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PROOF OF INSURANCE (2020) CLOSED0 I UA I F(MMIUUIY YYY) C CERTIFICATE OF LIABILITY INSURANCE 12/9/2019 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 CONTACT Mr. Insurance Agency, Inc ��/O E MEz �p� Reye E-MAIL MANNG,,E O) n ° WAX ) 325-655-2918 Box 2689 San Angelo TX 76902 ADDRESS: L.I.eve 5m' rl,02rar1(.e'agency.com INC No INSURER(S) AFFORDING COVERAGE » NAIC # INSURER A: Travelers Indemnity Co 25658„ INSURED TIMEC-1 INSURER B: Charter Oak Fire Insurance Co. TimeClock Plus, LLC INSURER 1 Time Clock Plus Drive suRERc: Farmington Casualty Co San Angelo TX 76904 INSURER D: The Travelers INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 254792101 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. INSRR TYPE OF INSURANCE ANgn SWVD POLICY NUMBER YMWOD YYYY1 IMWDD IYYW) CsUBR' POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY ZLP 51M57103 4/15/2019 4/15/2020 EACH OCCURRENCE $1,000,000 DAMA(, 'TO RENT ED CLAIMS -MADE X OCCUR PREMISES (Ea occurrence) S1,000,000 MED EXP (Any one person) $ 10,000 I PERSONAL & ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIESPER: GENERAL AGGREGATE $2,000,000 PRO- � PRODUCTS - COMP/OP AGG $,2, POLH(':Y' iECT I, V.C„"rC.' 000.000 x 4/15/2019 4/15/2020 COMBINED SINGLE L.UAT $1,000,000 (Ea accideni) BODILY INJURY (Per person) $ BODILY INJURY (Per accident) , $ PROP'ER'TYDAI4IAGE $ (Pec acc,1pnp) .. $ 4/15/2019 4/15/2020 $ 3,000,000 EACH OCCURRENCE AGGREGATE $ 4/15/2019 4/15/2020 X IPER STATUTE EERH E,L EACH ACCIDENT $ 1,000,000 E DISEASE - EA EMPLOYEE: $1,000,000 EL DISEASE -POLICY LIMIT $1,000„000 4/15/2019 4/15/2020 Aggregate 110,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) The general liability policy includes a blanket automatic additional insured endorsement that provides additional insured statues to the certificate holder only when there is a written contract between the named insured and the certificate holder that requires such status. The general liability policy includes a blanket automatic waiver of subrogation endorsement that provides this feature only when there is a written contract between the named insured and the certificate holder that requires it. The auto policy includes a blanket automatic additional insured endorsement that provides additional insured statues to the certificate holder only when there is a written contract between the named insured and the certificate holder that requires such status. The auto policy includes a blanket automatic waiver of subrogation endorsement that provides this feature only when there is a written contrac'l between the named insured and the certificate holder that requires it. CER'TIFNCATE HOLDER CANCELLATION- SHOULD ANCELILATIION- 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 EI Segundo 350 Main Street ALIT 40 IZE'DREPRESENTATIVE EI Segundo TX 90245-3895 WW ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD OTHER, B AUTOMOBILE LIABILITY BA ON505919 X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS I HIRED NON -OWNED AUTOS ONLY AUTOS ONLY A UMBRELLA LIAB X OCCUR CUP ON511871 X EXCESS LIAB CLAIMS -MADE „ „ DED X R ETENTION $ q rLr)„nn � C WORKERS COMPENSATION UB 3K403749 AND EMPLOYERS' LIABILITY y / N ANYPROPRIETOR/PARTNER/EXECUTIVE - OFFICER/M EMBER EXCLUDED? NIA (Mandatory in NH) If yes, describe under e DESCRIPTION OF OPERATIONS below D Cyber Liability ZPL 15T38450 4/15/2019 4/15/2020 COMBINED SINGLE L.UAT $1,000,000 (Ea accideni) BODILY INJURY (Per person) $ BODILY INJURY (Per accident) , $ PROP'ER'TYDAI4IAGE $ (Pec acc,1pnp) .. $ 4/15/2019 4/15/2020 $ 3,000,000 EACH OCCURRENCE AGGREGATE $ 4/15/2019 4/15/2020 X IPER STATUTE EERH E,L EACH ACCIDENT $ 1,000,000 E DISEASE - EA EMPLOYEE: $1,000,000 EL DISEASE -POLICY LIMIT $1,000„000 4/15/2019 4/15/2020 Aggregate 110,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) The general liability policy includes a blanket automatic additional insured endorsement that provides additional insured statues to the certificate holder only when there is a written contract between the named insured and the certificate holder that requires such status. The general liability policy includes a blanket automatic waiver of subrogation endorsement that provides this feature only when there is a written contract between the named insured and the certificate holder that requires it. The auto policy includes a blanket automatic additional insured endorsement that provides additional insured statues to the certificate holder only when there is a written contract between the named insured and the certificate holder that requires such status. The auto policy includes a blanket automatic waiver of subrogation endorsement that provides this feature only when there is a written contrac'l between the named insured and the certificate holder that requires it. CER'TIFNCATE HOLDER CANCELLATION- SHOULD ANCELILATIION- 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 EI Segundo 350 Main Street ALIT 40 IZE'DREPRESENTATIVE EI Segundo TX 90245-3895 WW ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TECHNOLOGY XTEND ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE - This endorsement broadens covera e. However, cover- age 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 coverage description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this endorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. Reasonable Force Property Damage - Exception To Expected Or Intended In- jury Exclusion B. Non -Owned Watercraft Less Than 75 Feet C. Aircraft Chartered With Pilot D. Damage To Premises Rented To You E. Increased Supplementary Payments F. G. H. I. Who Is An Insured - Employees And Volunteer Workers - First Aid Who Is An Insured - Employees - Su- pervisory Positions Who Is An Insured - Newly Acquired Or Formed Organizations J. Blanket Additional Insured - Lessors Of Leased Equipment K. Blanket Additional Insured - Persons Or Organizations For Your Ongoing Opera- tions As Required By Written Contract Or Agreement L, Blanket Additional Insured - Broad Form Vendors M. Who Is An Insured - Unnamed Subsidi- aries N. Who Is An Insured - Liability For Con- duct Of Unnamed Partnerships Or Joint Ventures 0. Medical Payments - Increased limits p. Contractual Liability - Railroads O. Knowledqe And Notice Of Occurrence Or Offense Blanket Additional Insured - Owners, R. Unintentional Omission Managers Or Lessors Of Premises PROVISIONS A. REASONABLE FORCE PROPERTY DAMAGE - EXCEPTION TO EXPECTED OR INTENDED INJURY EXCLUSION The following replaces Exclusion a., Ex— pected Or Intended Injuin Paragraph 2.. of SECTION I - COVEPAGES - COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY: a. Expected Or Intended Injury Or Damage "Bodily injury" or "property dam - S. Blanket Waiver Of Subrogation age" expected or intended from the standpoint of the insured. This exclu- sion does not apply to "bodily injury" or "property damae" resultinq from the use of reasonable force to protect any person or property. B, NON -OWNED WATERCRAFT LESS THAN 75 FEET The following.replaces Para raph j2j of Exclusion , rcraft Auto Or �"atercraf't. in Paragraph -2. of SE&ION I - COVERAGES - COVEAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY: CG D4 17 01 12 0 2012 The Travelers Indemnity Company. All rights reserved. Page 1 of 6 Includes copyrighted material of Insurance Services Office. Inc. with its permission. (2) A watercraft you do not own that is: (a) Less than 75 feet long; and (b) Not being used to carry any per- son or property for a charge. C. AIRCRAFT CHARTERED WITH PILOT The following is added to Exclusion g., Aircraft, Auto Or Watercraft, in Para raph 2. of SECTION I - COVERAGE - COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY: This exclusion does not apply to an aircraft that is: (a) Chartered with a pilot to any in- sured; (b) Not owned by any insured; and (c) Not being used to carry any person or property for a charge. D. DAMAGE TO PREMISES RENTED TO YOU 1. The first ,paragraph of the exce- tions in Exclusion J., Dattta " a o Pro eft�r . in Paragraph of Dame I -.MIRAGES - 66VERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY is deleted. 2. The following replaces the last paragraph of Paragraph 2., Exclu- sions, of SECTION I - COVERAGES - COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY: Exclusions c., g. and Ill., and Para- graphs (1), (3) and (4) of Exclusion., do not apply to ""premises damage'. Exclusion WHO noes not apply to "premises damage" caused by fire unless Exclusion f. of Section I Coverage A - Bodily Injury And Property Damage Liability Is re- placed by another endorsement to this Coverage Part that has Exclu- sion - All Pollution Injury Or Dam- age or Total Pollution Exclusion in its title. A separate limit of insur- ance applies to "premises damage', as described in Paragraph 6. of Sec- tion III - Limits Of Insurance. 3. The following replaces Paragraph 6. of SECTION III - LIMITS OF INSURANCE: The amount shown for the Dama a To Premises Rented To You �imit on the Declarations of this Coverage Part; or b. $300,000 if no amount is shown for the Damage To Premises Rented To You Limit on the Declarations of this Coverage Part. 4. The following replaces Paragraph a of the definition of "insured contract" in the DEFINITIONS Section: a. A contract for a lease of premises, However, that portion of the con- tract for a lease of premises that indemnifies any person or organiza- tion for "premises damage" is not an "Insured contract"; 5. The following is added to the DEFINITIONS Section: "Premises damage" means "property damage" to: a. Any premises while rented to you or temporarily occupied by you with permission of the owner; or b. The contents of any premises while such premises is rented to you, if you rent such premises for a pe- riod of seven or fewer consecutive days. 6. The following replaces Paragraph 0.01(b) of SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS: (b) That is insurance for "premises damage"; or 7. Paraggra h 0.0)(c) of SECTION IV - COMMEICIAL GENERAL LIABILITY CONDITIONS is deleted. E. INCREASED SUPPLEMENTARY PAYMENParaTS 1. ofe fSUPPLEMggreplaces PAYMENTS 1.b. COVERAGES A AND B of SECTION I - COVERAGES: b. Up to $2,500 for cost of bail bonds required because of acci- dents or traffic law violations aris- ing out of the use of any vehicle to which the bodily injury Liability Coverage applies. We do not have to furnish these bonds. 5. Subject to 5. above, the Damage 2, The following replaces Paragraph 1.d. To Premises Rented To You of SUPPLEMENTARY PAYMENTS - Limit is the most we will pay COVERAGES A AND B of SECTION I - under Coverage A for damages COVERAGES: because of premises damage" to any one premises. d. All reasonable expenses incurred by The Damage To Premises Rented the insured at our request to assist To You Limit will be: us in the investigation or defense Page 2 of 6 ® 2012 The Travelers Indemnity Company. All rights reserved. CG D4 17 01 12 Includes copyrighted material of Insurance Services Office, Inc. with its permission. of the claim or "suit", including actual loss ofearnings up to $500 a day because of time off from work. F. WHO IS AN INSURED — EMPLOYEES AND VOLUNTEER WORKERS — FIRST AID 1. The following is added to the defi- nition of "occurrence" 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 by any of your ""em- ployees"' or ,any workers", other than an employed' or volunteer doctor, in providing or failing to provide first aid or "Good Samari- tan services" to a person. 2. The followingis added to Paragraph 2.a.(1) of SETION II - WHO IS AN INSURED: Unless you are in the business or occupation of providing professional health care services, Paragraphs (1 )(a), (b), (iC) and (d) above do not ap- ply to "bodily injury" arising out of providing or failing to provide first aid or "Good Samaritan services" by any of your "employees" or "volunteer workers", other than an ernployed or volunteer doctor. Any of your '"employees"" or "volunteer workers" providing or faillin!q to provide first aid or "Good Samari- tan services" during their work hours for you will be deemed to be acting within the scope of their employment by you or performing duties related to the conduct of your business. 3. The following is added to Para raph S. of SECTION III - LIMIT? OF INSURANCE: For the purposes of determining the applicable Each Occurrence Limit, all related acts or omissions commit ted by any of your "employees" or "volunteer workers" in providin or failing to provide first aid or '"flood Samaritan services" to any one per- son will be deemed to be one oc- currence". 4. The following is added to the DEFINITIONS Section - "Good Samaritan services" means any emergency imedical services for which no compensation is demanded or received. G. WHO IS AN INSURED - EMPLOYEES - SUPERVISORY POSITIONS The following is added to Para�ggrapph 2.8.(1) of SECTION II - WHO IS AN INSURED: Paragraphs (1)(8), (b) and (c) above do not apply to "bodily injury" or "personal in- jury" to a co -"employee" in the course of the co -"employee s" employment by you arising out of work by any of your "em- ployees" who hold a supervisory position. H. WHO IS AN INSURED - NEWLY ACQUIRED OR FORMED ORGANIZATIONS The following replaces Paragraph 4. of SECTION II - WHO IS AN INSURED of the Commerciale General LiabilityCoverage Farm, and Para rapph 3. of ECTION 11 - WHO IS AN IN'SRED of the Global Com- panion Commercial General Liability Cov- erage Form, to the extent such coverage forms are part of your policy: Any organization you newly acquire or form, other than a partnership or joint venture, of which you are the ,sole owner or in which you Maintain the majority ownership interest, will qualify as a Na'm'ed Insured if there is no other insur- ance which provides similar coverage to that organization. However: 8. Coverage under this provision is af- forded only: (1) Until the 180th day after you ac- quire or form the organization or the end of the policy period, whichever is earlier, if you do not report such o,ranization in writing to us within 80 days after you acquire or form it, or (2) Until the end of the policy period, when that date is later than 180 days after you acquire or form such organization, if you report such organization in writing to us within 180 days after you acquire or form it and we agree in writing that it will continue to be a Named Insured until the end of the policy period, b. Coverage A does not apply to "bodily injury" or "property damage" that oc- curred before you acquired or formed the organization, and c. Coverage 0 does not apply, to "per- sonal injury" or "advertising injury"' arising out of an offense committed before you acquired or formed the or- ganization. CG D4 17 01 12 ® 2012 The Travelers Indemnity Company. All rights reserved.Page 3 of 6 Includes copyrighted material of Insurance Services Office, Inc. with its permission. I. BLANKET ADDITIONAL INSURED — OWNERS, MANAGERS OR LESSORS OF PREMISES The followinis added to SECTION II — WHO IS AN I�SURED: Any person or organization that is a premises owner, manager or lessor is an insured, but only with respect to li- ability arising out of the ownership, maintenance or use of that part of any premises leased to you. The insurance provided to such prem- ises owner,, manager or lessor does not apply to: a. Any "bodily injury" or "propert damage"` caused by an "occurrence' that takes place, or ""personal in- pury""' or ""advertising injury caused oy an offense that is committed, after you cease to be a tenant in that premises; or b. Structural alterations, new construc- tion or demolition operations per- formed by or on behalf of such premises owner, manager or lessor. J. 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 is an Insured, but only with respect to liability for "bodily in- iury", "property damn er", "Personal in- jury or advertising Injury caused, in whole or in part, by your acts or omis- siolns in the maintenance, operation or use by you of equ,iment leased to you by such equipment IPessor. The insurance provided to such equipment lessor does not apply to any "bodily in- jury°" or "property damagee" caused by an 'occurrence" that takes place, or 'per- sonal injury" or "advertising injury" caused by an offense that is committed, after the equipment lease expires, K. BLANKET ADDITIONAL INSURED — PERSONS OR ORGANIZATIONS FOR YOUR ONGOING OPERATIONS AS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT The followingis added to SECTION II — WHO IS AN ISURED: Any person or organization that is not otherwise an insured under this Cover- age Part and that you have agreed in a written contract or agreement to in- clude as an additional insured on this Coverage Part is an insured, but only with respect to liability for "bodily in- jury" or 'property damage" that - a. Is caused by an "occurrence" that takes place after you have signed and executed that contract or agree- ment; and b. Is caused, in whole or in part, by your acts or omissions in the performance of your ongoing operations to which that contract or agreement applies or the acts or omissions of any person or organization performing such opera- tions on your behalf. The limits of insurance provided to such insured will be the limits which you agreed to provide in the written contract or agreement I or the limits shown in the Declarations, whichever are less, L. BLANKET ADDITIONAL INSURED - BROAD FORM VENDORS The following is added to SECTION II - WHO IS AN INSURED: Any person or organization that is a ven- dor 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 respect to li- ability for ""bodily injury or property damage" that: a. Is caused by an "occurrence" that takes ctafter te have eand that conttracr agreement; nt; nd b. Arises out of "Your products" which are distributed or sold in the regular course of such vendor's business. The insurance provided to such vendor is subject to the following provisions: a The limits of insurance provided to such vendor will be the limits which you agreed to provide in the written contract or agreement, or the limits shown in the Declarations, whichever are less. b. The insurance provided to such vendor does not apply to: (1) Any express warranty not author- ized by you; (2) Any change in "your products" made by such vendor; (3) repackaging, unless unpacked solely for the purpose of inspec- tion, demonstration, testing, or the substitution of pasts under instruc- tions from the manufacturer, and then repackaged in the original con- tainer; (4) Any failure to make such inspec- tions, adjustments, tests or servic- ing as vendors agree to perform or normally undertake to perform in the recfular course of business, in connection with the distribution or sale of "your products"; Page 4 of 6 ® 2012 The Travelers Indemnity Company. All rights reserved. Cu D4 17 01 12 Includes copyrighted material of Insurance Services Office, Inc. with its permission. 15) Demonstration, installation, ser- vicing or repair operations, ex- cept such operations performed at such vendor"spremises in connection with the sale of "your products"; or 16) "Your products" which, after dis- tribution or sale by you, have been labeled or relabeled or used as a container, part or in- gredient of any other thing or substance by or on behalf of such vendor. Coverage under this provision does not apply to: a. Any person or organization from whom you have acquired "your products", or any ingredient, part or container entering into, accompany- ing or containing such products, or b. Any vendor for which coverage as an additional insured specifically Is scheduled by endorsement. M. WHO IS AN INSURED - UNNAMED SUBSIDIARIES The following is added to SECTION II - WHO IS AN INSURED: Any of your subsidiaries, other than a partnership or joint venture, that is not shown as a Named Insured in the Dec- larations is a Named Insured if: a. You maintain an ownership interest of more than 50% in such subsidi- ary on the first day of the policy period; and b. Such subsidiary is not an insured under similar other insurance. No such subsidiary is an insured for "bodily injury" or "property, damage" that occurred', or "personal injury"' or It .injury'" caused by an of- fense commuted: a. Before you maintained an ownership interest of more than 50% in such subsidiary; or b. After the date, if any, during the policy period that you no longer maintain an ownership interest of more than 50% in such subsidiary. N. WHO IS AN INSURED - LIABILITY FOR CONDUCT OF UNNAMED PARTNERSHIPS OR JOINT VENTURES The following replaces the last para- rapph of SECTION II - WHO IS AN SURED: No person or organization is an insured with respect to the conduct of any cur- rent or past partnership or joint venture that is not shown as a Named Insured in the Declarations. This paragraph does not apply to any such partnership or joint venture that otherwise qualifies as an in- sured under Section II - Who Is An In- sured. 0. MEDICAL PAYMENTS — INCREASED LIMITS The following replaces Paraggraph 7. of SECTION III -LIMITS OF INSURANCE: 7. Subject to W a. above, the Medical 'Ex- pense Limit is the most we will pay under Coverage C for all medical ex- penses because of "bodily injury°" sus- tained by any one person, and will be the higher of: (a) $10,000; or (b) The amount shown on the Declara- tions of this Coverage Part for Medical Expense Limit. P. CONTRACTUAL LIABILITY - RAILROADS 1. The following replaces Paragraph c. of the definition of "insured contract" in the DEFINITIONS Section: c. Any easement or license agree- ment; 2. Paragraph f.(1) of the definition of "in- sured contract" in the DEFINITIONS Sec- tion is deleted. I KNOWLEDGE AND NOTICE OF OCCURRENCE OR OFFENSE The following is added to Paragra h 2., Duties In The Event of Occurrence 0 fense, Claim or Suit. of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: E. The following provisions apply to Paragraph as above, but only for the purposes of the insurance 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 offense must be given as soon as practicable only after the "oc- currence" or offense Is known to you (if you are an individual), any of your (rartners or members who is an Individual (If you are a part- nership or joint venture), any of your managers who is an individual 4if you are a limited liability com- pany), any, ofyyour trustees who is an individuaN (if you are a trust), any of your "executive officers" or directors (if you ,are an organiza- tion other than a partnership, joint venture, limited liability company or trust) or any "employee" author - CG D4 17 01 12 Q 2012 The Travelers Indemnity Company. All rights reserved. Page 5 of 6 Includes copyrighted material of Insurance Services Office, Inc. with its permission. ized by you to give notice of an "occurrence" or offense. (2) If you are a partnership, joint venture, limited liability company or trust, and none of yourpart- ners, joint venture members, managers or trustees are Indi- viduals, notice 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: (i) A partner or member of any partnership or joint venture; (ii) A manager of any limited liability company; 010A trustee of any trust; or (iv) An executive officer or director of any other or- ganization; that is your partner, joint venture member, manager or trustee; or (b) Any "'employee" authorized by suchpartnership, joint venture, limited liability com- pany, trust or other organiza- tion to give notice of an "occurrence" or offense. (3) Notice to us of such "occur- rence" or offense will be deemed to be given as soon as practicable if it is givers in good faith as soon as practicable to your wormers" compensation in- surer" This applies only if you subsequently give notice to us of the "occurrence" or offense as soon as practicable after any of the persons described in Paragraphs e. (1) or (2) above discovers 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 en- d1orsement that provides limited cover- age for "bodiiyy injury"' or "property, damage" or pollution costs arising out of a discharge, release or escape of "pollutants" which contains a require- ment 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. R. UNINTENTIONAL OMISSION The following is added to Paragraph 6., Be�r resen itetitr�rs, of SECTION IAF — COfWIMERCIAL GENERAL LIABILITY CONDITIONS: The unintentional omission ofr or uninten- tional error in, any information provided by you which we relled upon in issuing this policy will not pre udice your rights under this insurance. owever, this�ro- vision does not .affect our right to collect additional premium or to exercise our rights of cancellation or nonrenewal in accordance with applicable insurance laws or regulations. S. BLANKET WAIVER OF SUBROGATION The following is added to Paragraph B., Transfer Of Ri?I hts Of RecaverV A ainst Oth— ers To Us of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: If the insured has agreed in a contract or agreement to waive that insured's right„ of recovery against any parson or organiza- tion, we waive our right of recovery against such person or organization, but only for payments we snake because of. 8. "Bodily injury" or "property damage" caused by an "occurrence" that takes place; or b. "Personal it 'ury"' or "advertising in- jury" cause by an offense that is committed; subsequent to the execution of the con- tract or agreement. Page 6 of 6 ® 2012 The Travelers Indemnity Company. All rights reserved. CG D4 17 01 12 Includes copyrighted material of Insurance Services Office, Inc. with its permission, 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, whlle 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 © 2015The 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 (a) With respect to any claim made or "suit" related to the conduct of your busi- brought outside the United States of ness. America, the territories and possessions However, any "auto" that is leased, hired, of the United States of America, Puerto rented or borrowed with a driver is not a Rico and Canada: covered "auto". (i) You must arrange to defend the "in - D. EMPLOYEES AS INSURED set- sured" against, and investigate or set - tle any such claim or "suit" and keep The followingis added to Paragraph A.1., Who Is us advised of all proceedings and ac - An Insured, of SECTION II — COVERED AUTOS tions. LIABILITY COVERAGE: (ii) Neither you nor any other involved Any "employee" of yours is an "insured" while us- "insured" will make any settlement ing a covered "auto" you don't own, hire or borrow without our consent. in your business or your personal affairs. (iii) may, at our discretion, participate E. SUPPLEMENTARY PAYMENTS — INCREASED in defending the "insured" against, or in LIMITS in the settlement of, any claim or 1. The following replaces Paragraph A.2.a.(2), "suit". of SECTION II — COVERED AUTOS LIABIL- (iv) We will reimburse the "insured" for ITY COVERAGE: sums that the "insured" legally must (2) Up to $3,000 for cost of bail bonds (in- pay as damages because of "bodily cluding bonds for related traffic law viola- injury" or "property damage" to which tions) required because of an "accident" this insurance applies, that the "in - we cover. We do not have to furnish sured" pays with our consent, but these bonds. only up to the limit described in Para - 2. The following replaces Paragraph A.2.a.(4), graph C., Limits Of Insurance, of of SECTION II — COVERED AUTOS LIABIL- SECTION II — COVERED AUTOS ITY COVERAGE: 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 the "insured" against any such F. HIRED AUTO — LIMITED WORLDWIDE COV- "s uii", 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 (5) Anywhere in the world, except any country or make such payments ends when we jurisdiction while any trade sanction, em- have used up the applicable limit of bargo, or similar regulation imposed by the insurance in payments for damages, United States of America applies to and pro- settlements or defense expenses. 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 The following is added to Paragraph A.4., Cover- age Extensions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Personal Property We will pay up to $400 for "loss" to wearing ap- parel and other personal property which is: (1) Owned by an "insured"; and COMMERCIAL AUTO (2) In or on your covered "auto". This coverage applies only in the event of a total theft of your covered "auto". No deductibles apply to this Personal Property coverage. K. AIRBAGS The following is added to Paragraph 8.3., Exclu- sions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Exclusion 3.a. does not apply to "doss" 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 Paragreph 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: 5. Transfer Of Rights Of Recovery Against Others To Us We waive any right of recovery we may have against any person or organization to the ex- tent required of you by a written contract. signed and executed prior to any "accident" or "loss", provided that the "accident" or "loss" arises out of operations contemplated by CA T3 53 02 15 © 2015 The Travefers Indemnity company. All rights reserved. Page 3 of 4 Includes copyrighted material of Insurance Services ice„ 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 ceal'ment, Misrepresentation, Or Fraud, of cancellation or non -renewal. SECTION Ill — BUSINESS AUTO CONDITION& Page 4 of 4 © 2015 The Travelers Indemnity company. All rights reserved. CA T3 53 02 15 Includes copyrighted material of Insurance ServirAs Office, Inc. with its permission.