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PROOF OF INSURANCE (2016) CLOSEDDATE (MM /DDIYYYY)
CERTIFICATE OF LIABILITY INSURANCE
11/13/2015
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).
CONTACT
PRODUCER NAME, }"(ai� HeImICk
ian Marcos - Alliant Insurance Services, Inc„ PHONE FAX
570 Rancheros Dr Ste 100 (AIC, No, Ext): 7,6_073,94771 21 dAa NO 760 - 304 -7743
E -MAfL khelmlck alliant com
ian Marcos CA 92069 ADDRFSs: ®m m ......... . _
COVERAGES CERTIFICATE NUIM1BER: 1782636159 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,.
ikS , TYPE OF INSURANCE ANSD WVD POLICY NUMBER MMIDDY EFF POLICY EXrt E" µ
POLIC LIMITS
IYYYY MMIDD/YWY
lgSURER(S) AFFORDING COVERAGE
NAIC,#
COMMERCIAL GENERAL LIABILITY
INSURER A : Va,Ilev Forge Insurance Company
,,, .
20508
..... ......._
INSURED DOWNSER -01
INSURERS Continental Insurance Company
35289
Downstream Services, Inc.
INSURER C: National Fire Insurance Co of Hartf
20478
2855 Progress Place
�
Escondido CA 92029
INSURER D . ,,,,,..... .. .....ee ... ------ ------
COVERAGES CERTIFICATE NUIM1BER: 1782636159 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,.
ikS , TYPE OF INSURANCE ANSD WVD POLICY NUMBER MMIDDY EFF POLICY EXrt E" µ
POLIC LIMITS
IYYYY MMIDD/YWY
C
j X
COMMERCIAL GENERAL LIABILITY
Y
Y
2094163615
11/15/2015
11/15/2016
EACH OCCURRENCE
$1,000.000
baA�A+�faF "tl"4"� f;kFh�Ylri�
CLAIMS -MADE X OCCUR
PRH MVSES,Lauc�� aer� cog
$100,000
MED EXP (Any one person)
$15,000
PERSONAL & ADV INJURY
$1,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$2,000,000
POLICY X LOC
JEt° �......I
PRODUCTS - COMP /OP AGG
$2,000,000
OTHER:
PD Deductible
$$5,000
B
- AUTOMOBILE
LIABILITY
Y
Y
5091396971
11115/2015
11/15/2016F
e,rlr�rl) SINGLE
$2,000,000
. ....rv......
X
ANY AUTO
BODILY INJURY (Per person)
$
AUT OWNED SCHEDULED
BODILY INJURY (Per accident)
$
X
AUTOS
NON- OWNED
X
e
$
HIRED AUTOS AUTOS
,(Perk acrNd�nCl
A UMBRELLA LIAB X OCCUR 2094163629 11/15/2015 - 11/15/2016
EACH OCCURRENCE $2 000,000
X EXCESS LIAB CLAIMS MADE
"....
AGGREGATE $2,000,000
DED X.... RETENTION$10,000
$
WORKERS COMPENSATION
PER OTH-
AND EMPLOYERS' LIABILITY
STATUTE. ER -
ANY PRO PRIETOR/PARTNER/EXECUTIVE
��
E.L, EACH ACCIDENT $
'..OFFICER/MEMEEREXCLUDED? N / A
(Mandatory in NH)
E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
DESCRIPTION OF OPERATIONS below
E1, DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: MAINTENANCE AGREEMENT, CITY WIDE LOCATIONS INSTRUMENTATION MAINTENANCE.
CITY OF EL SEGUNDO, ITS
OFFICIALS AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED, WAIVER OF SUBROGATION
APPLIES. 30 DAY NOC APPLIES.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
CITY OF EL SEGUNDO ACCORDANCE WITH THE POLICY PROVISIONS.
PUBLIC WORKS
350 MAIN STREET AUTHORIZED REP FSENTATIVE
EL SEGUNDO CA 90245 -3813
©1988 -2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
CN A INSURED: Downstream Services, Inc.
POLICY NO.: 2094163615
G- 140331 -A
(Ed. 01/01)
IMPORTANT: THIS ENDORSEMENT CONTAINS DUTIES THAT APPLY TO THE
ADDITIONAL INSURED IN THE EVENT OF OCCURRENCE, OFFENSE, CLAIM OR SUIT. SEE
PARAGRAPH C.'I.OF THIS ENDORSEMENT FOR THESE DUTIES.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CONTRACTOR'S SCHEDULED AND BLANKET ADDITIONAL INSURED
ENDORSEMENT WITH PRODUCTS - COMPLETED OPERATIONS COVERAGE
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization: Designated Project:
WHERE REQUIRED BY WRITTEN CONTRACT
(Coverage under t1hIs endorsement is not affected by an entry or lack of entry in the Schedule above.)
A. WHO IS AN INSURED (Section II) is amended to not in addition to, the Limits of Insurance shown
include as an insured any person or organization, in the Declarations.
including any person or organization shown in the 3. The coverage provided to the additional Insured
schedule above, (called additional insured) whom by this endorsement and paragraph f. of the
you are required to add as an additional Insured on definition of "insured contract" under
this policy under a written contract or written DEFINITIONS (Section V) do not apply to
agreement; but the written contract or written "bodily injury" or "property damage" arising out
agreement must be: of the "products- completed operations hazard"
1. Currently in effect or becoming effective during unless required by the written contract or
the term of this policy; and written agreement.
2. Executed prior to the "bodily injury," "property 4. The insurance provided to the additional
damage," or "personal and advertising injury". insured does not apply to "bodily injury,"
"property damage," or "personal and advertising
B. The insurance provided to the additional insured is injury" arising out of an architect's, engineer's,
limited as follows: or surveyor's rendering of or failure to render
1. That person or organization is an additional any professional services including:
insured solely for liability due to your a. The preparing, approving, or failing to
negligence specifically resulting from "your prepare or approve maps, shop drawings,
work" for the additional insured which is the opinions, reports, surveys, field orders,
subject of the written contract or written change orders or drawings and
agreement. No coverage applies to liability specifications; and
resulting from the sole negligence of the
additional insured. b. Supervisory, or inspection activities
performed as part of any related
2. The Limits of Insurance applicable to the architectural or engineering activities.
additional insured are those specified in the
written contract or written agreement or in the C. As respects the coverage provided under this
Declarations of this policy, whichever is less. endorsement, SECTION IV — COMMERCIAL
These Limits of Insurance are inclusive of, and GENERAL LIABILITY CONDITIONS are amended
as follows:
G- 140331 -A Page 1 of 2
(Ed. 01101)
1. The following is added to the Duties In The
Event of Occurrence, Offense, Claim or Suit
Condition:
e. An additional Insured under this
endorsement will as soon as practicable:
(1) Give written notice of an occurrence or
an offense to us which may result in a
claim or "suit' under this insurance;
(2) Tender the defense and indemnity of
any claim or "suit` to any other insurer
which also has insurance for a loss we
cover under this Coverage Part; and
(3) Agree to make available any other
insurance which the additional insured
has for a loss we cover under this
Coverage Part.
G-140331 -A
(Ed. 01/01)
G- 140331 -A
(Ed. 01/01)
f. We have no duty to defend or indemnify an
additional insured under this endorsement
until we receive written notice of a claim or
.suit„ from the additional insured.
2. Paragraph 4.b. of the Other Insurance
Condition is deleted and replaced with the
following:
4. Other Insurance
b. Excess Insurance
This insurance is excess over any other
insurance naming the additional
insured as an insured whether primary,
excess, contingent or on any other
basis unless a written contract or
written agreement specifically requires
that this insurance be either primary or
primary and noncontributing.
Page 2 of 2
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
AMENDMENT OF OTHER INSURANCE CONDITION
INSURED: Downstream Services, Inc. POLICY NO. 2094163615
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. The following is added to provision a. Primary Insurance of paragraph 4. Other Insurance under SECTION IV —
COMMERCIAL GENERAL LIABILITY CONDITIONS:
However, when an additional insured has been added to this Coverage Part by attachment of an endorsement, we
will not seek contribution from the "additional insured's own insurance" provided that:
(1) You and the additional insured have agreed in a written contract that this insurance is primary and non-
contributory, and
(2) The "bodily injury" or "property damage" occurs, or the "personal and advertising injury" is committed,
subsequent to the execution of such contract.
B. For the purposes of this endorsement the following is added to SECTION V — DEFINITIONS:
"Additional insured's own insurance" means other insurance for which the additional insured is designated as a
Named Insured.
includes copyrighted material of Insurance Services Office, Inc., with its permission.
22 -111 (01107) Page 1 of 1
INSURED: Downstream Services, Inc.
POLICY NUMBER: 2094163615
COMMERCIAL GENERAL LIABILITY
CG 24 04 05 09
VITIA M -; 4 --k-Kol - A h d 0 1A - 12 It "M
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:
As required by written contract.
Information required to complete this Schedule. if not shown
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 maize 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.
will be shown in the Declarations.
CG 24 04 06 09 0 Insurance Services Office, Inc., 2008 Page 1 of 9 O
g�
S
INSURED: Downstream Services, Inc.
Policy No; 2094163615
L 02 70 09 47
THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY.
AND ill r. A
TMe sodorseawt modifies insurance provided under the following:
CAPrfAL ASSETS PROGRAM (OUTPUT POLICY) COVERAGE PART
COMMERCIAL AUTOMOBILE COVERAGE PART
COMMERCIAL GENERAL LIABILITY COVERAGE BART
COMMERCIAL INLAND MARINE COVERAGE PART
COMMERCIAL PROPERTY COVERAGE PART
CRIME AND FIDELITY COVERAGE DART
EMPLOYMENT- RELATED PRACTICES LIABILITY COVERAGE PART
EQUIPMENT BREAKDOWN COVERAGE PART
FARM COVERAtr.E PART
LIQUOR LIABILITY COVERAGE PART
POLLUTION LIABILITY COVERAGE PART
PRODUCTWCOMPLETED OPERATIONS LIABILITY COVERAGE PART
PROFESSIONAL LIABILITY COVERAGE PART
A. Pamgraiphs 2 and S. of the CancaWlim Common
(2) Discovery of fraud or material
Poky Condition are replaced by the fcilawing
relarepresentafiort by.
2. AN Policies In Effect Fee Ii0 Days Or Less
(a) Any Irowed or his or her
If this policy has been In eff d for 60 days or
rspraserftWe In obtaining this
less, wW is not a renewal of a policy we have
insurance; or
previously issued, we may cancel this policy by
(b) You or your representative in
mating or ch ivering to the tst Named Insuriad
pursuing a claim under this policy.
aT the mailing address shaven in the policy and
(2) A judgment by . a court or an
to the producer of record, advance written notices
admirMrative tn'baunal that you have
of cancellation, stating the reason for
violated a Caliiornfe or Feuferai law,
Cancellation, at feast:
Laving as one of its raer4ssary
a. 10 clays before the effocgve date of
elemorris an act which matetially
cancell on'If we cancel for
increases any of the risks insured
(1) Nonpayment of premium; or
against.
(2) Discovery of fraud by:
(a) OL%couaty, of willful or grosaly negligent
acts or omftlons, or of any violations
(a) Any insured or his or her
of stet$ lava or regulations establishing
reptesenta0ve in opining this
safety standards, by you or your
insurance; or
mprowlativa. which materially
(b) You or your mpr>asantatnra in
increase any of the risks insured
pursuing a claim under this policy.
against.
b. 30 clays before The effectitre slate of
(5) Failure by you or yaw re esentative to
cancellation if we cancel for any other
imply "rit reasonable loss control
reason.
mqWemonts, agreed to by you as a
�l. All Pafickes lkr Eifeol For Uwe Thm so Days
condition of policy issuance, or which
were conditions precsderd to our use of
a. If this policy has been in ettect for more
a particular rate or rating plan, If that
than 60 days, or is a renewal of a policy we
failure materially inoreases any of the
Issued, pyre may cancel this policy only upon
Asir Insured against.
the amurrence, after the effecthm date of
i�) A an by the Commissioner
the polW, of or* or more of the Wowing;
Insurance t
of irhsuraace that the;
(1) Nonpayment of prerniurn, including
(a) LOW of, of changes in, our
payment due on a prior policy we
reinsurance covering all or pain of
issued and due during the current
policy farm coveft the sage risks.
IL 02 70 09 07 Copyright, ISO Properties, Inc., 2006 Page 1 of 3
the risk would thrsaten Harr finances€
However, we shalt cancel this policy if the
Integrity or solvency; or
tirsl Named Irrsuted has accepted a now or
(b) Continuation of the poftcy 00verage
renewal poli
E3
insurem as established by Cal. Ins. Code
inckAed an earthquake policy premium
Section 10089.16. We may elect not to
surcharge,
renew such coverage altar Mo first Named
d.
We will not refuse to renew such coverage
I has accaptad an offer of
sofmy, because consW soil conditions
earthquake coverage, if one or more of the
eAst on the premisss. This A strletion (d.)
following reasons applies:
applies only if coverage is subject to one of
(1) The nonrenswal is tossed on sound
the following, which excfude We or damage
underwriting principles that relate to the
caused by or resulting from corrosive soil
coverages provvlded by this policy and
conditions:
that are consistent wfth the approved
(1) Capital Asseb Program Coverage
rafmg plan and rala€ed docemartts food
Form (Output Policy);
with the Department of Insurance as
required by existing lerr;
(2) Commercial Property Coverage Part -
Cauaft Of Lo -Special tarns; or
t2) The Commissioner of Inswanoe finds
that the exposure to potential lasses
t3} Farm Coverage Part - Causes Of Loss
will threaten our solvency or place us in
Form -Fawn Property, Paragraph D.
a hazardous cost n. A haxardws
Covered Causes Of Loss - Special.
condition includes, but is not limilted to,
3. We
are not required to send notice of
a condition in which we make - claimsx
nonranewal in the following situations:
payments for losses resulting from an
oanhquake f#tat occurred within the
e.
If the transfer or renewal of a policy, without
preceding two years and that required a
any changes In terrrss, conditions, or rates,
Is between us and a member of our
reduction In policyholder surplus of at
insurance WOUP.
font 25% for payment of those clalrns;
or
b.
If the policy here been extended for 00 days
t81 we have:
less. provided that natic a has been givers
in accordance with Paragraph C.I.
in
(a) Lost or s*ariemad a subManpal
a.
If you have oWined tepfacement gage,
reduction to i to avaflabithy or
or if the first Named Inwxed has agroad, In
scope of raiawnince coverage; or
writing, within 60 days csf the termination of
(b) ExperionW a sWx4antial increase
the policy, to obtain that coveiraage,
in the premium charged for
d.
If flue s tar a period of no more than
P i
reinsurance cover of out
residential property irzsurartce
and you are nos at lira time of
60 days a
polices; and
issuance that it will not be renewed.
t�3 Cornrrtittslorwer twasapproved aplan
:tt.
It the firs! Named Irtswrr+bd regsraats a
change in the .or tiorrs or risks
[a
far the nonrenewafs that fair and
covered by poliric WiU1f4 tip days tit the
equitable, and that is resporrs�iv+e to the
oils
an# 4f 111w pr'aflc.y period.
dtetrsgesi in our rsirtsurenoet position.
e. We will not refuse to renew such coverage
t:
It wrra have rrr� a wrdfert offer to the --first
Insured, in accordance with tto
salef)y because the first Named Insured has
timetrames shown in Paragraph C.1., to
lima ra
cancelled ar did rwat r g policy, Issued
new bra P°ticY under #ucngad terms
by the California Earthquake Au#odttr that
e,
conditions or at err increased premium rate,
c
when the increase exceeds 25%, ,
L 02 iii sly 07
Copyright. ISO Properties, Inc., 2006
page 3of3
Policy# 5091396971
DOWNSTREAM SERVICES, INC.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CONTRACTORS EXTENDED COVERAGE ENDORSEMENT
0 BUSINESS AUTO PLUS -
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
I. LIABILITY COVERAGE
A. Who Is An Insured
The following is added to Section ll, Paragraph A.1., Who Is An Insured:
1. a. Any incorporated entity of which the Named Insured owns a majority of the voting stock on the
date of inception of this Coverage Form; provided that,
b. The insurance afforded by this provision A.1. does not apply to any such entity that is an
"insured" under any other liability "policy" providing "auto" coverage.
2. Any organization you newly acquire or form, other than a limited liability company, partnership or joint
venture, and over which you maintain majority ownership interest.
The insurance afforded by this provision A.2.:
a. Is effective on the acquisition or formation date, and is afforded only until the end of the policy
period of this Coverage Form, or the next anniversary of its inception date, whichever is earlier.
b. Does not apply to:
(1) "Bodily injury" or "property damage" caused by an "accident" that occurred before you
acquired or formed the organization; or
(2) Any such organization that is an "insured" under any other liability "policy" providing "auto"
coverage.
3. Any person or organization that you are required by a written contract to name as an additional
insured is an "insured" but only with respect to their legal liability for acts or omissions of a person,
who qualifies as an "insured" under Section II - Who Is An Insured and for whom Liability Coverage is
afforded under this policy. If required by written contract, this insurance will be primary and non-
contributory to insurance on which the additional insured is a Named Insured.
4. An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or
agreement in that "employee's" name, with your permission, while performing duties related to the
conduct of your business.
"Policy," as used in this provision A. Who Is An Insured, includes those policies that were in force on the
inception date of this Coverage Form but:
1. Which are no longer in force; or
2. Whose limits have been exhausted.
B. Bail Bonds and Loss of Earnings
Section II, Paragraphs A.2. (2) and A.2. (4) are revised as follows:
1. In a.(2), the limit for the cost of bail bonds is changed from $2,000 to $5,000; and
2. In a.(4), the limit for the loss of earnings is changed from $250 to $500 a day.
C. Fellow Employee
Section II, Paragraph B.5 does not apply.
Such coverage as is afforded by this provision C. is excess over any other collectible insurance.
II. PHYSICAL DAMAGE COVERAGE
A. Glass Breakage - Hitting A Bird Or Animal - Falling Objects Or Missiles
Policy# 5091396971
The following is added to Section III, Paragraph A.3.:
With respect to any covered "auto," any deductible shown in the Declarations will not apply to glass
breakage if such glass is repaired, in a manner acceptable to us, rather than replaced.
B. Transportation Expenses
Section III, Paragraph AA.a. is revised, with respect to transportation expense incurred by you, to
provide:
a. $60 per day, in lieu of $20; subject to
b. $1,800 maximum, in lieu of $600.
C. Loss of Use Expenses
Section III, Paragraph A.4.15. is revised, with respect to loss of use expenses incurred by you, to provide:
a. $1,000 maximum, in lieu of $600.
D. Hired "Autos"
The following is added to Section III. Paragraph A.:
5. Hired "Autos"
If Physical Damage coverage is provided under this policy, and such coverage does not extend to Hired
Autos, then Physical Damage coverage is extended to:
a. Any covered "auto" you lease, hire, rent or borrow without a driver; and
b. Any covered "auto" hired or rented by your "employee" without a driver, under a contract in that
individual "employee's" name, with your permission, while performing duties related to the
conduct of your business.
c. The most we will pay for any one "accident" or "loss" is the actual cash value, cost of repair, cost
of replacement or $75,000, whichever is less, minus a $500 deductible for each covered auto. No
deductible applies to "loss" caused by fire or lightning.
d. The physical damage coverage as is provided by this provision is equal to the physical damage
coverage(s) provided on your owned "autos."
e. Such physical damage coverage for hired "autos" will:
(1) Include loss of use, provided it is the consequence of an "accident" for which the Named
Insured is legally liable, and as a result of which a monetary loss is sustained by the leasing
or rental concern.
(2) Such coverage as is provided by this provision will be subject to a limit of $750 per "accident."
E. Airbag Coverage
The following is added to Section III, Paragraph B.3.:
The accidental discharge of an airbag shall not be considered mechanical breakdown.
F. Electronic Equipment
Section III, Paragraphs B.4.c and B.4.d. are deleted and replaced by the following:
c. Physical Damage Coverage on a covered "auto" also applies to "loss" to any permanently installed
electronic equipment including its antennas and other accessories.
d. A $100 per occurrence deductible applies to the coverage provided by this provision.
G. Diminution In Value
The following is added to Section III, Paragraph B.6.:
Subject to the following, the "diminution in value" exclusion does not apply to:
a. Any covered "auto" of the private passenger type you lease, hire, rent or borrow, without a driver
for a period of 30 days or less, while performing duties related to the conduct of your business;
and
b. Any covered "auto" of the private passenger type hired or rented by your "employee" without a
driver for a period of 30 days or less, under a contract in that individual "employee's" name, with
your permission, while performing duties related to the conduct of your business.
c. Such coverage as is provided by this provision is limited to a "diminution in value" loss arising
directly out of accidental damage and not as a result of the failure to make repairs; faulty or
incomplete maintenance or repairs; or the installation of substandard parts.
d. The most we will pay for "loss" to a covered "auto" in any one accident is the lesser of:
Policy# 5091396971
(1) $5,000; or
(2) 20% of the "auto's" actual cash value (ACV).
III. Drive Other Car Coverage — Executive Officers
The following is added to Sections II and III:
1. Any "auto" you don't own, hire or borrow is a covered "auto" for Liability Coverage while being used by,
and for Physical Damage Coverage while in the care, custody or control of, any of your "executive
officers," except:
a. An "auto" owned by that "executive officer" or a member of that person's household; or
b. An "auto" used by that "executive officer" while working in a business of selling, servicing, repairing or
parking "autos."
Such Liability and/or Physical Damage Coverage as is afforded by this provision.
(1) Equal to the greatest of those coverages afforded any covered "auto'; and
(2) Excess over any other collectible insurance.
2. For purposes of this provision, "executive officer" means a person holding any of the officer positions
created by your charter, constitution, by -laws or any other similar governing document, and, while a
resident of the same household, Includes that person's spouse.
Such "executive officers" are "insureds" while using a covered "auto" described in this provision.
IV. BUSINESS AUTO CONDITIONS
A. Duties In The Event Of Accident, Claim, Suit Or Loss
The following is added to Section IV, Paragraph A.2.a.:
(4) Your "employees" may know of an "accident" or "loss." This will not mean that you have such
knowledge, unless such "accident" or "loss" is known to you or if you are not an individual, to any
of your executive officers or partners or your insurance manager.
The following is added to Section IV, Paragraph A.2.b.:
(6) Your "employees" may know of documents received concerning a claim or "suit." This will not
mean that you have such knowledge, unless receipt of such documents is known to you or if you
are not an individual, to any of your executive officers or partners or your insurance manager.
B. Transfer Of Rights Of Recovery Against Others To Us
The following is added to Section IV, Paragraph A.S. Transfer Of Rights Of Recovery Against Others
To Us:
We waive any right of recovery we may have, because of payments we make for injury or damage,
against any person or organization for whom or which you are required by written contract or agreement
to obtain this waiver from us.
This injury or damage must arise out of your activities under a contract with that person or organization.
You must agree to that requirement prior to an "accident" or "loss."
C. Concealment, Misrepresentation or Fraud
The following is added to Section IV, Paragraph B.2.:
Your failure to disclose all hazards existing on the date of inception of this Coverage Form shall not prejudice
you with respect to the coverage afforded provided such failure or omission is not intentional.
D. Other Insurance
The following is added to Section IV, Paragraph B.S.:
Regardless of the provisions of Paragraphs 5.a. and 5.d. above, the coverage provided by this policy
shall be on a primary non - contributory basis. This provision is applicable only when required by a written
contract. That written contract must have been entered into prior to "Accident" or "Loss."
E. Policy Period, Coverage Territory
Section IV, Paragraph B. 7.(5).(a), is revised to provide:
a. 45 days of coverage in lieu of 30 days.
V. DEFINITIONS
Section V. Paragraph C. is deleted and replaced by the following:
"Bodily injury" means bodily injury, sickness or disease sustained by a person, including mental anguish,
mental injury or death resulting from any of these.