PROOF OF INSURANCE (2020) CLOSED�1
ACOR"° CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
166� 11/22/2020 11/25/2019
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER LocktOn ComSnieS I NAMEt 46
GUNT
444 W. 47th Creel, Suite 900 [AIC. No. Ext): I CANot;
Kansas Cit MO 64112-1906 E-MAIL
(816) 960-9000 ADDRESS:
I INSURERS) AFFORDING COVERAGE NAIC #
INSURER A: Nationwide Mutual Insurance Company 23787
INSURED A -THRONE CO. INC. INSURER B: AMCO Insurance COrnnanv 19100
1430961 1850 E 33RD ST. INSURER C: I,iberty Insurance COrnoration 42404
LONG BEACH CA 90807
INSURER D:
t
I INSURER E: II
INSURER F
COVERAGES CERTIFICATE NUMBER: 16120084
REVISION NUMBER: XXXXXXX
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.
C� TYPE OF INSURANCE gCOdSD $gip POLICY NUMBER
POLICY EXP
IMM/OOY E/� IMMIDDIYY Y1
LIMITS
A
COMMERCIAL GENERAL LIABILITY
Y Y GL03018519258
11/22/2019 11/22/2020
EACH OCCURRENCE S 1,000,000
CLAIMS -MADE OCCUR
IP''REMISESO(Ea occpl)Errrence) s 300,000
I'MED EXP (Anv one person) $ 10,000
(PERSONAL & ADV INJURY $ 1.000.000
GEN'L AGGREGATE LIMIT APPLIES PER:
(GENERAL AGGREGATE S 2,000,000
O.
POLICY JRC T � LOC
(PRODUCTS - COMP/OP AGG $ 2.000,000
OTHER:
$
A AUTOMOBILE LIABILITY N Y BA3018519258
11/22/2019 11/22/2020
cL1'MB igen SINGLE LIMIT
tlEa BINEDth $ 1.000.000
X
ANY AUTO
BODILY INJURY (Per person) $ XXXXXXX
AUTOS ONLY
SCHEDULED
IBODILY INJURY (Per accident $ XXXXXXX
X
AUTOS ONLY
NON-OWNED
ONLY
lipeq arrIIdd ntYAMAGE $ XXXXXXX
$ XXXXXxX
X
UMBRELLA LIABX (OCCUR N N
EACH OCCURRENCE is 10.000,000
B
EXCESS LI AB CLAIMS -FADE CAA3018519258
11/22/2019
11/22/2020
AGGREGATE $ 10,000,000
DED I RETENTION $
I $ XXXXXXX
WORKERS
Y
X ( SNSATION TATUTE I (OFR
AND EMPLO ERSELIABILIITY YIN
C OFFICER/MEM ER EXCLUDEDANY ? ECUTIVE N / A WC7-Z91-469811-019
11/22/2019 11/22/2020
E,L EACH ACCIDENT $ 1 ,000,000
(Mandatory in NH)
IE,L DISEASE - EA EMPLOYEE $ 1.000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E L DISEASE - POLICY LIMIT $ 11 000.000
A
PROPERTY N N CPP3018519258
11/22/2019 11/22/2020
BLANKET PERSONAL PROPERTY;
S931,
BLAM'T BL: $803,173;
1.rl.l:sl)C"71131,4':: $5,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule,
may be attached if more space is required)
THE CITY OF EL SEGUNDO, ITS OFFICERS, OFFICIALS, EMPLOYEES, AGENTS, AND VOLUNTEERS ARE ADDITIONAL INSURED ON
GENERAL LIABILITY COVERAGE, IF E )' II{1.,I7 BY 'WRITI-EN CONTRAC'°I'.
WAIVER 0'.. SUBROGATION IN 'FAV'OR C1 °I'1It: ADDITIONALTTE
INSURED APPLIES ON GENERAL LIABILITY, AUTO LIABI'L'I`IN, AND WORKERS'
COM( I:
Attachment Code : D543825 Certificate ID : 16120084
POLICY NUMBER: GL03018519258
COMMERCIAL GENERAL LIABILITY
CG 72 46 11 15
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - AUTOMATIC STATUS FOR OTHER
PARTIES WHEN REQUIRED IN WRITTEN
CONSTRUCTION AGREEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. Section II — Who Is An Insured is amended to include as an additional insured:
Ongoing Operations
1. Any person or organization for whom you are performing operations when you and such person or organization
have agreed in writing in a contract or agreement that such person or organization be added as an additional
insured on your policy; and
2. Any other person or organization you are required to add as an additional insured under the contract or
agreement described in Paragraph 1. above.
Such person(s) or organization(s) is an additional insured only with respect to liability for "bodily injury", "property
damage" or "personal and advertising injury" caused, in whole or in part, by:
a. Your acts or omissions; or
b. The acts or omissions of those acting on your behalf;
in the performance of your ongoing operations for the additional insured.
However, the insurance afforded to such additional insured described above:
a. Only applies to the extent permitted by law; and
b. Will not be broader than that which you are required by the contract or agreement to provide for such
additional insured.
A person's or organization's status as an additional insured for ongoing operations ends when your operations for
the person or organization described in Paragraph 1. above are completed. With respect to insurance afforded to
these additional insureds for ongoing operations, this insurance does not apply to "bodily injury" or "property
damage" occurring after:
a. All work, including material, parts or equipment furnished in connection with such work, on the project
(other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s)
at the location of the covered operations has been completed: or
b. that operation of "your work" out of which the injury or damage arises has been put to its intended use
by any person or organization other than another contractor or subcontractor engaged in performing
operations for a principal as a part of the same project.
B. Section II — Who Is An Insured is amended to include as an additional insured:
Products—Completed Operations
Any person or organization with whom you have agreed in writing in a contract or agreement that such person or
organization be added as an additional insured on your policy with respect to liability for "bodily injury" or "property
damage" caused, in whole or in part, by "your work" performed for such person or organization and included in the
"products -completed operations hazard".
However, the insurance afforded to such additional insured described above:
a. Only applies to the extent permitted by law; and
b. Will not be broader than that which you are required by the contract or agreement to provide for such additional
Attachment Code: D543825 Certificate ID : 16120084
insured.
C. With respect to the insurance afforded to these additional insureds, 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:
1. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys,
field orders, change orders or drawings and specifications; or
2. Supervisory, inspection, architectural or engineering activities.
This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision,
hiring, employment, training or monitoring of others by that insured, if the 'occurrence" which caused the "bodily injury" or
"property damage", or the offense which caused the "personal and advertising injury", involved the rendering of, or the
failure to render, any professional architectural, engineering or surveying services.
D. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of
Insurance:
The most we will pay on behalf of the additional insured is the amount of insurance:
1. Required by the contract or agreement described in Paragraph A.1. or Paragraph B.; or
2. Available under the applicable Limits of Insurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.
E. With respect to the insurance afforded to these additional insureds, the following is added to Section IV — Commercial
General Liability Conditions, Condition 4. Other Insurance and supersedes any provision to the contrary:
Primary And Non-contributory Insurance
This insurance is primary to and will not seek contribution from any other insurance available to an additional insured
under your policy provided that:
(1) The additional insured is a Named Insured under such other insurance; and
(2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not
seek contribution from any other insurance available to the additional insured.
All terms and conditions of this policy apply unless modified by this endorsement.
CG 72 46 11 15
Attachment Code : D542380 Certificate ID : 16120084
COMMERCIAL GENERAL LIABILITY
CG 72 12 12 16
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
COMMERCIAL GENERAL LIABILITY
COVERAGE ENHANCEMENT ENDORSEMENT
INCLUDING MEDICAL PAYMENTS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SECTION I - COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions is
amended as follows:
1. Paragraph (2)(a) of Exclusion g. Aircraft, Auto Or Watercraft is Mplaced with:
(a) Less than 51Jeet long; and
2. The following is added to Exclusion j. Damage To Property:
(a) Paragraphs (3) and (4) does not apply to "property damage" to borrowed equipment while not in use, while at the
insured's premises or a job site; or
(b) Paragraph (4) does not apply "property damage" to customers goods while on the insured's prernises for the purpose
of being worked on or used in a manufacturing process.
Limit of Insuranqe - The most we will pay for damages for "pthperty damage" coverage provided by this coverage in any
one "occurrence" is $16,000.
Deductible - Our obligation to pay for a covered loss applies only th the amount of loss in excess of $500. We will pay
the deductible amount to effect settlement of any claim or "suit" and, upon notification of this action having been taken,
you shall promptly reimburse us for the deductible as haS been paid by ;us. This insurance is excess over any other
valid and collectible insurance.
3. The last paragraph of 2. Exclusions is replaced with:
If Damage To Premises Rented To You is not otherwise excluded, exclusions c. through n. do not apply to damage by
fire, lightning, explosion, smoke or sprinkler leakage to premises while rented to you or temporarily occupied by you
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 III - Limits of Insurance.
SECTION I - COVERAGES, SUPPLEMENTARY PAYMENTS - COVERAGES A AND B is amended as follows:
1. Paragraph 1. b. is replaced with:
b. Up to $2,500 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any
vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds.
2. Paragraph 1. d. is replaced with:
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 Io $500 a day because of time off from work.
SECTION II —WHO IS AN INSURED is amended as follows:
1. Paragraph 3. a. is replaced with:
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;
2. The following is added:
4. Additional Insured - Automatic Status When Required In An Agreement With You
Who Is An Insured includes person(s) or organization(s) described in Paragraphs a. -i. below with whom you have
agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your
policy.
a. Co -Owners Of Insured Premises —with respect to their liability as co-owner of the premises.
However,; their status as additional insured under this policy ends when you cease to"co-own such premises with that
person or organization.
b. Controlling Interest — with respect to their liability arising out of their financial control of you; or premises they own,
maintain, br control while you lease or occupy thqse premises.
This insyrance does not apply to structural ,alterations, new construction and demolition operations performed by or for
that person or organization.
However,their status as additional insured under this policy ends when they cease to have such controlling interest.
c. Grantor Of Franchise or License —with respect to their liability as grantor of
a franchise or license to you.
Attachment Code : D542380 Certificate ID : 16120084
However, their status as additional insured under this policy ends:
(1) when :their contract or agreement with }Su granting the franchise or license ends or expires; or
(2) when your license is terminated or revoked prior to expiration of the license as stipulated by the contract or
agrhement.
d. Lessors of Leased Equipment — 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(s) or organization (s). This
insurance' does not apply to any "occurrence" which takes place after the equipment( lease expires.
However, their status as additional insured under this policy ends when their lease, contract, or agreement with you for
suoh leased equipment ends.
' e. Manager; or Lessors of Premises —with respect to liability arising out of the ownership; maintenance, or use of that
part of thesremises leased to you.
This insurance does not apply to:
(1) Any "occurrence" which takes place after you cease to be a tenant in that premises.
Structural alterations, new construction, or demolition operations performed by or on behalf of the person or
organization.
However, their status as additional insured under this policy ends when you cease to be a tenant of such premises.
1. Mortgagee, Assignee, or Receiver —with respect to their liability as mortgagee, assignee, or receiver and arising out
of the ownership, maintenance, or use of the premises by you.
This insurance does not apply to structural alterations, new constructions, and demolition operations performed by or for
that person or organization.
However, their status as additional insured under this policy ends when their status as mortgagee, assignee, or receiver
ends.
g. Owners or Other Interest from Whom Land has been Leased — with respect to their liability arising out of the
ownership, maintenance, or use of that part of the land leased to you.
This insurance does not apply to:
(1) Any "occurrence" which takes place after you cease to lease the land; or
(2) Structural alterations, new
construction, or demolition
operations performed by or on behalf of the person or organization.
However, their status as additional insured under this policy ends when you cease to lease that land.
h. State or Political Subdivisions —Permits Relating to Premises — with respect to the following hazards for which the
state or governmental agency or subdivision or political subdivision has issued a permit or authorization in connection
with premises you own, rent, or control and to which this insurance applies:
(1) The existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar
entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, street banners or
decorations and similar exposures; or
(2) The construction, erection, or
removal of elevators; or
(3) The ownership, maintenance or use of any elevators covered by this insurance.
This insurance does not apply to:
(1) "Bodily injury" or "properly damage" or "personal or advertising injury" arising out of operations performed for the
state or municipality; or
(2) "Bodily injury" or "property damage" included within the "products -completed operations hazard",
However, such state or political subdivision's status as additional insured under this policy ends when the permit ends.
i. Vendors h 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 vendor's business, subject to the following additional exclusions:
(1) The insurance afforded the vendor 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) Arty express warranty unau-thOrized by you;
(c) My physical or chemical change in the product made intentionally by the vendor;
(d) Repackaging, except when unpacked solely for the purpose of inspection, demonstration, teeting, 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;
(1) 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
Attachment Code: D542380 Certificate ID : 16120084
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
(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 Subparagraphs d. or f.; or
(ii) Such inspections, adjust-ments, 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.
With respect ,to the insurance afforded to such additional insureds a. — d. described above the following is added to the
Section III — Limits Otlnsurance:
If coverage :provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of
the additional' insured is the amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable Limits of Insurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. ,
However, this insurance afforded to such additional insureds a. — i. described above:
1. Only applies to the extent permitted by law; and
2. Will not be broader than that which you are required by the contract or agreement to provide for such additional
insured.
SECTION III — LIMITSOF INSURANCE
1. The following is added to Paragraph 2:
The General Aggregate Limit applies separately to each of your "locations" owned by or rented to you or temporarily
occupied by you with the permission of the owner.
2. Paragraph 6. is replaced with:
6. Subject to 5. above, the Damage To Premises 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 in the case of damage by fire,
lightning, explosion, smoke, or sprinkler leakage, while rented to or temporarily occupied by you with permission of the
owner, The limit is increased to $1,000,000.
3. Paragraph 7. is replaced with:
7. Subject to 5. above, the higher of:
a. $10,000; or
b. The amount shown in the Declarations for Medical Expense Limit is the most we will pay under Coverage C for all
medical expenses because of "bodily injury" sustained by one person.
This coverage does not apply if Coverage C - Medical Payments is excluded either by the provisions of any coverage
forms attached to the policy or by endorsement.
SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS
1. Condition 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit is amended to include:
e. Knowledge of an "occurrence", offense, claim or "suit" by an agent or employee of any insured shall not in itself
constitute knowledge of the insured unless you, a partner, if you are a partnership; or an executive officer or insurance
manager, if you are a corporation receives such notice of an "occurrence", offense, claim or "suit" from the agent or
employee.
2. Paragraph b. Excess Insurance (1) (b) (ii) of condition 4. Other Insurance is replaced with:
(ii) That is Fire insurance for premises rented to you or temporarily occupied by you with permission of the owner;
3. Condition 6. Representations is amended to include:
d. Your failure to disclose all hazards or prior "occurrences" or offenses existing as of the inception date of the policy
shall not prejudice the coverage afforded by this policy provided such failure to disclose all hazards or prior
"occurrences" or offenses is
not intentional. This provision does not
affect our right to collect additional premium or exercise our right of cancellation or non -renewal.
4. Condition 8. Transfer Of Rights Of Recovery Against Others To Us is amended to include:
If required by a written contract executed prior to loss, we waive any right of subrogation we may have against the
contracting person or organization because of payments we make for injury or damage arising out of your ongoing
Attachment Code: D542380 Certificate ID : 16120084
operations or "your work" done under a contract with that person or organization and included in the
"products -completed operations hazard".
5. The following condition is added:
10. Liberalization
If we revise this coverage form to provide more coverage without additional premium charge, your policy will
automatically provide the additional coverage as of the day the revision is effective in your state.
SECTION V - DEFINITIONS
1. Definition 3. 'Bodily Injury" is replaced with:
3. 'Bodily injury" itneans bodily injury, sickness
or disease sustained by a person, including mental anguish, mental injury, shock, fright
or death resulting from any of these at any time.
2. The following definition is added:
"Location" means premises involving the same or connecting lots, or premises whose connection is interrupted only by a
street, roadway, waterway, or right-of-way of a railroad.
All terms and conditions apply unless modified by this endorsement.
Attachment Code : D543823 Certificate ID : 16120084
POLICY #: BA3018519258
COMMERCIAL AUTO
AC 70 05 03 16
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
BUSINESS AUTO PROTECTION - GOLD
BUSINESS AUTO PROTECTION - GOLD
This endorsement modifies insurance provided under
the following: BUSINESS AUTO COVERAGE FORM
SUMMARY OF COVERAGES
A. Effect of This Endorsement
B. Newly Acquired or Formed Entities
C. Employees as Insureds- Nonowned Autos
D. Additional Insured by Contract, Permit or Agreement
E. Supplementary Payments - Bail Bonds
F. Supplementary Payments- Loss of Earnings
G. Personal Effects and Property of Others Extension
H. Prejudgment Interest Coverage
I. Fellow Employee -Officer. Managers and Supervisors
J. Hired Auto Physical Damage
K. Temporary Substitute Autos - Physical Damage Coverage
L. Expanded Towing Coverage
M. Auto Loan or Lease Coverage
N. Original Equipment Manufacturer Parts - Leased Private
Passenger Types 0. Deductible Amendments
P. Rental Reimbursement Coverage
Q. Expanded Transportation Expense
R. Extra Expense- Stolen Autos
S. Physical Damage Limit of Insurance
T. New Vehicle Replacement Cost
U. Physical Damage Coverage Extension
V. Transfer of Rights of Recovery Against Others To Us
W. Section IV - Business Auto Conditions- Notice of and Knowledge of Occurrence
X. Hired Car Coverage Territory
Y. Emergency Lock Out
Z. Cancellation Condition
Attachment Code: D543823 Certificate ID : 16120084
A. EFFECT OF THIS ENDORSEMENT
Coverage provided under this policy is modified by the provisions of this endorsement. If there is any
conflict between the provisions of this endorsement and the provision(s) of any state -specific
endorsement also attached to this policy, then the provision(s) of the state -specific endorsement shall
apply instead of the provisions of this endorsement that are in conflict, but only to the extent of the
conflict, and only to the extent necessary to bring such provisions into conformance with the state
requirement(s) contained in the provision(s) of the state -specific endorsement.
B. NEWLY ACQUIRED OR FORMED ENTITIES
The Named Insured shown in the Declarations is amended to include any organization you newly
acquire or form, other than a partnership, joint venture, or limited liability company, and over which
you maintain ownership or majority (more than 50%) interest; if there is no other similar insurance
available to that organization. Coverage under this provision is afforded until the 180th day after you
acquire or form the organization or the end of the policy period, whichever is later.
C. EMPLOYEES AS INSUREDS - NONOWNED AUTOS
The following is added to paragraph A.1. Who Is An Insured of SECTION II - COVERED AUTOS
LIABILITY COVERAGE:
d. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow
in your business or your personal affairs.
D. ADDITIONAL INSURED BY CONTRACT, PERMIT OR AGREEMENT
The following is added to A.1. Who Is An Insured of SECTION II - COVERED AUTOS LIABILITY
COVERAGE:
Any person or organization that you are required to name as an additional insured in a written
contract or agreement that is executed or signed by you prior to a "bodily injury" or "property
damage" occurrence is an "insured"
for Covered Auto Liability coverage. How-
ever, with respect to covered "autos", such person or organization is an insured only to the extent
that person or organization qualifies as an "insured" under A.1. Who is an Insured of SECTION II -
COVERED AUTOS LIABILITY COVERAGE:
If specifically required by the written contract or agreement referenced in the paragraph above, any
coverage provided by this endorsement to an additional insured shall be primary and any other valid
and collectible insurance available to the additional insured shall be noncontributory with this
insurance, If the written contract does not require this coverage to be primary and the additional
insured's coverage to be non-contributory, then this insurance will be excess over any other valid and
collectible insurance available to the additional insured.
E. SUPPLEMENTARY PAYMENTS - BAIL BONDS
Supplementary Payments of SECTION II COVERED AUTOS LIABILITY COVERAGE is revised as
follows:
(2) Up to $2,500 for cost of bail bonds (including bonds for related traffic law violations) required
because of an "accident" we cover. We do not have to furnish these bonds.
F. SUPPLEMENTARY PAYMENTS - LOSS OF EARNINGS
Supplementary Payments of the SECTION II COVERED AUTOS LIABILITY COVERAGE is revised
as follows:
(4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings
up to $500 a day because of time off from work.
G. PERSONAL EFFECTS AND PROPERTY OF OTHERS EXTENSION
Attachment Code : D543823 Certificate ID : 16120084
1. The. Care, Custody or Control Exclusion of SECTION II - COVERED AUTOS LIABILITY
COVERAGE, does not apply to "property damage" to property, other than your property, up to an
amount not exceeding $250 in any one "accident". Coverage is excess over any other valid and
collectible insurance.
2. The following paragraph is added to A.4. Coverage Extensions of SECTION ill PHYSICAL
DAMAGE COVERAGE:
c. We will pay up to $500 for your property that is lost or damaged as a result of a covered "loss",
without applying a deductible. Coverage is excess over any other valid and collectible
insurance.
H. PREJUDGMENT INTEREST COVERAGE
The following paragraph is added to SECTION II - COVERED AUTOS LIABILITY COVERAGE, 2.
Coverage Extensions, a. Supplementary Payments:
(7) 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.
I. FELLOW EMPLOYEE - OFFICERS, MANAGERS, AND SUPERVISORS
The Fellow Employee Exclusion in SECTION II - COVERED AUTOS LIABILITY COVERAGE is replaced
as follows;
A. "Bodily injury" to any fellow "employee' of the "insured" arising out of and in the course of the fellow
"employee's" employment or while performing duties related to the conduct of your business. This
exclusion does not apply to an "insured" who occupies a position as an officer, manager, or supervi-
sor.
J. HIRED AUTO PHYSICAL DAMAGE
If covered "auto" designation symbols 1 or 8 apply to Liability Coverage and if at least one "auto" you own
is covered by this policy for Comprehensive, Specified Causes of Loss, or Collision coverages, then the
Physical Damage coverages provided are extended to "autos" you lease, hire, rent or borrow without a
driver; and provisions in the Business Auto Coverage Form applicable to Hired Auto Physical Damage
apply up to a limit of $100,000. The deductible will be equal to the largest deductible applicable to any
owned "auto" for that coverage. Any Comprehensive deductible does not apply to fire or lightning.
K. TEMPORARY SUBSTITUTE AUTOS PHYSICAL DAMAGE COVERAGE
The following is added to paragraph C. Certain Trailers, Mobile Equipment And Temporary Substitute
Autos of SECTION I - COVERED AUTOS:
If Physical Damage Coverage is provided by this Coverage Form, the following types of vehicles are
also covered "autos" for Physical Damage Coverage:
Any "auto" you do not own while used with the permission of its owner as a temporary
substitute for a covered "auto" you own that is out of service because of its:
Breakdown; Repair; Servicing; "Loss'; or Destruction
The coverage that applies is the same as the coverage provided for the vehicle being replaced.
L. EXPANDED TOWING COVERAGE
1. We will pay up to:
a. $100 for a covered "auto" you own of the private passenger type, or
b. $500 for a covered "auto" you own that is not of the private passengertype,
for towing and labor costs incurred each time the covered "auto" is disabled. However, the labor must
be performed at the place of disablement.
2. This coverage applies only for an "auto" covered on this policy for Comprehensive or Specified Causes
of Loss Coverage and Collision Coverages.
3. Payment applies in addition to the otherwise applicable amount of each coverage you have on a
covered "auto".
M. AUTO LOAN OR LEASE COVERAGE
1. In the event of a total "loss" to a covered "auto", we will pay any unpaid amount due on the loan or
Attachment Code : D543823 Certificate ID : 16120084
lease, including up to a maximum of $500 for early termination fees or penalties, for your covered
"auto" less:
a. The amount paid under SECTION III PHYSICAL DAMAGE COVERAGE of this policy; and
b. Any:
1) Overdue lease/loan payments at the time of the "loss";
2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high
mileage;
3) Security deposits not refunded by a lessor;
4) Costs of extended warranties, Credit Life insurance, Health, Accident, or Disability insurance
purchased with the lease; and
5) Carry-over balances from previous leases.
2. This coverage only applies to a "loss" which is also covered under this policy for Comprehensive.
Specified Causes of Loss, or Collision coverage.
3. Coverage does not apply to any unpaid amount due on a loan for which the covered "auto" is not the
sole collateral.
N. ORIGINAL EQUIPMENT MANUFACTURER PARTS - LEASED PRIVATE PASSENGER TYPES
Under Paragraph C. Limit of Insurance of SECTION III - PHYSICAL DAMAGE COVERAGE, Section 4 is
added as follows:
4. We will use new original equipment vehicle manufacturer parts for any private passenger type
covered "auto' where required by the lease agreement which has a term of at least six months. If a
new original equipment vehicle manufacturer part is not in production or distribution we may use a
like, kind and quality replacement part.
0. DEDUCTIBLE AMENDMENTS
The following are added to the Deductible provision of SECTION III - PHYSICAL DAMAGE COVERAGE:
If another policy or coverage form that is not an automobile policy or coverage form issued by this
company applies to the same "accident", the following applies:
1. If the deductible under this coverage is the smaller (or smallest) deductible, it will be waived:
2. If the deductible under this coverage is not the smaller (or smallest) deductible, it will be reduced by
the amount of the smaller (or smallest) deductible.
If a Comprehensive or Specified Causes of Loss Coverage "loss" from one "accident" involves two or more
covered "autos", only the highest deductible applicable to those coverages will be applied to the "accident,"
if the cause of the loss is covered for those vehicles. This provision only applies if you carry
Comprehensive or Specified Causes of Loss Coverage for those vehicles, and does not extend coverage
to any covered "autos" for which you do not carry such coverage.
No deductible applies to glass if the glass is repaired, in a manner acceptable to us, rather than replaced.
P. RENTAL REIMBURSEMENT COVERAGE
1. This coverage applies only to a covered "auto" for which Physical Damage Coverage is provided on this
policy.
2. We will pay for rental reimbursement expenses incurred by you for the rental of an "auto" because of
"loss" to a covered "auto". Payment applies in addition to the otherwise applicable amount of each
coverage you have on a covered "auto." No deductibles apply to this coverage.
3. We will pay only for those expenses incurred during the policy period beginning 24 hours after the "loss"
and ending, regardless of the policy's expiration, with the lesser of the following number of days:
a. The number of days reasonably required to repair or replace the covered "auto". If "loss" is
caused by theft, this number of days is added to the number of days it takes to locate the covered
"auto" and return it to you.
b. The number of days shown in the Schedule.
4. Our payment is limited to the lesser of the following amounts:
a. Necessary and actual expenses incurred.
Attachment Code : D543823 Certificate ID : 16120084
b. $75 for any one day or for a maximum of 30 days.
5. This coverage does not apply while there are spare or reserve "autos" available to you for your
operations.
6. If "loss" results from the total theft of a covered "auto" of the private passenger type, we will pay under
this coverage only that amount of your rental reimbursement expenses which is not already provided
for under SECTION HI - PHYSICAL DAMAGE COVERAGE Coverage Extension.
Q. EXPANDED TRANSPORTATION EXPENSE
Paragraph A.4.a. of SECTION III - PHYSICAL DAMAGE COVERAGE is replaced by the following:
We will pay up to $50 per day to a maximum of $1500 for temporary transportation expense incurred by
you because of the total theft of a covered "auto" of the private passenger type. We will only pay for those
covered "autos" for which you carry Comprehensive or Specified Causes of Loss Coverage. We will pay
for temporary transportation expenses incurred during the period beginning 24 hours after the theft and
ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its
"loss".
R. EXTRA EXPENSE - STOLEN AUTOS
The following paragraph is added to Coverage Extensions of SECTION III - PHYSICAL DAMAGE
COVERAGE:
c. We will pay for up to $5,000 for the expense of returning a stolen covered "auto" to you. We will pay
only for those covered "autos" for which you carry Comprehensive or Specified Causes of Loss
Coverage
S. PHYSICAL DAMAGE LIMIT OF INSURANCE
Under SECTION III - PHYSICAL DAMAGE COVERAGE, Paragraph C., Limit of Insurance is replaced by
the following:
C. Limit Of Insurance
1. The most we will pay for "loss" in any one "accident" is the lesser of:
a. The actual cash value of the damaged or stolen property as of the time of the "loss", or
b. The cost of repairing or replacing the damaged or stolen property.
2. $1500 is the most we will pay for "loss" in any one "accident" to all electronic equipment that
reproduces, receives or transmits audio, visual or data signals which, at the time of "loss", is:
a. Permanently installed in or upon the covered "auto" in a housing, opening or other location that is
not normally used by the "auto" manufacturer for the installation of such equipment.
b. Removable from a permanently installed housing unit as described in Paragraph 2.a. above or is
an integral part of that equipment; or
c. An integral part of such equipment.
3. An adjustment for depreciation and physical condition will be made in determining actual cash value in
the event of a total "loss".
4. The cost of repairing or replacing may:
a. Be based on an estimate which includes parts furnished by the original equipment
manufacturer or other sources including non -original equipment manufacturers and
b. If a repair or replacement results in better than like kind or quality, we will not pay for the
amount of the net improvement.
If we offer to pay the actual cash value of the damaged or stolen property, we will value auto
advertising wraps, paint customization, and similar business related advertising modifications,
in addition to the actual cash value of the property. Auto advertising wraps, paint customization,
and similar business related advertising modifications will be valued at the cost to replace them
with an adjustment made for depreciation and physical condition.
T. NEW VEHICLE REPLACEMENT COST
Attachment Code: D543823 Certificate ID : 16120084
The following is added to the Limit of Insurance provision of SECTION III - PHYSICAL DAMAGE
COVERAGE:
5. The provisions of paragraphs 1. and 3. do not apply to a covered "auto" of the private passenger
type or a vehicle with a gross vehicle weight rating of 20,000 pounds or less which is a new
vehicle."
In the event of a total "loss" to your new vehicle to which this coverage applies, we will pay at
your option:
a. The verifiable "new vehicle" purchase price you paid for your damaged vehicle, not
including any insurance or warranties purchased;
b. If it is available, the purchase price, as negotiated by us, of a "new vehicle" of the same
make. model, and equipment or the most similar model available, not including any
furnishings, parts, or equipment not installed by the manufacturer or manufacturers'
dealership; or .
C. The market value of your damaged vehicle, not including any furnishings, parts, or
equipment not installed by the manufacturer or manufacturer's dealership.
We will not pay for initiation or set up costs
associated with loans or leases
As used in this endorsement, a "new vehicle" means an "auto" of which you are the original owner that
has not been previously titled and which you purchased less than 365 days before the date of the
"loss".
U. PHYSICAL DAMAGE COVERAGE
EXTENSIONS
Under SECTION III - PHYSICAL DAMAGE COVERAGE, A. Coverage, Coverage Extensions, b. Loss of
Use Expenses is replaced by the following:
b. Loss of Use Expenses
For Hired Auto Physical Damage, we will pay expenses for which an "insured" becomes legally
responsible to pay for loss of use of a vehicle rented or hired without a driver, under a written rental
contract or agreement. We will pay for loss of use expenses if caused by:
(1) Other than collision if the Declarations indicate that Comprehensive Coverage is provided for any
covered "auto';
(2) Specified Causes of Loss only if the Declarations indicate that Specified Causes of Loss
Coverage is provided for any covered "auto"; or
(3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered
"auto."
However, the most we will pay for any expenses for loss of use is $50 per day, to a maximum of
$1,500. The insurance provided by this provision is excess over any other collectible insurance.
V. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US
The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition:
We waive any right of recovery we may have against any person or organization to the extent required
of you by a written contract executed prior to any "accident" because of payments we make for
damages under this coverage form.
W. NOTICE OF AND KNOWLEDGE OF OCCURRENCE
SECTION IV -BUSINESS AUTO
CONDITIONS, Paragraph A is amended as follows:
NOTICE OF AND KNOWLEDGE OF OCCURRENCE
a. Your obligation in the Duties in the Event of Accident. Claim, Suit or Loss Condition relative to
notification requirements applies only when the "accident" or "loss" is known to:
(1) You, if you are an individual;
Attachment Code : D543823 Certificate ID : 16120084
(2) A partner, if you are a partnership;
(3) A member, if you are a limited liability company; or
(4) An executive officer or insurance manager, if you are a corporation.
b. Your obligation in the. Duties in the Event of Accident, Claim, Suit or Loss Condition relative to
providing us with documents concerning a claim or "suit" will not be considered breached unless
the breach occurs after such claim or "suit" is known to:
(1) You, if you are an individual;
(2) A partner, if you are a partnership;
(3) A member, if you are a limited
liability company; or
(4) An executive officer or insurance manager, if you are a corporation.
X. HIRED CAR - COVERAGE TERRITORY
item (5) of the Policy Period, Coverage Territory GeneraConditionds replaced by the following:
(5) Anywhere in the world if a covered "auto" is leased, hired, rented or borrowed without a driver for a
period of 30 days or less; and
Y. EMERGENCY LOCKOUT
We will reimburse you up to $100 for reasonable expense incurred for the services of a locksmith to gain
entry into your covered "auto" subject to these provisions:
1. Your door key, electronic key or key entry pad has been lost, stolen or locked in your covered "auto"
and you are unable to enter such "auto" , or
2. Your keyless entry device battery dies and you are unable to enter such "auto" as a result,
3. Your key, electronic key or key entry pad has been lost or stolen and you have changed the lock to
prevent an unauthorized entry; and
4. Original copies of receipts for services of a locksmith must be provided before reimbursement is
payable,
Z. CANCELLATION CONDITION
Paragraph A.2. of the COMMON POLICY CONDITION - CANCELLATION applies except as follows:
If we cancel for any reason other than nonpayment of premium, we will mail or deliver to the First Named
Insured written notice of cancellation at least 60 days before the effective date of cancellation. This provision
does not apply in those states that require more than 60 days prior notice of cancellation.
Attachment Code : D562031 Certificate ID : 16120084
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT -
CALIFORNIA
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will
not enforce our right against the person or organization named in the Schedule. (This agreement applies
only to the extent that you perform work under a written contract that requires you to obtain this
agreement from us.)
You must maintain payroll records accurately segregating the remuneration of your employees while
engaged in the work described in the Schedule.
The additional premium for this endorsement shall be 2.0 % of the California workers' compensation
premium other due on such remuneration.
Schedule
Additional premium is a percent of the California Manual Workers Compensation premium. Subject to a
minimum charge for $250 per policy.
Person or Organization:
Where required by contract or written agreement prior to loss and allowed by law
Job Description:
Any
Issued By:
Policy Number:
Issued To: A -THRONE CO. INC.
WC 04 03 06 (Ed. 4-84)