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PROOF OF INSURANCE (2015) CLOSEDAC CERTIFICATE OF LIABILITY INSURANCE C 10/14 /20/ 1 Y)
10/14/2014
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 terns 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 NAME.. John McIntyre
HMBD Insurance Services, Inc, PHONE (562)439 -9731 (562)439 -4453
149144 , A
3633 East Broadway AODR sS: jmcinty're . com
Long Beach CA 90803 -6035 INSURERA:Peerles Insurance ComDanv 24198
INSURED INSURERB:Golden Eagle Insurance ComDanv 10836
Federal Technology Solutions Inc INSURERC:CVDre88 Insurance Comnanv
1530 Consumer Cr. #102 INSURER D:
INSURER E :
'..Corona CA 92880 INSURER F:
COVERAGES CERTIFICATE NUMRER -3/14 Rnls RFVIS1 3N NI IMRFR:
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.
IN SR
TR
TYPE OF INSURANCE
,uco
uuvn
POLICY NUMBER
POLICY EFF
ID y/y
POLICY EXP
MMfD. ax Y'
LIMITS
GENERAL
LIABILITY
EACH OCCURRENCE
$ 1,000,000,
X
COMMERCIAL GENERAL LIABILITY
pR . r p
0001
$ 1004001
A
CLAIMS -MADE OCCUR
BP8833712
/1/2014
/1/2015
MEDEXP(Anv one Derson)
'.$ 51000
PERSONAL & ADV INJURY
$
GENE.RAL. AGGREGATE
$ 2 , 000 . 000
GEN
L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP /OP AGG
$ 2,000,000
POLICY X PERcoi LOC
$
AUTOMOBILE
LIABILITY
•i3','N L- .Il'
(Ea accidanl
a 11. 000 - 000
BODILY INJURY (Per person)
$
A
AN Y AUTO
BODILY INJURY (Per accident)
$
ALL OWNED SCHEDULED
8835212
'3/1/2014
3 /1/2015
JX
AUTOS AUTOS
X NON -OWNED
PROaER�TY DAMAGE
$
HIRED AUTOS AUTOS
Underinsured motorist
$
UMBRELLA LIAB OCCUR
EACH OCCURRENCE
$ 4,000,000,
B
X
EXCESS LIAB CLAIMS -MADE
AGGREGATE
s 4, 000 , 000
$
DIED I '.RETENTIONS
U8835512
3/1/2014
3/1/2015
O
WORKERS COMPENSATION
X I LC it eeiUrc Fla
AND EMPLOYERS' LIABILITY Y (N
ANY PROPRIETOR/PARTNER/EXECUTIVE °"' °"
E EACH ACCIDENT
$ 1.000.000
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
NIA
300054959 -141
3/1/2014
/1/2015
E.LDISEASE - EAEMPLOYE
$ 1.000.000
If yes, deribe under
DESCRIPTION OF OPERATIONS below
''. E . DISEASE - POLICY LIMIT
$ 1.000.000
A
Contents (BPP)
CBP8833712
/1/2014
/1/2015
$256,000 Special Form
Installation Floater
$325,000 Special Form
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
Certificate holder is named as additional insured as respects general liability per attached forms CG2010
07/04 & CG2037 07/04; primary /non - contributory form 22 -111 (01/07) attached; waiver of subrogation per
attached form GECG602 01 /11. Auto liability includes additional insureds and waiver of subrogation per
attached form GECA701 01/07. Blanket work comp waiver attached.
City of E1 Segundo
350 Main Street
El Segundo, CA 90245
I IUN
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
Miller /GOWENS.,
ACORD 25 (2010/05) ©1988 -2010 ACORD CORPORATION. All rights reserved.
INS025 (201005) 01 The ACORD name and logo are registered marks of ACORD
Forming a part of
Policy Number: CBP8833712
Coverage Is Provided In PEERLESS INSURANCE COMPANY - A STOCK COMPANY
Named Insured: Agent:
FEDERAL TECHNOLOGY SOLUTIONS HAM MAN- MILLER- BEAUCHAMP- DEEBLE
INC
Agent Code: 4295229 Agent Phone: (562) -439 -9731
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 Or4anization(s):
Location(s) Of Covered Operations
THE CITY OF EL SEGUNDO, ITS OFFICERS, OFFICIALS,
EMPLOYEES, AGENTS AND VOLUNTEERS
350 MAIN STREET
EL SEGUNDO, CA 90245
Information required to complete this Schedule, if not shown above, will be shown in the Declarations. 1
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) designated
above.
B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply:
This insurance does not apply to "bodily injury" or "property damage" occurring after:
1. All work, including materials, parts or equipment furnished in connection with such work, on the project
(other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at
the location of the covered operations has been completed; or
2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by
any person or organization other than another contractor or subcontractor engaged in performing
operations for a principal as a part of the same project.
© ISO Properties, Inc., 2004
CG 20 10 07 04 Page 1 of 1
03/01/2014 8833712 NEUSXJPC1202 PGDM060D J27456 GEONLYST 00004722 Page 43
Forming a part of
Policy Number: CBP8833712
Coverage Is Provided In PEERLESS INSURANCE COMPANY - A STOCK COMPANY
Named Insured: Agent:
FEDERAL TECHNOLOGY SOLUTIONS HAM MAN- MILLER- BEAUCHAMP- DEEBLE
INC
Agent Code: 4295229 Agent Phone: (562)- 439 -9731
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
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" or "property damage" caused, in whole or in
part, by "your work" at the location designated and described in the schedule of this endorsement performed for that
additional insured and included in the "products- completed operations hazard ".
SCHEDULE
Name Of Additional Insured Person(s) Or Organization(s):
THE CITY OF EL SEGUNDO, ITS OFFICERS, OFFICIALS,
EMPLOYEES, AGENTS AND VOLUNTEERS
350 MAIN STREET
EL SEGUNDO, CA 90245
Location And Description Of Completed Operations:
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
© ISO Properties, Inc., 2004
CG 20 37 (07/04)
AGENT COPY
03/01/2014 8833712 NEUSXJPC 1202 PGDM060D J27456 GEONLYST 00004729 Page 50
Item aw is replaced with;
B. Tro t dsl'-RhO to Of'R kist' ws To Us
a, tf the Insured' has tlghts to recover aA or part of any payment we have made under this Coverage Part,
those rights are t'ransferrad to us, The Insured must do nothing after toes to Impair there. , At our request,
Ow 1rieureci will bfft wit or transW those rtgtas to us and help us enfarce thorn;
b. It required by b written 'Insured contract', we waive any, right of recovery we may heiva 1t any
person or orgerri iation because of payments we make for injury or damaigowlaing out of your onvoirip
operations or 'your woriC done sander that written 'Insured contract" for that parson or otgaNzatlon and
included in ths'produeWcompleted operefflans :ha=rd'.
Item 10. and hem 11. am added,
18. CCa tloni Cand Wan
If we- dancel this policy for any reason otherthan nonpayment of premium we will malt or delivervillannolloo
of cancellation to the first Named Insured at least Igo days poor to the effective data of cancellatIbm
111: Uberalikolon
If we adopt a change In our t'orms -or rules which would broaden your coverage without an extre charge, the
broader coverage will apply to this policy. This extension Is ct" upon the approval of such broader
coverage in yourstate:.
SECTION V — :BF14NIUMS
The fdahowtring definitions am added or changed,
9. "Insured contraet"
a. Is changed to:
a, A contract for a lease of premises. However, that portion of the contract W a lease of premises that
Indernniflos any person or orgtant2allon for damage by fire, explosion or sortider to ge.to promises
while ranted to you, or temporarily occupied by you with permission of the owner, or Managed by You
under a wvrifleft agreement With the owner is not en "insured, contraer.
23 and 24 are added:
23. *Location' rnearis premises Involving the same. or connecting lots;, or. premises- .wtloso connection is
interrupted only by a street, roadway, waterway or right-of-way (if a raitroadf.
24. 'Product recall notification expenses" means the reasonable additional expanses (incsuding, but not limited M,
cost of correspondene;a, newspaper and magaZlno advertising, radio or television anncauncomefft and
transportation cost), necessarily incurred In arranging for the return of products, but excluding costs: of the
replacementproducts and the casts value of the dsnuvsa :pr0duM&
The follmdag Provisions are Wise added its thlta Covers w Pant:
A. ADD NAt. INSOREDS _ R{Y CON MA T, AGitOWNT QR fa'titMIT
1. Paragraph 2, under SECTION H WHO IS AN INSURt D Is emerid6d,to, Inclzadlo as an iratiulW any
person or orgarilzaWri when you and such parson or organizatlort have agre00 In writing In a contract,
agreement or perrnil that such person or organization be added as an additional Insured on your policy 10
provide Insurance such as Is afforded under this Coverage Pam .Such peracm ar organizailon Is not
entitled to any notices that was are required to served to the Named Insured and Is an additional Insured
only with resp act to liability arising out of,
a. Your ongoing opwarationa perWrnedl for that person or organduillon; or
b. Premises or facilkiias owned or used by yrcw.
With.. respect to provlsicn C& above. a person °a or organkatlon's stataas as an Insured under this
endorsement ends w Ken your oparstionsior that person or orrgenizalion are completed,
With reepect. to provision 1,b. above. aw person's or organtia lion's. status as an insured under tilts
endorsement ends when their contract or agreement with you for such premises, d rfactllties ends.
Gf;a ox (011) lmlufe'eopyrlintect 6mtena of inewwoo aarvi Inc.. wft. a pe mi*on.
Page s:ofa
A
t1n?1.2012 9531305 NEUMVA0510 GEtVtCC7PY
M Jo7451 GEONLYST PW 35
2- This endorsement provision A. does mot apply:
a. Uniess the writtentontred or agreement has boon eXewted, or permit him: been issued, prior.lo the
"bodily injury% "property darnag.0- or "personal and advertising lnlijry'.,
b. To -bodily injury' or 'property damage occurring after-,
(11) All work, including - materials, parts ar equipment furnished 16 conneollo" with such wair K *i the
prolod (cOer than service, nwinteltance. or re
pairs) 16 be perfrimned by or on behalf of The
additional Insured(s) at the she of the covered operations has been completed -or
(2) That portion of -your *ork- out of which the injury or damage ails" has been put toltaintanded
use by any. person or organization other than 9116"r contractor or subcontractor engaged in
perfanning operbfions'Mr sprincipal as a part of the same prood;
c. To the rendWihg of or f9hufs, to fender any professional services Indt.tding, but hot 11knited 16, arty
professional architectural, engineering or duiveying swvio" such as:
('f) The preparing, approving. or failling to prepare or approve, roaps, shop dravirmos, -opinions;
reports, surveys, field orders, change orders or draWings: MW apechlonfintitt and
(2) Supervisory, inspection, architecture t or anginearing zcWities;
d- To 'bodlly Injury", 'property damage' or *parsonal and advertising Jrijiury' arising o0of arty act; -enW.
oromission that results from the additional insureds soje'r1egilgerics, of w1brigdoing,'
a. To any person or-organizallon Included as an 'insured umkv provision 1.0.01his andorsOrmEst;
1. To any person of organization speofficafty,d""ted an additional Insured for ongoing optraticivis by
a sepe'rale A00MONAL INSORED - OWNERS, LESSEES OR 'Oat fRACTIOns v�ndorsement
Issued by us and nude a part of fts policy.
B. ADMONALIMKIRED-VEMOORS
Paragraph, 2. under 99MVION It -'N A10 19 A14 INSURED Is -amended to Include an an Insured any poroon or
orgaritmliop (referred to below as "vendor") with whom you agreed, in a written contract or agreornanil to
provide Insurance' such as Is afforded under this policy, but only with respect to %odly injury, or 'property
damage' arising out of '.your producW which are distributed or sold in the MQuW =urge of ftvendor'l
business, subject to tivaAbIlowing addMonal exclusions:
11. Tho iditurance afforded . led 111*90rhdor do" notappiy to'
ai "Bodily Injury" or "propiqrty damage' for which the vendor is obilgstedtb pay dam*
gat by reason of
the assumption of fiabRity In a contract or agreement, Thro aridusfon does not appity to 118016tY for
damages that the vendor would have In the absence of "contract or egreament,
b. Any expTesS Warranty UnsUltharized by you;
c. Any Physical or chemical chortgoin the Product made. Intentionally by the vardor
Repeck"ingi uriiess unpacked solely for the purpose of inspeoflon, dombinstration.18sung, Or
substitution Of parts under, Instructiorvo from the manufacturer, arid than repaid nged In the original
coritaMer;
e, Any failure to Make such Inspections, adjuatmants, tosis or servicing se- the vendor,has agreed to
make or normally undertakes to make in the coume of buskoss, In coinno0tioti:with tWAstribullon or
salb, of the products,
C Demonistration, Installation, servicing Qe repair qmrations, except such bperstionspa.4ormed at the
vandoes premises In connection with the sale of the product;
0. Products which, after distrIbutlon or sale by 'you, have been labeled or rotAbeliad or Used as a
a
cont Products part or ingredient at any other thing Or slobStan ce by or for the vend* r:gar
h. To -bodiiy Injury or 'property damage* arlsing out of any act; arror or ornission that results nom the
a4ditiorial InsureWs sole negligence or wrongdoing.
2. This Insurance does not apply to any insured person or organization, (mm whorn you have acquired auch
products, or any ingredient part or container, entering into, accompanying or corftninqiuch prodocts,
M&Ardamoopyrighied mate0al of irmMerim S*v10e5DMW9 Ifle-, with ft,PoM*wMn-
GECG 602 (011111) jPW4 &A
IM22012 9=30 NELISXNVANIO AC&M COPY PGOUMM J01461 GEONLYST 00006065 P'800 36
Policy #CBP8833712
THIS ENDORMOUT CHANCES TM POUCY. PLEASE IT CAREFULLY.
22411 (ft" d ` � 10f 1
fmmftd a Ms.7 mm a" twimmeopy
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 0410A (Ed 07 -07)
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA
BLANKET BASIS
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.)
The additional premium for this endorsement shall be 2.Q0 % of the total policy premium otherwise due on such
remuneration.
The minimum premium for this endorsement is $
Schedule
Person or Organization Job Description
ALL ORGANIZATIONS FOR WHOM THE WAIVER OF SUBROGATION IS ALL CALIFORNIA OPERATIONS
ISSUED
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.
(The information below is required onlywhen this endorsement is issued subsequent to preparation of the policy.)
Endorsement Effective 03/01/2014 Policy No. 3300054959 -141 Endorsement No. 5
Insured FEDERAL TECHNOLOGY SOLUTIONS, INC. Premium $
Insurance Company Countersigned by
Cypress Insurance Company
WC 99 04 10A
(Ed 07 -07)
Policy #BA8835212
COMMERCIAL AUTO GOLD ENDORSEMENT
TMS ENDORSEMENT CHANGES THE POLICY. PLEAW READ IT CAREFULLY.
This endonaement modifies Imumnce provided under On fahowling:
BUSINESS AUTO COVERAGE FORM
SECTION tl - LLAML ITY COVERAGE
A. COVERAGE
1, WHO IS AN INSURED
The following is added:
d Any organizatiam other than a partnership or joint venture, over which you maintain ownership or
e majority interest an the ettaetive date of this C Form, if there Is no eltnilar Insurance
available to that organization.
e. Any organization you newly sequins or form other than a partnership or joint venture, WW over
which you maintain ownership of a majority interest. However, coverage under this provision
does not apply:
(1) If there is similar Insurance or a sd(4r egad retention plan mailable to that organ; or
(2) To "bodily injury' or `property that occurred before you acquired or formed the
organization.
f. Any volunteer or employes, of yours while using a covered "auto'' you do not own, hire or borrow
in your business or your personal mUrs. In rmx a provided by this endormment is excess over
any other insurance available to any volunteer or employee.
g. Any person, organization, trustee estate or governmental entity with respect to the operation,
maintenance or use of a covered "auto" by an insured, it
(1) You am obtigaWto add that person, oMarftabon, trustee, estate or governmental entity as
an insured to this policy by.
(a) an expressed provision of an "Insured oorrtraW. or written agreement; or
(b) an expressed condition of a wttten pem4t lowed to you by a governmental or
public authority.
(2) The "bc dlly lnjury` or "property d~ Is caused by sn "accident' which takes place attar.
(a) You exemAW the "Insured contract" or written agreerneM or
(b) the pwmtt has been issued to you.
=rA 701 (DI AM bcbda t"yrtM d;.:twin 10 slry M Offim, Is-- "b I% p,=6ok FW l ar A
2 COVERAGE EXTENSIONS
a. Supplementary Payments.
Subparagraphs (2) and (4) are amsftded as follows.
(2) tip to $2500 for cost of bail bonds (including bonds for related treffia lawn ) required
because of an "aociderlt" we cower. We do not have to furnish these bonds.
(4) All reasonable expenses incurred by the "Insured" at our request, including actual loss of eaming
up to $500 a day becom of time off from work_
SECTION III - PHYSICAL DAMAGE COVERAGE
A. COVERAGE
The following is added:
5. Hired Auto Physical Damage
a. Any "auto" you lease, hire, rent or borrow from someone other then your employees or partners
or members of their household is a covered "auto" for each of your physical damage coverages,
b. The most we will pay for "loss" in anyone "accidertt "' is the smallest of.
(1) $50,000
(2) The actual cash value of the damaged or stolen property as of the time of the "loss or
(3) The cost of repairing or replacing the damaged or stolen property with other property of like
kind and quality.
If you are liable for the "accident', we will also pay up to $500 per "accident' for the actual loss of
use to the owner of the covered "auto ".
c. Our obligation to pay for, repair, return or replace damaged or stolen property will be reduced by
an amount that is equal to the amount of the largest deductible shown for any owned -We for
that coverage. However, any Comprehensive Coverage deductible shown in the Dadvations
does not apply to "loss" caused by fire or lightning.
d. For this coverage, the insurance provided is primary for any covered "auto" you hire without a
driver and excess over any other collectible insurance for any covered "auto" that you hire with a
driver.
S. Rental Reimbursement Coverage
We will pay up to $75 per day for up to 30 days, for rental reimbursement expenses incurred by you
for the rental of an "auto" because of "loss" to a covered "auto". Rental Reimbursement will be
based on the rental of a comparable vehicle, which in many cases may be substantially less than $75
per day, and will only be allowed for a period of time it should take to repair or replace the vehicle
with reasonable speed and similar quality, up to a maximum of 30 days. We will also pay up to $500
for reasonable and necessary expenses incurred by you to remove and replace your matedats and
equipment from the covered "auto ".
CECA 701(01/07) fndodes to"Hoted material of raaomace SeMen Office; foF With ill peradaeio n Pacc 2 of 4
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 d your rental reimbursement expenses which is not
already provided under paragraph 4. Coverage Extension.
T. Crease Gap Coverage
If a long -term based "auto" is a covered " auto" and the lessor is named as an Additional insured -
Leasor, In the event of a total loss, we will pay your additional legal obligation to the knMW for any
difference between the actual cash value of the "auto" at the time of the loss and the "Outstanding
balance" of the lease.
"O ding balance" means the amours you owe on the lease at the time of loss less any amounts
representing taxes; overdue payments, penalties, interest or charges resulting from overdue
payments; additional mileage charges; excess wear and tear charges; and lease termination fees.
l :31111111:4Xviit1b1L•I.b:
The following is added to Paragraph 3
The exclusion for "loss" caused by or resulting from mechanical or electrical breakdown does not
apply to the accidental discharge of an airbag.
Paragraph 4 is replaced with the following:
4. We will not pay for "loss" to any of the following;
a. Tapes, records, disks or other similar audio, visual or data electronic devices designed for use with
audio, visual or data electronic equipment.
b. Equipment designed or used for the detection or location of radar.
c. Any electronic equipment that receives or transmits audio, visual or data signals.
Exclusion 4.c does riot apply to:
(1) Electronic equipment that vss or transmits audio, visual or data signals, whether or not
designed solely for the reproduction of sound, if the equipment is pemnanently installed in the
covered "auto" at the time of the "lass" and such equipment is designed to be solely operated by
use of the power from the "auto's" e electrical system, in or upon the covered 'auto"; or
(2) Any other electronic equipment that is:
(a) Necessary for the normal operation of the covered "auto" or the monitoring of the
covered "auto's"operating system; or
(b) An Integral part of the same unit housing any sound reproducing equipment described in (1)
above and pemlanently installed in the opening of the dash or console of the covered "auto"
normally used by the manufacturer for instaltafion of a radio.
D. DEDUCTIBLE
The following is added: No deductible applies to glass damage if the glass is repaired rather than
replaced.
CECA 701 (01/07) rnr.des topyrigbled ntowier of 1worsnu Services offices, Mr. with i4 pemdasion rase 3 or 4
4�
`s
SECTION IN. BUSINESS AUTO CONDITIONS
A. LOSS CONDITIONS
Item 2.a. and b. are replawd with:
2. Duties In The Event of Accident, Claim, Suit, or Loss
a. You must promptly notify us. Your duty to promptly notify us is effedive when any of your
execWve officers, partners, members, or legal represerdatives is awere of the accident, claim,
"suit", or loss. Knowledge of an accident. claim. "suit", or loss, by other employee(s) does not
imply you also have such knowledge.
b. To the extent possible, notice to us should include:
(1) How, when and where the accident or loss took place;
(2) The names and addresses of any injured persons and witnesses; and
(3) The nature and location of any injury or damage arising out of the, accident or loss.
The following is added to b.
We *mlve any right of recovery we may have against any additional insured under a A. 1.
Who Is An burred g., but only as respects loss arising out of the opemlion, mahenonce or use of
a covered "auto" pursuant to the provisions of the "insured contract", written agreemert, or pearl.
B. GENERAL CONDITIONS
9. Is added
9. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS
Your unintentional failure to disclose any hazards existing at the effective date ofyour policy will not
prejudice the coverage afforded. However, we have the right to coped additional premium for any
such hazard.
COMMON POLICY CONDITIONS
2.b. is replaced by the following:
b. 60 days before the effective date of cancellation If we cancel for any other mason.
GECA 701 (61!0'7) roclodes copyrithfed material orinernacc Servkes Ofrlem Iue. with ib peraisdea rap 4 or 4