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HomeMy WebLinkAboutT-6110 - Certificate of Insurance - 8/25/2017 � ® DATE IMM/DD/YYYY) AC LJRE)i = CERTIFICATE OF LIABILITY INSURANCE 12/31i2018 8/24J2017 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(les) 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 rights to the certificate holder in lieu of such endorsement(s). ACT PRODUCER Lockton Insurance Brokers,LLC NAME- CA Licence#01`15767 PHONE — – FAX No}; IANC.No.Exn: 725 S.Figueroa Street,35th fl. E4 MIL Los Angeles CA 90017 ADDRESS: 213-689-0065 INSURERS AFFORDING COVERAGE NAIC# INSURER A:International Insurance Company of Hannover SE INSURED Granville Homes,Inc. INSURER B: 1404859 dba Fowler Development Company,Inc. INSURER C: 1530 Fulton Ave. INSURER D: Fresno CA 93721 INSURER E INSURER F: COVERAGES GRAH001 CERTIFICATE NUMBER: 14620032 REVISION NUMBER: XXXXXXX 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. rA TYPE OF INSURANCE DDL.t=SUM POLICY NUMBER MMIDDIY Y) MMIuDDYII'FYVY LIMITS X COMMERCIAL GENERAL LIABILITY Y Y CC1600215 12/31/2016 12/31/2018EACH OCCURRENCE $ 10.00 000 CLAIMS-MADE ETES( a Vc ❑X occuR PREMMI st:s rr a $ ]W000 X Silica Each MED EXP(Any one person) $ XXXXX3 x X Oce/Offense:$1M PERSONAL&ADV INJURY $ 10 000 OOO GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 10,000,000 POLICY 191JEC LOC PRODUCTS-COMP/OP AGG $ 10,000,000 OTHER: 1 $ AUTOMOBILE LIABILITY NOT APPLICABLE 2!IIIN 0 IN LE LIMIT $ XX)CXXXX ANY AUTO BODILY INJURY(Per person) $ XXXXXXX OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS XXXXXXX HIRED NON-OWNED PROPERTY DAMAGE $ ;XXXXXX AUTOS ONLY AUTOS ONLY Per accident $ XXXXXXX UMBRELLA LIAROCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX EXCESS LIAR HCLAIMS-MADE AGGREGATE $ XXXXXXX DED I I RETENTION$ $ XXXXXXX WORKERS COMPENSATION NOT APPLICABLE H- AND EMPLOYERS'LIABILITY IN I STATUTE IER ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ E.L EACH ACCIDENT 1sxxxxxxx OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E L DISEASE-EA EMPLOYEE $XXXXXXX If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$XXXXXXX DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER,APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S)REFERENCED, Re:Tract#6110.City of Fresno is an Additional Insured(s)as per the attached endorsement or policy language Additional Insured(s)is primary and non-contributory as per the attached endorsements or policy language.Waiver of subrogation applies as per the attached endorsements or policy language. RISK MANAGEMENT DIVISION Approved:�;/ CERTIFICATE HOLDER LATION See Attachments 14620032 Ir City of Fresno Signed �a� % SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 2600 Fresno Street,Room 4064 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Fresno es 93721-3620Street, oACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRPSt. T I88-2n1&%rDCORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: CC1600215 COMMERCIAL GENERAL LIABILITY CG 20 12 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: where required by written contract 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 2.This insurance does not apply to: include as an insured any state or governmental a.'Bodily injury", "property damage"or"personal agency or subdivision or political subdivision shown and advertising injury"arising out of in the Schedule, subject to the following provisions: operations performed for the federal 1. This insurance applies only with respect to government, state or municipality; or operations performed by you or on your b. 'Bodily injury"or"property damage" included behalf for which the state or governmental within the"products-completed operations agency or subdivision or political subdivision hazard". has issued a permit or authorization. CG 20 12 05 09 (c) Insurance Services Office, Inc. 2008 Page 1 of 1 Attachment Code:D528080 Certificate ID: 14620032 POLICY NUMBER: CC1600215 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 Location And Description Of Completed Organization(s): Operations: where required by written contract where required by written contract 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 damage" caused, in whole or in part, by"your work"at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the"products- completed operations hazard. CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 Attachment Code:D528084 Certificate ID: 14620032 POLICY NUMBER: CC1600215 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2)You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be primary contrary: and would not seek contribution from any other insurance available to the additional insured. Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1)The additional insured is a Named Insured under such other insurance; and CG 20 01 0413 ©Insurance Services Office, Inc., 2012 Page 1 of 1 Attachment Code:D528086 Certificate ID: 14620032 POLICY NUMBER: CC1600215 COMMERCIAL GENERAL LIABILITY CG 24 04 10 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: where required by written contract. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV - COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 0410 93 Copyright, Insurance Services Office, Inc., 1992 Page 1 of 1 Attachment Code:D528085 Certificate ID: 14620032 ATE CERTIFICATE DF LIABILITY INSURANCE 4/11/2017 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(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 MEA Katherine Hansen James G Parker Insurance Associates PHONE (5559)222_7722 F C (559)222-1724 License #0554959 ADDRRSS,khansen@jgparker.com P O BOX 3 947 INSURERS AFFORDING COVERAGE NAIC# Fresno CA 93650 INSURER A Nationwide Mutual Insurance Company 23787 ............. INSURED W SURER B: Granville Homes Inc INSURERC: 1396 W Herndon Ave, #101 INSURERD: INSURER E: Fresno CA 93711 INSURER F: COVERAGES CERTIFICATE NUMBER:17-18 General Cert 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. ILTR TYPE OF INSURANCE ,ADOLISUBA POLICY NUMBER POLICY EFF POLICY EXP LIMITS 7 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ J CLAIMS-MADE i , OCCUR PREMISS Eat o � $ MED EXP.(Afy one ) $ PERSONAL&ADV INJURY $ GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ JR O- LOC PRODUCTS-COMP/OP AGG $ POLICY 1:1 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ A ALL OWNED SCHEDULED AUTOS AUTOS X ACP3026999860 4/1/2017 4/1/2018 BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS era d Uninsured motorist combined $ 1,000,000 X UMBRELLA LIAB X_ OCCUR EACH OCCURRENCE $ 4,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 4,000,000 DED RETENTLON 0 ACP3026999860 4/1/2017 4/1/2018 $ WORKERS COMPENSATION PER AND EMPLOYERS'LIABILITY YIN ST TUT ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ ff es,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Tract #6110. The City of Fresno, it's officers, officials, employees, agents and volunteers are included as Additional Insured (Primary) with respect to Automobile Liability per the attached CA2048 1013 and AC2041 0316. CERTIRCATS HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fresno THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 2600 Fresno St, Room 4064 ACCORDANCE WITH THE POLICY PROVISIONS. Fresno, CA 93721-3620 AUTHORIZED REPRESENTATIVE James Parker III/GDB �k� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD NS025r9mamL Additional Named Insureds Other Named Insureds ASsemi & Sons Inc Assemi Investments Fowler Development Company GVM Development LLC Las Brisas Builders LLC Stakt LLC OFAPPINF(02/2007) COPYRIGHT 2007,AMS SERVICES INC COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s)or organization(s)who are "insureds"for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. SCHEDULE Name Of Person(s)Or Organization(s): THE CITY OF FRESNO IT'S OFFICERS, OFFICIALS, EMPLOYEES, AGENTS Information required to complete this Schedule, if not shown above,will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured"for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 ©Insurance Services Office, Inc.,2011 Page 1 of 1 ACP BA 30-2-6999860 LEHO 17051 INSURED COPY CA2048101300 0100 47 0025777 COMMERCIAL AUTO AC 20 41 0316 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. SCHEDULE Name of Person(s) or Organization(s): THE CITY OF FRESNO IT'S OFFICERS, OFFICIALS, EMPLOYEES, AGENTS AND VOLUNTEERS 2600 FRESNO ST, RM 4064, FRESNO CA 93721 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) A. Who Is An Insured for COVERED AUTOS Primary And Noncontributory Insurance LIABILITY COVERAGE is amended to include as an "insured"for Covered Autos Liability Coverage: This insurance is primary to and will not seek contribution from any other insurance available to Each person or organization shown in the the person or organization named in the Schedule Schedule, but only to the extent that person or under your policy provided that: organization qualifies as an "insured". The (1) The person or organization is a Named "accident" must arise out of ongoing operations insured under such other insurance;and performed for the Named Insured. (2) You have agreed in writing in a contract or B. Changes in CONDITIONS agreement that this insurance would be primary and would not seek contribution from The following is added to the Other Insurance any other insurance available to them. Condition and supersedes any provision to the contrary: AC 20 41 0316 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. ACP BA 30-2-6999860 LEHO 17051 INSURED COPY AC2041031600 0220 47 0025760 GRANHOL-01 PTW DATE(MM/DDIYYYY) ,aco�zo CERTIFICATE OF LIABILITY INSURANCE 04111!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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER License#OEf72t}96 �NnC7 - DlBuduo&DeFendis Insurance Brokers,LLC PNONE 432-0222 FAX _ P.O.Box 5479 WC.No.EIAI:( ) ;A1C,No)�9�431-7941 Fresno,CA 93755-5479 1011Sc. INSi)RERU.AFF01ID6NG COV-RAGE_. NAIC# INSURER A:.Ciyp qn Insurance Cot11 aany... ............. 70855"_ INSURED INSURER B: ,._ Fowler Development Company,Inc. INSURER C: c/o GV Holdings,Inc. 1396 W Herndon Ave,Suite 101 iN$URER.O: Fresno,CA 93711 INSURER e.p INSURER F: _ 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 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. IN6R TYPE OF INSURANCE 'AD I'qp SUf3p WVPOLICY NUMBER POLICY EFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ - I DAMAGE TO RENTED ---....... CLAIMS-MADE OCCUR PRF_MISFS..(E$,O.Cia nnQQ) S —. MED EXP JAny"anep_erson PERSONAL&ADV INJURY $ GEN-LAGGREGMV LIMIT APPLI ES PER: GENERAL AGGREGATE $ POLICY. J j LOC PRODUCTS-COMP/OP AGG $ ....._ OTHER $ COMBINED SINGLE UM IT AUTOMOBILE LIABILITY Aga-.Rf�t __" $-._....."" ANY AUTO 6¢61LY_INJURY"{Perpe OWNED SCHEDULED AUTOS ONLY AUUTTOQSyy}y p ,Hl1DELY,.INJURI'�PBrBgC� $"__"_... AUTOS ONLY Al 6 O�LY � d tQAMAGE $ UMBRELLA LIAR OCCUR EACH OCCUIRRENCE $ EXCESS LIAR CLAIMS-MADE GRE TE_ _ $ ... DED RETENTION$ I$ A WORKERS COMPENSATION X I pET4TJJ7.E � ,ERH AND EMPLOYERS'LIABILITY Y!N I .ANY PROPRIETOR/PARTNER/EXECUTIVE X GRWC807432 01/01/2017 01!01/2018 EL.EAGyAC�,IDENT $ 1'000'000 .1Q�FFFI E�AA M 3ER EXCLUDED? N I A tNlae�atoryn NH) E_L."DISEASE-EA EMPLOYE $ 1'000'000 If yes,describe under 1,000,000 ,C)ESCRJPTION OF OPERATIONS below E.L.=EASE-POLICY UMIT � I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Tract 6110-Waiver of Subrogation applies per attached form WC9904020 9114 CERTIFICATE HOLDER _..................... CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fresno ACCORDANCE WITH THE POLICY PROVISIONS. 2600 Fresno Street,Room 4064 Fresno,CA 93721-3620 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 04 02 C (Ed.9-14) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT -CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy.We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 5%of the applicable manual premium otherwise due on such remuneration subject to a policy maximum charge for all such waivers of 5%of total manual premium. The minimum premium for this endorsement is$350. This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Specific Waiver Person/Organization: City of Fresno Job Description: Real Estate Agencies Waiver Premium: 350.00 Payroll Subject Class State to Waiver 8741 CA 950,000.00 This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective: 01/01/2017 Policy No.:GRWC807432 Endorsement No.: '1 Insured: � - Premium-" Insurance Company:Cypress Insurance Company WC 99 04 02C Countersigned by (Ed.9-14) Subdivision Agreement Final Map of Tract No. 6110 Page 9 The City shall not release any of the original Performance Security or execute the Amendment to this Agreement until such time as the Subdivider has provided the Performance Security required by the Amendment. 6. Any damage to the work and improvements constructed pursuant to this agreement that occurs after installation shall be made good to the satisfaction of the City Engineer by the Subdivider before any securities are released or the final acceptance of the completed work. 7. The Subdivider shall remedy any defective work or labor or any defective materials relating to the Improvements and pay for any damage to other work or improvements resulting therefrom which shall occur within a period of one (1) year from the date of acceptance of the Improvements. 8. To insure the Subdivider complies with its obligations set forth in paragraph 7, on acceptance of the required work by the City Engineer, a warranty security shall be furnished to or existing securities retained by the City, in the minimum amount identified in said Exhibit A, as a guarantee and warranty of the work for a period of one (1) year following acceptance against any defective work or labor done or defective materials furnished. In accordance with Section 15-3806 of the Fresno Municipal Code, said warranty security shall be in the form of cash or a Certificate of Deposit. The warranty security shall be released, less any amount required to be used forfulfillment of the warranty, one (1) year after final acceptance of the subdivision Improvements. 9. This Agreement shall in no way be construed as a grant by the City of any rights to the Subdivider to trespass upon land rightfully in the possession of, or owned by, another, whether such land be privately or publicly owned. 10. indemnification. a. To the furthest extent allowed by law, Subdivider shall indemnify, hold harmless and defend City and each of its officers, officials, employees, agents and volunteers from any and all loss, liability, fines, penalties, forfeitures, costs and damages (whether in contract,tort or strict liability, including but not limited to personal injury, death at Subdivision Agreement Final Map of Tract No. 6110 Page 10 any time and property damage) incurred by City, Subdivider or any other person, and from any and all claims,demands and actions in law or equity(including attorney's fees, litigation and legal expenses incurred by City or held to be the liability of City, including plaintiffs or petitioner's attorney's fees if awarded, in connection with City's defense of its actions in any proceeding), arising or alleged to have arisen directly or indirectly out of performance or in any way connected with: (i) the making of this Agreement; (ii) the performance of this Agreement; (iii)the performance or installation of the work or improvements by Subdivider and Subdivider's employees,officers,agents, contractors or subcontractors;(iv)the design, installation, operation, removal or maintenance of the work and improvements; or(v) City's granting, issuing or approving use of this Agreement. b. Subdivider's obligations under the preceding sentence shall apply regardless of whether City or any of its officers, officials, employees or agents are negligent, but shall not apply to any loss, liability,fines, penalties,forfeitures,costs or damages caused solely by the gross negligence, or caused by the willful misconduct, of City or any of its officers, officials, employees, agents or authorized volunteers. C. If Subdivider should subcontract all or any portion of the work to be performed under this Agreement, Subdivider shall require each subcontractor to indemnify, hold harmless and defend City and each of its officers, officials, employees, agents and volunteers in accordance with the terms of paragraphs "a" and "b" of this Section. Notwithstanding the preceding sentence, any subcontractor who is a"design professional" as defined in Section 2782.8 of the California Civil Code shall, in lieu of indemnity requirements set forth in paragraphs "a" and "b" of this Section, be required to indemnify, hold harmless and defend City and each of its officers, officials, employees, agents and volunteers to the furthest extent allowed by law, from any and all loss, liability, fines, penalties,forfeitures,costs and damages(whether in contract,tort or strict liability,including but not limited to personal injury,death at anytime and property damage), and from any and all claims, demands and actions in law or equity(including reasonable attorney's fees and litigation expenses)that arise out of, pertain to, or relate to the negligence, recklessness or willful misconduct of the design professional, its principals, officers, employees, agents or volunteers in the performance of this Agreement. d. Subdivider further agrees that the use for any purpose and by any person of any and all of the streets and improvements hereinbefore specified, shall be at the sole and exclusive risk of Subdivider at all times prior to final acceptance by City of the completed street and other improvements thereon and therein. Subdivision Agreement Final Map of Tract No. 6110 Page 11 e. This Section shall survive termination or expiration of this Agreement. 11. Insurance. Throughout the life of this Agreement, Subdivider shall pay for and maintain in full force and effect all policies of insurance described in this Section with an insurance company(ies) either (i) admitted by the California Insurance Commissioner to do business in the State of California and rated not less than"A-VII"in Best's Insurance Rating Guide, or(ii)authorized by City's Risk Manager. The following policies of insurance are required: a. COMMERCIAL GENERAL LIABILITY insurance, which shall be at least as broad as the most current version of Insurance Services Office(ISO) Commercial General Liability Coverage Form CG 00 01 and shall include insurance for bodily injury, property damage, and personal and advertising injury with coverage for premises and operations (including the use of owned and non-owned equipment), products and completed operations, contractual liability(including indemnity obligations under this Agreement),with limits of liability of not less than $5,000,000 per occurrence for bodily injury and property damage, $1,000,000 per occurrence for personal and advertising injury and $5,000,000 aggregate for products and completed operations, and $10,000,000 general aggregate. b. COMMERCIAL AUTOMOBILE LIABILITY insurance,which shall be at least as broad as the most current version of Insurance Services Office (ISO) Business Auto Coverage Form CA 00 01 and shall include coverage for all owned, hired, and non-owned automobiles or other licensed vehicles (Code 1-Any Auto), with combined single limits of liability of not less than $1,000,000 per accident for bodily injury and property damage. C. WORKERS' COMPENSATION insurance as required under the California Labor Code. d. EMPLOYERS' LIABILITY with minimum limits of liability of not less than $1,000,000 each accident, $1,000,000 disease policy limit and $1,000,000 disease each employee. Subdivider shall be responsible for payment of any deductibles contained in any insurance policies required hereunder and Subdivider shall also be responsible for payment of any self-insured retentions. Subdivision Agreement Final Map of Tract No. 6110 Page 12 The above described policies of insurance shall be endorsed to provide an unrestricted 30 calendar day written notice in favor of City of policy cancellation of coverage,except for the Workers' Compensation policy which shall provide a 10 calendar day written notice of such cancellation of coverage. In the event any policies are due to expire during the term of this Agreement, Subdivider shall provide a new certificate evidencing renewal of such policy(ies) not less than 15 calendar days prior to the expiration date of the expiring policy(ies). Upon issuance by the insurer, broker, or agent of a notice of cancellation in coverage, Subdivider shall file with City a new certificate and all applicable endorsements for such policy(ies). The General Liability and Automobile Liability insurance policies shall be written on an occurrence form and shall name City, its officers, officials,agents, employees and volunteers as an additional insured. Such policy(ies)of insurance shall be endorsed so Subdivider's insurance shall be primary and no contribution shall be required of City. In the event claims-made forms are used for any Professional Liability coverage,either(i)the policy(ies)shall be endorsed to provide not less than a five (5)year discovery period, or(ii)the coverage shall be maintained for a minimum of five (5)years following the termination of this Agreement and the requirements of this Section relating to such coverage shall survive termination or expiration of this Agreement. Any Workers' Compensation insurance policy shall contain a waiver of subrogation as to City,its officers,officials, agents, employees and volunteers. Subdivider shall have furnished City with the certificate(s) and applicable endorsements for ALL required insurance prior to City's execution of the Agreement. Subdivider shall furnish City with copies of the actual policies upon the request of City's Risk Manager at any time during the life of the Agreement or any extension, and this requirement shall survive termination or expiration of this Agreement. The fact that insurance is obtained by Subdivider or his/her/its subcontractors shall not be deemed to release or diminish the liability of Subdivider or his/her/its subcontractors including without limitation, liability under the indemnity provisions of this Agreement. The duty to indemnify Subdivision Agreement Final Map of Tract No. 6110 Page 13 City, its officers, officials, agents, employees and volunteers, shall apply to all claims and liability regardless of whether any insurance policies are applicable. The policy limits do not act as a limitation upon the amount of indemnification to be provided by Subdivider or his/her/its subcontractors. Approval or purchase of any insurance contracts or policies shall in no way relieve from liability nor limit the liability of Subdivider, its principals, officers, agents, employees, persons under the supervision of Subdivider, vendors, suppliers, invitees, subcontractors, consultants or anyone employed directly or indirectly by any of them. If at any time during the life of the Agreement or any extension, Subdivider fails to maintain the required insurance in full force and effect, the Director of Public Works for the City, or his/her designee, may order that the Subdivider, or its contractors or subcontractors, immediately discontinue any further work under this Agreement and take all necessary actions to secure the work site to insure that public health and safety is protected. All payments due or that become due to Subdivider shall be withheld until notice is received by City that the required insurance has been restored to full force and effect and that the premiums therefore have been paid for a period satisfactory to City. Any failure to maintain the required insurance shall be sufficient cause for City to terminate this Agreement. If Subdivider should subcontract all or any portion of the services to be performed under this Agreement, Subdivider shall require each subcontractor to provide insurance protection in favor of City, its officers,officials, employees,volunteers and agents in accordance with the terms of each of the preceding paragraphs,except that the subcontractors'certificates and endorsements shall be on file with Subdivider and City prior to the commencement of any work by the subcontractor. 12. The Subdivider and his subcontractors shall pay for any materials, provisions, and other supplies used in, upon, for, or about the performance of the Improvements contracted to be done, and for any work or labor thereon of any kind,and for amounts due under the Unemployment Insurance Act of the State of California, with respect to such work or labor. 13. Compaction and other materials testing performed for determination of compliance with Public Works Standards shall conform to Section 2-11 of the City Standard Specifications,