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HomeMy WebLinkAbout2015-175-E AMS - ProNet Systems, Inc. to provide and install additional card readers at Whitted Human Services Center $4,758 DocuSign Envelope ID:Al C83FEE-31 EA-4804-A792-98DFA71 B8DC2 [Departmental Use Only] TITLE W'hitted Addt'll Readers FY 2015 01".NGE COUNTY CONTRACT UNDER $15,000.00 NORTH ORTH CAROLINA THIS AGREEMENT, made and entered into this I st day of'April, 2015, ("Effective Date") by and between Orange County, North Carolina, a body politic and corporate organized under the laws Of tile State ot'North Carolina, (the "County"), party of the first part; and ProNet Systelu.S, [tic, (the "Provider"), party of the second part; WITNESSETH: For the purpose and subject to the terms and conditions hereinafter set forth, the County hereby contracts for the services of the Provider, and the Provider agrees to provide the following services to the County in accordance with the terms of this Agreement, time being of the essence: The services and/or materials (hereinafter referred to collectively as "Services") to be furnished under this Agreement are as follows: provide and install additional card readers to exterior doors at Whitted Human Services Center, including relocating lockset on existing door, as detailed in quote Q020615 included. The term of this agreement rendered shall be from Apt-it 1, 2015 to April 30,2015, Provider represents arid agrees that Provider is qualified to perform and fully capable of performing and providing the services required or necessary under this Agreement in a fully competent, professional and timely manner to the satisfaction of the County. Provider shall be responsible for all errors or omissions, in the performance of the Agreement. Provider shall correct any and all errors, omissions,, discrepancies, ambiguities, mistakes or conflicts at no additional cost to the County. Provider agrees that Provider shall ricit sub-contract any of' the services to be provided in this Agreement, nor shall Provider assign any right or responsibility granted or required by this Agreement,without the prior written approval Of tile County. SPECIFIC TERMS I Payniquit: 'The County agrees to pay at the rates specified for Set-vices satisfactorily performed in accord with this Agreement. The amount to be paid by the County shall not exceed four thousand seven hundred fifty eight dollars and four cents, ($4,758,04). Payment shall be made within thirty (30) clays of an invoice properly submitted to COLInty. Should Provider fail to perl'onit its duties under the terms of this Agreement, County may, without fault or penalty, withhold any payment associated with the work to be performed until such time as said work is completed. 2, Non- wajver: Failure by County at any time to require the performance by Provider of an), of the provisions hereof shall in no Nvay waive or affect the County's right hereunder to enforce the same, not- shall any waiver by the County of any breach be held to be a waiver of any succeeding breach or a waiver of this Non-Waiver Clause. I Independent Contractor: The Provider shall operate as an independent contractor and the County shall not be responsible for any of the Provider's acts or omissions. The Provider shall not be treated as an employee with respect to the Services pet-formed hereunder for federal or state tax, unemployment or workers' compensation purposes. The Provider understands that neither Federal, nor state, nor payroll tax of any kind shall be withheld or paid by the County on behalf of the Provider or the employees,of the Provider. 4. Irasaraaatuce Provider shall obtain, at its sole expense, Commercial General I.Jability Insurance, Automobile Insurance, Workers' Compensation Insurance, and any additional insurance as may Revised 10/14 1 DocuSign Envelope ID:Al C83FEE-31 EA-4804-A792-98DFA71 B8DC2 be required by Owner's Risk Manager as such insurance requirements are described in the Orange County Risk Transfer Policy arid Orange County MilliulUln Insurance Coverage Requirements ('each docurnent is incorporated herein by reference and may be viewed at If Owners Risk Manager determines additional insurance coverage is required such additional insurance shall consist of n/a(if no additional insurance required mark N/A as being not applicable). Provider shall not commence work until such insurance is in effiect and certification thereof hats been received by the Owner's Risk Manager. 5. indemnity- The Provider agrees to defend, indemnify'., and hold harmless (')range County from all losses,, liabilities, claims, demands, suits,, costs, damages or expenses (including reasonable attorney's fees) arising from bodily in.jury, including death, to any person or persons or damage to or destruction of any property caused in whole or in part by any negligent or intentional act or omission oil the part of the Provider. 6� lergiiiiation: This Agreement may be tenninated at any time by mutual written agreement of 1— the parties or by the C01.111ty Up011 written notice to the Provider. 7. Entire A reernent and Sianatures: The parties have read this Agreement arid agree to be 9 ------------------------------ - bound by all of its terms, and further agree that it constitutes the complete and exclusive statement of tile Agreement between the parties unless and until modified in writing and signed by the parties. This Agreement together with any amendments or modifications may be executed electronically, All electronic signatures affixed hereto evidence the intent of the Parties to comply with Article I I A arid Article 40 of North Carolina General Statute Chapter 66. Priority: In determining the basic services to be provided, should ally documents be reterenced in or attached to this Agreement, the terms herein shall have priority in any conflict between the terms of referenced documents and the terms of this Agreement. 9. Governin, ,.1-aw.:–Both parties agree that this Agreement shall be governed by tile laws of the State of North Carolina. Should either party initiate litigation to settle any dispute involving the terms of this Agreement such litigation shall be initiated in the General Court Of Justice of North Carolina seated in Orange County, North Carolina. Provider shall at all times reirlain in collipliance with all applicable local, state, and federal laws, rules,and regulations including but not limited to all anti-discriinination laws, -1 0, Dispute Resolution,: Any and all suits or actions to etiforce, interpret, or seek damages with respect to any provision of, or the performance or non-perforniance of, this Agreement shall be brought in tile General Court Of Justice of North Carolina sitting in Orange County, North Carolina. It is agreed by the parties that no other court shall have jurisdiction or venue with respect to such suits or actions. Binding arbitration may not be initiated by either Party, however, the Parties may agree to nonbinding mediation of any dispute prior to the bringing Of Such suit or action, 11, Non Appropriation: Provider acknowledges that County is as governmental entity, and the validity of this Agreement is based upon the availability of Public funding under the authority of its statutory mandate. In the event that public funds are unavailable and not appropriated for the performance of County's obligations under this Agreement, then this Agreement shall automatically expire without penalty to County immediately upon written notice to Provider of the unavailability and non-appropriation,of public funds. [SIGNATURE PAGE TO FOLLOW] Revised 10114 2 DocuSign Envelope ID:Al C83FEE-31 EA-4804-A792-98DFA71 B8DC2 IN WITNESS WHEREOF,County and the Provider have signed this Agreement,effective as of the day first written above. 0 GES901INTY PROVMER DocuSigned by: By: b6VUVUt'(, N*wcrsb-� By: PLO& E47r- !County lvar ager 31F06650592A4F5 200 S. Cameron St. ProNet Systems, Inc. P.O.Box 8 181 3200 Glen Royal Road, Ste 107 Hillsborough,NC 27278 Raleigh,NC 27617 Revised 10/14 DocuSign Envelope ID:Al C83FEE-31 EA-4804-A792-98DFA71 I38DC2 PRo NE 3200 GLEN ROYAL ROAD, SUITE 107, RALEIGH, NC 27617 vruwv�.pranetsystemsonline.com TELEPHONE 919.277,2070 FAX 919,277.2072 Q020615-Orange County-Whitted Building Ira and 2nd Floor-Main Access Doors February 6,2015 Mr.Alan Dorman Change County Asset Management Services PO Box 8181 Ilills'borough,NC 27278 Dear Mr. Dorman, RE: ORANGE COUNTY WHITTED BUILDING Is"AND 2nn FLOOR-MAIN ACCESS DOORS. With reference to your regent discussions with Richard McClenny regarding the revisions to the 1'Floor and 2"d Floor Entry Doors at the Whitted Building,we have included a credit back on the removed lockset,as detailed below. Lock Delivery is 2-3 weeks after receipt of"order, Locksmith labor is included in this proposal. Equipment Description Quantity Equipment Description Unit Price 'Total:price I Sargent 56-8406F Exit Device with Electric Retraction 2,361,88 2,361.88 1 Sargent 56-84'10L 1',lectric Latch Retraction Less"I"riraa 2,.008.75 100'$.75 1 Keedex 5-DL13 Ararrrd Door Loop 45.10 45.10 1 Ives 82000 Push Plate 12.9.30 12930 C'ahle and Installation Material's - Eguipment Total Including Cable and Materials 4,545.03 Add Estimated Shipping 113.63 Add 7.5%Saabs Tax :349.40 Add Locksmith Contract 5517.00 Add Labor Less Return of".Iaackson Lock:set (800.02) Total Price Including Equipment,Labor,Sales Tax,and Shipping $4,758.04 1 DocuSign Envelope ID:Al C83FEE-31 EA-4804-A792-98DFA71 B8DC2 Warranty All products are covered for one year,parts and labor, from date of hand over. An extended maintenance program is available. This includes parts and labor on all products for the second year after date of hand over, Service Rates Out of warranty call out is charged at$80.00 per hour and $100,00 per hour out of hours(regular business hours are 8.00 am to 5.00 pm,Monday to Friday). Response time is same day if service call is requested before 10.00 am or if the system is down due to failure. All product is covered for one year,parts and labor, from date of hand over, A Service Contract for an extended maintenance program is offered if required. This includes parts and labor on all products for the second year after date of hand over. Service Contract A maintenance program is offered below. Full Maintenance $ 227.25 per year Terms of Payment Unless otherwise arranged, 50%of payment is due upon receipt of the order, and 50%of payment is due upon project completion, Interest will be charged at a rate of 1.5%per month on accounts 10 days past due. Validity These rates are valid for a period of thirty days from today's date. We trust that in submitting this proposal we have addressed all your requirements. Should you require further ZI clarification or additional information, please do not hesitate to contact us. Sincerely, A[an Jelley ProNct Systems,Inc. Accepted: Signed .......................................................For and On Behalf of Orange County .................................................................... ................. Print Name& Title Date........................................................... DocuSign Envelope ID:Al C83FEE-31 EA-4804-A792-98DFA71 B8DC2 CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDOPYYYYI 1212212014 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 pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).. PRODUCER CONTACT Arny H.Paschal .... _.. Ken B Lawson,Jr. PH X0.1 ant 919-846-2090 ext 1115 FAX c,,rrc1. 9'19-846 2438 ....... dba Lawson Insurance Group,Inc, E-MAIL ascltaa nationWidevcom p ADDRESS, P V 6512-1011 Six Forks Road .......__ w�t/'SUR�txt�sl.AFTORDIN covERApE NAIL a Raleigh,INC 27615 INSURER A: Nationwide Mutual Insurance Company INSURED _......_......._,.... ...... INSURER B: AmGARD Insurance Company ProNet Systems,Inc,. INSURER C, Nationwide Fire Insurance!Colmpany 3200 Glen Royal Road INSURER D Progressive Southeastern Insurance Co,. . ..-....._ Suite 107 INSURER E: Raleigh,NC 27617 INSURER COVERAGES CERTIFICATE NUMBER: 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 INDICA TED. 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 CLAIIMS. - ._ ... .....— _ -..-.. .. . ........... ... ------- IL ` .. TYPE OF INSURANCE .....rvaDDL�UBb�'I PCILICY NUMBER.. �'MM/DO(YYEV'YY MMDI DIYYY+ LIMITS .......... YYY ,X" COMMERCIAL GENERAL LIABILITY ACP 2262994383 0212212014 2122/2015 FACHOCCURRENCE $ 1,000,000 ( .47A6r!'At"I-11.Y iNdfCEb ._........ .. .. ... A CLAIMS-M7ADF (OCCUR � PRE M6SE2LB.�.T�u¢CPIC-1. .0001000 }( Contractual Llabnll MtED PAP(Any a rtr Ir r�t,ny 5,000 Contractor's Enhancement..._ .. _... t I PERKC7NAfl a aDu INJURY � ti,IJ,010M,I�Qp .GEW L AGGREGATE LIM1MITAPPLIES PER $ 2,000„000.. POLICY 7t i'IIh ' . ....... LOG t s 2,000,000 a I M cn; $ C AUTOMOBILE LIABILITY ACP 3010,6921314 12/311201'4112/31/2015 CO SINEe1DtSINGLF UMIT $ 1,000,000 D ANY AUTO 017864851-3 04/13/20141213112014 BODILY INJURY iPer treraan) $ .,ALL w".} IED SCHEDULE .._.. ..... A4,r""i'WN .. AUJriDs, BODILY INJURY(Per acrrd'ecokp�$ ONOVWNFD PROPERTY DAlulAaE: X 'HIRED AUTOS P.,AUTOS j iP�varc�c1urrl; ,,, �$..._..— ................__ ... �$ J X J UMBRELLA LIAR �'zcCUR ACP 2'262'994383 02/2212014 212212015�,,I�Aqt_qqquRRENCE $ 4,000,000 A III RETEIVTICN$ aCOCar. .. s -0,000,000 ALMA -:IAA None f S jWORKERS COMPENSATION PRWC552.943 014/031201404103/2016 X PER 04H- ANO EMPLOYERS LIABILITY R....... .. ^,TATLITr._ 13, ANYPRC.PRIEIDHtPAR"INEHrrx��U71VL YIN N E.L EA rIAaCIDENM s 500,000 aaFrix�,FF�,rnEM,��aLReXcLLVOeD? '�' iMlandatoryinNH) °°°°°m._.i F1..DISEASF EA EMPLOYE S 500,000 if yes descriibe w1de� .... ....... .... ..... ---. ...------ DESCRWTION ryF OPERATIONS below E .DISEASE t PC7I IGY LIWT $ 500,000 A 'Business Services Bond 7900388862 07/11/2014137/111/2015!$50,000.Bond Limit (3rd Party) Dr SCRIPIION OF OPERATIONS I LOCATIONS;VEHICLES iACORD$01,Additi©otai Remarks Schedule,may be attached it more siaaee Is required) Orange County is included as additional insured where applicable per Blanket Contractors Enhancement Endorsement CIS 72 88. Waiver of Subrogation applies per endorsement. CERTIFICATE HOLDER CANCELLATION Orange County P.03,Box 8181 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Hillsborough,NC 27278 ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESE.NTAT 1 88420114 CORD CORPORATION, AIIII rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID:Al C83FEE-31 EA-4804-A792-98DFA71 B8DC2 -ex NATIONWIDE MUTUAL INSURANCE COMPANY 80483 ONE NATIONWIDE PLAZA RENEWAL COLUMBUS, OH 43215•2:220 COMMERCIAL GENERAL LIABILITY DECLARATIONS Policy Number: ACP GLO 2262994383 Named Insured: PRO NET SYSTEMS INC: Address: 3200 GLEN ROYAL RD STE 1107 RALEIGH N�C 27617-7419 Agent. KEN LAWSON, JR. 32-80483-001: Address: RALEIGH NC 27615 PRODUCER: KENNETH B LAWSON JR Policy Period: From 02122114 to 02122116 12:01 A.M. standard time at the addlres,s, of the named insured as stated herein. In return for the payment of the premium, and subject to all the terms, of this policy, we agree with you to provide the insurance as stated in this policy. LIMITS OF INSURANCE GENERAL AGGREGATE LIMITFUother than sroducts-com feted operations) $ 2,000,000 PRODUCTS-COMPLETED,OPE TIONS A GREGATE LIAIT $ 2,000,000 PERSONAL AND ADVERTISING INJURY LIMIT $ 1,000,000 EACH OCCURRENCE LIMIT $ 1,000,000 DAMAGE TO PREMISES RENTED TO YOU LIMIT (any one premises) $ 1100,000 MEDICAL EXPENSE LIMIT (any one person) $ 5,000 Retroactive Date (CGO002 only) The Named Insured is: CORPORATION Business of the Named Insured is: ELECTRICAL APPARATUS Audit Period: ANNUAL ENDORSEMENTS ATTACHED TO TH S POLICY SEE COMMERCIAL GENERAL LIABILITY FORMS AND ENDORSEMENTS SCHEDULE TOTAL ADVANCE PREMIUM $ 1,775.00 Replacement or Renewal Number ACP GLO 22529914383 A PACKAGE MODIFICATION FACTOR HAS BEEN APPLIED Countersigned By '/Authorn-zea-kepr live GL-D (10-98) DIRECT MILL LTUJ 13361 AGENT COPY ACP GLO 225299 383' 837701511 22 0004025 DocuSign Envelope ID:Al C83FEE-31 EA-4804-A792-98DFA71 B8DC2 NATIONWIDE MUTUAL INSURANCE COMPANY ONE NATIONWIDE PLAZA COLUMBUS, OH 43215-2220 COMMERCIAL GENERAL LIABILITY FORMS AND ENDORSEMENTS Number: ACP GLO 2262994383 Period: From 02/22114 To 02122115 Named Insured: PRO NET SYSTEMS INC Form Dale Title CG0001 0413 COMMERCIAL GENERAL LIABILITY COVERAGE FORM CG2033 0413 ADDITIONAL INSURED- OWNERS, LESSEES OR CONTRACTORS- AUTOMATIC STATUS WHEN RE( CG2147 1207 EMPLOYMENT - RELATED PRACTICES EXCLUSION CG2150 0413 AMENDMENT OF LIQUOR LIABILITY EXCLUSION CG2155 0999 TOTAL POLLUTION EXCLUSION WITH A HOSTILE FIRE EXCEPTION CG2167 1204 FUNGI OR BACTERIA EXCLUSION CG2170 01108 CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM CG2196 0305 SILICA OR SILICA-RELATED DUST EXCLUSION! CG2279 0413 EXCLUSION - CONTRACTORS- PROFESSIONAL LIABILITY CG2426 0413 AMENDMENT OF INSURED CONTRACT DEFINITION CG7023 1096 EDCCL-ASBESTOS, ELECTRO-MAGNETIC RADIATION, LEAD AND RADON CG7033 0393 TWO OR MORE COVERAGE FORMS OR POLICIES ISSUED BY US CG7140 0303 EXCLUSION-EXTERIOR INSULATION AND FINISH SYSTEMS ("EIFS-) AND DIRECT-APPLIED CG7288 11111 CONTRACTORS ENHANCEMENT ENDORSEMENT GC2187 0107 CONDITIONAL EXCLUSION OF TERRORISM (RELATING TO DISPOSTION OF FEDERAL TERRORISM IL001'7 1198 COMMON POLICY CONDITIONS IL0021 0908 NUCLEAR ENERGY LIABILITY EXCLUSION IL0269 0908 NORTH CAROLINA CHANGES . CANCELLATION AND NONRENEWAL 13614 1185 SPECIAL CONTINUATION PROVISION IMPORTANT NOTICES IN5017 0593 IMPORTANT NOTICE FOR RENEWAL POLICIES IN7300 0114 NOTICE TO POLICY HOLDERS POTENTIAL RESTRICTIONS OF TERRORISM COVERAGE IN7689 0413 GENERAL LIABILITY FORMS REVISION! ADVISORY NOTICE TO POLICYHOLDERS IN7700 0413 2012. GENERAL. LIABILITY NORTH CAROLINA (FORMS REVISION ADVISORY NOTICE TO POLICYH GLDF (02-93) DIRECT BILL LTU,4 13361 AGENT COPY A,CP GLO 226299 4393 837701511 22 0004027 DocuSign Envelope ID:Al C83FEE-31 EA-4804-A792-98DFA71 138DC2 COMMERCIAL GENERAL LIABILITY CG 72 88 Ill 11 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS ENHANCEMENT ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM LOST KEY COVERAGE "Loss"means unintentional damage or SECTION I — COVERAGES, COVERAGE A destruction but does not include disappearance, BODILY INJURY AND PROPERTY DAMAGE theft,or loss of use. LIABILITY, coverage is extended to include the NON-OWNED WATERCRAFT following: SECTION I — COVERAGES, COVERAGE A If a customer's master or grand key, excluding BODILY INJURY AND PROPERTY DAMAGE electronic key card, is lost while in your care, LIABILITY, 2. Exclusions is amencled,as follows: custody or control we will pay the cost of g. Aircraft, Auto Or Watercraft (2) ('a) is replacing the keys, including the master lock and replaced'will all keys used in the same lock, the cost of (a) Less than 51 feet long;and adjusting locks to accept the new keys, or the cost to replace the locks,whichever is less. EXPANDED PROPERTY DAMAGE COV- Limit of Insurance - The most we will pay for ERAGE "loss" arising out of any one "occurrence" is For the purposes of this endorsement only: $5,000. SECTION I — COVERAGES, COVERAGE A SECTION V DEFINITIONS is amended as BODILY INJURY AND PROPERTY DAMAGE follows: LIABILITY, 2. Exclusions is amended as folllows. The following definition applies to Lost Key a. Exclusions j.(3),j.(5), and j.(6)are Coverage: deleted in their entirety. "Loss" means unintentional physical, damage or b. Exclusion j.(4) is deleted in its entirety destruction to tangible property, including,theft or and replaced by the following: disappearance. Tangible, property does not Personal property in the care custody or include money or securities, control of the insured: VOLUNTARY PROPERTY DAMAGE 1. for storage or sale at premises you SECTION I — COVERAGES, COVERAGE A own, rent or occupy;or BODILY INJURY AND PROPERTY DAMAGE 2. while being transported by any LIABILITY, coverage is extended to include the aircraft, "auto" or watercraft owned following: or operated by or rented to or leaned At your request,we will pay for"property damage"to to any insured. property of others caused by you and while In your c. The following exclusions are added: possession, arising out of your business operations 1. The coverage provided by this and occurring during the policy period, endorsement does not apply to Limit of Insurance-The most we will pay for 11 property damage" arising out of the "loss"arising out of any one"occurrence"is disappearance or loss of use of $1500, personal properly. SECTION V—DEFINITIONS is amended as follows: The following definition applies to Voluntary Property Damage coverage: CG 72 88 11 11 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 4 With its permission. DocuSign Envelope ID:Al C83FEE-31 EA-4804-A792-98DFA71 B8DC2 CG 72 88 11 11 2. The coverage provided by this SUPPLEMENTARY PAYMENTS endorsement does not apply to SECTION f — COVERAGES, SUPPLEMEW property damage" included in the TARY PAYMENTS— COVERAGES A AND B is prod u cts-com pfeted operations amended as follows: hazard". 1. 1.b. replaced with-. Limit of Insurance - The most we will pay b. Up to $2,500 for cost of bail bonds for "properly damage" provided by this required because of accidents or traffic coverage in any one"occurrence"is$5,000. law violations arising out of the use of Deductible - Our obligation to pay for a any vehicle to which the Bodily Injury covered loss applies only to the amount of Liability Coverage applies. We do not loss in excess of$250. have to furnish these bonds. This insurance is excess over any other valid 2. 1.d.replaced with; and collectible insurance. d. All reasonable expenses incurred by the DAMAGE TO PREMISES RENTED TO YOU: insured at our request to assist us in the SECTION I — COVERAGES, COVERAGE A investigation or defense of the claim or BODILY INJURY AND PROPERTY DAMAGE ""suit", including actual, loss of earnings LIABILITY, the last paragraph of 2. Exclusions up to $500 a day because of time off of is replaced by the following: from work. If Damage to Premises Rented to You is NEWLY FORMED AND A.COUIRED not otherwise excluded, exclusions c. ORGANIZATIONS through n. do not apply to damage by fire, SECTION 11 — WHO IS AN INSURED is lightning, explosion, smoke or sprinkler amended as follows: leakage to premises while rented to you or 1. 3.a, is replaced with: temporarily occupied by you with permission of the owner. A separate limit of insurance a. Coverage sunder this provision is applies to this coverage as described in afforded only until the 180 day after you Section 11111.1-imits of Insurance. acquire or form the organization or the SECTION III — LIMITS OF INSURANCE, end of the policy period, whichever is paragraph 6 is replaced with: earlier; 6. Subject to 5. above, the Damage To ADDITIONAL INSURED — WHEN REQUIRED Premises Rented To You Limit is the most IN AN AGREEMENT OR CONTRACT WITH we will pay under Coverage A for damages YOU because of "properly damage" to any one The following is added to SECTION If—WHO IS premises,while rented to you, or in the case AN INSURED of damage by fire, lightning,, explosion, 4. Any person(s) or organization(s) with whom smoke or sprinkler leakage, while rented to you have agreed in a valid written contract or you or temporarily occupied by you with written agreement that such person or permission of the owner. The limit is organization be added! as an additional increased to$300,000. insured on your policy during the policy SECTION IV — COMMERCIAL GENERAL period shown in the Declarations. Such LIABILITY CONDITIONS, 4, Other Insurance, person: or organization is an additional b. Excess Insurance (1) (a) (il) is replaced insured only with respect to liability for 'bodily injury', "property damage"' or with:(if) That is Fire, Lightning, Explosion, "personal and advertising injury" Smoke or Sprinkler leakage insurance The person or organization added as an for premises rented to you or temporarily insured by this endorsement is an insured occupied by you with permission of the only to the extent you are held liable due to, owner. Page 2 of 4 Includes copyrighted material of insurance Services Office, Inc., CG 72 88 11 11 with its permission. DocuSign Envelope ID:At C83FEE-31 EA-4804-A792-98DFA71 138DC2 CG 72 88 11 111 a. Lessors of Leased Equipment in the performance of your ongoing Maintenance, operation or use of operations performed for that additional equipment leased to you by such person insured, whether the work is performed by or organization. This insurance does not you or on your behalf. apply to any "occurrence" which takes The insurance does not apply to: place after the equipment lease expires. (1) "bodily injury", "properly damage", or However, their status as additional personal and advertising injury" arising insured under this policy ends when their out of the rendering of or the failure to lease, contract or agreement with you render any professional architecturall, for such leased equipment expires. engineering or survey services, b. Managers or Lessors of Premises including: The ownership, maintenance or use of (a) The preparing, approving, or failing that part of the premises you own, rent, to prepare or approve maps, shop lease or occupy. drawings, opinions, reports, survey, This insurance does not apply to: field orders, change orders or drawings and specifications:or (1) Any "occurrence"' which takes place (b) Supervisory, inspection, architec- after you cease to be,a tenant in that tural or engineering activities. premises. (2) "Bodily iniury' or "'property damage" (2) Structural alterations, new con- occurring after- struction or demolition operations (a) All, work, including materials, parts performed by or on behalf of the or equipment furnished in person or organization. connection with such work, on the However, their status as additional project (other than service, insured under this policy ends when you maintenance or repairs) to be cease to be a tenant of such premises. performed by or on behalf of the c. State or Political Subdivision - additional insured(s) at the location Permits of the covered operations has been Operations performed by you or on your completed;or behalf for which the state or political (b) That portion of "your work" out of subdivision has issued a permit. which the injury or damage arises has been put to its intended use by This insurance does not apply to! any person or organization other (1) "Bodily injury" or "property damage" than another contractor or or "personal or advertising injury" subcontractor engaged in arising out of operations performed performing operations for a principal for the state or municipality; or as a part of the same project. (2) "Bodily injury" or "property damage" However, a person or organization's included within the "products- status as additional insured under this completed operations hazard". policy ends when your operations for However, such state or political that additional insured are completed, subdivision's status as additional insured AGGREGATE LIMIT PER PROJECT under this policy ends when the permit SECTION III — LIMITS OF INSURANCE The ends, following paragraph is added to paragraph 2: d, Owners, Lessees,or Contractors The General Aggregate Limit under Section "Bodily injury", "property damage" or III Limits of Insurance applies, separately to "'personal and advertising injury," caused, in each of your construction projects away from whole or in part, by: premises owned by or rented to you. (1) Your acts or omissions;or (2) The acts or omissions of those acting on your behalf-, CG 72 88 11 11 Includes copyrighted material of Insurance Services Office,lnc., Page 3 of 4 with its permission. DocuSign Envelope ID:Al C83FEE-31 EA-4804-A792-98DFA71 138DC2 CG 72 88 11 11: MEDICAL PAYMENTS policy provided such failure to disclose all SECTION III — LIMITS OF INSURANCE, hazards or prior'occurrences"'or offenses is not intentional. This provision does not Paragraph 7.is replaced: not our right to collect additional premium 7. Subject to 5.above,the higher of: or exercise our right of cancellation or non- a. $10,000;or renewal. b. The amount shown in the Declarations W'AIVER OF SUBROGATION for Medical Expense Limit is the most SECTION IV — COMMERCIAL GENERAL we will pay under Coverage C for all LIABILITY CONDITIONS, 8. Transfer of Rights, medical expenses because of "bodily of Recovery Against Others to Us is amended injury'sustained by one person. to include'. This coverage does not apply if Coverage C — If required by a written contract executed Medical Payments is excluded either by the prior to loss, we waive any right of provisions of any coverage forms attached to the subrogation we may have against the policy or by endorsement. contracbng person or organization because KNOWLEDGE OF AN OCCURRENCE of payments we make for injury or damage arising: out of your ongoing operations or SECTION IV — COMMERCIAL GENERAL "your work" done under a contract with that LIABILITY CONDITIONS,The following is added person or organization and included in the to 2. Duties In The Event Of Occurrence, Person operations hazards,". Offense,Claim Or Suit condition: LIBERALIZATION e. Knowledge of an occurrence, offense, claim SECTION IV — COMMERCIAL GENERAL or suit by an agent or employee of any LIABILITY CONDITIONS, 10. Liberalization is insured shall not in itself constitute added as follows: knowledge of the insured unless you, a partner, if you are a partnership; or an If we revise this coverage form to provide more executive officer or insurance manager, if coverage without additional premium charge, you are a corporation receives such notice of your policy will automatically provide the an occurrence, offense, claim or suit from additional coverage as of the day the revision is the agent or employee. effective in your state. 11. The requirements in Section IV — BROADENED BODILY INJURY DEFINITION Conditions Paragraph 2.b. will not be (MENTAL ANGUISH) considered breached unless there is SECTION V — DEFINITIONS is amended as knowledge of occurrence as outlined in follows: paragraph e.above, 1. 3. "Bodily injury" is deleted and replaced with UNINTENTIONAL FAILURE TO DISCLOSE the following: HAZARD "Bodily injury" means physical injury, SECTION IV — COMMERCIAL GENERAL sickness or disease to a person and, if LIABILITY CONDITIONS, 6. Representations is arising out of the foregoing, mental anguish, amended to include: mental injury, shock or humiliation, including d. Your failure to disclose all hazards or prior death at any time resulting therefrom. "occurrences" or offenses existing as of the inception date of the policy shall not prejudice the coverage afforded by this All terms and conditions of this policy apply unless modified by this endorsement. Page 4 of 4 Includes copyrighted material oi Insurance Services Office,Inc., CG 72 88 11 11 with its permission,