartford
(May include copyrighted material of Insurance Services Office, Inc., with its permission)
THE
HARTFORD
b. Contractual Liability
(1) "Bodily injury" or "property damage'; or
(2) "Personal and advertising injury"
for which the insured is obligated to pay damages by reason of the assumption of liability in a contract or
agreement.
This exclusion does not apply to liability for damages because of:
(a) "Bodily injury", "property damage" or "personal and advertising injury" that the insured would have in
the absence of the contract or agreement; or
(b) "Bodily injury" or "property damage" assumed in a contract or agreement that is an "insured contract",
provided the "bodily injury" or "property damage" occurs subsequent to the execution of the contract
or agreement. Solely for the purpose of liability assumed in an "insured contract", reasonable
attorneys' fees and necessary litigation expenses incurred by or for a party other than an insured are
deemed to be damages because of "bodily injury" or "property damage" provided:
(i) Liability to such party for, or for the cost of, that party's defense has also been assumed in the
same "insured contract"; and
(ii) Such attorneys' fees and litigation expenses are for defense of that party against a civil or
alternative dispute resolution proceeding in which damages to which this insurance applies are
alleged.
c. Liquor Liability
"Bodily injury" or "property damage" for which any insured may be held liable by reason of:
(1) Causing or contributing to the intoxication of any person;
(2) The furnishing of alcoholic beverages to a person under the legal drinking age or under the influence of
alcohol;
(3) Providing or failing to provide transportation with respect to any person that may be under the influence of
alcohol; or
(4) Any statute, ordinance or regulation relating to the sale, gift, distribution or use of alcoholic beverages.
This exclusion applies even if the claims allege negligence or other wrongdoing in the supervision, hiring,
employment, training or monitoring of others by an insured, if the "bodily injury" or "property damage" involved
that which is described in Paragraph (1), (2), (3) or (4) above.
However, this exclusion applies only if you are in the business of manufacturing, distributing, selling, serving
or furnishing alcoholic beverages. For the purposes of this exclusion, permitting a person to bring alcoholic
beverages on your premises, for consumption on your premises, whether or not a fee is charged or a license
is required for such activity, is not by itself considered the business of selling, serving, or furnishing alcoholic
beverages.
d. Workers' Compensation And Similar Laws
Any obligation of the insured under a workers' compensation, disability benefits or unemployment
compensation law or any similar law.
e. Employer's Liability
"Bodily injury" to:
(1) An "employee" of the insured arising out of and in the course of:
(a) Employment by the insured; or
(b) Performing duties related to the conduct of the insured's business; or
(2) The spouse, child, parent, brother or sister of that "employee" as a consequence of (1) above.
This exclusion applies:
(1) Whether the insured may be liable as an employer or in any other capacity; and
(2) To any obligation to share damages with or repay someone else who must pay damages because of the
injury.
Form SL 00 00 10 18 Page 4 of 22
© 2018, The Hartford
(May include copyrighted material of Insurance Services Office, Inc., with its permission)
THE -A
HARTFORD
This exclusion does not apply to liability assumed by the insured under an "insured contract".
f. Pollution
(1) "Bodily injury", "property damage" or "personal and advertising injury" arising out of the actual, alleged or
threatened discharge, dispersal, seepage, migration, release or escape of "pollutants":
(a) At or from any premises, site or location which is or was at any time owned or occupied by, or rented
or loaned to any insured. However, this paragraph does not apply to:
(i) "Bodily injury" if sustained within a building and caused by smoke, fumes, vapor or soot produced
by or originating from equipment that is used to heat, cool or dehumidify the building, or
equipment that is used to heat water for personal use, by the building's occupants or their guests;
(ii) "Bodily injury" or "property damage" for which you may be held liable, if you are a contractor and
the owner or lessee of such premises, site or location has been added to this Coverage Part as
an additional insured with respect to your ongoing operations performed for that additional
insured at that premises, site or location and such premises, site or location is not and never was
owned or occupied by, or rented or loaned to, any insured, other than that additional insured; or
(iii) "Bodily injury" or "property damage" arising out of heat, smoke or fumes from a "hostile fire';
(b) At or from any premises, site or location which is or was at any time used by or for any insured or
others for the handling, storage, disposal, processing or treatment of waste;
(c) Which are or were at any time transported, handled, stored, treated, disposed of, or processed as
waste by or for:
(1) Any insured; or
(ii) Any person or organization for whom you may be legally responsible;
(d) At or from any premises, site or location on which any insured or any contractors or subcontractors
working directly or indirectly on any insured's behalf are performing operations if the "pollutants" are
brought on or to the premises, site or location in connection with such operations by such insured,
contractor or subcontractor. However, this paragraph does not apply to:
(i) "Bodily injury" or "property damage" arising out of the escape of fuels, lubricants or other
operating fluids which are needed to perform the normal electrical, hydraulic or mechanical
functions necessary for the operation of "mobile equipment" or its parts, if such fuels, lubricants or
other operating fluids escape from a vehicle part designed to hold, store or receive them. This
exception does not apply if the "bodily injury" or "property damage" arises out of the intentional
discharge, dispersal or release of the fuels, lubricants or other operating fluids, or if such fuels,
lubricants or other operating fluids are brought on or to the premises, site or location with the
intent that they be discharged, dispersed or released as part of the operations being performed
by such insured, contractor or subcontractor;
(ii) "Bodily injury" or "property damage" sustained within a building and caused by the release of
gases, fumes or vapors from materials brought into that building in connection with operations
being performed by you or on your behalf by a contractor or subcontractor; or
(iii) "Bodily injury" or "property damage" arising out of heat, smoke or fumes from a "hostile fire'; or
(e) At or from any premises, site or location on which any insured or any contractors or subcontractors
working directly or indirectly on any insured's behalf are performing operations if the operations are to
test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or
assess the effects of, "pollutants".
(2) Any loss, cost or expense arising out of any:
(a) Request, demand, order or statutory or regulatory requirement that any insured or others test for,
monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess
the effects of, "pollutants'; or
(b) Claim or "suit" by or on behalf of a governmental authority for damages because of testing for,
monitoring, cleaning up, removing, containing, treating, detoxifying or neutralizing, or in any way
responding to, or assessing the effects of, "pollutants".
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However, this paragraph does not apply to liability for damages because of "property damage" that the
insured would have in the absence of such request, demand, order or statutory or regulatory requirement,
or such claim or "suit" by or on behalf of a governmental authority.
g. Aircraft, Auto Or Watercraft
(1) Unmanned Aircraft
"Bodily injury" or "property damage" arising out of the ownership, maintenance, use or entrustment to
others of any aircraft that is an "unmanned aircraft". Use includes operation and "loading or unloading".
This Exclusion g.(1) applies even if the claims against any insured allege negligence or other wrongdoing
in the supervision, hiring, employment, training or monitoring of others by that insured, if the "bodily injury'
or "property damage" arises out of the ownership, maintenance, use or entrustment to others of any
aircraft that is an "unmanned aircraft".
(2) Aircraft (Other Than Unmanned Aircraft), Auto or Watercraft
"Bodily injury" or "property damage" arising out of the ownership, maintenance, use or entrustment to
others of any aircraft (other than "unmanned aircraft"), "auto" or watercraft owned or operated by or
rented or loaned to any insured. Use includes operation and 'loading or unloading".
This Exclusion g.(2) applies even if the claims against any insured allege negligence or other wrongdoing
in the supervision, hiring, employment, training or monitoring of others by that insured, if the "bodily injury"
or "property damage" arises out of the ownership, maintenance, use or entrustment to others of any
aircraft (other than "unmanned aircraft"), "auto" or watercraft that is owned or operated by or rented or
loaned to any insured.
This Exclusion g.(2) does not apply to:
(a) A watercraft while ashore on premises you own or rent;
(b) A watercraft you do not own that is:
(i) Less than 51 feet long; and
(ii) Not being used to carry persons or property for a charge;
(c) Parking an "auto" on, or on the ways next to, premises you own or rent, provided the "auto" is not
owned by or rented or loaned to you or the insured;
(d) Liability assumed under any "insured contract' for the ownership, maintenance or use of aircraft
(other than "unmanned aircraft") or watercraft;
(e) 'Bodily injury" or "property damage" arising out of:
(i) The operation of any of the machinery or equipment listed in Paragraph f.(2) or f.(3) of the
definition of "mobile equipment; or
(ii) The operation of machinery or equipment that is attached to, or part of, a land vehicle that would
qualify under the definition of "mobile equipment' if it were not subject to a compulsory or financial
responsibility law or other motor vehicle insurance or motor vehicle registration law where it is
licensed or principally garaged; or
(f) An aircraft (other than "unmanned aircraft") that is not owned by any insured and is hired, chartered
or loaned with a paid crew. However, this exception does not apply if the insured has any other
insurance for such "bodily injury" or "property damage", whether the other insurance is primary,
excess, contingent or on any other basis.
h. Mobile Equipment
"Bodily injury" or "property damage" arising out of:
(1) The transportation of "mobile equipment' by an "auto" owned or operated by or rented or loaned to any
insured; or
(2) The use of "mobile equipment' in, or while in practice or preparation for, a prearranged racing, speed or
demolition contest or in any stunting activity.
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War
"Bodily injury", "property damage" or "personal and advertising injury", however caused, arising, directly or
indirectly, out of:
(1) War, including undeclared or civil war;
(2) Warlike action by a military force, including action in hindering or defending against an actual or expected
attack, by any government, sovereign or other authority using military personnel or other agents; or
(3) Insurrection, rebellion, revolution, usurped power, or action taken by governmental authority in hindering
or defending against any of these.
j. Professional Services
"Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of or failure
to render any professional service. This includes but is not limited to:
(1) Legal, accounting or advertising services;
(2) Preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys,
field orders, change orders, designs or drawings and specifications;
(3) Supervisory, inspection, architectural or engineering activities;
(4) Medical, surgical, dental, x-ray or nursing services, treatment, advice or instruction;
(5) Any health or therapeutic service treatment, advice or instruction;
(6) Any service, treatment, advice or instruction for the purpose of appearance or skin enhancement, hair
removal or replacement or personal grooming;
(7) Optical or hearing aid services including the prescribing, preparation, fitting, demonstration or distribution
of ophthalmic lenses and similar products or hearing aid devices;
(8) Optometry or optometric services including but not limited to examination of the eyes and the prescribing,
preparation, fitting, demonstration or distribution of ophthalmic lenses and similar products;
(9) Any:
(a) Body piercing (not including ear piercing);
(b) Tattooing, including but not limited to the insertion of pigments into or under the skin; and
(c) Similar services;
(10)Pharmaceutical services including but not limited to:
(a) The administering, prescribing, preparing, distributing or compounding of pharmaceutical drugs,
vaccinations, immunizations or any of their component parts;
(b) The providing of or failure to provide home health care or home infusion products or services; and
(c) Advising and consulting customers;
(11)Computer consulting, design or programming services, including web site design.
This exclusion applies even if the claims allege negligence or other wrongdoing in the supervision, hiring,
employment, training or monitoring of others by an insured, if the "bodily injury", "property damage", or
"personal and advertising injury" arises out of the rendering of or the failure to render any professional
service.
Paragraphs (4) and (5) of this exclusion do not apply to the Incidental Medical Malpractice coverage afforded
under Paragraph 1.e. in Section A. Coverages.
k. Damage To Property
"Property damage" to:
(1) Property you own, rent or occupy, including any costs or expenses incurred by you, or any other person,
organization or entity, for repair, replacement, enhancement, restoration or maintenance of such property
for any reason, including prevention of injury to a person or damage to another's property;
(2) Premises you sell, give away or abandon, if the "property damage" arises out of any part of those
premises;
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(3) Property loaned to you;
(4) Personal property in the care, custody or control of the insured;
(5) That particular part of real property on which you or any contractors or subcontractors working directly or
indirectly on your behalf are performing operations, if the "property damage" arises out of those
operations; or
(6) That particular part of any property that must be restored, repaired or replaced because "your work" was
incorrectly performed on it.
Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by
fire) to premises, including the contents of such premises, rented to you for a period of 7 or fewer
consecutive days. A separate limit of insurance applies to Damage To Premises Rented To You as
described in Section D. Limits Of Insurance.
Paragraph (2) of this exclusion does not apply if the premises are "your work" and were never occupied,
rented or held for rental by you.
Paragraphs (3) and (4) of this exclusion do not apply to the use of elevators.
Paragraphs (3), (4), (5) and (6) of this exclusion do not apply to liability assumed under a sidetrack
agreement.
Paragraphs (3) and (4) of this exclusion do not apply to "property damage" to borrowed equipment while
not being used to perform operations at a job site.
Paragraph (6) of this exclusion does not apply to "property damage" included in the "products -completed
operations hazard".
Damage To Your Product
"Property damage" to "your product' arising out of it or any part of it.
m. Damage To Your Work
"Property damage" to "your work" arising out of it or any part of it and included in the "products -completed
operations hazard".
This exclusion does not apply if the damaged work or the work out of which the damage arises was
performed on your behalf by a subcontractor.
n. Damage To Impaired Property Or Property Not Physically Injured
"Property damage" to "impaired property" or property that has not been physically injured, arising out of:
(1) A defect, deficiency, inadequacy or dangerous condition in "your product" or "your work"; or
(2) A delay or failure by you or anyone acting on your behalf to perform a contract or agreement in
accordance with its terms.
This exclusion does not apply to the loss of use of other property arising out of sudden and accidental
physical injury to "your product' or "your work" after it has been put to its intended use.
o. Recall Of Products, Work Or Impaired Property
Damages claimed for any loss, cost or expense incurred by you or others for the loss of use, withdrawal,
recall, inspection, repair, replacement, adjustment, removal or disposal of:
(1) "Your product';
(2) "Your work'; or
(3) "Impaired property";
if such product, work or property 'is withdrawn or recalled from the market or from use by any person or
organization because of a known or suspected defect, deficiency, inadequacy or dangerous condition in it.
p. Personal And Advertising Injury
"Personal and advertising injury":
(1) Arising out of oral, written, electronic, or any other manner of publication of material, if done by or at the
direction of the insured with knowledge of its falsity;
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(2) Arising out of oral, written, electronic, or any other manner of publication of material whose first
publication took place before the beginning of the policy period;
(3) Arising out of a criminal act committed by or at the direction of the insured;
(4) Arising out of any breach of contract, except an implied contract to use another's "advertising idea" in
your "advertisement";
(5) Arising out of the failure of goods, products or services to conform with any statement of quality or
performance made in your "advertisement";
(6) Arising out of the wrong description of the price of goods, products or services;
(7) Arising out of:
(a) Any actual or alleged infringement or violation of any intellectual property rights, such as copyright,
patent, right of publicity, trademark, trade dress, trade name, trade secret, service mark or other
designation of origin or authenticity; or
(b) Any injury or damage alleged in any claim or "suit" that also alleges an infringement or violation of any
intellectual property right, whether such allegation of infringement or violation is made against you, or
by you or by any other party involved in the claim or "suit", regardless of whether this insurance would
otherwise apply.
However, this exclusion does not apply if the only allegation in the claim or "suit" involving any intellectual
property right is limited to:
(i) Infringement, in your "advertisement", of:
a. Copyright;
b. Slogan; unless the slogan is also a trademark, trade dress, trade name, service mark or other
designation of origin or authenticity; or
c. Title of any literary or artistic work; or
(III) Copying, in your "advertisement", a person's or organization's "advertising idea" or style of
"advertisement".
Paragraph (7)(b)ii above shall not apply to claims or "suits" alleging infringement or violation of trademark,
trade dress, trade name, service mark or other designation of origin or authenticity.
(8) Arising out of an offense committed by an insured whose business is:
(a) Advertising, broadcasting, publishing or telecasting;
(b) Designing or determining content of web sites for others; or
(c) An Internet search, access, content or service provider.
However, this exclusion does not apply to Paragraphs a., b. and c. under the definition of "personal and
advertising injury" in Section F. Liability And Medical Expenses Definitions.
For the purposes of this exclusion, the placing of frames, borders, or links, or advertising, for you or
others anywhere on the Internet, is not by itself, considered the business of advertising, broadcasting,
publishing or telecasting;
(9) Arising out of an electronic chat room or bulletin board the insured hosts, owns, or over which the insured
exercises control;
(10)Arising out of the unauthorized use of another's name or product in your e-mail address, domain name or
metatags, or any other similar tactics to mislead another's potential customers;
(11)Arising out of the violation of a person's right of privacy created by any state or federal act.
However, this exclusion does not apply to liability for damages that the insured would have in the
absence of such state or federal act;
(12)Arising out of:
(a) Advertising content for others on your web site;
(b) Placing a link to a web site of others on your web site;
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(c) Content from a web site of others displayed within a frame or border on your web site. Content
includes information, code, sounds, text, graphics or images; or
(d) Computer code, software or programming used to enable:
(i) Your web site; or
(ii) The presentation or functionality of an "advertisement" or other content on your web site;
(13)Arising out of a violation of any anti-trust law;
(14)Arising out of the fluctuation in price or value of any stocks, bonds or other securities;
(15)Arising out of any access to or disclosure of any person's or organization's confidential or personal
information, including patents, trade secrets, processing methods, customer lists, financial information,
credit card information, health information or any other type of nonpublic information.
This exclusion applies even if damages are claimed for notification costs, credit monitoring expenses,
forensic expenses, public relations expenses or any other loss, cost or expense incurred by you or others
arising out of any access to or disclosure of any person's or organization's confidential or personal
information; or
(16)Arising out of the ownership, maintenance, use or entrustment to others of any aircraft that is an
"unmanned aircraft". Use includes operation and "loading or unloading".
This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the
supervision, hiring, employment, training or monitoring of others by that insured, if the "personal and
advertising injury" arises out of the ownership, maintenance, use or entrustment to others of any aircraft
that is an "unmanned aircraft".
However, this exclusion does not apply if the only allegation in the claim or "suit" involves an intellectual
property right which is limited to:
(a) Infringement, in your "advertisement", of:
(i) Copyright;
(ii) Slogan; or
(Ili) Title of any literary or artistic work; or
(b) Copying, in your "advertisement", a person's or organization's "advertising idea" or style of
"advertisement".
q. Access Or Disclosure Of Confidential Or Personal Information And Data -Related Liability
(1) Damages because of "bodily injury" or "property damage" arising out of any access to or disclosure of any
person's or organization's confidential or personal information, including patents, trade secrets,
processing methods, customer lists, financial information, credit card information, health information or
any other type of nonpublic information; or
(2) Damages arising out of the loss of, loss of use of, damage to, corruption of, inability to access, or inability
to manipulate "electronic data".
This exclusion applies even if such damages are claimed for notification costs, credit monitoring expenses,
forensic expenses, public relations expenses or any other loss, cost or expense incurred by you or others
arising out of that which is described in Paragraphs (1) or (2) above.
However, unless Paragraph (1) above applies, this exclusion does not apply to damages because of "bodily
injury".
r. Employment -Related Practices
"Bodily injury" or "personal and advertising injury" to:
(1) A person arising out of any:
(a) Refusal to employ that person;
(b) Termination of that person's employment; or
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(c) Employment -related practices, policies, acts or omissions, such as coercion, demotion, evaluation,
reassignment, discipline, defamation, harassment, humiliation, discrimination, malicious prosecution
or false arrest directed at that person; or
(2) The spouse, child, parent, brother or sister of that person as a consequence of "bodily injury" or "personal
and advertising injury" to that person at whom any of the employment -related practices described in
Paragraphs (a), (b), or (c) above is directed.
This exclusion applies:
(1) Whether the injury -causing event described in Paragraphs (a), (b), or (c) above occurs before
employment, during employment or after employment of that person;
(2) Whether the insured may be liable as an employer or in any other capacity; and
(3) To any obligation to share damages with or repay someone else who must pay damages because of the
injury.
s. Asbestos
(1) 'Bodily injury", "property damage" or "personal and advertising injury" arising out of the "asbestos
hazard".
(2) Any damages, judgments, settlements, loss, costs or expenses that:
(a) May be awarded or incurred by reason of any claim or "suit" alleging actual or threatened injury or
damage of any nature or kind to persons or property which would not have occurred in whole or in
part but for the "asbestos hazard";
(b) Arise out of any request, demand, order or statutory or regulatory requirement that any insured or
others test for, monitor, clean up, remove, encapsulate, contain, treat, detoxify or neutralize or in any
way respond to or assess the effects of an "asbestos hazard'; or
(c) Arise out of any claim or "suit" for damages because of testing for, monitoring, cleaning up, removing,
encapsulating, containing, treating, detoxifying or neutralizing or in any way responding to or
assessing the effects of an "asbestos hazard".
t. Recording And Distribution Of Material Or Information In Violation Of Law
"Bodily injury", "property damage", or "personal and advertising injury" arising directly or indirectly out of any
action or omission that violates or is alleged to violate:
(1) The Telephone Consumer Protection Act (TCPA), including any amendment of or addition to such law;
(2) The CAN-SPAM Act of 2003, including any amendment of or addition to such law;
(3) The Fair Credit Reporting Act (FCRA), and any amendment of or addition to such law, including the Fair
and Accurate Credit Transaction Act (FACTA); or
(4) Any federal, state or local statute, ordinance or regulation, other than the TCPA, CAN-SPAM Act of 2003
or FCRA and their amendments and additions, that addresses, prohibits or limits the printing,
dissemination, disposal, collecting, recording, sending, transmitting, communicating or distribution of
material or information.
Damage To Premises Rented To You — Exception For Damage By Fire, Lightning Or Explosion
Exclusions c. through h. and k. through o. do not apply to damage by fire, lightning or explosion to premises
rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies
to this coverage as described in Section D. Liability And Medical Expenses Limits Of Insurance.
2. Applicable To Medical Expenses Coverage
We will not pay expenses for "bodily injury":
a. Any Insured
To any insured, except "volunteer workers".
b. Hired Person
To a person hired to do work for or on behalf of any insured or a tenant of any insured.
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c. Injury On Normally Occupied Premises
To a person injured on that part of premises you own or rent that the person normally occupies.
d. Workers' Compensation And Similar Laws
To a person, whether or not an "employee" of any insured, if benefits for the "bodily injury" are payable or
must be provided under a workers' compensation or disability benefits law or a similar law.
e. Athletics Activities
To a person injured while practicing, instructing or participating in any physical exercises or games, sports or
athletic contests.
f. Products -Completed Operations Hazard
Included with the "products -completed operations hazard".
g. Business Liability Exclusions
Excluded under Business Liability Coverage.
C. WHO IS AN INSURED
1. If you are designated in the Declarations as:
a. An individual, you and your spouse are insureds, but only with respect to the conduct of a business, other
than that described in b. through e. below, of which you are the sole owner.
b. A partnership or joint venture, you are an insured. Your members, your partners, and their spouses are also
insureds, but only with respect to the conduct of your business.
c. A limited liability company, you are an insured. Your members are also insureds, but only with respect to the
conduct of your business. Your managers are insureds, but only with respect to their duties as your
managers.
d. An organization other than a partnership, joint venture or limited liability company, you are an insured. Your
"executive officers" and directors are insureds, but only with respect to their duties as your officers or
directors. Your stockholders are also insureds, but only with respect to their liability as stockholders.
e. A trust, you are an insured. Your trustees are also insureds, but only with respect to their duties as trustees.
Each of the following is also an insured:
a. Employees And Volunteer Workers
Your "volunteer workers" only while performing duties related to the conduct of your business, or your
"employees", other than either your "executive officers" (if you are an organization other than a partnership,
joint venture or limited liability company) or your managers (if you are a limited liability company), but only for
acts within the scope of their employment by you or while performing duties related to the conduct of your
business.
However, none of these "employees" or "volunteer workers" are insureds for:
(1) "Bodily injury" or "personal and advertising injury":
(a) To you, to your partners or members (if you are a partnership or joint venture), to your members (if
you are a limited liability company), or to a co -"employee" while in the course of his or her
employment or performing duties related to the conduct of your business, or to your other "volunteer
workers" while performing duties related to the conduct of your business;
(b) To the spouse, child, parent, brother or sister of that co -"employee" or that "volunteer worker" as a
consequence of Paragraph (1)(a) above;
(c) For which there is any obligation to share damages with or repay someone else who must pay
damages because of the injury described in Paragraphs (1)(a) or (b) above; or
(d) Arising out of his or her providing or failing to provide professional health care services.
If you are not in the business of providing professional health care services, Paragraph (d) does not apply
to any nurse, emergency medical technician or paramedic employed by you to provide such services.
(2) "Property damage" to property:
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(a) Owned, occupied or used by:
(b) Rented to, in the care, custody or control of, or over which physical control is being exercised for any
purpose by you, any of your "employees", "volunteer workers", any partner or member (if you are a
partnership or joint venture), or any member (if you are a limited liability company).
b. Real Estate Manager
Any person (other than your "employee" or "volunteer worker'), or any organization while acting as your real
estate manager.
c. Temporary Custodians Of Your Property
Any person or organization having proper temporary custody of your property if you die, but only:
(1) With respect to liability arising out of the maintenance or use of that property; and
(2) Until.your legal representative has been appointed.
d. Legal Representative If You Die
Your legal representative if you die, but only with respect to duties as such. That representative will have all
your rights and duties under this insurance.
e. Unnamed Subsidiary
Any subsidiary and subsidiary thereof, of yours which is a legally incorporated entity of which you own a
financial interest of more than 50% of the voting stock on the effective date of this Coverage Part.
The insurance afforded herein for any subsidiary not shown in the Declarations as a named insured does not
apply to injury or damage with respect to which an insured under this insurance is also an insured under
another policy or would be an insured under such policy but for its termination or upon the exhaustion of its
limits of insurance.
3. Newly Acquired Or Formed Organization
Any organization you newly acquire or form, other than a partnership, joint venture or limited liability company,
and over which you maintain financial interest of more than 50% of the voting stock, will qualify as a Named
Insured if there is no other similar insurance available to that organization. However:
a. Coverage under this provision is afforded only until the 180th day after you acquire or form the organization or
the end of the policy period, whichever is earlier; and
b. Coverage under this provision does not apply to:
(1) 'Bodily injury" or "property damage" that occurred; or
(2) "Personal and advertising injury" arising out of an offense committed
before you acquired or formed the organization.
4. Operator Of Mobile Equipment
With respect to "mobile equipment" any person is an insured while driving such equipment along a public highway
with your permission. Any other person or organization responsible for the conduct of such person is also an
insured, but only with respect to liability arising out of the operation of the equipment, and only if no other
insurance of any kind is available to that person or organization for this liability. However, no person or
organization is an insured with respect to:
a. 'Bodily injury" to a co -"employee" of the person driving the equipment; or
b. "Property damage" to property owned by, rented to, in the charge of or occupied by you or the employer of
any person who is an insured under this provision.
5. Operator Of Nonowned Watercraft
With respect to watercraft you do not own that is less than 51 feet long and is not being used to carry persons or
property for a charge, any person is an insured while operating such watercraft with your permission. Any other
person or organization responsible for the conduct of such person is also an insured, but only with respect to
liability arising out of the operation of the watercraft, and only if no other insurance of any kind is available to that
person or organization for this liability.
However, no person or organization is an insured with respect to:
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a. 'Bodily injury" to a co -"employee" of the person operating the watercraft; or
b. 'Property damage" to property owned by, rented to, in the charge of or occupied by you or the employer of
any person who is an insured under this provision.
No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or
limited liability company that is not shown as a Named Insured in the Declarations.
D. LIABILITY AND MEDICAL EXPENSES LIMITS OF INSURANCE
1. The Most We Will Pay
The Limits of Insurance shown in the Declarations and the rules below fix the most we will pay regardless of the
number of:
a. Insureds;
b. Claims made or "suits" brought; or
c. Persons or organizations making claims or bringing "suits".
2. Aggregate Limits
The most we will pay for:
a. Damages because of "bodily injury" and "property damage" included in the "products -completed operations
hazard" is the Products -Completed Operations Aggregate Limit shown in the Declarations.
b. Damages because of all other "bodily injury", "property damage" or "personal and advertising injury",
including medical expenses, is the General Aggregate Limit shown in the Declarations.
This General Aggregate limit does not apply to "property damage" to premises while rented to you or
temporarily occupied by you with permission of the owner, arising out of fire, lightning or explosion.
3. Each Occurrence Limit
Subject to 2.a. or 2.b above, whichever applies, the most we will pay for the sum of all damages because of all
"bodily injury", "property damage" and medical expenses arising out of any one 'occurrence" is the Liability and
Medical Expenses Limit shown in the Declarations.
The most we will pay for all medical expenses because of "bodily injury" sustained by any one person is the
Medical Expenses Limit shown in the Declarations.
4. Personal And Advertising Injury Limit
Subject to 2.b. above, the most we will pay for the sum of all damages because of all "personal and advertising
injury" sustained by any one person or organization is the Personal and Advertising Injury Limit shown in the
Declarations.
Damage To Premises Rented To You Limit
The Damage To Premises Rented To You Limit is the most we will pay under Business Liability Coverage for
damages because of "property damage" to any one premises, while rented to you, or in the case of damage by
fire, lightning or explosion, while rented to you or temporarily occupied by you with permission of the owner.
In the case of damage by fire, lightning or explosion, the Damage to Premises Rented To You Limit applies to all
damage proximately caused by the same event, whether such damage results from fire, lightning or explosion or
any combination of these.
How Limits Apply To Additional Insureds
The most we will pay on behalf of a person or organization who is an additional insured under this Coverage Part
is the lesser of:
a. The limits of insurance required in a written contract, written agreement or permit; or
b. The Limits of Insurance shown in the Declarations.
Such amount shall be a part of and not in addition to the Limits of Insurance shown in the Declarations and
described in this Section.
If more than one limit of insurance under this Policy and any endorsements attached thereto applies to any claim or
"suit", the most we will pay under this Policy and the endorsements is the single highest limit of liability of all
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coverages applicable to such claim or "suit". However, this paragraph does not apply to the Medical Expenses limit
set forth in Paragraph 3. above.
The Limits of Insurance of this Coverage Part apply separately to each consecutive annual period and to any
remaining period of less than 12 months, starting with the beginning of the policy period shown in the Declarations,
unless the policy period is extended after issuance for an additional period of less than 12 months. In that case, the
additional period will be deemed part of the last preceding period for purposes of determining the Limits of Insurance.
E. LIABILITY AND MEDICAL EXPENSES GENERAL CONDITIONS
1. Bankruptcy
Bankruptcy or insolvency of the insured or of the insured's estate will not relieve us of our obligations under this
Coverage Part.
2. Duties In The Event Of Occurrence, Offense, Claim Or Suit
a. Notice Of Occurrence Or Offense
You or any additional insured under this Coverage Part must see to it that we are notified as soon as
practicable of an "occurrence" or an offense which may result in a claim. To the extent possible, notice should
include:
(1) How, when and where the "occurrence" or offense took place;
(2) The names and addresses of any injured persons and witnesses; and
(3) The nature and location of any injury or damage arising out of the "occurrence" or offense.
b. Notice Of Claim
If a claim is made or "suit" is brought against any insured, you or any additional insured under this Coverage
Part must:
(1) Immediately record the specifics of the claim or "suit" and the date received; and
(2) Notify us as soon as practicable.
You or any additional insured under this Coverage Part must see to it that we receive a written notice of the
claim or "suit" as soon as practicable.
c. Assistance And Cooperation Of The Insured
You and any other involved insured must:
(1) Immediately send us copies of any demands, notices, summonses or legal papers received in connection
with the claim or "suit";
(2) Authorize us to obtain records and other information;
(3) Cooperate with us in the investigation, settlement of the claim or defense against the "suit"; and
(4) Assist us, upon our request, in the enforcement of any right against any person or organization that may
be liable to the insured because of injury or damage to which this insurance may also apply.
d. Obligations At The Insured's Own Cost
No insured will, except at that insured's own cost, voluntarily make a payment, assume any obligation, or
incur any expense, other than for first aid, without our consent.
e. Additional Insured's Other Insurance
If we cover a claim or "suit" under this Coverage Part that may also be covered by other insurance available
to an additional insured under this Coverage Part, such additional insured must submit such claim or "suit" to
the other insurer for defense and indemnity.
However, this provision does not apply to the extent that you have agreed in a written contract, written
agreement or permit that this insurance is primary and non-contributory with such additional insured's own
insurance.
f. Knowledge Of An Occurrence, Offense, Claim Or Suit
Paragraphs a. and b. apply to you or to any additional insured under this Coverage Part only when such
"occurrence", offense, claim or "suit" is known to
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(1) You or any additional insured under this Coverage Part that is an individual;
(2) Any partner, if you or an additional insured under this Coverage Part is a partnership;
(3) Any manager, if you or an additional insured under this Coverage Part is a limited liability company;
(4) Any "executive officer" or insurance manager, if you or an additional insured under this Coverage Part is a
corporation;
(5) Any trustee, if you or an additional insured under this Coverage Part is a trust; or
(6) Any elected or appointed official, if you or an additional insured under this Coverage Part is a political
subdivision or public entity.
This Paragraph f. applies separately to you and any additional insured under this Coverage Part.
3. Legal action Against Us
No person or organization has a right under this Coverage Part:
a. To join us as a party or otherwise bring us into a "suit" asking for damages from an insured; or
b. To sue us on this Coverage Part unless all of its terms have been fully complied with.
A person or organization may sue us to recover on an agreed settlement or on a final judgment against an
insured; but we will not be liable for damages that are not payable under the terms of this insurance or that are in
excess of the applicable limit of insurance. An agreed settlement means a settlement and release of liability
signed by us, the insured and the claimant or the claimant's legal representative.
4. Separation Of Insureds
Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Policy to the
first Named Insured, this insurance applies:
a. As if each Named Insured were the only Named Insured; and
b. Separately to each insured against whom a claim is made or "suit" is brought.
5. Representations
a. When You Accept This Policy
By accepting this Policy, you agree:
(1) The statements in the Declarations are accurate and complete;
(2) Those statements are based upon representations you made to us; and
(3) We have issued this Policy in reliance upon your representations.
b. Unintentional Failure To Disclose Hazards
If unintentionally you should fail to disclose all hazards relating to the conduct of your business at the
inception date of this Coverage Part-, we shall not deny any coverage under this Coverage Part because of
such failure.
6. Other Insurance
If other valid and collectible insurance is available for a loss we cover under this Coverage Part, our obligations
are limited as follows:
a. Primary Insurance
This insurance is primary except when b. below applies. If other insurance is also primary, we will share with
all that other insurance by the method described in c. below.
b. Excess Insurance
This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other
basis:
(1) Your Work
That is Fire, Extended Coverage, Builder's Risk, Installation Risk, Owner Controlled Insurance Program
or OCIP, Contractor Controlled Insurance Program or CCIP, Wrap Up Insurance or similar coverage for
"your work";
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(2) Premises Rented To You
That is fire, lightning or explosion insurance for premises rented to you or temporarily occupied by you
with permission of the owner;
(3) Tenant Liability
That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises
rented to you or temporarily occupied by you with permission of the owner;
(4) Aircraft, Auto Or Watercraft
If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to
Exclusion g. of Section B. Exclusions.
(5) Property Damage To Borrowed Equipment Or Use Of Elevators
If the loss arises out of "property damage" to borrowed equipment or the use of elevators to the extent not
subject to Exclusion k. of Section B. Exclusions.
(6) When You Are Added As An Additional Insured To Other Insurance
That is other insurance available to you covering liability for damages arising out of the premises or
operations, or products and completed operations, for which you have been added as an additional
insured by that insurance; or
(7) When You Add Others As An Additional Insured To This Insurance
That is other insurance available to an additional insured.
However, the following provisions apply to other insurance available to any person or organization who is
an additional insured under this Coverage Part:
(a) Primary Insurance When Required By Contract
This insurance is primary if you have agreed in a written contract, written agreement or permit that
this insurance be primary. If other insurance is also primary, we will share with all that other insurance
by the method described in c. below.
(b) Primary And Non -Contributory To Other Insurance When Required By Contract
If you have agreed in a written contract, written agreement or permit that this insurance is primary and
non-contributory with the additional insured's own insurance, this insurance is primary and we will not
seek contribution from that other insurance.
Paragraphs (a) and (b) do not apply to other insurance to which the additional insured has been added as
an additional insured.
When this insurance is excess, we will have no duty under this Coverage Part to defend the insured against
any "suit" if any other insurer has a duty to defend the insured against that "suit". If no other insurer defends,
we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers.
When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if
any, that exceeds the sum of:
(1) The total amount that all such other insurance would pay for the loss in the absence of this insurance;
and
(2) The total of all deductible and self -insured amounts under all that other insurance.
We will share the remaining loss, if any, with any other insurance that is not described in this Excess
Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in
the Declarations of this Coverage Part.
c. Method Of Sharing
If all the other insurance permits contribution by equal shares, we will follow this method also. Under this
approach, each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of
the loss remains, whichever comes first.
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If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under
this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total
applicable limits of insurance of all insurers.
7. Transfer Of Rights Of Recovery Against Others To Us
a. Transfer Of Rights Of Recovery
If the insured has rights to recover all or part of any payment, including Supplementary Payments, we have
made under this Coverage Part, those rights are transferred to us. The insured must do nothing after loss to
impair them. At our request, the insured will bring "suit' or transfer those rights to us and help us enforce
them. This condition does not apply to Medical Expenses Coverage.
b. Waiver Of Rights Of Recovery (Waiver Of Subrogation)
If the insured has waived any rights of recovery against any person or organization for all or part of any
payment, including Supplementary Payments, we have made under this Coverage Part, we also waive that
right, provided the insured waived their rights of recovery against such person or organization in a contract,
agreement or permit that was executed prior to the injury or damage.
F. LIABILITY AND MEDICAL EXPENSES DEFINITIONS
1. "Advertisement' means a notice that is broadcast or published to the general public or specific market segments
about your goods, products or services for the purpose of attracting customers or supporters. For the purpose of
this definition:
a. Notices that are published include material placed on the Internet or on similar electronic means of
communication; and
b. Regarding web sites, only that part of a web site that is about your goods, products or services for the
purpose of attracting customers or supporters is considered an advertisement.
2. "Advertising idea" means any idea for an "advertisement'.
3. "Asbestos hazard" means an exposure or threat of exposure to the actual or alleged properties of asbestos and
includes the mere presence of asbestos in any form.
4. "Auto" means:
a. A land motor vehicle, trailer or semi -trailer designed for travel on public roads, including any attached
machinery or equipment; or
b. Any other land vehicle that is subject to a compulsory or financial responsibility law or other motor vehicle
insurance or motor vehicle registration law where it is licensed or principally garaged.
However, "auto" does not include "mobile equipment'.
5. 'Bodily injury" means physical:
a. Injury;
b. Sickness; or
c. Disease
sustained by a person and, if arising out of the above, mental anguish or death at any time.
6. "Coverage territory" means:
a. The United States of America (including its territories and possessions), Puerto Rico and Canada;
b. International waters or airspace, but only if the injury or damage occurs in the course of travel or
transportation between any places included in a. above;
c. All other parts of the world if the injury or damage arises out of:
(1) Goods or products made or sold by you in the territory described in a. above;
(2) The activities of a person whose home is in the territory described in a. above, but is away for a short time
on your business; or
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(3) "Personal and advertising injury" offenses that take place through the Internet or similar electronic means
of communication.
provided the insured's responsibility to pay damages is determined in the United States of America (including its
territories and possessions), Puerto Rico or Canada, in a "suit" on the merits according to the substantive law in
such territory, or in a settlement we agree to.
7. "Electronic data" means information, facts or computer programs stored as or on, created or used on, or
transmitted to or from computer software (including systems and applications software), on hard or floppy disks,
CD-ROMs, tapes, drives, cells, data processing devices or any other repositories of computer software which are
used with electronically controlled equipment. The term computer programs, referred to in the foregoing
description of "electronic data", means a set of related electronic instructions which direct the operations and
functions of a computer or device connected to it, which enable the computer or device to receive, process, store,
retrieve or send data.
8. "Employee" includes a "leased worker". "Employee" does not include a "temporary worker".
9. "Executive officer" means a person holding any of the officer positions created by your charter, constitution, by-
laws or any other similar governing document.
10. "Hostile fire" means one which becomes uncontrollable or breaks out from where it was intended to be.
11. "Impaired property" means tangible property, other than "your product" or "your work", that cannot be used or is
less useful because:
a. It incorporates "your product" or "your work" that is known or thought to be defective, deficient, inadequate or
dangerous; or
b. You have failed to fulfill the terms of a contract or agreement;
if such property can be restored to use by:
a. The repair, replacement, adjustment or removal of "your product" or "your work"; or
b. Your fulfilling the terms of the contract or agreement.
12. "Insured contract" means:
A contract for a lease of premises. However, that portion of the contract for a lease of premises that
indemnifies any person or organization for damage by fire, lightning or explosion to premises while rented to
you or temporarily occupied by you with permission of the owner is subject to the Damage To Premises
Rented To You limit described in Section D. Liability And Medical Expenses Limits Of Insurance.
b. A sidetrack agreement;
c. Any easement or license agreement, including an easement or license agreement in connection with
construction or demolition operations on or within 50 feet of a railroad;
d. Any obligation, as required by ordinance, to indemnify a municipality, except in connection with work for a
municipality;
e. An elevator maintenance agreement; or
f. That part of any other contract or agreement pertaining to your business (including an indemnification of a
municipality in connection with work performed for a municipality) under which you assume the tort liability of
another party to pay for "bodily injury" or "property damage" to a third person or organization. Tort liability
means a liability that would be imposed by law in the absence of any contract or agreement.
Paragraph f. includes that part of any contract or agreement that indemnifies a railroad for "bodily injury" or
"property damage" arising out of construction or demolition operations within 50 feet of any railroad property
and affecting any railroad bridge or trestle, tracks, road -beds, tunnel, underpass or crossing.
However, Paragraph f. does not include that part of any contract or agreement:
(1) That indemnifies an architect, engineer or surveyor for injury or damage arising out of:
(a) Preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports,
surveys, field orders, change orders, designs or drawings and specifications; or
(b) Giving directions or instructions, or failing to give them, if that is the primary cause of the injury or
damage; or
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(2) Under which the insured, if an architect, engineer or surveyor, assumes liability for an injury or damage
arising out of the insured's rendering or failure to render professional services, including those listed in (1)
above and supervisory, inspection, architectural or engineering activities.
13. "Leased worker' means a person leased to you by a labor leasing firm under an agreement between you and the
labor leasing firm, to perform duties related to the conduct of your business. "Leased worker' does not include a
"temporary worker".
14. "Loading or unloading" means the handling of property
a. After it is moved from the place where it is accepted for movement into or onto an aircraft, watercraft or
"auto";
b. While it is in or on an aircraft, watercraft or "auto'; or
c. While it is being moved from an aircraft, watercraft or "auto" to the place where it is finally delivered;
but "loading or unloading" does not include the movement of property by means of a mechanical device, other
than a hand truck, that is not attached to the aircraft, watercraft or "auto".
15. "Mobile equipment" means any of the following types of land vehicles, including any attached machinery or
equipment:
a. Bulldozers, farm machinery, forklifts and other vehicles designed for use principally off public roads;
b. Vehicles maintained for use solely on or next to premises you own or rent;
c. Vehicles that travel on crawler treads;
d. Vehicles, whether self-propelled or not, on which are permanently mounted:
(1) Power cranes, shovels, loaders, diggers or drills; or
(2) Road construction or resurfacing equipment such as graders, scrapers or rollers;
e. Vehicles not described in a., b., c., or d. above that are not self-propelled and are maintained primarily to
provide mobility to permanently attached equipment of the following types:
(1) Air compressors, pumps and generators, including spraying, welding, building cleaning, geophysical
exploration, lighting and well servicing equipment; or
(2) Cherry pickers and similar devices used to raise or lower workers;
f. Vehicles not described in a., b., c., or d. above maintained primarily for purposes other than the transportation
of persons or cargo.
However, self-propelled vehicles with the following types of permanently attached equipment are not "mobile
equipment" but will be considered "autos":
(1) Equipment, of at least 1,000 pounds gross vehicle weight, designed primarily for:
(a) Snow removal;
(b) Road maintenance, but not construction or resurfacing; or
(c) Street cleaning;
(2) Cherry pickers and similar devices mounted on automobile or truck chassis and used to raise or lower
workers; and
(3) Air compressors, pumps and generators, including spraying, welding, building cleaning, geophysical
exploration, lighting and well servicing equipment.
However, "mobile equipment" does not include any land vehicle that is subject to a compulsory or financial
responsibility law or other motor vehicle insurance or motor vehicle registration law where they are licensed or
principally garaged. Land vehicles subject to a compulsory or financial responsibility law or other motor vehicle
insurance law or motor vehicle registration law are considered "autos".
16. "Occurrence" means an accident, including continuous or repeated exposure to substantially the same general
harmful conditions.
17. "Personal and advertising injury" means injury, including consequential "bodily injury", arising out of one or more
of the following offenses:
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a. False arrest, detention or imprisonment;
b. Malicious prosecution;
c. The wrongful eviction from, wrongful entry into, or invasion of the right of private occupancy of a room,
dwelling or premises that a person or organization occupies, committed by or on behalf of its owner, landlord
or lessor;
d. Oral, written, electronic, or any other manner of publication of material that slanders or libels a person or
organization or disparages a person's or organization's goods, products or services;
e. Oral, written, electronic, or any other manner of publication of material that violates a person's right of privacy;
f. Copying, in your "advertisement", a person's or organization's "advertising idea" or style of "advertisement"; or
g. Infringement of copyright, slogan, or title of any literary or artistic work, in your "advertisement".
18. "Pollutants" means any solid, liquid, gaseous or thermal irritant or contaminant, including smoke, vapor, soot,
fumes, acids, alkalis, chemicals and waste. Waste includes materials to be recycled, reconditioned or reclaimed.
19. "Products -completed operations hazard";
a. Includes all "bodily injury" and "property damage" occurring away from premises you own or rent and arising
out of "your product" or "your work" except:
(1) Products that are still in your physical possession; or
(2) Work that has not yet been completed or abandoned. However, "your work" will be deemed to be
completed at the earliest of the following times.
(a) When all of the work called for in your contract has been completed.
(b) When all of the work to be done at the job site has been completed if your contract calls for work at
more than one job site.
(c) When that part of the work done at a job site has been put to its intended use by any person or
organization other than another contractor or subcontractor working on the same project.
Work that may need service, maintenance, correction, repair or replacement, but which is otherwise
complete, will be treated as completed.
The "bodily injury" or "property damage" must occur away from premises you own or rent, unless your
business includes the selling, handling or distribution of "your product" for consumption on premises you own
or rent.
b. Does not include "bodily injury" or "property damage" arising out of:
(1) The transportation of property, unless the injury or damage arises out of a condition in or on a vehicle not
owned or operated by you, and that condition was created by the "loading or unloading" of that vehicle by
any insured; or
(2) The existence of tools, uninstalled equipment or abandoned or unused materials.
20. "Property damage" means:
a. Physical injury to tangible property, including all resulting loss of use of that property. All such loss of use shall
be deemed to occur at the time of the physical injury that caused it; or
b. Loss of use of tangible property that is not physically injured. All such loss of use shall be deemed to occur at
the time of "occurrence" that caused it.
As used in this definition, "electronic data" is not tangible property.
21. "Suit" means a civil proceeding in which damages because of "bodily injury", "property damage" or "personal and
advertising injury" to which this insurance applies are alleged. "Suit" includes:
a. An arbitration proceeding in which such damages are claimed and to which the insured must submit or does
submit with our consent; or
b. Any other alternative dispute resolution proceeding in which such damages are claimed and to which the
insured submits with our consent.
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22. "Temporary worker' means a person who is furnished to you to substitute for a permanent "employee" on leave or
to meet seasonal or short-term workload conditions.
23. "Unmanned aircraft" means an aircraft that is not:
a. Designed;
b. Manufactured; or
c. Modified after manufacture;
to be controlled directly by a person from within or on the aircraft.
24. 'Volunteer worker" means a person who:
a. Is not your "employee";
b. Donates his or her work;
c. Acts at the direction of and within the scope of duties determined by you; and
d. Is not paid a fee, salary or other compensation by you or anyone else for their work performed for you.
25. "Your product":
a. Means:
(1) Any goods or products, other than real property, manufactured, sold, handled, distributed or disposed of
by:
(a) You;
(b) Others trading under your name; or
(c) A person or organization whose business or assets you have acquired; and
(2) Containers (other than vehicles), materials, parts or equipment furnished in connection with such goods
or products.
b. Includes:
(1) Warranties or representations made at any time with respect to the fitness, quality, durability,
performance or use of "your product"; and
(2) The providing of or failure to provide warnings or instructions.
c. Does not include vending machines or other property rented to or located for the use of others but not sold.
26. "Your work":
a. Means:
(1) Work or operations performed by you or on your behalf; and
(2) Materials, parts or equipment furnished in connection with such work or operations.
b. Includes:
(1) Warranties or representations made at any time with respect to the fitness, quality, durability,
performance or use of "your work"; and
(2) The providing of or failure to provide warnings or instructions.
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© 2018, The Hartford
(May include copyrighted material of Insurance Services Office, Inc., with its permission)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
THE
HARTFORD
AMENDMENT s AGGREGATE LIMITS (PER PROJECT)
This endorsement modifies insurance provided under the following:
BUSINESS LIABILITY COVERAGE FORM
Except as otherwise stated in this endorsement, the terms and conditions of the Policy apply.
A. The following changes are made to Section D. LIABILITY AND MEDICAL EXPENSES LIMITS OF INSURANCE:
1. The following provision is added to Paragraph 2. Aggregate Limits:
The General Aggregate Limit under Section D. LIABILITY AND MEDICAL EXPENSES LIMIT OF
INSURANCE applies separately to each of your "projects".
2. The following provision is added to Paragraph 2. Aggregate Limits:
When coverage for liability arising out of the "products -completed operations hazard" is provided, any
payments for damages because of "bodily injury" or "property damage" included in the "products -completed
operations hazard" will reduce the Products -Completed Operations Aggregate Limit, and not reduce the
General Aggregate Limit.
B. The following changes are made to Section F. LIABILITY AND MEDICAL EXPENSES DEFINITIONS:
1. The following definition is added:
'Project" means a premises, site or location that is away from a premises, site or location owned or rented to you
and at which "your work" at said premises, site or location has not yet been completed, as completion is described
in the 'products -completed operation hazard". All of "your work" at such premises, site or location is deemed to
involve a single project, regardless of whether "your work' is abandoned, delayed, or restarted, or if "your work"
deviates from plans, blueprints, designs, specifications or timetables.
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Page 1 of 1
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
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HARTFORD
BLANKET ADDITIONAL INSURED BY CONTRACT
This endorsement modifies insurance provided under the following:
BUSINESS LIABILITY COVERAGE FORM
Except as otherwise stated in this endorsement, the terms and conditions of the Policy apply
A. The following is added to Section C. WHO IS AN INSURED:
Additional Insureds When Required By Written Contract, Written Agreement Or Permit
The person(s) or organization(s) identified in Paragraphs a. through f. below are additional insureds when you have
agreed, in a written contract or written agreement, or when required by a written permit issued by a state or
governmental agency or subdivision or political subdivision that such person or organization be added as an
additional insured on your Coverage Part, provided the injury or damage occurs subsequent to the execution of the
contract or agreement, or the issuance of the permit.
A person or organization is an additional insured under this provision only for that period of time required by the
contract, agreement or permit.
However, no such person or organization is an additional insured under this provision if such person or organization is
included as an additional insured by any other endorsement issued by us and made a part of this Coverage Part.
The insurance afforded to such additional insured will not be broader than that which you are required by the contract,
agreement, or permit to provide for such additional insured.
The insurance afforded to such additional insured only applies to the extent permitted by law.
The limits of insurance that apply to additional insureds are described in Section D. LIABILITY AND MEDICAL
EXPENSES LIMITS OF INSURANCE. How this insurance applies when other insurance is available to an additional
insured is described in the Other Insurance Condition in Section E. LIABILITY AND MEDICAL EXPENSES
GENERAL CONDITIONS.
a. Vendors
Any person(s) or organization(s) (referred to below as vendor), but only with respect to "bodily injury" or "property
damage" arising out of "your products" which are distributed or sold in the regular course of the vendors business
and only if this Coverage Part provides coverage for "bodily injury" or "property damage" included within the
"products -completed operations hazard".
(1) The insurance afforded to the vendor is subject to the following additional exclusions:
This insurance does not apply to:
(a) "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the
assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages
that the vendor would have in the absence of the contract or agreement;
(b) Any express warranty unauthorized by you;
(c) Any physical or chemical change in the product made intentionally by the vendor,
(d) Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or the
substitution of parts under instructions from the manufacturer, and then repackaged in the original
container;
(e) Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make
or normally undertakes to make in the usual course of business, in connection with the distribution or sale
of the products;
(f) Demonstration, installation, servicing or repair operations, except such operations performed at the
vendor's premises in connection with the sale of the product;
(g) Products which, after distribution or sale by you, have been labeled or relabeled or used as a container,
part or ingredient of any other thing or substance by or for the vendor; or
Form SL 30 3210 18 Page 1 of 3
© 2018, The Hartford
(May include copyrighted material of Insurance Services Office, Inc., with its permission)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
THE 0
HARTFORD
(h) "Bodily injury" or "property damage" arising out of the sole negligence of the vendor for its own acts or
omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not
apply to:
(1) The exceptions contained in Paragraphs (d) or (f); or
(fi) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally
undertakes to make in the usual course of business, in connection with the distribution or sale of the
products.
(2) This insurance does not apply to any insured person or organization from whom you have acquired such
products, or any ingredient, part or container, entering into, accompanying or containing such products.
b. Lessors Of Equipment
(1) Any person or organization from whom you lease equipment; but only with respect to their liability for "bodily
injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your
maintenance, operation or use of equipment leased to you by such person or organization.
(2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to any
"occurrence" which takes place after you cease to lease that equipment.
c. Lessors Of Land Or Premises
(1) Any person or organization from whom you lease land or premises, but only with respect to liability arising out
of the ownership, maintenance or use of that part of the land or premises leased to you.
(2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to:
(a) Any "occurrence" which takes place after you cease to lease that land or be a tenant in that premises; or
(b) Structural alterations, new construction or demolition operations performed by or on behalf of such person
or organization.
d. Architects, Engineers Or Surveyors
(1) Any architect, engineer, or surveyor, but only with respect to liability for "bodily injury", "property damage" or
"personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or
omissions of those acting on your behalf:
(a) In connection with your premises; or
(b) Imthe performance of your ongoing operations performed by you or on your behalf.
(2) V�ith respect to the insurance afforded to these additional insureds, the following additional exclusion applies:
(a) This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury"
arising out of the rendering of or the failure to render any professional services, including:
(1) The preparing, approving, or failure to prepare or approve, maps, shop drawings, opinions, reports,
surveys, field orders, change orders, designs or drawings and specifications; or
(ii) Supervisory, surveying, inspection, architectural or engineering activities.
This exclusion applies even if the claims allege negligence or other wrongdoing in the supervision, hiring,
employment, training or monitoring of others by an insured, if the 'bodily injury", "property damage", or
"personal and advertising injury" arises out of the rendering of or the failure to render any professional
service.
(b) This insurance does not apply to "bodily injury" or "property damage" included within the "products -
completed operations hazard".
e. State Or Governmental Agency Or Subdivision Or Political Subdivision Issuing Permit
(1) Any state or governmental agency or subdivision or political subdivision, but only with respect to operations
performed by you or on your behalf for which the state or governmental agency or subdivision or political
subdivision has issued a permit.
(2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to:
(a) "Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed
for the federal government, state or municipality; or
Form SL 30 32 10 18 Page 2 of 3
© 2018, The Hartford
(May include copyrighted material of Insurance Services Office, Inc., with its permission)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
THE
HARTFORD
(b) "Bodily injury" or "property damage" included within the "products -completed operations hazard".
f. Any Other Party
(1) Any other person or organization who is not in one of the categories or classes listed above in Paragraphs a.
through e. above, but only with respect to liability for "bodily injury", "property damage" or "personal and
advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those
acting on your behalf:
(a) In the performance of your ongoing operations performed by you or on your behalf;
(b) In connection with your premises owned by or rented to you; or
(c) In connection with "your work" and included within the "products -completed operations hazard", but only
if.
(1) The written contract, written agreement or permit requires you to provide such coverage to such
additional insured; and
(if) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the
"products -completed operations hazard".
(2) With respect to the insurance afforded to these additional insureds, the following additional exclusion applies:
This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising
out of the rendering of, or the failure to render, any professional architectural, engineering or surveying
services, including:
(a) The preparing, approving, or failure to prepare or approve, maps, shop drawings, opinions, reports,
surveys, field orders, change orders, designs or drawings and specifications; or
(b) Supervisory, surveying, inspection, architectural or engineering activities.
This exclusion applies even if the claims allege negligence or other wrongdoing in the supervision, hiring,
employment, training or monitoring of others by an insured, if the 'bodily injury", *property damage', or
.personal and advertising injury" arises out of the rendering of or the failure to render any professional service
described in Paragraphs f.(2)(a) or f.(2)(b) above.
Form SL 30 32 10 18
© 2018, The Hartford
(May include copyrighted material of Insurance Services Office, Inc., with its permission)
Page 3 of 3
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. �
THE "L
HARTFORD
BLANKET ADDITIONAL INSURED BY CONTRACT - UMBRELLA
This endorsement modifies insurance provided under the following:
UMBRELLA LIABILITY SUPPLEMENTAL POLICY
Except as otherwise stated in this endorsement, the terms and conditions of the Supplemental Policy apply.
A. The following is added to Paragraph 2. of Section C. WHO IS AN INSURED:
a. Any person or organization when you have agreed, because of a written contract or written agreement, or
when required by a written permit issued by a state or governmental agency or subdivision or political
subdivision, to provide insurance such as is afforded under this Supplemental Policy, but only with respect to
your operations performed by you or on your behalf, "your work" or facilities owned or used by you.
This provision does not apply:
(1) Unless the written contract or written agreement has been executed, or the permit has been issued, prior
to the "bodily injury," "property damage," or "personal and advertising injury';
(2) Unless the limits of liability specified in such written contract, written agreement or permit are greater than
the limits of liability provided by the "underlying insurance'; and
(3) Beyond the period of time required by the written contract, written agreement or permit;
However, no such person or organization is an 'insured' under this provision if such person or organization
qualifies as an "insured" by any other provision of this Supplemental Policy.
b. With respect to the insurance afforded to the persons or organizations qualifying as an "insured" in Paragraph
a. above, the following additional exclusion applies:
(1) This insurance does not apply to "bodily injury', "property damage" or "personal and advertising injury"
arising out of the rendering of or the failure to render any professional services, including:
(a) The preparing, approving, or failure to prepare or approve, maps, shop drawings, opinions, reports,
surveys, field orders, change orders, designs or drawings and specifications; or
(b) Supervisory, surveying, inspection, architectural or engineering activities.
This exclusion applies even if the claims allege negligence or other wrongdoing in the supervision, hiring,
employment, training or monitoring of others by an "insured", if the "bodily injury", "property damage", or
"personal and advertising injury" arises out of the rendering of or the failure to render any professional
service.
c. The insurance afforded to such "insured" will not be broader than that which you are required by the contract,
agreement or permit to provide for such 'insured".
d. The insurance afforded to such "insured' only applies to the extent permitted by law.
Form SU 00 02 10 18
© 2018, The Hartford
(May include copyrighted material of Insurance Services Office, Inc., with its permission)
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