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2020/10/01 Irri-scape Construction, Inc.IRRICON-02 J13ROV AC�RU 7511 M/.NYYY) CERTIFICATE OF LIABILITY INSURANCE 1/2021 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 CONTACT Paige Caswell _SlAssured Partners of CA Insurance Services, LLC dba: Wateridge Insurance PHONE FAX Service f (Alf., N. F n, (8581 200-3383 rA1c. s Not:(858) 200-3384 10717 Sorrento Valley Road San Diego, CA 92121 rance Com INSURED INSURER B : CB Irri-scape Construction, Inc. iNsuRERc=Falls Lake Fire and 20182 Carancho Rd INSURER D : Westchester Sur II Temecula, CA 92590 NAIC # 37206 10172 LI 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. ILTRF NSR TYPE OF INSURANCE +4DDL $Ut3R POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE $ CLAIMS -MADE � OCCUR X RKA0400237 10/1/2020 10/1/2021 DAMAGE TO RENTED n ce�$ 300,000 SES X Owner's & Contractor , 5,000 V MED EXP (Any one person). $ GVMLAGGREGATE LIMITAPPLIES PER: POLICY X PRO- JECT El LOC OTHER: PERSONAL & ADV INJURY $ ' GENERAL AGGREGATE 2 PRODUCTS - COMP/OP AGG 2 S. B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY CKA0400319 10/1/2020 10/1/2021 :COMBINE. SINGLE LIMIT $ 1 POQILY INJ URY Per arson BODJLY INJURY. Per accident $ PROPERTY DAMAGE _Per accident B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS -MADE CKA0400318 10/1/2020 10/1/2021 AQ.GREG TE DED TENTIONS 10,000 TXRE Prod/Comp Ops $ 1,000,000 C WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE Y N FLA00297504 Es 1/1/2021 1/1/2022 E.L. EACH ACCIDENT 1,000,000 FFIOERrry MMRExcLu0En7 N/A prdnlon = 1,000,000 If yes, describe under EL. DISEASE - EA EMPLOYE � $ 1,000,000 DESCRIPTION OF OPERATIONS below E•L DISEASE - POLICY LIMIT A Equipment Floater RKA0400237 10/112020 101112021 Leased/Rented 25,000 D Pollution Legal Liab G71520821003 5/2/2021 5/2/2022 Limit/$2,500 Ded 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (AC"ORD 101, Additional Remarks Schedule, may be attached it more space is required) RE: Insured's operations performed under written contract. City of Menifee is named additional insured with respects to General Liability per attached. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Menifee THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 29714 Haun Road ACCORDANCE WITH THE POLICY PROVISIONS Sun City, CA 92686 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) C 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Policy Number: RKA0400237 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - WHERE REQUIRED BY CONTRACT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE (Optional) Name of Additional Insured Persons or Organizations (as required by `written contract" per Paragraph A. below) A. WHO IS AN INSURED (Section II) is amended to include as an insured: 1. Any person(s) or organization(s) whom you are required pursuant to a "written con- tract" to add as an additional insured on this policy; and 2. The particular person or organization, if any, scheduled above. B. When required in the "written contract", the cov- erage provided to the additional insured under this policy shall be primary and non-contributory to the additional insured subject to the limitations set forth below. C. The insurance provided to the additional insured is limited as follows.- 1. The person or organization is an additional insured only with respect to liability For "bod- ily injury" or "property damage" caused, in whole or in part, by: a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf; In the performance of your ongoing op- erations as specified in the "written con- tract". When required in the "written contract", the coverage provided to the additional insured by this endorsement will apply to "bodily injury' or "property damage" arising out of the "products -completed Locations of Covered Operations (per `written contract', provided the location is within the "coverage territory' of this Coverage Part) operations hazard". 2. The Limits of Insurance applicable to the additional insured are the lesser of the available limits in this policy, or those limits you agreed to provide in the "written con- tract". 3. With respect to the coverage provided un- der this endorsement, the following duties are added to Section IV — Commercial General Liability Conditions, paragraph 2. Duties In The Event of Occurrence, Of- fense, Claim or Suit: e. An additional insured under this endorse- ment will as soon as practicable: (1) Give written notice of an "occur- rence" to us which may result in a claim or "suit" under this insurance; (2) Agree to trigger or activate any other insurance which the additional in- sured has for a loss we cover under this Coverage Part by tendering the defense to the insurers of all such other insurance. 4. If required by the "written contract", we waive the right of recovery we may have against the additional insured to which this endorsement applies for payments we make for "bodily injury" or "property dam- age" arising out of "your work" on the "writ- ten contract". Insurance Company Name RGL 350 08 17 Includes copyrighted material of Page 1 of 2 Insurance Services Office, Inc., with its permission. Policy Number: RKA0400237 5. Unless otherwise agreed in the "written con- tract", this insurance is excess over any other insurance whether primary, excess, contingent or on any other basis that is available to the additional insured. D. SECTION V — DEFINITIONS is amended to in- clude the following definition: "Written contract" means a written contract or written agreement that requires you to make a person or organization an additional insured on this Coverage Part, provided the contract or agreement is: 1. Valid and legally enforceable; 2. Currently in effect or becoming effective during the term of this policy; and 3. Executed prior to an "occurrence" result- ing in "bodily injury" or "property dam- age" for which the additional insured seeks coverage under this Coverage Part. ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. Insurance Company Name RGL 350 08 17 Includes copyrighted material of Page 2 of 2 Insurance Services Office, Inc., with its permission. IRRICON-02 JBROWN '4ca�ro® CERTIFICATE OF LIABILITY INSURANCE DAT/11/2DIY 511 /2021 1 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. j 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 CONTACT Paige Caswell NAME' Assured Partners of CA Insurance Services, LLC dba: Wateridge Insurance PHONE FAX Services (A/c, No, Ext : 858 200-3383 A/c, No): (858200-3384 10717 Sorrento Valley Road E-MAIL . pcaswell teri e.com San Diego, CA 92121 APDA INSURER 5 AFFORDING COVERAGE NAIC # INSURERA. RLI Insurance Company INSURED INSURER B : CBIC .37206 Irri-scape Construction, Inc. INSURERC: Falls Lake Fire and Casualty, 15884 20182 Carancho Rd INSURER D : Westchester Surplus Lines Ins Co 10172 Temecula, CA 92590 INSURER E. 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, INSR TYPE OF INSURANCE ADDL SUaR POLICY NUMBER POLICY EFF POLICY EXP LIMITS r A X COMMERCIAL GENERAL LIABILITY I 1,000,000 EACH OCCURRENCE CLAIMS -MADE F7X OCCUR X X RKA0400237 10/1/2020 10/1/2021 DAMAGE TO RENTED $ 300,000 X Owner's & Contractor MED EX P (Anyone person $ 5,000 1.000.000 GEN'LAGGREGATE LIMIT APPLIES PER: POLICY Z JEOT LOC OTHER. CKA0400319 CKA0400318 IFLA00297504 10/1/2020 GENERAL AGGREGATE ` PRODUCTS - COMP/OPAGG 2 B AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY X X 10/1/2021 COMBINED SINGLE LIMIT $ 1 X BODILY INJURY Per erson BODILY INJURY Per accident $ X PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAR X EXCESS LIAB OCCUR CLAIMS -MADE N / A X 10/1/2020 10/1/2021 EACH OCCURRENCE 1 AGGREGATE $ DE D X RETENTION $ 10,000 Prod/Comp Ops 1 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y� ANY PROPRIETOR/PARTNER/EXECUTIVE :YINJI OFFICER/MEMBER EXCLUDED? IE- (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below 1/1/2021 1/1/2022 X I PER OTH- E.L EACH A IDENT 1 E.L_ DISEASE - Fa4 EMPLOYEE $ 1 E.I_ DISEASE -POLICY LIMIT $ 1 A Equipment Floater D Pollution Legal Liab I RKA0400237 IG71520821003 10/1/2020 5/2/2021 10/1/2021 5/2/2022 Leased/Rented Limit/$2,500 Ded 1 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: 1539 E Howard, Pasadena, CA City of Pasadena, its Council Members, Commissioners, Officers, Employees and Agents are named additional insureds with respects to General Liability per attached. GL/WC waiver and Auto Liab. with waiver applies. CERTIFICATE HOLDER City of Pasadena 100 N. Garfield Avenue Pasadena, CA 91101 _ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: RKA0400237 COMMERCIAL GENERAL LIABILITY CG20100413 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 Orcianization(s) Location(s) Of Covered Operations CITY OF PASADENA, ITS COUNCIL MEMBERS, 1539 E HOWARD PASADENA, CA COMMISSIONERS, OFFICERS, EMPLOYEES AND AGENTS 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 include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 04 13 POLICY NUMBER: A31ADF389 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 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 PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations CITY OF PASADENA, ITS COUNCIL MEMBERS, 1539 E HOWARD, PASADENA, CA COMMISSIONERS, OFFICERS, EMPLOYEES AND AGENTS. 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 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". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: CKA0400319 A. B. C. D. E. F. G. H. I. J. K. L. M. N. O. P. Q. R. S. T. U. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO ENHANCEMENT SCHEDULE OF COVERAGES ADDRESSED BY THIS ENDORSEMENT Broad Form Named Insured Employees As Insureds Blanket Additional Insured Blanket Waiver Of Subrogation Employee Hired Autos Changes in General Conditions for Hired Auto Physical Damage Fellow Employee Coverage Auto Loan Lease Gap Coverage Glass Repair — Waiver Of Deductible Personal Effects Coverage Hired Auto Physical Damage Coverage Hired Auto Physical Damage — Loss Of Use Hired Car —Worldwide Coverage Temporary Transportation Expenses Amended Bodily Injury Definition — Mental Anguish Airbag Coverage Amended Insured Contract Definition — Railroad Easement Coverage Extensions — Audio, Visual And Data Electronic Equipment Not Designed Solely For The Production Of Sound Notice Of And Knowledge Of Occurrence Unintentional Errors Or Omissions Towing Coverage CBCA 00 45 05 14 Includes copyrighted material of Page 1 of 6 Insurance Services Office, Inc., with its permission CKA0400319 This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM A. Broad Form Named Insured The following is added to SECTION II — COVERED AUTOS LIABILITY COVER- AGE, Paragraph A. Coverage, 1. Who Is An Insured: Any business entity newly acquired or formed by you during the policy period, pro- vided you own fifty percent (50%) or more of the business entity and the business entity is not separately insured for Business Auto Coverage. Coverage is extended up to a maximum of one hundred eighty (180) days following the acquisition or formation of the business entity. This provision does not apply to any person or organization for which coverage is ex- cluded by endorsement. B. Employees as Insureds The following is added to SECTION II — COVERED AUTOS LIABILITY COVER- AGE, Paragraph A. Coverage, 1. Who Is An Insured: Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow in your business or your per- sonal affairs. C. Blanket Additional Insured The following is added to SECTION II — COVERED AUTOS LIABILITY COVER- AGE, Paragraph A. Coverage, 1. Who Is An Insured: Any person or organization that you are re- quired to include as an additional insured on this coverage form in a contract or agree- ment that is executed by you before the "bodily injury" or "property damage" occurs is an "insured" for liability coverage, but only for damages to which this insurance applies and only to the extent that person or organi- zation qualifies as an "insured" under the Who Is An Insured provision contained in SECTION II — COVERED AUTOS LIABIL- ITY COVERAGE. The insurance provided to the additional insured will be on a primary and non- contributory basis to the additional insured's own business auto coverage if you are re- quired to do so in a contract or agreement that is executed by you before the "bodily in- jury" or "property damage" occurs. D. Blanket Waiver Of Subrogation The following is added to SECTION IV — BUSINESS AUTO CONDITIONS, Para- graph A. Loss Condition, 5. Transfer of Rights Of Recovery Against Others To Us: We waive any right of recovery we may have against any person or organization to the extent required of you by a contract exe- cuted prior to any "accident" or "loss", pro- vided that the "accident" or "loss" arises out of the operations contemplated by such con- tract. The waiver applies only to the person or organization designated in such contract. E. Employee Hired Autos The following is added to SECTION II — COVERED AUTOS LIABILITY COVER- AGE, Paragraph A. Coverage, 1. Who Is An Insured Provision: An "employee" of your is an "insured" while operating an "auto" hired or rented under a contract or agreement in that "employee's" name, with your permission, while perform- ing duties related to the conduct of your business. F. Changes In General Conditions For Hired Auto Physical Damage: SECTION IV — BUSINESS AUTO CONDI- TIONS, Paragraph B. General Conditions, 5. Other Insurance b. For Hired Auto Physical Damage Coverage is deleted and replaced with the following: b. For Hired Auto Physical Damage Cov- erage, the following are deemed to be covered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented by your "employee" under a contract in that individual "employee's" name, with your permission, while performing duties related to the conduct of your business. CBCA 00 45 05 14 Includes copyrighted material of Page 2 of 6 Insurance Services Office, Inc., with its permission CKA0400319 However any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". G. Fellow Employee Coverage SECTION II — COVERED AUTOS LIABIL- ITY COVERAGE, Paragraph B. Exclu- sions, 5. Fellow Employee does not apply if you have workers compensation insurance in -force covering all of your employees. H. Auto Loan Lease Gap Coverage The following is added to SECTION III — PHYSICAL DAMAGE COVERAGE, Para- graph C. Limits Of Insurance: In the event of a total "loss" to a covered "auto" shown in the Schedule of Declara- tions, we will pay any unpaid amount due on the lease or loan for a covered "auto" less: 1. The amount paid under the PHYSICAL DAMAGE COVERAGE section of the policy; and 2. Any: a. Overdue lease/loan payments at the time of the "loss"; b. Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage. c. Security deposits not returned by the lessor; d. Costs for extended warranties, Credit Life Insurance, Health, Acci- dent or Disability Insurance pur- chased with the loan or lease; and e. Carry-over balances from previous loans or leases. I. Glass Repair — Waiver Of Deductible The following is added to SECTION III — PHYSICAL DAMAGE COVERAGE, Para- graph D. Deductible: No deductible for a covered "auto" will apply to glass damage if the glass is repaired ra- ther than replaced. J. Personal Effects Coverage The following is added to SECTION III - PHYSICAL DAMAGE COVERAGE, Para- graph A. Coverage, 4. Coverage Exten- sions: c. Personal Effects Coverage In the event of a total theft loss of your covered "auto" we will pay up to $400 for "loss" to wearing apparel and other personal effects which are: (1) Owned by an "insured"; and (2) In or on your covered "auto"; No deductible applies to Personal Ef- fects Coverage. K. Hired Auto Physical Damage Coverage The following is added to SECTION III - PHYSICAL DAMAGE COVERAGE, Para- graph A. Coverage, 4. Coverage Exten- sions: d. Hired Auto Physical Damage Cover- age If hired "autos" are covered "autos" for Liability Coverage and this policy also provides Physical Damage Coverage for an owned "auto", then the Physical Damage Coverage is extended to "au- tos" that you hire, rent or borrow subject to the following: (1) The most we will pay for "loss" in any one "accident" to a hired, rented or borrowed "auto" is the lesser of: (a) $60,000 (b) The actual cash value of the darnaged or stolen property as of the time of the "loss"; or (c) The cost of repairing or replac- ing the damaged or stolen prop- erty with other property of like kind and quality. (2) An adjustment for depreciation and physical condition will be made in the event of a total "loss". (3) If repair or replacement results in better than like kind or quality, we will not pay for the betterment. CBCA 00 45 05 14 Includes copyrighted material of Page 3 of 6 Insurance Services Office, Inc., with its permission CKA0400319 (4) A deductible equal to the highest applies, caused by an "accident" Physical Damage deductible appli- which occurs outside of the United cable to any owned auto will apply. States of America, the territories (5) This Coverage Extension will not and possessions of the United apply to: States of America, Puerto Rico and Canada resulting from the mainte- (a) Any "auto" that is hired, rented nance, or use of any covered "auto" or borrowed with a driver; or of the private passenger type you (b) Any "auto" that is hired, rented lease, hire, rent or borrow without a or borrowed from your "employ- driver for thirty (30) days or less. ee". (2) With respect to any claim made or However this coverage extension is ex- "suit" instituted outside the United cess over any other collectible insu States of America, the territories- ance, rather primary, excess, contingent and possessions of the United or on any other basis. This coverage ex- States of America, Puerto Rico, and tension is also excess over any hired Canada: auto physical damage coverage covered (a) You shall undertake the investi- by this policy if shown on the declaration gation, settlement and defense page. of such claims and "suits" and L. Hired Auto Physical Damage — Loss Of keep us advised of all proceed - Use ings and actions. The following is added to SECTION II - (b) You will not make any settle - COVERED AUTOS LIABILITY COVER- ment without our consent. AGE, Paragraph A. Coverage, 2. Coverage (c) We will reimburse you: Extensions: (i) For the amount of damages e. We will pay sums which you legally because of liability imposed must pay to the lessor of a covered "au- upon you by law on account to" which you have leased without a of "bodily injury" or "property driver for thirty (30) days or less for the damage" to which this in - lessor's loss of use of the covered "au- surance applies, and to", provided: (ii) For all reasonable expenses (1) This insurance provides compre- incurred with our consent in hensive, specified causes of loss or connection with the investi- collision coverage on the covered gation, settlement or de - "auto"; fense of such claims or (2) The loss of use results from the "suits". Reimbursement for covered "auto" being damaged in an expenses will be part of the "accident" while you are leasing it. Limit of Insurance for liabil- ity coverage shown in the We will pay up to a maximum limit of Business Auto Coverage $1,500 for this coverage extension. Declarations, and not in ad- M. Hired Car — Worldwide Coverage dition to such limits. The following is added to SECTION II — (3) The limit of insurance for Liability COVERED AUTOS LIABILITY COVER- Coverage shown in the BusinessAuto AGE, Paragraph A. Coverage, 2. Coverage Coverage Declarations is the Extensions: most we will reimburse you for the sum of all damages imposed on f. Hired Car — Worldwide Coverage you, as set forth in paragraph (2)(c) (1) We will pay all sums an "insured" above, and all expenses incurred by you arising out of any single "acci- legally must pay as damages be- dent" or "loss". cause of "bodily injury" or "property damage" to which this insurance CBCA 00 45 05 14 Includes copyrighted material of Page 4 of 6 Insurance Services Office, Inc., with its permission CKA0400319 (4) You must maintain the greater of the following primary auto liability insur- ance limits: (a) Compulsory admitted insurance with limits required to be in force to satisfy the legal requirements of the jurisdiction where the ac- cident occurs; or (b) Insurance limits required by law and issued by a government en- tity or by an insurer licensed or permitted by law to do business in the jurisdiction where the "ac- cident' occurs; or (c) Auto liability insurance limits of at least $300,000 combined sin- gle limit or $100,000 per person / $300,000 per accident Bodily Injury, $100,000 Property Dam- age. If you fail to comply with the above this insurance is not invalidated. However in the event of a "loss", we will pay only to the extent that we would have been liable had you so complied. (5) The insurance provided by this cov- erage extension is excess over any other collectible insurance available to you whether on a primary, ex- cess, contingent or any other basis. N. Temporary Transportation Expenses SECTION III — PHYSICAL DAMAGE COV- ERAGE, Paragraph A. Coverage, 4. Cov- erage Extensions, a. Transportation Ex- pense is deleted and replaced by the follow- ing: a. Transportation Expenses (1) We will pay up to a maximum of $1,500 for temporary transportation expense incurred by you because of Physical Damage to a covered "au- to". (2) We will pay only for those covered "autos" for which you carry Compre- hensive, Collision or Specified Cause of Loss Coverage. (3) We will pay only for those expenses incurred by you during the period of time that begins twenty-four (24) hours after the covered "loss" and ends at the time when the covered "auto" can be reasonably repaired or replaced. (4) This coverage does not apply while there are spare or reserve "autos" available to you for your operations. O. Amended Bodily Injury Definition - Men- tal Anguish The following is added to SECTION V - DEFINITIONS, Paragraph C. "Bodily Inju- ry": C. "Bodily injury" also includes mental an- guish, but only when the mental anguish arises from other bodily injury, sickness or disease. P. Airbag Coverage The following is added to SECTION III - PHYSICAL DAMAGE COVERAGE, Para- graph B. Exclusions 3.a.: However, this exclusion will not apply to ac- cidental discharge of an airbag due to me- chanical or electrical breakdown. Q. Amended Insured Contract Definition — Railroad Easement SECTION V — DEFINITIONS Paragraph H. "Insured contract" is amended as follows: 1. Paragraph H.3. is replaced by the fol- lowing: 3. Any easement or license agree- ment. 2. Paragraph H.6.a. is deleted. R. Coverage Extensions — Audio, Visual And Data Electronic Equipment Not De- signed Solely For The Production Of Sound SECTION III — PHYSICAL DAMAGE COV- ERAGE, Paragraph B. Exclusions, 5.a. Exclusions 4.c. and 4.d, do not apply is deleted and replaced with the following: a. Equipment and accessories used with such equipment, except for tapes, rec- ords, discs or other electronic media de- vice, provided such equipment is per- manently installed in the covered "auto" at the time of the "loss" or is removable from the housing unit which is perma- nently installed in the covered "auto" at CBCA 00 45 05 14 Includes copyrighted material of Page 5 of 6 Insurance Services Office, Inc., with its permission CKA0400319 the time of the "loss", and such equip- ment is designed to be solely operated by use of the power from the "autos" electrical system, in or upon the covered "autos"; or S. Notice Of And Knowledge Of Occurrence SECTION IV — BUSINESS AUTO CONDI- TIONS, Paragraph A. Loss Conditions, 2. Duties In The Event Of Accident, Claim, Suit or Loss, subparagraph a. is deleted and replaced with the following: a. In the event of "accident", claim, "suit" or "loss", you must give us or our author- ized representative prompt notice of the "accident" or "loss" including: (1) How, when and where the "accident" or "loss" occurred; (2) The "insured's" name and address; and (3) To the extent possible, the names and addresses of any injured person and witnesses. Your duty to give us or our authorized representative prompt notice of the "ac- cident" or "loss" applies only when the "accident" or "loss" is known to: (1) You, if you are an individual; (2) A partner if you are a partnership; or (3) An executive officer or insurance manager, if you are a corporation. T. Unintentional Errors Or Omissions The following is added to SECTION IV — BUSINESS AUTO CONDITIONS, Para- graph B. General Conditions, 2. Conceal- ment, Misrepresentation or Fraud: The unintentional omission of, or uninten- tional error in, any information given by you shall not prejudice your rights under this in- surance. However, this provision does not affect our right to collect additional premium or exercise our right of cancellation or non - renewal. U. Towing Coverage SECTION III — PHYSICAL DAMAGE COV- ERAGE, Paragraph A. Coverage, 2. Tow- ing is deleted and replace by the following: 2. Towing We will pay up to $750 for towing and labor costs incurred each time a cov- ered "auto" is disabled due to a covered cause of loss. However: a. All labor must be performed at the place of disablement; and b. If the covered auto is a private pas- senger type, no deductible applies; and c. If the covered auto is not of the pri- vate passenger type, our obligation to pay will be reduced by a $250 deductible per disablement. CBCA 00 45 05 14 Includes copyrighted material of Page 6 of 6 Insurance Services Office, Inc., with its permission Policy Number: RKA0400237 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — WHERE REQUIRED BY CONTRACT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE (Optional) Name of Additional Insured Persons or Organizations Locations of Covered Operations as required b wvritten �ntrad r Paragraph A below (� `written contract", provided the location is within the ( y ` per 9 Ph ) "coverage territory"of this Coverage Part A. WHO IS AN INSURED (Section II) is amended to include as an insured: 1. Any person(s) or organization(s) whom you are required pursuant to a "written con- tract" to add as an additional insured on this policy; and 2. The particular person or organization, if any, scheduled above. B. When required in the "written contract", the cov- erage provided to the additional insured under this policy shall be primary and non-contributory to the additional insured subject to the limitations set forth below. C. The insurance provided to the additional insured is limited as follows: 1. The person or organization is an additional insured only with respect to liability for "bod- ily injury" or "property damage" caused, in whole or in part, by: a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf; In the performance of your ongoing op- erations as specified in the "written con- tract". When required in the "written contract", the coverage provided to the additional insured by this endorsement will apply to "bodily injury' or "property damage" arising out of the "products -completed operations hazard". 2. The Limits of Insurance applicable to the additional insured are the lesser of the available limits in this policy, or those limits you agreed to provide in the "written con- tract". 3. With respect to the coverage provided un- der this endorsement, the following duties are added to Section IV — Commercial General Liability Conditions, paragraph 2. Duties In The Event of Occurrence, Of- fense, Claim or Suit: e. An additional insured under this endorse- ment will as soon as practicable: (1) Give written notice of an "occur- rence" to us which may result in a claim or "suit" under this insurance; (2) Agree to trigger or activate any other insurance which the additional in- sured has for a loss we cover under this Coverage Part by tendering the defense to the insurers of all such other insurance. 4. If required by the "written contract", we waive the right of recovery we may have against the additional insured to which this endorsement applies for payments we make for "bodily injury" or "property dam- age" arising out of "your work" on the "writ- ten contract". Insurance Company Name RGL 350 08 17 Includes copyrighted material of Page 1 of 2 Insurance Services Office, Inc., with its permission. Policy Number: RKA0400237 5. Unless otherwise agreed in the "written con- tract", this insurance is excess over any other insurance whether primary, excess, contingent or on any other basis that is available to the additional insured. D. SECTION V — DEFINITIONS is amended to in- clude the following definition: "Written contract" means a written contract or written agreement that requires you to make a person or organization an additional insured on this Coverage Part, provided the contract or agreement is: 1. Valid and legally enforceable; 2. Currently in effect or becoming effective during the term of this policy; and 3. Executed prior to an "occurrence" result- ing in "bodily injury" or "property dam- age" for which the additional insured seeks coverage under this Coverage Part. ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. Insurance Company Name RGL 350 08 17 Includes copyrighted material of Page 2 of 2 Insurance Services Office, Inc., with its permission. POLICY NUMBER: RKA0400237 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY GENERAL LIABILITY ENHANCEMENT SCHEDULE OF COVERAGES ADDRESSED BY THIS ENDORSEMENT This schedule is provided only as a convenience. It should not be assumed to provide a reference to every provision that can affect a question, claim or coverage. To determine the full scope of coverage and pertinent restrictions and exclusions, the policy, including endorsements, must be read it its entirety. A. Reasonable Force - Bodily Injury Or Property Damage B. Non -Owned Watercraft C. Damage To Premises Rented To You D. Supplementary Payments E. Newly Acquired Or Formed Organizations F. Additional Insured - Owner, Manager or Lessor Of Premises Or Leased Equipment G. Additional Insured - State or Political Subdivisions - Permits Related to Premises or Opera- tions H. Unnamed Partnership Or Joint Venture I. General Aggregate Limit - Per Project or Per Location J. Damage To Premises Rented To You Limit K. Knowledge And Notice Of Occurrence Or Offense L. Unintentional Omission M. Waiver Of Transfer Of Rights Of Recovery Against Others To Us N. Amended Bodily Injury Definition O. Amended Insured Contract Definition CBGL 03 16 05 14 Includes copyrighted material of Page 1 of 6 Insurance Services Office, Inc., with its permission. I M1 ,11IL'[III This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SECTION I — COVERAGES COVERAGE A BODILY INJURY AND PROP- ERTY DAMAGE LIABILITY A. Reasonable Force — Bodily Injury Or Property Damage Paragraph 2.a. Exclusions; Expected Or Intended Injury, is deleted and replaced by the following: a. Expected or Intended Injury "Bodily Injury" or "property damage" ex- pected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury" or "property dam- age" resulting from the use of reasona- ble force to protect persons or property. B. Watercraft 1. Paragraph 2.g.(2) Exclusions; Aircraft, Auto Or Watercraft is deleted and re- placed by the following: (2) A watercraft you do not own that is: (a) Up to seventy-five (75) feet long; and (b) Not being used to carry persons or property for a charge; 2. The following is added to paragraph 2.g.: Only as respects to the insurance provided by this provision, Section II - Who Is An Insured is amended to include as an insured any person who, with your express consent uses a watercraft owned by you. The insurance provided by this pro- vision shall be excess over any valid and collectible other insurance available to any insured, whether primary, excess, contingent or on any other basis, except for the in- surance purchased specifically by you to apply in excess of the Limits of Insurance shown in the declara- tions for this Coverage Part. C. Damage To Premises Rented To You The last paragraph of 2. Exclusions is de- leted and replaced by the following: Exclusions c. through n. do not apply to damage by water, fire, explosion, lightning, or smoke resulting from fire to premises while rented to you, or tempo- rarily occupied by you with permission by the owner. A separate limit of insur- ance applies to this coverage as de- scribed in Section III — Limits Of In- surance. This provision does not apply if cover- age for Damage To Premises Rented To You is excluded by another en- dorsement to this policy. SUPPLEMENTARY PAYMENTS - COVERAG- ES A AND B. D. Supplementary Payments Paragraphs 1.b. and 1.d. are deleted and replaced with the following: b. Up to $2,500 for the cost of bail bonds required because of accidents or traffic violations arising out of any vehicle to which Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit', including actual loss of earnings up to $500 a day because of time off work. CBGL 03 16 05 14 Includes copyrighted material of Page 2 of 6 Insurance Services Office, Inc., with its permission. l:.:lHll SECTION II — WHO IS AN INSURED person or organization perform- E. Newly Acquired Or Formed Organiza- ing operations on your behalf, tions and arises out of the ownership, maintenance or use of that part The following replaces Paragraph 3.: of any premises leased to you 3. Any organization you newly acquire or under that contract or agree- form, other than a partnership, joint ven- ment; or ture or limited liability company, over (2) The "bodily injury", "property which you maintain ownership or majori- damage" or "personal and ad- ty interest, will qualify as a Named In- vertising injury" is caused, in sured if there is no other similar insur- whole or in part, by you or any ance available to that organization. person or organization perform - However: ing operations on your behalf, a. Coverage under this provision is and arises out of the mainten- afforded only until the one hundred ance, operation or use of eightieth (180th) day after you ac- equipment leased to you by quire or form the organization or the such additional insured. end of the policy period, whichever b. The insurance provided to such ad - is earlier; ditional insured under this provision b. Coverage A does not apply to "bodi- is subject to the following: ly injury" or "property damage" that (1) The limits of insurance afforded occurred before you acquired or to such additional insured shall formed the organization; and be the limits which you agreed c. Coverage B does not apply to "per- to provide in the contract or sonal and advertising injury" arising agreement, or the limits shown out of an offense committed before in the Declarations, whichever you acquired or formed the organi- are less; and zation. (2) The insurance afforded to such d. This provision does not apply to any additional insured does not ap- organization for which coverage is ply: excluded by another endorsement (a) To any "bodily injury" or to this policy. "property damage" that oc- F. Additional Insured —Owner, Manager Or curs, or "personal and ad- vertising injury" caused by Lessor Of Premises Or Leased Equip- an offense committed, after ment you cease to be a tenant in The following paragraph is added: that premises; 4. Any person or organization that you (b) To any structural altera- have agreed in a contract or agreement tions, construction or demo - to include as an additional insured on lition operations performed this policy, but: by or on behalf of such ad - a. Only with respect to liability for "bo- ditional insured; dily injury" or "property damage" that (c) To any premises for which occurs, or "personal and advertising coverage is excluded by injury" caused by an offense com- another endorsement to this mitted, after you have entered into Coverage Part; that contract or agreement; and (d) To any "bodily injury" or (1) Only if the "bodily injury", "prop- "property damage" that oc- erty damage" or "personal and curs, or "personal and ad - advertising injury" is caused, in vertising injury" caused by whole or in part, by you or any an offense committed, after CBGL 03 16 05 14 Includes copyrighted material of Page 3 of 6 Insurance Services Office, Inc., with its permission. RKA040023 7 the equipment lease ex- pires; or (e) If the equipment is leased with an operator. c. This provision does not apply on any basis to any person or organiza- tion for which coverage as an addi- tional insured specifically is added by another endorsement to this poli- cy. G. Additional Insured — State Or Political Subdivisions — Permits Related To Pre- mises Or Operations The following paragraphs are added: 5. Any state or political subdivision that has issued a permit in connection with premises owned or occupied by, or rented or loaned to, you, but only with respect to "bodily injury", "property dam- age", "personal and advertising injury" arising out of the existence, ownership, use, maintenance, repair, construction, erection or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, mar- quees, hoist away openings, sidewalk vaults, elevators, street banners or de- corations for which that state or political subdivision has issued such permit. 6. Any state or political subdivision that has issued a permit, but only with re- spect to "bodily injury", "property dam- age", "personal and advertising injury" arising out of operations performed by you or on your behalf for which that state or political subdivision has issued such permit. However, no such state or political subdivision is an insured for: a. "Bodily injury", "property damage" "personal and advertising injury" arising out of operations performed for that state or political subdivision; or b. "Bodily injury" or "property damage" included within the "products - completed operations hazard". No person or organization is an insured with respect to the conduct of any cur- rent or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Dec- larations. However this limitation does not apply to your liability with respect to your conduct of the business of any cur- rent or past partnership or joint venture: a. That is not shown as a Named In- sured in the Declarations; and b. In which you are a member or part- ner but only if: (1) Each and every member or partner in that joint venture or partnership is not a construction contractor; and (2) The joint venture or partnership is not providing construction contracting services. 2. This provision does not apply to any person or organization for which cover- age is excluded by another endorse- ment to this policy. The insurance provided by this provision shall be excess over any valid and col- lectible other insurance, whether prima- ry, excess, contingent or on any other basis. SECTION III — LIMITS OF INSURANCE I. General Aggregate Limit — Per Project Or Per Location Paragraph 3. is deleted and replaced by the following: 3. The Products -Completed Operations Aggregate Limit is the most we will pay under Coverage A for damages be- cause of "bodily injury" and "property damage" included in the "products - completed operations hazard" and ap- plies separately to each of your "projects" away from premises owned by or occupied by you or to each of your "locations" owned by or occupied by you. H. Unnamed Partnership Or Joint Venture "Projects" mean an area away from 1. The last paragraph of Section II — Who premises owned by or rented to you at Is An Insured is deleted and replaced which you are performing operations by the following: pursuant to a contract or agreement. For CBGL 03 16 05 14 Includes copyrighted material of Page 4 of 6 Insurance Services Office, Inc., with its permission. RKA0400237 the purposes of determining the appli- cable aggregate limit of insurance, each "project" at the same "location" shall be considered a single "project". For the purposes of this provision, "loca- tion" means a. Premises involving the same con- necting lots; b. Premises where connection is inter- rupted only by a street, roadway, waterway or right-of-way of a rail- road; or c. Premises where operations are per- formed in sections, stages or phas- es as a continuation of the same contract or agreement, even if the premises do not involve connecting lots. J. Damage To Premises Rented To You Limit Paragraph 6. is deleted and replaced by the following: Subject to paragraph 5. above, whi- chever applies, the Damage To Premis- es Rented To You Limit is the most we will pay under Coverage A for damages because of "property damage" to any one premises, while rented to you, or in the case of fire, explosion, lightning, smoke resulting from such fire; or water while rented to you or temporarily occu- pied by you with permission of the own- er. SECTION IV — COMMERCIAL GENERAL LIA- BILITY CONDITIONS K. Knowledge And Notice Of Occurrence Or Offense Paragraph 2.a. Duties In The Event of Oc- currence, Offense, Claim Or Suit is de- leted and replaced by the following: a. Notice of an "occurrence" or of an of- fense which may result in a claim must be given as soon as practicable after knowledge of the "occurrence" or of- fense has been reported to you, one of your "executive officers" (if you are a corporation), one of your partners who is an individual (if you are a partnership), one of your managers (if you are a li- mited liability company), one of your trustees who is an individual (if you are a trust), or an "employee" (such as an insurance, loss control or risk manager or administrator) designated by you to give such notice. Knowledge by any other "employee" of an "occurrence" or offense does not imply that you also have such know- ledge. Notice of an "occurrence" or of an of- fense which may result in a claim will be deemed to be given as soon as practic- able to us if it is given in good faith as soon as practicable to your workers' compensation, accident, or health insur- er. This applies only if you subsequently give notice of the "occurrence" or of- fense to us as soon as practicable after you, one of your "executive officers" (if you are a corporation), one of your part- ners who is an individual (if you are a partnership), one of your managers (if you are a limited liability company), one of your trustees who is an individual (if you are a trust), or an "employee" (such as an insurance, loss control or risk manager or administrator) designated by you to give such notice discovers that the "occurrence" or offense may involve this policy. To the extent possible, notice should include: (1) How, when and where the "occur- rence" or offense took place; (2) The names and addresses of any injured persons and witnesses; and (3) The nature and location of any injury or damage arising out of the "occur- rence" or offense. L. Unintentional Omission The following is added to paragraph 6. Re- presentations: However, the unintentional omission of, or unintentional error in, any information provided by you which we relied upon in issuing this policy shall not prejudice your rights under this insurance. This provision does not affect our right to col- lect additional premium or to exercise CBGL 03 16 05 14 Includes copyrighted material of Page 5 of 6 Insurance Services Office, Inc., with its permission. RKA040023 7 our right of cancellation or nonrenewal in accordance with applicable insurance laws or regulations. M. Waiver Of Transfer Of Rights Of Recov- ery Against Others To Us The following is added to paragraph 8. Transfer of Rights of Recovery Against Others to Us: However, we waive any rights of recov- ery we may have against any person or organization because of payments we make for "bodily injury", "property dam- age", "personal injury and advertising in- jury" arising out of: a. Premises owned by you, temporarily occupied by you with permission of the owner, or leased or rented to you; b. Ongoing and completed operations performed by you, or on your behalf, under a contract or agreement with that person or organization; c. Your "work"; or d. "Your products". We waive these rights only where you have agreed to do so as part of a con- tract or agreement entered into by you before the "bodily injury' or "property damage" occurs or the "personal and advertising injury" offense is committed. SECTION V - DEFINITIONS N. Amended Bodily Injury Definition Paragraph 3. is deleted and replaced by the following: 3. "Bodily injury" means injury to the body, sickness, disease, or death. "Bodily in- jury" also means mental injury, mental anguish, emotional distress, pain and suffering, or shock resulting from injury to the body, sickness, disease or death of any person. O. Amended Insured Contract Definition 1. Paragraph 9.a. is deleted and replaced by the following: a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemni- fies any person or organization for damage by water, fire, explosion, lightning, or smoke resulting from fire to premises while rented to you or temporarily occupied by you with permission of the owner is not an "insured contract"; 2. Paragraph 9.c. is deleted and replaced by the following: c. Any easement or license agreement 3. Subsection 9.f.(1) is deleted. 4. The following is added to the end of pa- ragraph 9.: The insurance provided by the above definitions of "Insured Con- tract" shall be excess over any valid and collectible Railroad Protective Liability insurance available to an insured , whether primary, excess, contingent or on any other basis, except for the insurance purchased specifically by you to apply in excess of the Limits of Insurance shown in the declarations for this Coverage Part. CBGL 03 16 05 14 Includes copyrighted material of Page 6 of 6 Insurance Services Office, Inc., with its permission. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed 4-84) 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 2.5% of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description Blanket Waiver of Subrogation As respects to all CA jobs performed by the named insured during the policy period where by written contract a waiver of subrogation is required prior to the commencement of work 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: 01/01/2021 Policy No FLA002975-03 Insurance Company: Falls Lake Fire & Casualty Company Insured: Irri-Scape Construction, Inc (A Corp) Countersigned By — ©1998 by the Workers' Compensation Insurance Rating Bureau of Califomia. All rights reserved. Endorsement No