Loading...
PROOF OF INSURANCE (2015) CLOSEDACC>RDr CERTIFICATE OF LIABILITY INSURANCE DATE 11 /24IDDIY4 ��. 11/29/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). .PRODUCER 1- 303 - 534-4567 IMA, Inc. - Colorado Division NAME. PHONE FAX A/C No 1705 1l 0 Street raD es deripam@imacorp.com Denver, CO 80202 INSURERS AFFORDING COVERAGE NAIC# INSURER A: IM INS CORP(Liberty Mutual Ins) 33600 INSURED INSURER B: LIBERTY MUT FIRE INS CO 11748 Tuff Shed, Inc. INSURER C: FEDERAL INS .,.O.,. Chubb ....................................................... ....81...................... 1777 S. Harrison St. #600 INSURER D: LIBERTY MUT FIRE INS CO(Liberty Mutual 11748 Denver, CO 80210 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 42173293 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. 'NSR T TYPE OF INSURANCE POLICYNUMBER PO'LIC'Y IEFF MMLP YYY POLICY EXP MmmigY -w-J LIMITS A GENERAL LIABILITY TB5Z91462604024 07/01/1 07/01/15 EACHOCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL L IABILITY I µ y REV� 6 EF' Fa!?';gburrp., $ 1,000,000 CLAIMS-MADE I OCCUR "„ MEDEXP (Any onaparson) $10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000 _.. Pr4O, }[� POLICY LOG __ ..._. - e.�����n.������...... w .... $ B AUTOMOBILE LIABILITY AS2Z91462604 14 ., M I E SING U I'I" p An 1,000,000 BODILY INJURY (Per person) $ X ANYAUTO ALL OWNED SCHEDULED .......,n..,.,n ... BODILY INJURY (Per accident) ........... ��....... .............................. $ AUTOS AUTOS X X NON -OWNED DAMAGE '>I $ HIRED AUTOS AUTOS PQ.. rn. $ C X UMBRELLA LIAB X OCCUR 79884740 07/01/1 07/01/15 EACH OCCURRENCE $ 1,000,000�� EXCESS LIAB CLAIMS -MADE AGGREGATE $ 1,000,000 DED I X RETENTION$ 10, 000 $ D WORKERS COMPENSATION AWC2Z91462604034 07/01/141 07/01/15 X WC 'STATU- OTH- LIM T, AND EMPLOYERS' LIABILITY YIN E.L EACH ACCIDENT $ 1,000,000 ANY PROPRIETOR/PARTNER/EX ECUTIVE OFFICER/MEMBER EXCLUDED? N NIA E.L DISEASE EA EMPLOYEE! $ 1,000,000 (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS Wow I E�L DISEASE - POIJCY LIMIT $ 1, 000 , OOD. . DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) City of E1 Segundo and its officials, and employees are included as Additional Insureds on the General, Automobile, and Umbrella Liability Policies if required by written contract or agreement subject to the policy terms and conditions. This Insurance is Primary on the General, Automobile, and Umbrella Liability Policies subject to the policy terms and conditions. RE: Store #140. City of E1 Segundo Attn: Richard Hogate, Purchasing 350 Main Street E1 Segundo, CA 90245 ACORD 25 (2010/05) sadie55 42173293 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. AUTHORIZED REPRESENTATIVE A //�& ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Named Insured: Tuff Shed, Inc. Policy Term: 07/01/2014 to 07/01/2015 Policy #: TB5Z91462604024 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Location(s) Of Covered Operations City of E1 Segundo Any and all work performed per its officials and employees Written Contract or Agreement 350 Main Street E1 Segundo, CA 90245 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury ", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment 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 CG 20 10 07 04 0 ISO Properties, Inc., 2004 Page 1 of 2 Named Insured: Tuff Shed, Inc. Policy Term: 07/01/2014 to 07/01/2015 Policy #: TB5Z91462604024 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. This endorsement is executed by the Premium $ Effective Date Expiration Date For attachment to Policy No. Audit Basis Issued To Countersigned by la Authorized Representative Issued Sales Office and No. End. Serial No. Page 2 of 2 0 ISO Properties, Inc., 2004 CG 2010 07 04 Named Insured: Tuff Shed, Inc Policy Term: 07/01/2014 to 07/01/2015 Policy Number TB5Z91462604024 Issued by THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY ENHANCEMENT FOR MANUFACTURERS This endorsement modifies insurance provided under the following:. COMMERCIAL GENERAL LIABILITY COVERAGE PART Index of modified items: Item 1. Reasonable Force Item 2. Non -Owned Watercraft Extension Item 3. Damage To Premises Rented To You - Expanded Coverage Item 4. Bodily Injury To Co- Employees Item 5. Health Care Professionals As Insureds Item 6. Knowledge of Occurrence Item 7. Notice of Occurrence Item 8. Unintentional Errors And Omissions Item 9. Bodily Injury Redefinition Item 10. Supplementary Payments — Increased Limits Item 11. Damage To Borrowed Equipment Item 12. Aircraft With Chartered Crew Item 13. Property In Your Care, Custody Or Control Item 14. Mobile Equipment Redefined Item 15. Newly Formed Or Acquired Entities Item 16. Blanket Additional Insured Where Required By Written Contract Lessors of Leased Equipment Managers or Lessors of Premises Mortgagees, Assignees or Receivers Grantor of Franchise Vendors Any Person or Organization Item 17. Blanket Additional Insured — Grantors Of Permits Item 18. Waiver Of Right Of Recovery By Written Contract Or Agreement Item 19, Other Insurance Amendment Item 1. Reasonable Force Exclusion a. of Section I - Coverage A - Bodily Injury And Property Damage Liability is replaced by the following: a. Expected Or Intended Injury "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. Item 2. Non -Owned Watercraft Extension Paragraph (2) of Exclusion g. of Section I - Coverage A - Bodily Injury And Property Damage Liability is replaced by the following: (2) A watercraft you do not own that is: LC 04 46 04 12 © 2012 Liberty Mutual Insurance. All rights reserved. Page 1 of 9 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Named Insured: Tuff Shed, Inc Policy Term: 07/01/2014 to 07/01/2015 Policy #: TB5Z91462604024 (a) Less than 55 feet long; and (b) Not being used to carry persons or property for a charge; Item 3. Damage To Premises Rented To You - Expanded Coverage A. The final paragraph of 2. Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Liability is replaced by the following: Exclusions c. through n. do not apply to damage by fire, lightning or explosion or subsequent damages resulting from such fire, lightning or explosion including water damage to premises while 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. B. Paragraph 6. of Section III — Limits Of Insurance is replaced by the following: 6. Subject to Paragraph 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 or subsequent damages resulting from such fire, lightning or explosion including water damage to premises while rented to you or temporarily occupied by you with permission of the owner. The Damage To Premises Rented To You Limit is the greater of: a. $300,000; or b. The Damage To Premises Rented To You Limit shown on the Declarations. C. Paragraph 9.a. of the definition of "insured contract' in Section V — Definitions is replaced by the following: a. 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, explosion or subsequent damages resulting from such fire, lightning or explosion including water damage to premises while rented to you or temporarily occupied by you with permission of the owner is not an "insured contract'. D. The paragraph immediately following Paragraph (6) of exclusion j. of Section I — Coverage A — Bodily Injury And Property Damage Liability is replaced by the following: Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by fire, lightning or explosion or subsequent damages resulting from such fire, lightning or explosion including water damage) 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 III — Limits of Insurance. Item 4. Bodily Injury To Co- Employees A. Paragraph 2. of Section II - Who Is An Insured is amended to include: Each of the following is also an insured: 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)) are insureds while in the course of their employment or while performing duties related to the conduct of your business with respect to "bodily injury ": (1) To you; (2) To your partners or members (if you are a partnership or joint venture); LC 04 46 04 12 © 2012 Liberty Mutual Insurance. All rights reserved. Page 2 of 9 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Named Insured: Tuff Shed, Inc Policy Term: 07/01/2014 to 07/01/2015 Policy #: TB5Z91462604024 (3) To your members (if you are a limited liability company); or (4) To a co- "employee" or "volunteer worker" while that co- "employee" or "volunteer worker" is either in the course of his or her employment by you or while performing duties related to the conduct of your business (including participation in any recreational activities sponsored by you). Paragraph 2.a.(1)(a) of Section II - Who is an Insured does not apply to "bodily injury" for which insurance is provided by this paragraph. B. The insurance provided by this Item 4. will not apply if the injured person's sole remedy for such injury is provided under a workers' compensation law or any similar law. C. Other Insurance The insurance provided by this Item 4. is excess over any other valid and collectible insurance available to the insured, whether primary, excess, contingent or on any other basis. Item 5. Health Care Professionals As Insureds A. Paragraph 2.a.(1)(d) of Section II - Who Is An Insured is replaced by the following: (d) Arising out of his or her providing or failing to provide professional health care services. However, any "employee" or "volunteer worker" of the Named Insured who is a "designated health care provider" is an insured with respect to "bodily injury" and "personal and advertising injury" that: (i) Arises out of the providing of or failure to provide professional health care services; and (ii) Occurs in the course of and within the scope of such "employee's" or "volunteer worker's" employment by the Named Insured. B. With respect to "employees" and "volunteer workers" providing professional health care services, the following exclusions are added to Paragraph 2. Exclusions of Section I — Coverage A — Bodily Injury And Property Damage Liability and Paragraph 2. Exclusions of Section I — Coverage B — Personal And Advertising Injury Liability: This insurance does not apply to: (1) Liability assumed under an "insured contract" or any other contract or agreement; (2) Liability arising out of the providing of professional health care services in violation of law; (3) Liability arising out of the providing of any professional health care services while in any degree under the influence of intoxicants or narcotics; (4) Liability arising out of any dishonest, fraudulent, malicious or knowingly wrongful act or failure to act; or (5) Punitive or exemplary damages, fines or penalties. C. The following definition is added to Section V - Definitions: "Designated health care provider" means any "employee" or "volunteer worker" of the Named Insured whose duties include providing professional health care services, including but not limited to doctors, nurses, emergency medical technicians or designated first aid personnel. D. Other Insurance The insurance provided by this Item 5. is excess over any other valid and collectible insurance available to the insured, whether primary, excess, contingent or on any other basis. LC 04 46 04 12 © 2012 Liberty Mutual Insurance. All rights reserved. Page 3 of 9 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Named Insured: Tuff Shed, Inc Policy Term: 07/01/2014 to 07/01/2015 Policy #: TB5Z91462604024 Item 6. Knowledge Of Occurrence Knowledge of an 'occurrence" by your agent, servant or "employee" will not in itself constitute knowledge by you unless your "executive officer" or "employee" or other third party designated by you to notify us of 'occurrences" has knowledge of the 'occurrence ". Item 7. Notice Of Occurrence For purposes of Paragraph 2.a. of Section IV - Conditions, you refers to an "executive officer" of the Named Insured or to the "employee" designated by the insured to give us notice. Item 8. Unintentional Errors And Omissions Unintentional failure of the Named Insured to disclose all hazards existing at the inception of this policy shall not be a basis for denial of any coverage afforded by this policy. However, you must report such an error or omission to us as soon as practicable after its discovery. This provision does not affect our right to collect additional premium or exercise our right of cancellation or non - renewal. Item 9. Bodily Injury Redefinition The definition of "bodily injury" in Section V - Definitions is replaced by the following: "Bodily injury" means: a. Bodily injury, sickness or disease sustained by a person, including death resulting from any of these at any time; and b. Mental anguish, shock or humiliation arising out of injury as defined in Paragraph a. above. Mental anguish means any type of mental or emotional illness or distress. Item 10. Supplementary Payments - Increased Limits Paragraphs 1.b. and 1.d. of Section I - Supplementary Payments - Coverages A And B, are replaced by the following: b. Up to $3,000 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. 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 substantiated loss of earnings up to $500 a day because of time off from work. Item 11. Damage To Borrowed Equipment A. Exclusion j. of Section I - Coverage A - Bodily Injury And Property Damage Liability is amended to add the following: Paragraphs (3) and (4) do not apply to "property damage" to borrowed equipment either loaned to you or in your care, custody or control. B. Subject to Paragraphs 2., 3., and 5. of Section III — Limits Of Insurance, the most we will pay for insurance provided by Paragraph A. is $35,000. C. The insurance provided by this endorsement is excess over any other valid and collectible property insurance (including any deductible portion thereof) available to the insured whether primary, excess, contingent or on any other basis. LC 04 46 0412 © 2012 Liberty Mutual Insurance. All rights reserved. Page 4 of 9 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Named Insured: Tuff Shed, Inc Policy Term: 07/01/2014 to 07/01/2015 Policy #: TB5Z91462604024 Item 12. Aircraft With Chartered Crew The following is added to Exclusion g. of Section I — Coverage A Bodily Injury And Property Damage Liability: This exclusion does not apply to an aircraft that you do not own that is: (a) Chartered with a pilot by any insured; and (b) Not being used to carry any person or property for a charge. Item 13. Property In Your Care, Custody Or Control A. Paragraphs (3) and (4) of exclusion j. of Section I — Coverage A — Bodily Injury and Property Damage Liability only apply to: 1. "Property damage" to borrowed equipment, or 2. "Property damage" to property in your care, custody and control while in transit. B. This insurance does not apply to any portion of a loss for which the insured has available any other valid and collectible insurance, whether primary, excess, contingent, or on any other basis, unless such other insurance was specifically purchased by the insured to apply in excess of this policy. C. Limits of Insurance Subject to Paragraphs 2., 3., and 5. of Section III — Limits Of Insurance, the most we will pay for insurance provided by Paragraph A., above is: $10,000 Each Occurrence Limit $25,000 Aggregate Limit The Each Occurrence Limit for this coverage applies to all damages as a result of any one 'occurrence" regardless of the number of persons or organizations who sustain damage because of that occurrence ". The Aggregate Limit is the most we will pay for the sum of all damages under this Item 13. Item 14. Mobile Equipment Redefined The definition of "Mobile Equipment" in Section V — Definitions is amended to include self - propelled vehicles with permanently attached equipment less than 1000 pounds gross vehicle weight that are primarily designed for: (1) Snow removal; (2) Road Maintenance, but not construction or resurfacing; or (3) Street cleaning. Item 15. Newly Formed Or Acquired Entities Paragraph 3. of Section II — Who Is An Insured is replaced by the following: 3. Any organization, other than a partnership or joint venture, you newly acquire or form and over which you maintain majority ownership or majority interest will qualify as a Named Insured if there is no other similar insurance available to that organization. LC 04 46 04 12 © 2012 Liberty Mutual Insurance. All rights reserved. Page 5 of 9 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Named Insured: Tuff Shed, Inc Policy Term: 07/01/2014 to 07/01/2015 Policy #: TB5Z91462604024 a. Coverage under this provision is afforded only until:. (1) The 180th day after you acquire or form the organization; (2) Separate coverage is purchased for the organization; or (3) The end of the policy period, whichever is earlier.. b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; and c. Coverage B does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. Item 16. Blanket Additional Insured Where Required By Written Contract Paragraph 2. of Section II - Who Is An Insured is amended to add the following: e. Additional Insured by Written Contract or Written Agreement The following are insureds under the policy when you have agreed in a written contract or written agreement to provide them coverage as additional insureds under your policy: (1) Lessors of Leased Equipment: The person(s) or organization(s) from whom you lease equipment, but only with respect to 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). (2) Managers or Lessors of Premises: Any manager or lessor of premises leased to you in which the written lease agreement obligates you to procure additional insured coverage. The coverage afforded to the additional insured is limited to liability in connection with the ownership, maintenance or use of the premises leased to you and caused, in whole or in part, by some negligent acts or omissions of you, your employees, your agents or your subcontractors. There is no coverage for the additional insured for liability arising out of the sole negligence of the additional insured or those acting on behalf of the additional insured, except as provided below. If the written agreement obligates you to procure additional insured coverage for the additional insured's sole negligence, then the coverage for the additional insured shall conform to the agreement, but only if the applicable law would allow you to indemnify the additional insured for liability arising out of the additional insured's sole negligence. This insurance does not apply to: (a) Any "occurrence" which takes place after you cease to be a tenant in that premises or to lease that land; or (b) Any premises for which coverage is excluded by endorsement. (3) Mortgagees, Assignees or Receivers: Any person(s) or organization(s) with respect to their liability as mortgagee, assignee or receiver and arising out of the ownership, maintenance or use of your premises. This insurance does not apply to structural alterations, new construction and demolition operations performed by or for that person or organization. (4) Grantor of Franchise: Any person(s) or organization(s) but only with respect to their liability as grantor of a franchise to you. LC 04 46 04 12 © 2012 Liberty Mutual Insurance. All rights reserved. Page 6 of 9 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Named Insured: Tuff Shed, Inc Policy Term: 07/01/2014 to 07/01/2015 Policy #: TB5Z91462604024 (5) Vendors: Any person(s) or organization(s) that distribute or sell "your products" in the regular course of their business, hereafter referred to as vendors, 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: (a) The insurance afforded the vendor does not apply to: (i) "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 the liability for damages that the vendor would have in the absence of the contract or agreement; (ii) Any express warranty unauthorized by you; (iii) Any physical or chemical change in the product made intentionally by the vendor; (iv) 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; (v) 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 distributor or sale of the products; (vi) Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of the product; (vii) 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 (viii) "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: i. The exceptions contained in Paragraphs (iv) or (vi) above; or ii. 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. (b) This insurance does not apply to any insured, person or organization, from which you have acquired such products, or any ingredient, part or container, entering into, accompanying or containing such products. (6) Any Person or Organization Other Than a Joint Venture: Any person or organization (other than a joint venture of which you are a member) for whom you are obligated by a written agreement to procure additional insured coverage, 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; or (b) In connection with premises owned by you. This insurance does not apply to: 1. Any construction, renovation, demolition or installation operations performed by or on behalf of you, or those operating on your behalf; LC 04 46 04 12 © 2012 Liberty Mutual Insurance. All rights reserved. Page 7 of 9 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Named Insured: Tuff Shed, Inc Policy Term: 07/01/2014 to 07/01/2015 Policy #: TB5Z91462604024 2. Any person or organization whose profession, business or occupation is that of an architect, surveyor or engineer with respect to liability arising out of the preparation or approval of maps, drawings, opinions, reports, surveys, change orders, designs, specification or the performance of any other professional services by such person or organization; or 3. Any person or organization more specifically covered in Paragraphs e.(1) through (5) above.. The insurance afforded to any person or organization as an insured under this Paragraph 2.e.: (1) Applies only to coverage and minimum limits of insurance required by the written agreement or written contract, but in no event exceeds either the scope of coverage or the limits of insurance provided by this policy; (2) Does not apply to any person or organization for any "bodily injury ", "property damage" or "personal and advertising injury" if any other additional insured endorsement attached to this policy applies to that person or organization with regard to the "bodily injury ", "property damage" or "personal and advertising injury "; (3) Applies only if the "bodily injury" or "property damage" occurs, or offense giving rise to "personal and advertising injury" is committed, subsequent to the execution of the written agreement; and (4) Applies only if the written agreement is in effect at the time the 'bodily injury" or "property damage" occurs, or at the time the offense giving rise to the "personal and advertising injury" is committed. Item 17. Blanket Additional Insured — Grantors Of Permits Paragraph 2. of Section II - Who Is An Insured is amended to add the following: Any state, municipality or political subdivision with respect to any operations performed by you or on your behalf, or in connection with premises you own, rent or control and to which this insurance applies, for which the state, municipality or political subdivision has issued a permit. However, this insurance does not apply to: 1. "Bodily injury ", "property damage" or "personal and advertising injury" arising out of operations performed for the state, municipality or political subdivision; 2. Any 'bodily injury" or "property damage" included within the "products- completed operations hazard ", except when required by written contract or agreement initiated prior to loss; or 3. 'Bodily injury ", "property damage" or "personal and advertising injury ", unless negligently caused, in whole or in part, by you or those acting on your behalf. Item 18. Waiver Of Right Of Recovery By Written Contract Or Agreement The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery because of payments we make under this policy for injury or damage arising out of your ongoing operations or "your work" included in the "products- completed operations hazard" that we may have against any person or organization with whom you have agreed in a written contract or agreement to waive your rights of recovery but only if the 'bodily injury" or "property damage" occurs, or offense giving rise to "personal and advertising injury" is committed subsequent to the execution of the written contract or agreement. LC 04 46 04 12 © 2012 Liberty Mutual Insurance. All rights reserved. Page 8 of 9 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Named Insured: Tuff Shed, Inc Policy Term: 07/01/2014 to 07/01/2015 Policy #: TB5Z91462604024 lter�r 19- 01her4mraiveAmondmeol If yQu are obligated; under a, vrritten agreer tent to provide Ral llity insurance orr a primary, excess, contingent, or any other basis for any Iverson or organization that gualMes aq, an additional insured on this polloy, this policy will apply solely on the basis r'ec'ulred Ivry su ,h written agreement and Paragraph, 4 Other Insurance of Section I ondr`tions will not apply. Where the applicable written agreernwil does riot specify on wlrat basis ttre liability instvap'Ce will apply, the pr°ovls`rons of Paragraph 4. Other Insurance of Section IV — ondiff ns will govern. Hmever„ this inarrr" nce is, excess over any other insurance available to the additional insured for which it is also covered as an addrtionai insured by attachment of an endomsernent tQ another police providing coverage for the sarne "occurrence ", cfalrn or "suit". LC 04 46 0412 © 2012 Liberty Mutual Insurance. All rights reserved. Page 9 of 9 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Nemd Insured: Tuff Shed, Inc Policy Term: 07/01/2014 to 07/01/2015 Policy #: TB5Z91462604024 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: City of E1 Segundo its officials, and employees 350 Main Street E1 Segundo, CA 90245 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard ". This waiver applies only to the person or organization shown in the Schedule above. This endorsement is executed by the Effective Bate For attachment to Policy No. Audit Basis Issud To Countersigned by Sales Office and Noe Authmized Representative CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 Named Insured: Tuff Shed, Inc. Policy Term: 07/01/2014 to 07/01/2015 Policy #: AWC2Z91462604034 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 % of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description City of E1 Segundo Any and All Jobs Performed its officials, and employ Per Written Contract 350 Main Street and /or Agreement E1 Segundo, CA 90245 Issued by Chooac <m itcm For attachment to Policy No. Effective Date Premium $ Issued to WC 04 03 06 Page 1 of 1 Ed. 04/1984