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HomeMy WebLinkAboutT-5358 - Certificate of Insurance - 4/15/2013 City of MEMORANDUM PUBLIC WORKS DEPARTMENT LAND DIVISION 2600 FRESNO STREET FRESNO,CA 93721 DATE: March 28, 2013 TO: HEIDI BRIGGS Personnel Services Department °4 -jC rr'r._ FROM: JONATHAN BARTEL m-, Public Works Department SUBJECT: REQUEST FOR CERTIFICATE OF LIABILITY AND ENDORSEMENT OF INSURANCE APPROVAL FOR EARLY ISSUANCE OF MODEL HOME BUILDING PERMITS FOR THE FINAL MAP OF TRACT NO. 5358 Attached are certificates of liability insurance required for the covenant for early issuance of model home building permits for the Final Map. Please review for conformity to City acceptance policies. If you have any questions, please contact me at 621-8684. Thank you, Jonathan Bartel CERTIFICATE OF LIABILITY INSURANCE DATE(Mh812013 YY, 04/08/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTFFICATE HOLDER.THIS o CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALti=R tHE COVERAGE AFFORDED BY THE POLICIES m BELOW. TMIS CERTIFICATE OF INSURANCI= DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED ti REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the 07 certificate holder In Ileu of such endorsement(s). t PRODUCER CONTACT d NAME: 32 Aon Risk Insurance Services West, Inc. (866) 283-7122 FAX (847) 953-5390 LOS Ang eles cA office A1C.No.Ext: A1C.No.: 707 wilshire Boulevard E-MAIL Suite 2600 ADDRESS: 2 LOS Angeles CA 90017-0460 USA INSURER(S)AFFORDING COVERAGE NAIC A INSURED INSURER A Old Republic Ins CO 24147 Lennar corporation INSURER B: Hartford Fire Insurance CO. 19682 and all its Sudsidiaries 25 Enterprise INSURER C. Aspen insurance UK Ltd. AA1220337 Aliso Viejo CA 92656 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:570049576098 REVISION NUMBER: THISIS 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. Limits shown are as requested INSR EAF LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER 10 GENERAL LIABILITY MWZY EACH OCCURRENCE $7,500,055 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea ocurrence $2,000,000 CLAIMS-MADE F-1 OCCUR MED EXP(Any ma persm) Excluded PERSONAL&ADV INJURY 57,500,000 a0 GENERAL AGGREGATE $7,500,000 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG 510,000,000 m POLICY X PRO LOC JECT r B AUTOMOBILE LIABILITY 72LEN PX4 09/01/2012 09/01/2013 COMBINED SINGLE LIMIT Eaaccident) $1,000,000 X ANYAUTO BODILY INJURY(Per persm) O Z ALL OWNED SCHEDULED BODILY INJURY(Per acodent) y AUTOS AUTOS X HIRED AUTOS X NON1WNED PROPERTY DAMAGE U AUTOS Per acodent .2 d C X UMBRELLA IJAB X OCCUR LOA398912AOE 09/01/2012 09/01/2015 EACH OCCURRENCE $5,000,000 U EXCESS IJAB CLAIMS-MADE SIR applies per policy terns & condi ions AGGREGATE 55,000,000 DED X RETENTION 11,000,000 A WORKERS COMPENSATION AND Mwc11794400 0910112012 09/01/2013 WC STATU- OTH- EMPLOYERS'LIABILITY X To RV LIMITS ER All"� O qL.TO-tIPARTYCR1 LXtCJI n��� Y� E.L.EACH ACCIDENT $2,000,000 OFFIC_P.M,N36_R_xcLU_32!, NIA (Mandatory in NH) E L.DISEASE-EA EMPLOYEE $2,000,000 If DySCRIPTION un OPERATIONS below LIMIT dascnunder nder E L.DISEASE-POLICY MIT $2,000,000 DE DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if mora space Is requVed) RE: job: inspection of tract 5358 Elderberry - Fresno, CA. city of Fresno is included as Additional insured as required by written contract, but limited to the operations of the Insured under said contract, per the applicable endorsement with respect to the General Liability and Automobile policies. A waiver of subrogation applies to the General Liability and workers Compensation. The general liability is primary and noncontributory, r -e .attached page 11 of 1r) ttts.� CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BJHE City of Fresno EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANC POLICY PROVISIONS. c/o Building&Safety-Brian Leong AUTHOR¢ED REPRESENTATN E 2600 Fresno Street3rd FloorFresno,CA 93721-3612DgN j0I ACORD 25(2010/05) The ACORD name and logo are registered mArJr$„gtw: /ApprCVed W/% ges: Signed Date Policy#: MWZY59824 THIS FORM DOES NOT APPLY IN: CO, MT, NM, OR COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Locations Of Covered Operations The City of Fresno,its officers,officials,employees,agents and Tract 5358 Elderberry,Fresno CA volunteers Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional exclu- organization(s) shown in the Schedule, but only sions apply: with respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property damage"occurring after: caused, in whole or in part, by: 1. All work, including materials, parts or equip- 1. Your acts or omissions, or ment furnished in connection with such work, 2. The acts or omissions of those acting on your on the project(other than service, maintenance behalf, or repairs) to be performed by or on behalf of in the performance of your ongoing operations for the additional insured(s) at the location of the the additional insured(s) at the location(s) desig- covered operations has been completed; or nated above. 2. That portion of "your work' out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 O ISO Properties, Inc., 2004 Page 1 of 1 POLICY NUMBER: MWZY59824 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Operations The City of Fresno,its officers,officials,employees,agents and Tract 5358 Elderberry,Fresno CA volunteers Information required to complete this Schedule, if not shown above,will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for"bodily injury'or"property dam- age" caused, in whole or in part, by "your work" at the location designated and described in the sched- ule of this endorsement performed for that additional insured and included in the "products-completed operations hazard CG 20 37 07 04 .d ISO Properties, Inc., 2004 Page 1 of 1 0 Policy Number: MWZY 59824 Insured: Lennar Corporation (3) The nature and location of any injury or 4. Other Insurance damage arising out of the "occurrence" or If other valid and collectible insurance is available offense. to the insured for a loss we cover under Cover- b. If a claim is made or "suit" is brought against ages A or B of this Coverage Part, our obligations any insured,you must: are limited as follows: (1) Immediately record the specifics of the a. Primary Insurance claim or"suit"and the date received; and This insurance is primary except when Para- (2) Notify us as soon as practicable. graph b. below applies. If this insurance is pri- You must see to it that we receive written no- mary, our obligations are not affected unless tice of the claim or "suit" as soon as practica- any of the other insurance is also primary. ble. Then, we will share with all that other insur- ance by the method described in Paragraph c. c. You and any other involved insured must: below. (1) Immediately send us copies of any de- b. Excess Insurance mands, notices, summonses or legal pa- pers received in connection with the claim (1) This insurance is excess over: or"suit"; (a) Any of the other insurance, whether (2) Authorize us to obtain records and other primary, excess, contingent or on any information; other basis: (3) Cooperate with us in the investigation or (i) That is Fire, Extended Coverage, settlement of the claim or defense against Builder's Risk, Installation Risk or the"suit";and similar coverage for"your work"; (4) Assist us, upon our request, in the en- (ii) That is Fire insurance for premises forcement of any right against any person rented to you or temporarily occu- or organization which may be liable to the pied by you with permission of the insured because of injury or damage to owner; which this insurance may also apply. (iii) That is insurance purchased by you d. No insured will, except at that insured's own to cover your liability as a tenant for cost, voluntarily make a payment, assume any "property damage" to premises obligation, or incur any expense, other than for rented to you or temporarily occu- first aid,without our consent. pied by you with permission of the owner; or 3. Legal Action Against Us (iv) If the loss arises out of the mainte- No person or organization has a right under this nance or use of aircraft, "autos" or Coverage Part: watercraft to the extent not subject to a. To join us as a party or otherwise bring us into Exclusion g. of Section I —Coverage a "suit"asking for damages from an insured; or A — Bodily Injury And Property Dam- b. To sue us on this Coverage Part unless all of age Liability. its terms have been fully complied with. (b) Any other primary insurance available to A person or organization may sue us to recover on you covering liability for damages aris- an agreed settlement or on a final judgment ing out of the premises or operations, or against an insured; but we will not be liable for the products and completed operations, damages that are not payable under the terms of for which you have been added as an this Coverage Part or that are in excess of the ap- additional insured by attachment of an plicable limit of insurance. An agreed settlement endorsement. means a settlement and release of liability signed (2) When this insurance is excess,we will have by us, the insured and the claimant or the claim- no duty under Coverages A or B to defend ant's legal representative. the insured against any "suit" if any other insurer has a duty to defend the insured against that "suit". If no other insurer de- fends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. CG 00 01 12 07 ©ISO Properties, Inc., 2006 Page 11 of 16 Policy Number:72 LIEN PX 4447 COMMERCIAL AUTOMOBILE HA 9915 03 12 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY, COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the fallowing: BUSINESS AUTO COVERAGE FORM ae To tare wden€ that Etre provisions of this endorsement provide broader benefits to the "insured" than other provisions ofthe Coverage.Form,the provisions otViis endorsenlent apply. c 1, BROAD FORM INSURED d. Any "arnployee" of yours white using a A. Subsidiaries and Newly Acquired of covered "auto" you don't own, hire (ir Fornied Organizations borrow in your business or your sz shoran in the personal a", irs. F The Named ?n UM3 r, Declarabons:s arriefrded to include.: C. Lessors as Insureds R {1) Any legal business entity other than a Paragn)ph A t. -iW.0 IS AN INsi-1RED_of partnership or joint venture,`ormed as a Sectior 11-Liab ity Coverage is amended to subsidiary in which you have an add: * ownership interest of snore than 50% on e Tho lessor of a cotrered "auto" while the the e`tective dart:;o thea Coverage I arm. °aufo." is k aced to you under a written -- However, the. Named insuterd does not 3Clrertlerrt if: irrclrx}e arty subsidiary that is ora (1) The arw-erflenl (equiros ycu to "insured" under any other a utornobile -»» provide din;ct primary insurance for policy or wou,d be art °imwrerd" undkn Stich o oliq but for its tetrnination or Este It;:;nr and tho exrfaustaxi of its Limit of In.sttr,ancel. (2) The"auto"is loaded without;t driver. ("gi) Any organization that rs acquired or Such a leastad "auto" -NII be consid(mmd a formed by you find rivrtr which yoki cavonad "will" Volt ~1 :,nd ni l ra Covered meairftio vwjoiily ownei*1114t. HowevMr, "auto"you hirer, tht,Wined Insured does riot int;ludo any ta, Additional insured if Required by Contract uewlly tormed or aaquirod organizaWin: (I) Paragraph A.'. VVHD IS AN INSURED (a) Thal is a partnership or joint - of section 11 - Liability {:.overage is vor:tult�, err erovd to add: (b) That is tlrr"insured"unclt(any ot-her f 'tM)err you have agreed. i-i a wittter ik policy, contra c.'or wriNen.agreemrsnt, that a (4) That ha-, exhausted ils Limit of person or organization bo added us Irl cul ncp under any othol policy,or an yddition,a: iwlmrod cn your (d) 130 days or more raft"( Is hu ine-ss auto policy, s11131 pefsot or cel ac(uisiiic-11 of faillialiCrn by you. organization i5 aft"insurcd",brit only «f»»: ur,Ir;s yr�ti I a r given us nnlicr� of to We extent sucti pe;rsor. nr s Bw. or t'ormration, organization i5 iiabic. for 1x ddy Covofage doz:s not apply to "bodily i,1jury"of"propery damage:"caau od irnjoty'or^propciity d rrmttfo" that resullg t>y tttc: conduct cit ran "insury-d"tinder from art "3t ,;ilc:nt" '=.hal occurred be>.fom paragraphs ra. or b. of Wm Is An y4tt forrrlt'-;l or acquired thio orZganvation. n Uri,(; with. rc(rArd to the, B. Employees as Instrriedso+anersitip. err;_�irtr,nrl lr.a 01- use nt 3ooveved",quto; The insurance afforded to any such E. Primary and Aron-Contributory if additional Insured applies only if the Required by Contract "bodily injury" or "property damage" Only with respect to Insurance" provided to occurs: an additional insured in I.D. - Additional (1) During the policy period,and Insured If Required by Contract, the (2) Subsequent to the;execution of such following provisions apply: written contract,amd (3) Primary insurance "'hen Required By (3) Prior to tete expiration of the period Contract of time that the written contract This €nsurance is prirrtarj if you have requires such insurance be provided agreed in a written contract or written to the additional insured.. agreement that this insurance be (2) Horn Limits Apply prirnanf. If other insurance i, also primary, we will share with all that other If you have agreed ina written contract in:;urani;e by thernetl�,oc7 described in or wrilten agreement ghat another ether'Ins crCe 5.d_ per-sor or organization be added as an addRiorial insured on your poGoy, the (4) Primary And Non-Contributory To Other most we will pair on beha•.f of such Insurance"Mien Required By Contract additional insured is the lesser of: If you have agreed in a written contract (a) The linin`Ls of insurance specified in or written agroeront that this insurance lige wriften conlrard OF written is prirrtary and non-contributory with the agreerrtvni:of additional insured's own insurance, f715 (b) The UrNIS cf Insurance shown in insurance is primary and we wili not Oe Declarations. seek Gonlrihutlon from that other insurance. Such arnmint shall be. a part of and not Paragraphs(3)and (4)do roi.apply•10 ocher In addition to Limits of Insurance shown insurance to which the additional insured in(he; Declarations arm]described in this has bean added as an addition8l insum-d. Section. Vole) lhiS MSUranCe is exreS:S, L'04 will have nD {3? Additionsal Insurt3ifs Othcar Irrsur�nr:e! d!rfy to defend the insured against any "suit" it It we CGvor a cl.ahn or "suit" rindpi, th€s any (ether irrsuret has ;a duly to aek-nd the; t"over:zge Fart that pray also tie covered �n'urad again t Ihar. "Suit". It no other Insurer by other insurance avoilabie to an dowilds, we will undertake to do so, hul we will additional ir!sured, ;such udditional be entilk-d to the: insuicd'sr€gins agaim..'a all iri6t111 ii r(lu:_t z:ubryiit.uG) 010) or"Slid" those odler Maurer. to the, nti er iw-,ure4, feu defen&R and WiwiinciernnityWiwi this irYvurar)ce is rxr.�:s,G over ot�re.i Insumnr:C', wo will p<:y only our ;„hafe of he However. this provis=ion does nol apply arllouni of tile toss, if any,that exceeds tho sum to tl,e extent that ycm. I+ave mo("ed p1 a of: w4itten contract or written agree:rriunt (I) -)-hr-, total amount trial all such other that this insurance i;a primary and nen- insurance would pay for the Ioss in the contributo,y Willi the additional insured'°s srb::,wrtcr of thiti irs.urran6e; and own incur:anrr>. (4) D:rtirrs in `fries F=vent Of Arc;itlHn1, C4rai!n, (2) The; total of all deductible £enc€ Nolknf,,-w of :quit of Loss amounts under all that rather insurance. We wM share the rerunining lof-:s, if any, by Inc, o yrxi hien agreed cit r'1 wtlttFt t;nnlr(?l roeth(A de'.SCRt1t;d In Offier lirwiance 5A, or 4�ritten Fr?�reern�:int tfrtrt arit)tha:'.r• person or organizartio!) br added is ari 2. AUTOS RENTED BY EMPLOYEES additionW ifisu d ire, your policy, the Any "swto” hired or crnieo by your "employee" addiiianr+l insured .shall b,, redbird tis rxr your tuelmli .arid at ywil diw(Jion will i)t- comply with the provisions in LOSS Wf)5id0~ed an"auto"you hire. CONDITIONS 2. - DUVIE ; IN THE the 01HER INSURANCE.C.orK€ition is arnfand;ld E:VFNT OF ACf:IDFNT, ('I.AI€trt , SUIT by adding the tri€fowin,): Cil? 1.0SS ... OF wf"CT ION €V -- BUSINESS AUTO CONDITIONS, in thr! same n)anncr as ttic.Narn,!d lwsured. C_X!',Thr.., t•wikiid {Inr;ludca ropyri h(Er#rrf:!teria€ Form HA 99 16 03,12 of IS"O propertied, Ierc:.., with ils Fc rnasacaan.} Page 2 of 5 If an "employee's" personal insurance, also 5. PIiYSICAL DAMAGE - ADDITIONAL appiles on an excess basis to a covered *auto" TEMPORARY TRANSPORTATION EXPENSE hired or rented by your "employee" on your COVERAGE behalf and at your direct€ort, this insurance will paragraph A,4.a. of SECTION I€1 - PHYSICAL be pomary to the "employee's" personal DAMAGE COVERAGE is amanded to provide a Insurance. limit of $50 per day and a ma*mum limit of 3. AMENDED FELLOW EMPLOYEE EXCLUSION ai,000. EXCLUSION 5, - FELLOW EMPLOYEE - of 6, LOANILEASE GAP COVERAGE SECT ON If - LIAE$L ATY COVERAGE does net Lander SEC7I0N III - PHYSICAL_ DAMAGE apply it you have workers' compensation CO FRAGF. in the event of a Total "Ic6s" to a insurance: in-force covering all of your covered ''auto", we win pay you,additional legal "employees", obliga€ion for any difference between the actual Coverage is excess over any other collectible cash value of the "auto" at the time of tie "loss" insuram,e. arxl the"outslanding balance"of the IoanAease. " 4. HIRED AUTO PHYSICAL DAMAGE COVERAGE "Outst,af'.ding baL:nca" means Ifie ainount you It hired "autos" are covered "autos" for Liability oae on the loande:ase at fire time of"loss" lass Coverage and If Gomprehwrrsive, Specified any amounts represcant ng tares; overdue r Causes of toss, or Collision coverages are payments; pew Cties. interest.. or charges VA provided under Mis Coverage Form for and resulting from overdue payments; additional X "auto" Ku :ann, tlr ri the Physical Damrge mikerage charges;excess wear and tear charges: Lease temiination fees: security deposits not N Coverages pwvided are sxte;nded to "::trios'you returned k y the Ir .s<:r; Exacts for extended h hire, or borrow,subjea to the following lirnik. N wan'anties,credit lith Insurance, health,accident The. most we will pay for "lass" to any nired or disabil€ nsui�rtCe` �trrctr<rx d with the Loan or "autG" s: y F x leasf;, and carry-over balances front pro0own (1) $10C,CE1C; mans 4ir leases. (�} The actual cash v»lue of the darnaged or 7. AIRBAG COVERAGE sW:on property at the time of the"loss". or Untfer Paragraph B> F.XMA.iS€ON0 •• of (31 The cost of r.EpE)rrrl Ol' E pkicirq the SECTION III - PHYSICAL DAMAGE damaged orskrlell property, C:.)Vf-kAGF.,the following iy xitfed: whichever is srn,ailes , minus a deductible. The; T:'w exclusioo relating to me&anical breakdown Beduin tihler will tae equal to the ls(gcst doductible doge not apply to tifie aceldent.al discharge of an ?? appliuble tri tiny ownod "auto" tot that airbag. tftz coveragit,. No doduOide apphos to"wss'cau d 8, ELECTRONIC EQUiPMt=NT - DFtaaDENEQ by file or lightning, Hired Auto Physical Darn:,.4p COVERAGE cnveragr ig efxce:ss ervcir any othor collectible ��. insurance. mut),€E)E;t to tile,above IIIYfIt, delocliblE? a. The e,<Cr:ptior;,; to {'arayraphy B-4 � — and excesi provisian5: wt:v(,) provide: cAvt-,,,!. Ie E:XCLIA IONS-of:F CTI0N ill - PHY a1CAL equal to the hr`o idest coverage applicable to any DAMAGE CCI ERAOL are t.,4€)fgCed by the ' ccver'ed"auto"you own fcllovdinEa: We*rill alst, cover lies of i,:e of t:he hirip"auto" ar:Iu.:"sung 4,G. ,n1 4.d. do not apply fa If i': msul" f-om an "accidrnt", you ale lof -illy equipmE?rit deSignod to be operated .solciy liable and the lessor incurs an ictual frn;a;16,il b`/ wio of thr� Kuawer from the "auto's" ' it)", subject to a rnaximurn of $1000 per ele?e riral systEini that... ;.t the finie of"loss", MOM "at.cide.nt, This exlemsion of a�vuraiJe Udou:, tint ;:rpc)ly to (1 i f�+srritt}nt ntly installed in or upon any "auto" you herr.- or hJgr7ow hErin ;any «Iyour the::COVOretl "employees", partnefrs (it you ars-, .a pwUlef."hip), (2) RE;nx)vablr: from a hou;;ing [wit inE`rrrbeit;(ii you :are a lirnited Iiabiliiv (:orop.wiy), vii ;ch is perrnarrf aft. installed iri '"--- of membri ; of ttiEairhruscnalds. Ear upon tho(,merM "auto (3) An irrlogral part (j' the ramie unit - hou5in,';a ,.o)y eEecirnnic equipnlwlt (,IE.<,;ciit)(-ri irl Paragraphs f I)and (21 above;rr 2011.Th('! f-;adl rd ;IrwI,f1Hs^;f,pyrh.,ntcd mai;,I a Form HA 09 16 03 12 of 60 Ft xpC:l1toS. Iric.with its pt sY:ftss r)n.; pace 3 of 5 (a) Necessary for the norm"] If anotner Hartford Financial Sern4ces Group, operation of the covered "auto"or Inc. compary policy or coverage forret that is not the rrionitofimj of the covemd an automob:le policy or coverage tone applies to 'auto's"operating system, the sar-ee°ac;rk1efrr,,file following applies. b.Seci on IIi — Version CA 00 01 C•3 10 o` the (1) If tete daduc(ible under this Business A= Business Auto Coverage Form, Physical Coverace Farm is the sirroller (or smallest) Ga mage Coverage, Limit of Insurance, deductible, it wili tie waived; Paragraph C?and Version CA 00 01 10 01 of (2) If file dWuctible under this Business Auto the B•:Jsiness Auto Coverage Form, Physical Coverage Fern is not the smaller (or Damage Coverage, Limit of Insurance, smallest) deductible, it will be reduced by Paragraph. C. are each amended to add the the a.mxint of the smaller (or smallest) follo;nring, deductible. $1,500 Ls (he most we will pay for"loss" in 12. AMENDED DUTIES IN THE EVENT OF any one "accident® to all electronic ACCIDENT,CLAIM,SUITOR LOSS equipment (other than equipment designed solely for the reproduction of soured, and `hc rocts,iN mt in LOSS CONDI'Tir.;NS 2.a, BGcc�sarEes used with such equipment) DLrT'IF,S IN THE EVENT OF AC;CfDENT,CLAIM, that rep(oduces, n?Ce'ives or transaitts SUIT OR LOSS - of SECTION IV- BUSINESS audio, visual or data signals which, at ttie AUTO r:ONDITIQtJS that you must notify us of time of"toss",is. an "accidenV applies only when the"accidenl"iti known to. (1)Penttanerttly Installed in or upon !n(f) Y tiles Cove�rGd "auto" in a housing, c,u,if y:N::,n� lie iE'dtd11"I I , opening or Wier location that is not (2} A partner,if you are a partnership; normally used by the "auto" (3) A memtief, if you are a lirrAed Iia>uility manufacturer for the installation of ro;Yepam: or swfh equipaiefiL (4) An executive officer orin5urarice.mana;Ier, if (2) Femovablea from a permanently yo;are a corporation, installed ht)Wlrig unit as described 13. UNINTENTIONAL FAILURE TO DISCLOSE in Parygrapff 2.j, abuva or is an HAZARDSintPgral part of flea(egrailimUnt;or If you unintowion 111V ti-01 to disc:lo:;N Flay hav� ffds (:1)An tnTf;11f c71 earl of sus li n<Ir1i{N'nr;nt eNist:ng at tl;e inoer,ion daft or your policy.. wt^ c.For r-,ash coverrd"auto",should loss be kmil{d will riot deny coverage underthis Coverage io electronic ecluiprrient only, out obligation to Form becao5F of such failure, piy rite, repair, ret}um or replace damaged of 14, HIRED AUTO-CUVERAVE Tf RFt).TORY ,Wdoo r?le%twr,ic; f;quiprnent will be roducod by the af.jA(,i3bfr:. dcedix1lble shown in they Parat}up'i e of GENE-rAL CONDITIOiJS i. - [Jsacla,xium, nr $.250. w-dOievei deducflble is POLICY PERIOD, COVEIRAC„C TERRITORY . I�ct; of SECTION IV - BUSINESS Al1TO 9. EXTRA EXPENSE - BROADENED GONfii°i D'el`i:]i5 rr,pW od by the following; COVEP�AGE e, For short-tE.wn hoed "mtos', tiro r ovelage r 4. , torril(,ry with re--s ;ct to Liability Cwmrage i;, Under t• irritTr�iph A,. -COVERAGE of ;t CTl 7><I nfiywnery in the world prmridcd that if the Ur PHYSICAL DAMAGE COVEPAGF, wN will "rnsured's"rEthenworl(y to pay dathat if ic:e pay tar Ina PxpNri .N of reltrmincl t1 stolen covered "bridify uefury" or "properly darnagc" is ".rE:io"In yciu delelfrilried In a"Suit,"the"suit"is brought fn 10, GLASS RFPAiR.VVAiVEP OF DEDUCTIBLE the United Slates of America. the territonrs Urid(,r Paiagrapti O.• DEDUG'I'IBLU -of SECTION tared po5n5--wr* of lac? United 'State:; of III - PHYSICAL DAMAGE C0VFRAGF*_ Rif America, Muerte? Rico (it Canada or in a following is adde : settlwylo t wo s4afee to. No dpdudiblo app ies to glass; darvago if tfie 15. WAIVER OF SUBROGATION gla s,;Is ropalrrsd rrathr1111an rep€tjced. TRIAN`a'FER OF RIGH i'S OF RECOVERY 11, TWO OR MORE DEDUCTIBLES AGAINST C>f Hf dS 10 Ua - ref SECTION IV - Uridei Pai,,i,r:+ph D: 1.COUC 'iRLIF of SFIG1,10N BUSIN-E:SS AJ 10 r CONDI I IONS is arnended by ill - PHY1:A:l+L t?AMAGL GOVl::RflGL, the addir:g uicr fulls wing followiri!,;is:ddi ni cFi 2011.Th•^Faref<:rit(Ir'rc;e.rdc:s copyfirghted f Aterial Fotm NA 99 16 03 12 of 60 F'r<rpoflie , Inc., Willi I>.l>E rnitf :,iter'].] Paye 4 of 5 We waive any right of recovery we may have c.Recdardless of the nu!nber of autos deemed a against any person or organization with whom total loss, the roost we will }ray ,ratter this ycu have a written contract that requires such Hybrid, Electric, or Natural Gas Vehicle waiver because of payments we make for Payment Coverage provision for any one damages under this Coverage FomL "lass"is$10,000. 16. RESULTANT MENTAL ANGUISH COVERAGE For the purposes of tale coverage provision, "The defrnitiix, of 'bodily injury" in SECTION V- a.A "nos:-hybrid"auto is defined as an auto that DEFINITIONS is replaced by the following: uses only an int.emaf combustion engine to "Bodily injury" means bodily injury, sickness or move the auto but does not include autos disease sustained by any person, including powered solely by efecl6city or natural gas. mental angwsh or death iesulling from any of b.A "hy(xid" auto is defined as an seta with an these, imoinal comp x:stion engine and orrn or more, 0 17. EXTENDED CANCELLATION CONDITION elet1rit Motor,;, and that user, the internal c, combustion engine and one or more electro C, Paragraph 2. of the COMMON POLICY r1PJiU, to 11.100 the auto, Or the interna! CONDITIONS - CANCFLl_ATION - applies exceQt as follow: combustion engine to charge one or acture electric rrotors.which move=he auto. 14 if we cancel 'or any reason other than c 19. VEHICLE WRAP COVERAGE r nonpayment of prerraum, vie will mall or deliver to the first. Nairfd Insured wrilten notice of In the event of a total toss to an 'auto'for which cancellabon at least 60 stays before the effectiveComprahensiv> •.Specified Causes of Loss, or .ate of canceila ion, Coi[sicio coverages are provided under this Goverage Form, tfian such Physical Damige 18. HYBRID, ELECTRIC, OR NATURAL GAS Coverages are armondecl to add the fo:owing: VEHICLE PAYMENT COVERAGE In addition to the actual cash vas uc of the "auto", x In the evetit of a total loss to a "non-hybrid"auto we will pay :;p to $1,000 for vinyl vehicle wraps for which Conmprahcnsive, Specified Causes of which are displayed on the covered"auto"at the Loss; or Crollisiott Coverages are provided under time of lolsl loss. Regardless of the nuoabrar of this Cn raye Form, then such Physical altos de6a*d a tntat loss, the rrh)si we wi1)pay P Dxw3ge Cuvr3rta ps obit,,arricrlded as rollo,ws. tntdei INs Vehicle; 1Rre:ap Coverage. provision 1Qt -1r use :�uio IS replacod with u "hybrid" auto or aany tlnr>, 'la:s" >i $5,C-00. i Or perrpowes of alizi ? ? ail sruto powered]solely by electricity or natural C.DlBratJg f,rc,vislon, signs c,r c>tlinr gr phir, �1 gas, we will pray an additional 10%, to a Painted or roagriellically irffoxod to 1111c vahicle '11c m aximurrt of 52,500,of the, "nor-hybrid"loon's not C.Onsitjeled vehi(Ae wrap+3, acl.ual (.e1.0 vadull or r%)laWrt*rit (.0"t, wNchtaver i5 lfaci5, t,.l'he auto must be; replaced and a capy of a bill of Sale or new ieasH ercgreerneal ieceivK!by us within EX)Cralterloal cjnys of ll-w{irate;of"lose•. ; K2011 Tl?t -tiarfl{.�i{j{inL'•Itrrli?`. L.i?t?y'Ii+�tit�Si; irl;itw,rkl Foon HA 99 16 03 12 of I C?prnlicri in:,!nC'.. �4'ilh ins.purnw.skin Page 5 Cit 6 ANK-)"EMP L0 MWC11794400 WAIVER W" OUR RIGHT-ro RECOVER FROM OTHEPHS ENDORSEPAEN'T hot Ave Me FQKI S�-*�Sv :: '.iiy PQMWN Pop egos nw�or to twq anus Q Is Pd". 04 Y& Do YAM'xi My 0011 apmeq toe sman 0 uqMwann nown 0 to sor-:�E�' lo a Mos"ONS,4""5l [t-' tuns psi C"EMA,dINVY CF KAMY W MAK avow no nwed 0 me Womb. SCHEUUL:'� The City of Fresno,Its offters,officials,employees,agents and volunteers �YA 09/015012