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PROOF OF INSURANCE (2018) CLOSED DATE(MM/DD/YYYY) A1111 1 C"R"® CERTIFICATE OF LIABILITY INSURANCE 12/4/2017 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 riqhts to the certificate holder in lieu of such endorsement(s). PRODUCER (CONTACT NAME: Arthur J. Gallagher&Co. IPHONE 415-536-8617 FAX 415-536-8627 Insurance Brokers of CA, Inc. LIC#0726293 +! (A/C.No): 1255 Battery Street, Suite 450 I ADDRESS: San Francisco CA 94111 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:American Fire and Casualty Company 24066 INSURED CSGCONS-01 INSURER B:Cypress Insurance Company(CA) 10855 CSG Consultants, Inc. INSURERC:Arch Insurance Company 11150 550 Pilgrim Drive Foster City, CA 94404 INSURERD:WestAmerican Insurance Company 44393 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1788921855 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. INSR TYPE OF INSURANCE ADDL 5UBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) D X COMMERCIAL GENERAL LIABILITY Y BKW(18)57695795 12/4/2017 12/4/2018 EACH OCCURRENCE $1,000,000 CLAIMS-MADE XI PREMIDAMAOCCUR ETORENTED PREMISES(Ea occurrence) $500,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY ❑ PRO � JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY BAA(18)57695795 12/4/2017 12/4/2018 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) A X UMBRELLA LAB X OCCUR USA(18)57695795 12/4/2017 12/4/2018 EACH OCCURRENCE $5,000,000 H EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED IX I RETENTION$0 $ B WORKERS COMPENSATION CSWC821833 12/4/2017 12/4/2018 X I SPER TATUTE OERH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? ❑N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Professional Liability PAAEP0008802 12/4/2017 12/4/2018 Each Claim $5,000,000 retro date: 1/1/1991 Aggregate $5,000,000 Deductible: $50,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) re: Agreement for Professional Services. City of EI Segundo, a general law city and municipal corporation, its officials and employees are included as additional insureds on a Primary& Non-Contributory basis on GL with 30 Day Notice of Cancellation per attached. Auto coverage form is CA 00 01 03 06. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of EI Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN EI Segundo Planning&Building Safety Dept ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main St EI Segundo CA 90245-3813 USA AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD uC+DIIIWRIIWd1IlERCIIAL GENERAL LIABILITY Poficy#: BKW(l 8)57695795 Cup; 88 10 104 113 THIS ENDORSEMENT CHANGES TIME P'OLI'CY. PLEASE READ IT CAREFULLY. COM!ME'R CIIAL GENERAL LIABILITY EXTE'NS'IO,N This endorsement modifies insuraince provided under the following'. COMMERCIAL GENERAL LIABILITY COVERAGE PART IINIDEX, SUBJECT PAGE NION-O WdNIED AIRCRAFT 2 NIO,N1-t 'WNIED,WATERCRAFT 2 PROPERTY DAMAGE LIABILITY-ELEVATORS 2 EXTENDED DAMAGE TO PROPERTY RIEINTED'TO YOU(Tenant's Property Darna,ge) 2 MEDICAL PAYMENTS'IEXTENSION 3 EXTENSION OF SUPPLEMENTARY PAYMENTS-COVERAGES A AND B 3 ADDITIONAL INSUREDS-IFFY CONTRACT,AGREEMENT OR PERMIT 3' PRIMARY AND NON-CONTRIBUTORY-ADDITIONAL INS'U'RED EXTENS'#CIN S ADDITIONAL INSUREDS-EXTENID,ED PROTECTION I OF YGILIIR "LIMITS OF INSURANCE" 6 WHO,IS AN INSURED-INCID'E'NTAL MN EDICAL ERRDRSIMALPIRA "TI'CIE AND WHO IS AN INSURED•FELLOWS EMPLOYEE EXTENSION-MAINAGEM'ENT EMPLOYEES 6' NEWLY FO,RMN ED DR ADDITIONALLY ACQUIRED ENTITIES 7' FAILIURIE TO DISCLOSE HAZARDS AND,(PRIOR OCCURRENCES 7' KNOWLEDGE OF OCCURRENCE,OFFENSE,CLAIM OR SUIT 7' LIBERALIZATION CLAUSE 7' BODILY INJURY REDEFINED 7' EXTENDED PROPERTY DAMAGE 6' WAIVER OF TRANSFER OF RIGHTS 13IF RECOVERY AGAINST OTHERS TO,US• 8 WHEN REQUIRED, IN I A CONTRACT OR AGREEMENT WITH YOU 0 11013 ILibt eriy IlMutuad Insuuraunce CG 88 110 04 13 Includes copyrighted material of I$nsurani a Services Office,Inc,.with,its Ipermission. Paige 11 of 8 With respect to coverage afforded by this, endoirseirrilent, the provisions of thie policy apply unless modified by the,endorsement, A. NON-OWNED AIRCRAFT Under Paragraph 2. Exclusions of Section 11 - Coverage A - Bodity Injury And Property Damage Liability, exclusion gi.A,ilricraift,Auto Or Watercraft does not apply to an aircraft provildied., 'I. It is not owned by any insuireld; 2. It is hired,chartered or loaned with a trained paid crew; 3. The piillot in command holidls a,currently effective certificate, lissuledl by the duly constituted authority of the United i States of America or Canada,desiginating her or hiim a commerciall or airline p0oitit- ainid 4. It is not being u.sedl to,carry persons or property for a charge. However, the insurance afforded by this provision doe's not apply if there is available to the insured otheir valid and collectible insurance, whether primary, excess (other than inslurance written to apply specifically in excess of this policy), contingent or on any other basis�, that wouid also apply to the loss covered under this provision, �B. NON-OWNED WATERCRAFT Under Paragraph 2'.Exclusions of Section I-Coverage A-Bodily llinjiuiry And Property Damage Liability, Subparagraph (2)of exclusion g. Aircraft,Auto Or Watercraft is replaced by the foillowinq: This excl u!siloin doesnot apply to: (2) A watercraft you do not owin that is: (a) Less tlhiaiin5l2feet lonlg; ands ('b) Not being used to carry persons orpiropeirty for a,charge. C. PROPERTY DAMAGE LIIABIILIITY-ELEVATORS 1. Under Paragraph 2, Exclusions of Section I - Coverage A- Bodily Injury And Property Damage Liaibil- iity, Subparagraphs (3,),, (4) and (6) of exclusion,j. Damage To Property do not apply if such) "property damage" results from the use of elevators, For the purpose of this provision,iellevatoirs do not include vehicle lifts.Vehicle lifts are lifts or hoists uised in alutoirnobile service or repair operations. 2. The following is added) to Section IV - Cornmercial General Liability Conditions, Condition 4. Other Insurance, Paragraph bi.Excess,Insurance: The insurance affordledl by this provision, of this endorsement is excess over any property insurance, whether pirimary, excess,contingent or on,any other basis. Di. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU' (Tenant's Property Damage), If Damage To Prernises Rented To You is not otherwise exclud'ed from this Coverage IPairt: 1. Ulnider Paragirapih 2. Excluisiions of Section I-Coverage A-IBodilly Injury and Property Damage Liability: a. The fourth from the last paragraph of exclusiion j. Damage To, Property is Irepilacedl by the follllow- ing; Paragraphs (11)i, (3)and (4),of this,exclusion do not apply to "property damage" (other than damage by fire, lightning,explosion, simoke,,or leakage from an automatic fire(protection system)to: (i), Premises rented to you for a period of 7 or fewer consecutive days; or (iii), Contents that you rent or lease as, part of a, premises rental or lease agreement for a, pelriodl of more than 7days, Paragiraphis, (1), (3) and (4) of this exclusion do not aipplly to ""pliroipie'rty damage" to contents, of premises(rented'to you for a period of 7 or fewer consecutive days. Al separate himit of insuirance applies to this coverage as described in Section III - Limits of �lins,uiiranicei. Q 2013 Liberty MitituallAnsuirance CIS 88 101 014 13 IInclhides copyirm1htedi rnaleri,M of Office,IIn c.,wit1h its piermissnoin. Page 2 of 8 Ib. The last paragraph of subsection 2. Exclusions is replaced by the following, Exclusions c. through in. do not apply to, damage by fire, lliightniing, explosion, smolke or (leakage from automiatic fire protection systems to Ipremiises while rented to yollui or teirnporairily occluipied by you with permission of the owner. A separalte llimiit of insurance applies, to Dairnage To, Premises Rented To You as diescriibied in,Section III-ILimits Of Insurance. 2. Para g rai ph 6. under Section till-Limits Of Insurance is replaced)by the to I lowi nig: 6. Subject to, Paragraph, 51. above, the, Damage To Premises Rented To You Limit is the most we will play under Coverage A for damages because of "property dairnage"' to: ai. Any one premise: (1) While rented to you, or (2) 'While rented to you or temporarily occupied Iby you, with permission, of the owner for damiagle by fire, lightning, explosion, smolike or leakage from automatic protection, sys- terns; or �b. Contents that you rent or lease as part of a premises rental or lease agreement. 3. As, relgiards coverage provided lby this provision Di. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tainaint's,Property Damiage),-Pa ragi ira plh 9.a. of Definitions is replaced w i th the foll lowi ing: 9.a. A contract for a lease of premises. However, that portion of thie contract for ai lease of premises that indierninifies any person or orgiani,zaition for damage by fire, fightning, expliloisiion, smoke,, or leakage from automatic fire protection systems, to, premise's while rented to you or temporarfly occupied by you with the permission of the owner, or for damage to contents of such premises that are included) iin your premises rental or lease agreement, is not an, "insured contract"'. IE, MEDICAL PAYMENTS EXTENSION If C�onverage C Medical Payments its not otherwise excluded, the Medical Payments provided by this policy are amended as follow s: Under Paragraph 1. Insuring,Agreement of Section II - Coverage C- Medical IPayrments, Sublpiaraiglraph (b)of Paragraph a.is replaced by the following: (b) The expenses are incurred ands reported within three years of the date of the accident; and F. EXTENSION OF SUPPLEMENTARY PAYMENTS-COVERAGES A ANlD,B 1. Under SupiplilemienitaryP'ayments-,Coverages A and B, Paragraph, 1.b. is repIacecl by the following: b. Up to $3,01010 for cost of baill 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 niot have to fuirinish,these bionds, 2'. Paragiraphll,,dl.,isreplaced blythe folllowinigi:! d. Alill reasonable expenses, incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit", including ac:tuaill loss of earnings up to $5,001 a day because of time off from work. G. ADDITIONAL INSUREDS- BY CONTRACT,AGREEMENT OR PERMIT 11. Paragraph 2. under Section 11 -Who Is An, Insured is amended to, include as, an, Insured any, plerson or orgiainiizaitiion whom, you have agreed) to add as an additional insured in, a written contract, written agreement or permit. Such person or organization is an additional insured but only with respect to llia,biiliity for "bodily injury", "'property damage" or "personal and advertising injury" caused in whil or in part by. a. Your acts or omissions, or the acts or omissions olf'those acting i on your behalf, in the performance of your on going operations for the additionall insuredi that are thesubject of the written contract or written agreement provided that the "bodfly injury" or "'property dairnage" occurs, or the "'"(per. solnial and advertising injuiry"' is committed, sub,sequienit to the signing of such written contract or written agreement; or 0 2013 Liberty Mutual Insurance CG 88 10,04 13 $ncliudes copyrightedi materW of iInsuurance Services Office,linc,,with,its ipermission, Page 3 of 8 b. Premises or facilities rented by you or used by you; or c. The maintenance,operation or use by you of equipment rented or leasied to you by such person or organization; or d. Operations performed by you or on youir behalf for which the state or political subdivision Ihas issued!al permit subject to the following additional provisions, (1) Thils i!nisuraince does not apply to "bo'dli!ly, injury", "property clarnage", or "personal and ad- ve'rtising injury" arising out of the operations performed for the state or political'subdivision; (2) This insurance do'es: not apply to "bodily injury"' or "property damage" iniciluded wiithin the "completed operations hazard". (3) linsurance applies to, prernises you own, rent, or control but only with respect to,the following hazards: (a) The existence, maiintenaince, repair, construction, erection,, or IrenlovalU of adviertising signs, awinings, canopies, cellar entrances, coal holes, driveways, Irmanholes, marquees, hoist away openings, siclewalk valufts, street bainners, or decorations ands similar expo- sures; or {,bi) The construction,erection,or removal of e'levaitors, or (c), The o'wnership', maintenance,or use of any elevatolirs covered)by this inslurance. However: 1. The insurance afforded to such add'itionia I insuired only applies to the extent permitted by law; and 2. If coverage provided to, the additional insured is required by a contract or agreement, the insur- ance affo'rded to suclhl additional insuired will not be biroa,der than that which you are irequ!ired by the contract or agreement to proviide for such additional insured. With respect to Paragraphi Lai. above, al pers�oin"s or orgainization's status as an additional insured under this endorsement erodes when: (1) All work, includingi maiteri!als, parts or equipment fuirniishiied in connection with su'chl 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 "yolur 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 perforlmin'gl oplerations for a principal as a part of the same project. With respect to IPdFayralph 1.b. ditiove, a PeIrSUll'S or My'diflilildtiOln"N, SWAUS as all additional insulued under this endorsement ends when their written contract or written agreement with you for such premises or facilities e,ndls. With respects to, Paragraph 1.c. above, this insurance does not apply to any "occurrence" whiich takes place after the e"qu!iipment rental o'r lease agreement'has expired!or you'hiave returned such equipment to the lessor., The insurance pro'videdl by this endorsernent applies only if the writte'nl contract or written agreement is signed prior to the "'bodi'ly injury"'or "property clarnage". We have no duty to defend and additional insured under this endorsement until we receive written notice of a "suit" by the additional insured as reqluiiir,ed in Paragraph bi. of Condition 2'. Duties In the Event Of Occurrence, Offense, IClailm Or Suit under Section IV - Commercial General Liability Condi- tio'nis. 20,13 Ibibelrty Mtjnjai lnsijirainre CG,88 14 104 13 Mcludes copyrighted materiM of Insurance Services Office,Inc.,wi'th,its ipeirmiission. Page 4 of 8 2'. With respect to the insurance provided by this endorsement, the following are added to Paraigirapih 2. Exclusions under Section I-Coverage A-Bodily Injury Aund1 Property Damage Liability: Thilis insurance does,not aipplly to: a,. "Bodily injury""' air "'property damage"' arising from the sole inegi4igiencle of the addiltional insured. �b. "Bodily injury"' or "piroperty clairriage" that occurs prior to you commencing operations at the location where such "'bodily injury"' or "property damiage" occurs. c. "Bodily injury"', "property clairnalgie" or "peirsional and advertising injury" arising out of the tender- ing of, air the failure to renidler, any professional architectural, engineering or surveying services, including: (1) The preparing, approving, air, failing to, prepare or approve, maips, shop, drawings, opinions, reports, surveys,field orders,chaiinge orders or drawiingis,and specifications; or (2) Supervisory,, inspection,architectural or engineering activities. Thies exieWsion applies even if the claims against any insured allege negligence or other wrongdoing in the sluipervision, hiring, employment, training or monitoring of others by that insured, if the "accuir- renice" which caius,ed the "bodily injury" air "'property damage"", air the offense which calused the 14personial and adverlisingi injury", involved the rendering of, or the failure to render, any professional architectural, eingineeiring,or surveying services. d. "Bodifly injury" or "property de mage"' occurring after: (1) All work, including) materials, parts or equipment fuurnishedl in connection with such work, on the project (other than service, maintenance or repairs)to be performed by or on behalf of the additional insluired(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 Iperforlming operations for a principal as a part of the saime project. e. Any person or orga n iza ti on,spe6ifica I lly des:ig nated as an additl a na I Insured for cinigioiingolpe raitiio ns by a separate ADDITIONAL INSURIED -OWNERS, LESSEES OR CONTRACTORS endorsement is- sued by us and made a part of this policy. , . Wiith respect to the insurance affordedto these adld'iltionall'insuireds,the following is added)to Section 1111111 -Limits Of:Insuraince: If cloverage providledl to,this additional insluired is required by a contract or agireement,the most we will, pay on behalf of the additional insured its the amount of insurance, a. Rleglullredl by th e contract or ag releiment; or b. Available under the applicable Limits of IInsuraiince shown inithe Declarations; whichever is less, This endorsement shall not Increase the applicable Limits of Insurainice shown in the Declarations, H. PRIMARY AND NON-CONTRIBUTORY ADDITIONAL IINSUIREID EXTENSION This provision applliies to any 1pe'rsion or orgainization,who qualliifies as an additional Insured, under any form or eindoirseiment under this Ipollicy. Condition 4. Other Insurance of SECTION IV- COMMERCIAL GENERAL LIABILITY CONDITIONS is amendl- ed ars follows: a,. The following, is added to Paragraph a. Primary Insurance: If an, additional inisured)'s policy has an Other Insurance provision making its policy excess, and you have agreed in al written contract air written agreement to provide the additional insured coverage on a pri�ma,iry and noncontributory basis, this policy shall lble? primary and)we wilHi not seek contribution,firom the additional inisured"s policy for damages we cover. 191 20,113LnbertyMuitluiallinislurance GG i II8 10,014 13 111dUides colpy6ghted material of Insurance Services,Office,snic.o with its permission. Page 5 of 8 bi. The following iis addled to Paragraph bi. Excess Inisluiraini When,a written, contract or written agreeiment,other than a preirnises Illease, facilities rental contract or agreerri an, equipiment rental or lease contract or agreement, or permit issued by a state or political subdivision between you and an, additionial insured does niot require this insurance to, be primary olir primary and anon-contributory, this insurainice is excess over any other insuirainicle for whiiich the addi- tional insured is designated'as a Namiecl lnsuired. Regardless of the written agreement between you and an additional ins'u'red, this insurance is excess over any other Insuraince whether piriimary, excess, contingent or on any other basis for which the aidditional insured has been added as ain additional inslured on other policies, I. ADDIITIO�INALINISUIRE:DS-EXTEND,EID,P'ROTECTIIONO,F:YO'UR "LlllMlITS�OF]INS'UIRAN'CE" This provision applies to any person,or organization who qualifies as aiin additional insured under aniy form or endorsement under this(policy. 1., The following liis added to Condition 2. Duties In The Event Of Occurrence,Offense,Claim or Suit: An additional insured unidler this endorsement will as soon ais praicticable: a,. Give written notice of ain "occlurrience" or an offense that may result in a claim or "Suit" unideiir th i s i ni s u ra nce to us,; b. Teiri the defense and indemnity of ainiy claim or 111suit" to all' insurers whom also (have insurance a va i la bie to the addliti o na i i nis u!red; and c. Agiree to make available any other insurance which the additiionall' insured hias for a, Inss we cover under this Coverage Part. d. We have no duty to defend or indeirinnify an additional iinsured under thiis endorsement until we receive written notice of a, "suit" by thie additional insuired, 2. The limits of in'sura'nce applicabile to the additional insured are those specified in a written contract or written agireeiment or the limlits of in'su'rance as stated iin the Declarations of this pol'iicy and definied in Section III - Limits of Insurance of this policy, which'e'ver are less. These himits aire inclusive of and not lin addition to,the Himits of insurance availabie under this policy. JI. WHO IS AN INSURED-INCIDENTAL MEDICAL ERROR$/MALPRACTICE WHO IS AN INSURED-FELLOW EMPLOYEE EXTENSION-MANAGEMENT EMPLOYEES Paragraph 2.a.(1)of Section It-Who Is An,Insured is replaced with the folloiwingi, (1) "Blodliillyiinjury" or "personaillanidladvertising inijiuiiry"': (a) To you,to your partners or members (if you are a partnership or joi nit vientuire),, to your membieirs(if you are, a (limited liability compainy), to a co-"employee" while in the course of: his or her employ- ment or performing, duties related to the conduct of your business, or to your other "volunteer workers" while peirforming duties related to the con'd'uct of your business; (b) To the spouse, child, pairent, brother or sister of that co-"""employee" or "volunteer workeir" as a consequence olf Paragraph (II)i(a)above; (c) For which there, is any ob,llilg,aitiion to shiare damages with or repaiy someone else who, muist pay diaimaiges,because of the injury described in Paragraphs (I)(a)or(b)above; or (d) Arising out of his or Ther providing or failing to provide professional health care services. However, if your are not in the biuisiness of providing professional health care services or Providing profesi- siional health care personinel to others, or iif coverage for providing professional health care seir- vices is not otherwise excluidled by separate endorsement, this provision (Paragraph (d)) does not apply. Paragraphs (a) and (b) above do not apply to, ""bodily injury" or "personal and advertising injury" caused Iby an "employee " who, is acting int a supervisory capacity for you!. Supervisory capacity as used herein means the "erniployee's" job responsibilities assigned! by you, includes the direct superviision, of other "eimploy- ees" of yours. However, nioine of these "employees" are insurads for "bodily injury" or "personal and 06' 2013 L i be rly Mutual tnis,ura nice CG 88 10,014 113 lnrliiiirIP4�oninviriahtptl i of lnciiiiirpinrp qprvt"c nffi— ino wi+h ifc narniirconn Pinna A of $1 advertising Injury" arising out of their willful conduct, which,is defined as the(purposeful or will1ful intent to cause "bodily injury"' or "personal and advertising injuiry", or caused' lien whiollle or in, part by their intoxlica- tion by llilqluor or controlled suib"stanices. The coverage providle,dl by provision J. is excess over any other valid and collectable insurance available to your "employee". K. NEWLY FORMED OR ADDITIONALLY ACQUIRED,ENTITIES Paragraph 3'.of Section II-Who,is An insured is replaced,by the following: 3�. Any organization you newly acquire or form and over which you maintaii�n ownership of majority interest, will quality as a, Named Insured If there Is, no othier similar inslurance available to thait organization, However: al. Coverage under this provision is afforded only uinitiil the expiration, of the policy period in wwhichl the entity was acquired oir formed by you; b. Coverage A does not apply to "bodily injury" or "property dairnalge" that occuirried before you acq ui red or formedl the o rg an izait ioni; a nd c. Coverage H does not apply to "'personal' and adlvertis,in:g injiury" arising out of an, offense committed lbefore you,acquired or formed the organiMi(viri, d. Records and descriptions of operations must be maintaiined Iby the first Named insured. No person or orgainization, is an insured with respect to the conduct of any current or past partnership,joilnt venture or limiitedl liability company that is not shiowin ais, a Named insured in the Declarations or quallf ies, as an insuired under this provision, L. FAILURE TO DISCLOSE HAZARDS AND IPRIOR OCCURRENCES 'Under Section IV -Commercial General Liability Conditions, the following is added to Condition 6.Repire- sentaitions�: Your failuire to disclose all hazards or prior "occurrences" existing as of the inception date of thus policy shall not Iprejiuldice the coverage afforded by thils policy provided such failure to disclose all hazards or prior"occurrences" is not intentional, Mi. KNOWLEDGE OF O,CCUIR�R�ENCE,OFFENSE,CLAIM O'R SUIT Under Section, IV -Cornirneirciall Generall Liability Conditions, the following is addled to Con'd'ition 2, Duties In The Event of Oc�c�uirrience,Offense,Clailim,Or Suit: Knowledge of an ""occurrence"', offense, claim or "sult" by an a'ge'nt, servant or "'employee"' of any insured shall not in itself constitute knowledge of the insured unless anI insured listed undler Ipallragralph, 1. of Section 11 -Who Is An Insured or a person who has lbe,e,n,designated by them to receive reports of occurrences", offenses, claiiims or "suits" shad have received such notice from,the agent, servant or employee". N. LIBERALIZATION CLAUSE if we revise this Cornmercial Genlerallll Liabillity Extension, Endorsernienit to provide more coverage without additional premium,charge,your poliVcy wilil autornatilically provide the coverage as of the day the revision is effective iln your state. 0. BODILY INJURY REDEFINED, Under Section V-Definitions,Defin,iitilon 3'. is,replaced by the following! 3. "'Bodily Injury" means physical iinjluiry, sickness or disease sustained by a person. This includes mentall anquiishi, mental injury, shock, fright or death) that results from such, physical injiury, sick- ness or disease, 2013 bbeirty Mutual Insurance CG 88 10 04 13 Indludies copyirliigilhteld'm,alf.,rilalV of linsuranire Sf.,irviiires Office,Inc.,with its permission. Page 7 of 8 P. EXTENDED PROPERTY DAMAGE Exclusion a. of 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 intendedl 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. 0. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY A,G,AINIST OTHERS TO U'S - WHEN REQUIRED 11N A CONTRACT OR AGREEMENT IT'I-w11 YOU Finder Section, 1V - Commercial General Liability Condlitions, the following is added to Condition S.Trans- fer Of Rights Of IRe!coveiry Against Others To Us,: We waive any right of recovery we miay have against a,person,or orgainization because of payments we make for injiury or damage arising ouit of your ongoing operations or "'your work" done under a contract with that person,or orgiainization and included in the "Products-compilleted operations hazard" provided: 1. You and that person or organization have agreed' in writing in a contract or agireement that you waive such rights against that person or organization; and 2. The injury or damage occurs subsequent to the execution of the written contract or written agree- ment, 01 2013 Libeily Mutual' nmjrance CG 8'810 O4 13 Includes copoghted matef W of Insurance Services Office,inc„with,its permission, Page 8 of 8 Policy # BKW(l 8)57695795 COMMERCIAL GENERAL LIABILITY CG i 89 70 05 11110 THIS ENDORSEMENT CHIANIGES THE POLICY. PLEASE READ IT,CAREFULLY. AD,D,ITIIONIAL INSUIRED, — AM' END,MENIT OF CANCELLATIONI PROVISIONS OR COVERAGE CHlANIGE 'T'hiis endorsernent imoldsfies insuraince provided Under the f61owing: COMMERCIAL GENERAL LIABILITY COVERAGE (PART Any t;pirm oir pirovision, of the Caincleiiation Goinidifions of the Ipollocy or any eindorseimentamendiing or replacing such Goindiltions, is airnipindied Iby the folklowinigi If you have agreedi !in a written contract or wrii(ten agreement to provide a, person or orgianization who qualifies as an aidditioniali inSili under this policy a notice of canicleilabon anid/or Imaterilal chainge that riedilli or restricts the insurance afforded by this Colverage iPart we agiree to the folloi a. Provide 30 days, phor wrItten cancellation nolhoe for reasons,either than nonpayment of premiiumi aind/or 30 days plihor written notice of coverage chaingle per schedule of additional linsureds, provided to 20 111 Liberty Mlutuall Agiency Corporafion- AH rights reserved)_ CSG89 78,015 11 lincliudes copynghted mateNat of Ilnsu.urarnce Serviices Office, Inc., M11h iit5 1permiissiron, page 1 lot I Pollilcy# BAA(18)8 " 8 " 8 CDIyIMERCIAL AUTO CA 1 QI 101 113 THIS ENDORSEMENT CHANGES THE, POLICY. PLEASE I IREAD IT' CAREIFULLY. BUSHINESS AUTO COVERAGE ENHANCEMENT ENDORSEMENT This endlolrsernelnit Imodifies insurance provilded under the following.. BUSINESS AUTO COVERAGE FORM With respect to coverage affordledl by thnils endorsement, the Iplrovlslons of the IpoliJcy apply uirnless modified by the endorsement. COVERAGE INDEX SIU11BJIIECTPROVISION INUIIINtIIIB'IER ADDITIONAL INSURED IHY CONTRACT, AGREEMENT OR IP'EIRJMIIIT 3 ACCIUIDIENTAU_ AIIRIBAC DEPLOYMENT f AMENDED (DUPES IN THE IEVENT OF ACCIDENT, CII....AIM, 'SLAT OR (LOSS 19 AMENDED FELLOW EMPLOYEE EXCLUSION b AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE 13 BROAD FORM INSURED f BODILY INJURY IRIEDEFIINIEID 22 EMPLOYEES AS UNSURIEDS (lunclludiunlgl employee hired auto) 2 EXTENDED CANICELILAI IION CONDIFION 23 EXTRA EXPENSE —BROADENED, COVERAGE 10 GLASS REPAIR—WAIVER OF IDEDUCTIBLE 15 HARED AUTO PHY&CAL DAMAGE (iiincllulding employee Mired auto and loss of Luse) E 1 IIIREID AUTO CC,VE.RACIE TERRITORY 20 LOAN( /(LEASE CAP' 14 PARKED,AUTO COLLISION COVERAGE (WAIVER OF DEDUCTIBLE) 16 PERSONAL IEFFECTS COVERAGE 11 P'il-lYSUCAJL DAMAGE —ADDITIONAL TRANSPORTATION EXPENSE COVERAGE RENTAL REIMBURSEMENT g SUPPLEMENTARY PAYMENTS 4 TOWING AND LABOR 7 TWO,OR MORE DEDUCTIBLES 17 UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS 18 WAIVER OF TRANSFER OF RIGHTS OF IRECOVERY AGAINST OTHERS TO US 20 SECTION II—LIABILITY COVERAGE is alrnended as folllowvs: 1.. BROAD FORM INSURED SECTION fl — LIABI UTY COVERAGE, paragraph A.I. —WHO IS AN UNSURED !is alrnended to inclutdle the folllowwling as an insured: d. Any Iegially incorporated entity of which you own more than 50 percent of the voting stock dluuriing the policy peroodl. However, "Ilnsu.0red" does not (Include any organization)that. (1), Is a pairtineirsh hip or joint venture; or (2), Is an Iirnsuulredl Under any other aluutomoblilhe (policy; or (3) Has exhausted ilts Urnilt of Insurance uuinder any other automobile (policy. Paragraph d. Ii of this provision does, not apply to a policy wrilten to aplplly specifucalIy in excess of thins (policy. e. Any organization your newwlly acquire or form, other than a partnership or joint venture, of which You own more than g percent of the, voting stock. This automatic coverage is afforded only for 180 days from the date of acgltuislilion or formation. (However, coverage Under this provisiioni does not appllly: (11) If there is similar insurance or a self-Insured retention plain avalilllaNe to that orgalnuzation; G'Y 210113 Lildeirty MUltU an I nsluraince CA 88 110, x911 13 Includes oolpyrighited imiaiteriaill of Vnsurance Services Office,(Inc.,with,its Iperrmission. Page 1 of 7 i(2) IIf the Limits of Insurance of any i urnsuulralrce pollliicy Ihlave been exhausted„or 1(3) To "bodily injury" or "property damage" that OCCUrried before You acqUireld or formed the cirgainilzation, 2. EMPLOYEES AS INSUREDS SECTION IIIV — LIABILITY COVERAGE, Ipalraglralphl A.11. —WHIO IS AN INSURED is amended to, include the following as, an insluireld'. f. Any "employee" of youirs w1ifle using a covered "auto" you do not own, Mire or borrow, but only for acts Mhiin the scope of their employment Iby you. Insurance provildledl by this eindlorsement is excess over ainy other inSlUlarlice available to any`eirnplloyee`, 91 An ery#oyee" of yours while operating an "auto" hired or borrowed Ltinder a written contract or agreement in that 1'ern&yeie's" narne, with your permission, whiflie Iperforlrming i related lathe conduct of your biusiiness, aind within the scope of their employment. Insluiranice provided by this endorsement iis excess over any other insurance avaitabUe to the "lemployee". 3. ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR PERMIT SECTION III — LIABILITY COVERAGE, paragraph A.1. —WHO IIS AN INSURED is airniended to, indulde the foflovving as an insured� h. Any Ipleirson or organization with respect to the operation, maintienaincie or use of a covered "auto", provided that yolul and cutch person or organizabon have agreed in a written, contract, agreement, or perimit issued to you by governmental or pubfic authority, to add such person, or organization, or governmental or Public authority to this policy as an,"insuired". However, such) person or organization is an,"insureld" (1), Only with respect to the opeiratbn, lmalintelnalnce or use of a covered `auto", (2'), Only for "bodlilly injury" or 'proiperty darniage" caused by an "acoident" whctr takes PiIaCe after YOU executed the w0tten contract or agireeirneint, or the pern'llit has been issued to,you; and (31), COY for the duration of that contract, agreement or permit 4. SUPPLEMENTARY PAYMENTS SECTION 11 — I-MBlUTY COVERAGE, Coverage Extenslions, 2.a. Supplementary Payments, paragraphs (2) dind(4) aire replacedl by the fullIumny, (2) Up to $3,00101 for cost of bail bonidls (including bonids, for related traffic violations) required because of an 'aic6denl"we cover. We i not have to furnish these bonds,. (4), All Ireasonabdle expenses Incurred by the insured at our request, InCIL.idirg actual loss of earnings up, to $500 a day because of time off from work 5, AMENIDiED FELLOW EMPLOYEE EXCLUSION ln those jurlsdilcfions where, by law, fellow emploiyees are not entitled to the protection afforded to the employer by the workeirs ciampensafion exclusivity ruile, or sirnilar protection, the fol[lowing provision, is added): SFCTION Ill— I lARI1 ITY, exclusion 03,5 FF1 I OW FMPI OYFE does not appuy if thip"bodfly injuiry"Iresuullts from the use of a,covered)"auto"you own or hire SECTION III— PHYSICAL D,A MAG,E COV ERAG E is amended as follows, 6. HIRED,AUT101 PHYSICAL DAMAGE Paragraph AA Coverage Extensions of SECVON III — PHYSICAL DAMAGE COVERAGE, is amended by adldling the foillowing: If hired "all][016" are covered "autois" for Liability Coverage, and if Comprehensive, Specified Causes of Loss or Cotfisiloini coverage are provided under the B,usilness Auto Coverage Form, for any "auto" you own, then the Physical ICDalrnage coveirages Iplrovlidedl are extended to"'autos": a. Youul hire, rent or borrow or (1-Ji 21013 Liberty MlUtUal Insurance CA 88 101 011 13 lincludes m1pyrightedl imaiteriait of tinsuirance Services Office,Inc.,with iits Iperinnission. Page 2 of 7 b. Your ''employee" hares or rents under a written cointract or agreement in that "eimpilloyee's" narne, but oinilly lif 111le damage occurs whiflie the vehicle is beingi Lisled in the conduct Olt Your bUsliness, subject to the following llimit and deductible A. The imost we will pay for "lloGs" in any are"accidient" or"ll is the smallIcGt of: (1) $50,000; or (2'), The actual cash ValUe of the damaged air stolen property as of the tiimie of the "loss"; or (3), The cost of repairing or replacing the damaged or stolen property with other Property of like kindl and quality, minus, a dedluic:tiibde. B. The deductible will be,equal to, tine largest deductible applicable,to any owned "auto,"for that coverage, C. Subject to the limit, deductible and excess provusions described in tlhnis 1plrovisioln, we will provide coverage equall to the broadest coverage applicaUe to any covered "aito"you own D. Subject to a maximum of$1,000 per "accident", we w6l also, cover the actual loss of use of the hired "auto" if iit results from, an "acciident", your are legally lliiablle and the (lessor incurs an actual financial �loss. E, This coveragie extension does not apply to (1), Any "aluko" that is hired, rented Or borrowed With,a driver, or (2�), Any"aluto" that is hiiredl, rented or borrowed from your"employe e.". For the purposes of this provision, SECTION V—DEFINITIONS is amendiedl by adding the following "'Total loss" means a "loss"in which the cost of repairs plus the salvage value exceeds the actual cash value. 7. TOWING,AND, LABOR SECTION III — PHYSICAL DAMAGE COVERAGE, plaragraph A.2. Towing, is amenidled by the addition of the folllowing: We wlll pay towing and labor costs incurred, tip to the fimilits, shown below, each time a covered "'auto" c1lassifiledl and rated as a pirivale passenger type, "Iiight truck" or "imedi'Llim truck" is,disablled: a. For Private passenger type vehicles,, we willl pay ulp to,$50 per disablement. 131 For "Hight trucks", we will pay up to $50 per disalbilement "Light trucks" are trucks that have a gross vehicle we igilill (,GVW)of 10,005 poluin ds, or less c. Foir "IrfledidIrT11 hUCkS` , We Will pray LIP to $1501 per disablernent, "MiediLIFT) trUcks" are trucks that have a giros vehicle weii (,GVW)of 110,0101 — 210,01010 Pounds. I lowlever, the labor rri'USt be 1pelrfourrmedl at the Place of disabliernient, & PHYSICAL DAMAGE -ADDITIONAL TRANSPORTATION IEXIPENSE COVERAGE Paragraph A.4 a., Coverage Extension of SECTION lH — PHYS]CAL DAMAGE COVERAGE, is amended to, proviide a, l4nit of$50 per day and a MaXiMiUmi limit of$1,5OOi 01 2'0 13 L lbeirity Mu ituall 11 nsuiraince CA 88 101 01 13 induldes colpyriigihitedi irniaiteriiaill of Ilinsuirance Services Office,Inc..vvilthi lits permission. Page 3 of 7 ,9. REINTAL RE111IMBUIRSEIMIENT SECTIION IIIIi — RHYS[CAL IDAMAGE COVERAGE, A. COVERAGE, lis amended by adding the following: a., We MI pay up to $75 per day for Irentalll relirnbUirsement expenses rincluirred by you for the irentail of an "'auto" because of "accident" or "loss", to an "'auto" for which we also pay a "loss" Under Comprehensive, Splecifred Causies of Loss or Collilsilon Coverages. We will pay crinly for those expenses incurred after the first 24 hours foflowmg the ",accudent"or' loss" to the covered "auto." bl. Reintal Reimbursement will be (based on,the rental of a comparable vehicle, which in many cases may be substantially less, thain $75 per day, and will only be alllowed for the period of time ft shiculd take to repair or replace the vehicle with Ireasonablle speed and sirimilar quality, tip to a maximilurn of 30 days. C. We will also pay up, to $5,00 for reasonable and necessary expenses incurred by youi to remove and replace your toolls,and equipment from the covered "autol". d. This coverage does not apply unless youul have a business necessity that otheir "autos" avaHaNe for Your use arid operation cannot fill. l Uf"'loss" Iresuullts,from the total theft of a covered "auto,"of the private passenger type, We Wfll pay Linder IhJs coverage only that arnount of your rental reimbursement expenses whilch ils not allireadly provided under Paragraph 4.Coverage Exte,nsilon f. No deductible applies to this coverage. Forthe purposes of this endorsement provision, materials and equipment do, not include "personal effects," as defined um Ipirovis ion I I. M EXTRA EXPENSE - BROADENED COVERAGE Under SECTION 111 — PHYSICAL DAIMAG,E COVERAGE, A. COVERAGE, we will pay for the expense of returning a stollen covered "auto" to you. The maxlMiUrn amount we wilil pay ils $1,0010. 11. PERSONAL EFFECTS COVERAGE A. SECTION Hl — PHYSICAL DAMAGE COVERAGE, A. COVERAGE, is, arnenidied by adldingl the following-. If you have purchased Colimprehensive Coverage on this policy for an "auto" you own and that "auto" is, stolen, we will) pay, without application of a dedUcfible, LIP to $600 for"personal effects" stoVen with the"'auto," The insuiiranice Iplrovidled Linder this provision, is excess over any other collectible insUiraince. B. SECTION V— DEFINMONS is amended by addling the foHowing: For the purposes of (his provision, "personal effects" mean tangible property that is worn or carried by an rinSlUried." `PiersonM effects" doles not noludie tools, equipment,,jewelry, money or selcUrttiles, 12. ACCIDENTAL AIRBAG, DEPLOYMENT SECTION KII — Irl iYSIICA,L DAMAGE COVERAGE, IB, EXCLUSIONS is airnerided by adding the following. If you have puirchased Coirnprehenswe or Collision Coverage under this Ipoliicy, the excliusion for "loss" relating to milechanical breakdown,doles,not apply to,the accidental discharge of and airbag Any insurance we, provide sha,H be excess, over any other coHectible insurance or reimbursement by mainilufaCtUrier's warranty. However, We agree to pay any idleductiblle aplplocable to the other cOlvileiraige Or warrainty. 13, AUDIO, VISUAL AND IDlATA ELECTRONIC IEQIUIIPtMENT COVERAGE SECTION M� — PHYSIICAL DAMAGE COVERAGE, B, EXCLUS[ONS, excepfion, paragraph, a,, to exclusilans 4.c. and 4.1d. is deleted and replaced Wth the folllowiung: cl'y 21013 L Iberty Mutual 11 nsuirainoe CA 88 101 01 13 Includeb uujpyPiyh4t�dI midittlildir Ulf hl,�-UldrllUt StlIViUltb OHI(X, (IRU,,VVIIIIII Itts Pt,Mlibtourl, Page 4 of 7 Exclusion 4,c. and 4,01. do not apply to: a� Electronic equipment that receives or transmits, audio, ViSlUal or data signals, whether or not desligined solely for the reproduction of soluind, If the equipment is permanently installed in the covered "auto" at the, dme of the "Maass" and suchequipment is dIesigned to be so[My operated by use of the power from the "auto's," electrical system, In or upon the covered "aiuitol" alndl Iplhysical darnage coveraigies are provided for the covered"auto", or If the '106S" OCCUrs Solely to audio, visual or data electronic eqwpmeint or accessodes useld with thus eqluiipmert, then our obfigation to pay for, repair, returin or replace damaged or stolen Ipiroplerty will be reduced by a $1010 deductible. 14. LOAN/ LEASE GAP COVERAGE A Paragraph C., LIMIT OF INSURANCE of SECTION III — PHYSICAL DAMAGE COVERAGE Is amended by adding the following: The most we will pay for a "total) loss" to a coveredl "auto" owned by or leased to you iin, any one "accidlent"' is the greater of the: 1 Balainice diule Linder the terms of the loan or Ilease to, which the darnagied covered 'aUtO" IS suibject at the bime of the "loss" (less the amount of: a. Overdue payments and financial penalfies associated with those payments as of the date of the "Ioss`, bi Financial pienalfies imposed under a tease due to, (high mIleagIe, excessive use Or albinorrnal wear and tear, C, Costs for extended warrainfies, Ciedlit Life Insurance, I lealth, Accident or Disability Insurance purchased with the loam i or lease, d. Transfer or rollover balances frown previous loans, or leases, e. F L inal payment due under a 'Balllooin(Loam', f. The dollar amount of any UnrepaIred dfarnage which occurred prior to the "total loss' of a,covered "auto", Security deposits not refunded by a lessor, �h All Irefundls payable or paid to you as a result of the early termination of a lease agireeiment or as a, result of the early termination of any warranty or extended service agirelernent on,a covered "auto", I. Any amount representing taxes, j. Loan or lease termination fees-, or 2. The actual cash value of the damage or stolen property as of the tiime of the "loss", An adjustment for depreciation and physIical condifion wfll Ibe made in determining the actuaall cash value at the time of the"loss". This adjustment Is not applicable In Texas, B. ADD1171ONAL CONDITIONS I his coverage applies only to the original loan for which the covered ''auto'' that incurred the Illoss serves as collateral, or lease winIten on the covered"auto" that lirncurred the loss. C. SECTION V® DEFINTIONS is changed by adding)the foflowing. As used In this eindoreernent provIsIon, the foltowingi definitions apply: "Total Ioss" means a "loss" in which the cost of repairs Plus the salvage value exceeds,the actual cash Value. A '"ballloon loan" Is one with perIodIc payments that are lirnsufhcuelrut to Irelpay the ballance over the term of the loam, thereby requiring a large final payment. �i)2'0 13 L ilbeirty Mutuall 11 Insurance CA 88 110, 01 13 lircludes colpyfighted imateruai as Insurance Services Office,Inc-w4h As jperimissIIcn, Page 5 of 7 15, GiILASS REPAIR -WAIVER OF DEDUCTIBLE Paragraph D. IDeduuctlili of SECTIOIN IIIIU — PHY&ICAL DAMAGE GOVERAGE is amenided by the addition of the foltowingi: No dedu0ble dpplies to gilazib daimage tf the lytazib ib iieparedl iiather than mplaued, 16, PARKED AUTO COLLISION COVERAGE (WAIVER OF DEDUCTIBLE) Paragraph D. Deductible of SECTION II III — PHYSICAL DAMAGE COVERAGE !is amended by the, addition of the foll1lowing. The deductibie does not apply to "loss" caused by collmon to such covered "aUtO" of the private pa%sengeir type or light waight truck with a gross vehicieweight of 10,000 lbs, or less, as defined by the manufacturerais, mr-1XIM1,1411 loaded weight the'"auto" is,designed to, rarry while pt is a. In the charge of an "irisured-, b. Legialiy parked, andi C. UnOCCUpled, The"loss"must be reported to the police authorities wiithiin 24 hours of known dlamaige. The total airniount of the damage to the covered aiUt0` must exceed the deductible shown,In the IDeclaraitionis. Thies provision does not apply to any "loss" if the covered "auto" ils in the charge of any person or organization engiaged in the alutomobile buismess. 17, TWO OR MORE DEDUCTIBLES Under SECTION III PHYSICAL DAMAGE COVERAGE, if two, or more company polficiies or coverage forms appily to thesame accident, the toillowing applies.to, paragraph D. Dedit.11clitible a. If the appiicablie Businiess Auto dedklcliUle is the smaHeir (or sirnaflest) deductible it wiilli be waiived, or b. If the appliicable IBusiiness.Auto deductible is riot the Smaller (or sirriallest)deductible ilt will be reduced by the amount of the smaller (cir sirridlest) deduictibile� or C. If the loss involves two olir Irmore Business Auto coverage forms or piollcres the smialiter (or smallest) deductible will be waiived. For the purpose of this endorsement company means any company that is part of the Liberty Mutual Group. SECTION IIIV— BUSINESS AUTO,CONDITIONS lis,amendedi as follows: 18. UNINTENTIONAL FAILURE TO, DISCLOSE HAZARDS SECTilON IV- IBUSINIIESS AUTO CONDITIONS, Pairagiraph IB,.,2,, is. arneindeld Iby adding the folilowiniq If YOU uniintentlioraHy faiiI to disclose any hazards, exposuires or materiiaI facts exipshrgi as of the inception date or renewal date of the Business Auto Coverage Form, the icoveragie afforded) by this, pollicy will not be prejudiced. However, you must report the undisclosed hazard of exposure as soon as practicable after iits discovery, and we have the right to,cloilleict adidiitionali preMiUrn for arysuch, hazard)or exposure 19. AMiENiDED DUTIES IN THE EVENT OF ACCIDENT,, CLAIM, SJUIT,OR LOSS SECTilON IlV— BUSINESS AUTO CONDIPONS, paragraph A.2.a. is rieplaced in its entirety by the following a. In the event of"accirdent", darm, "suirt" or"Voss" you must Iprolrriptly nodfy us when, iit is known,to: 1. You, iif youi aire ain individual; 2. A partner, if you are a, partnership, 3. Member, iif you are a limited liabifity cornpany: 4, An executive offiiceir or the "eimplloyee" designated by the Named Insured to gitive such notice, if yoiui are a corporation. ir-,)21013 luilberity Miuituall 11 nsluiraince CA 88 10 011 13 Includes 1copyrightedl matenar of insurance Office. Inc,,mith its peprinisspon. Page 6 of 7 To Me extent possible, notice to LAis should iincliude: (1), How,,when andl where the accident"or"loss""took place,, (2�) The"insureds"name and address; and (3), The names and addiressies of any injured persons,and witnesses,. 20. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US SECTION IV — BUSINESS AUTO, CONDITIONS, paragraph A.S., Transfer of Rights of Recovery Against Others to, Us, is amended by the addition of the following, If the person or organization has waived those rights (before an 'accident"or "icss", our rights are waived also,, 21, HIRED AUTO,COVERAGE TERRITORY SEC I ION IV — BUSINESS AU 101 CONDI I IOINIS, paragraph B.7., Pollicy Period, Coverage I erritory, is amended by the addition of the following: U For "autos" hired 30 days or iless, the coverage lerrilory is anywhere in the world, provided that the �nsured's responsibility to, play for damages is determined in a on the merits, in the United States, the territories, and possessions of the United States of America, Puerto Rico or Canada or in a settIernent we agree to. This extension,of coverage does not applly to an"'auto" hired, leased, ireintedl or borrowed with a,driver, SECTION V— DEFINITIONS is am ienided as follolws: 22, BODILY INJURY REDEFINED Under SECTION V—DEFINITIONS, definition C. is replaced by the,foillolwing: "Bodfly irjuiry" means physical Injury, sickness or disease sustained by a person, including mental anguish, mental injury, shock, fright or death resultnig from any of these at any tirnie. COMMMON POLICY CONDITIONS 21 EXTENDED CANCELLATIONI CONDITION COMMON POLICY CONDITIONS, paragraph A.—CANCELLATION condition appHes except as follows: If we cancel for any reason other than nonpayment of premium, we wilt mail to the first Named InSlUred written notice of cancellation, at Deast 60 days, before the effectiive date of cancellation. This, provision does not apiplly in those states which require more than 60 days, prior notice of cancellation. (i'l 2'013 Libeirty Mutual Vnsuirance CA 88 1101 01 13 lincludes colpyrightedi materiall of Insurance Services Offiice, Inc.,with its permission. Page 7 Bmf 7 POLICY NUMBER: BAA(18)57695795 COMMERCIAL AUTO CA 20 48 O2 9,9 THIS ENDORSEMENT CHANGES THE POLICY,. PLEASE READ ITCAREFULLY. DESIGNATED INSUiRE,D This,lendorsement irnodlifiies inSUrance provided uinidler the foflowiiriig: BUISINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With rpspert to coverage providpd by this endoinsement, the provisionis of the Gnvpraigip Form apply unJoss modi- fied Iby this,endorsement This endorsement iidentilfies Ipers,on(s) or orgianizationii(s) who are "'insuirelds" undler the Who Is An, InSUred Provi- sion of the Coverage Form. This endors,ement does not alter coveragie provided in the Coveragie Form. This endorsement c1harges, the policy effective on, the inception date of the policy un1css another date is indicated bellow. Effective Date: 12/4/2017 Nairned Insured: C&G COnSLA11tainits. Ilinic,: Precision nspecfi1ori-CSG SCHIEDULE Nlai-ric�ofP,ersoii(s,) orOC 'giasinzaitnorii(s,). as, rt,a,qurued bywrottencontract (If Inca entry appears above, infoirmahon requiii-ed to complete thJs endorsement will be shown in the Declarations as appNuable(u, the undusbumutil..) Each person or organization shown in the Schedule is at) "insured" for Liabiflity Coverage, boat only to, the, extent that Iperson or organizaificin qualifies, as an ""insured"" lwander the Who Is An IIns,ured provision contained in Section III of the Coverage, Formi CA 20 49 02 99 Gopyright, Insurance Services Office, Inc., 1998 Page 1 of 1 P0hCY i BAA(18)8 " a 8 " 8 COMMERCIAL AUTO CA 88 616 O 5 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ,IT CAREFULLY. DESIG,NIATED INSURED — NONCONTRIBILITING This endorsement mioldifies, insurance provided under the following.- BUSINESS AU1`0 COVERAGE FORM GARAGE COVERAGE IFO,RM MIOTOR CARRIER COVERAGE IFORIM TRUCKERS COVERAGE FORM Mith respect to coverage proviiided Iby thiis endorsernent, the provisions of the Coverage Form, apply untess modilfied bythiis endorsement, This eindorsement lidentifliles person(s)oir oirgainization(s)who are "insuireds" undeir the Who Is Ain Insured IPlrovlisliolru ofthe Coverage Form. Thiis endorsement does not alter coverage provided in the Coverage Form, Schedule Name of Persons) or Organizaifion(s): Any entity wiith rospoct tic) a covored"auto" proviJidold that you and such cnifity have agreed) in a wriitten cointract, agireeirnent, or perm to add such entiityais an "'iinsured"r Regarding Designated Contract or Project: N/A Each person air organizafloin shown iin the Schedule of this endorsement its an,"insured"'for Liability Coverage, but onlyto the iextent that person or organization qualifies as an,"'insured" undeir the"w Is An Insured Provision contained in Section 11 olf the Coverage Form The follllowiin,ig jis,added to the Other Insurance Condition: If YOU have agireed in a written aiglreement that this policy wN be priimary and without riight of contribution from any insurance in force fair an Additional Msured for liabiiMy arising out of your operations, and the agreement was execrated priioiir to the"'bodily injury"' or"property daimage", then this insurance Will be pinimary and we wffl not sleek contribution from such insurance. Q 20113 ILiberty Mlutuaill Insurance,A111 rights reserved. CA 88 66 65 13 indudies copynghted maitenan of Insurance Services Office, Inc.,vath Jts Ipermssion. Page 1 of 1I Po�lrcy# BAA(1 8)57695795 THIS E,NIDORSEMI EINT CHIANGE'S THE POLICY. PLEASE READ,IT CAREFULLY. AMI ENDMENNT OF CANCELLATION PROVISIONS This eindorsement mollifies insuiraince pirovidect under the, followinig: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM GAHAGL COVERAGE II-ORM With respect to coverage Ipirovided Ibly thirs endorsement, the provisions of the policy apiplly unless modified by this,endorsement Any term,or pirovisicin of the Cancel latilan Conditions of the policy or any endorsement emending or replacing such Conditions is aimended Ibly the following If you have agireeld on a wiritten contract or written agrelemiert to provide a, person or organization nofice of cancellation we agree to the fol1lowiing, a. Provide a 30 drays prior written ranep1lation notice In, such persons or nirganl7ation four rp.asnins, ot1hP.r than nonpayment of premium, but oinily if we are provided with a schiedulle of persons or oirgianlzations with whorn you Ihiavie agreed to,pro0de nofificatlon mare than 310 days before the cancellafion is to take effect. As a conidlition of this endorsernent, YGILli Irmuulst (modify your agent of any written, contract or agreement where YOUi have agreed to pirovide notice of cainc6latlioin, other thain nonpayment of pireirnium, to a specific person or organization, Falluire to pluovide to, a person or organization iin, accordance with the terms of (his eindorsierrient shall natex(end the effective date of the caincellatloin or otherNise affect cancellation of the policy as to any lnsured CA 88 76 03 14 r�20113,Ulberty Milutuall Insurance,All riiglhts,ireservedl. Page 1 of 1 Includies copydghtedl matehall of Iinswance Services Office,Inic. with its permJssion. WORKERS,COMPENSATION AND EMPLOYERS LIABILITY INSURANCE IPOLIICY WC 99 04 10B (Edl, 9-141 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA BLANKETIBASIS We have the right to recover our payments from anyone liable fo,ir an injury covered) by this policy, We will not enforce ouir right against the person or organization nairned 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 shaillll be 2% of the total) manual premium othierwiise due on such remuneration. The miinimum premium for this endorsement is $350. This agreement shall) not operate directly or indirectly to benefit anyone not named in, the Schedule. SCHEDULE BLAINKET WAIVER Person/Organization Blanket Waiver— Any persoin or organization for whom the Named Insured has agreed by written contract to furnish, this waiver. Jlob Description Waiver Premium AH CA Operations 2935.00 This endorsement changes the polliicy to which it is attached and is effective on the date issued unless otherwise stated. (The Information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 12/11/17 Policy iNo. CSWC821833 Endorsement No. insured CSG Consuftants, Inc. Premium$ Insurance Company Cypress Insurance,Company WC 99 04 1101B (Edl,9-141 THIS ENDORSEMENT CHANGES THE P,OL,IC�Y. PLEASE READ IT CAREFULLY,, NOTICE OF CANCELLATION - CERTIFICATE I' LERS (SPECIFIED DAYS) The person(s) or organJzation(s) listed or described in the Schedule bellow have requiested that they receive written notice of cancellation when this policy is cancefled by us. We will mail or delliver to, the Person(s) or Organization(s) listed oir described' ini the SchedUle a copy of the written notice of canceflation that we sent to you, if (possible, such copies of the notice will be malilledl at least 30 days, except for cancellation for non-payment of premium, which will be malted 10 days, prior to the effective date of the cancellation, to, the address or addresses of cleirtiificate holders as provided by your (broker or agent. Schedulle Person(s) or Organization(s) including irnailing addires& All certificate holders where written notice of the cancellation of this policy is required by written contract,, permit or agreement with the Named Insured and whose names, and addresses will be provided by the broker or agent listed in the Declarations Page of this policy for- the Purposes of complying with such requiest. This notification of cancellation of the policy is intended as a COUirtesy on1y, Our failure to (provide Such notification to the person(s) or organization(s) show ,n in the Schedule illll not extend any 1policy cancelllation date nor impact or negate any cancellation of the poHcy. This endorsement does not entitle the peirsoin(s) or oirganization(s) (Misted or described in the SchedUle above to any beinefit, rights or- protection under this policy, Any provision of this endorsement that is iin conflict with, a statute or rule is hereby amended to conform to, that statute or ir0e. All other terims and conditions of this policy remain unchanged, Eindorsement dumber: 7 Policy Number: PAAEP0008802 Named Insured: CSG Consuftants, Inc, This endorsement is effective on the inception date of this Policy unless otherwise stated herein: Endloirseimenit Effective Date: December 4, 2016 00 M:ILO087 00, 11 10 Page 'I of 1