19-033.02 AM Landshaper: Appleway Trail Amenities University to PinesI
CONTRACT AMENDMENT TO THE AGREEMENT BETWEEN THE CITY OF
SPOKANE VALLEY AND A. M. LANDSHAPER, INC.
Spokane Valley Contract#19-033.02
For good and valuable consideration,the legal sufficiency of which is hereby acknowledged, City and the
Contractor mutually agree as follows:
1 Purpose: This Amendment is for the Contract for Appleway Trail Amenities University to Pines Project
by and between the Parties,executed by the Parties on January 28, 2019, and which terminates on June 30,
2019. Said contract shall be referred to as the"Original Contract"and its terms are hereby incorporated by
reference. Total compensation under the Original Contract is not to exceed $651670.40.
2. Original Contract Provisions: The Parties agree to continue to abide by those terms and conditions of the
Original Contract and any amendments thereto which are not specifically modified by this Amendment.
3. Amendment Provisions: This Amendment is subject to the following amended provisions,which are as
follows. All such amended provisions are hereby incorporated by reference herein and shall control over
any conflicting provisions of the Original Contract, including any previous amendments thereto.
Extend the contract term until August 1,2019 to allow for the installation of two trash receptacles that
will not arrive by the original contract termination date of June 30, 2019.
4. Compensation Amendment History. This is Amendment #2 of the Original Contract. The history of
amendments to the compensation on the Original Contract and all amendments is as follows:
Date Compensation
Original Contract Amount 1/28/19 $653,670.40
Amendment#1 5/31/19 $ 5,000.00
Amendment#2 6/21/19 $ 00
Total Amended Compensation $658,670.40
The parties have executed this Amendment to the Original Contract this z6 day of June,2019.
CITY OF SPOK&E VALLEY: CONTRACTOR:
V✓inkCii9t___ , C Gh` _
Mark Calhoun By'
City Manager Its: Sec. — Tt eaf.
AT \\ // / APPRO� �� n TO Fdo
ORM
Thristine Bainbridge,City Clerk Offidf th_ Corney
1
AMLANDS-01 MNEIGHBORS
A. ® °ATEU DOMYYY)
CERTIFICATE OF LIABILITY INSURANCE 02/20/2019
I THIS CERTIFICATE ATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVS ISSUED AS A MATTER OF ELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE Fatima
' BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
d.
If1SUBROGATIONIhe IS WAIVED, subject tocate holder is n the term a dNAL icondRfon of D,the heipolicy'ertaln policies may qumust have ADDITIONAL ire an endorsement. A statement SURED provisions or be on
this certificate does not confer rights to the certificate holder in lieu of such endorsoment(s).
PRODUCERg
Spokane Office PWC-NENo.Exp:(509)83134501 I not
mg. 838-3511
509 N.PayneWest Insurance,Inc. 1
501 N.Rive Dint Blvd.,Ste 403 lass.
Spokane,WA 99202 MsuRERle)AFFORDING COVERAGE HPICA
x2pRER A:The Cincinnati Insurance Company 10677
NBNRED MSORERE:
A.M.Landshaper,Inc. INSURER C:
Mark Albin IxsuRFAa:
8004 North Market
Spokane,WA 99217 INSURER E'y_ _ . . _ .. _..
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 PODGY 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 THETERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADOL eOBR POLICY EFT I POLICY EXP YNRS
TYPE OF INSURANCE PM.ICY NWIBER IMMIOnM'YYI 1,000,000
A X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S
02/24/2019 02/2412020 awaGk TO RENTED 5011,000
CLAIMS MADE I X�OCCUR X X EPP0128051 EBLAffiFS.1Eaar;aNrmL % 10,000
-- PEFSONALS ADV INJURY s 1/000.000
GENERAL AGGREGATE 2,000,000
ftEJIPOLIC GXI UpTAnA 1-1 wePLIES POaLGIa WMP ige_ 2,000,000
I�POLICYOTIMR: %i iELOi i WA STOP GAP I, 1,000,000
OTIER CTIBINDsMGLEUMn 1,000,000
A AUTOMOBILELIABn11Y 1
X ANY AUTO X X EBA0128051 0212412019 02124/2020 aoDLYINmavlPorpe,awd-
SLNEOOLED - BODILY INJURY:Per Bolden
1>��pOpBONLT NAUpT�OpSym p Pgp,E it —E
_ 5% SONLY _ A1nof ONLY 1 e4/ .. .
A X UMBRELLA LIAR X OCCUR EACH OCCUR NCEI__. 1,000,000
EXCESS MB CLAWS-MADEEPP0128051 02/24/2019 02/2412020 AGGREGATE 1,000,000
I
I DEO I X RErEMEONS 0 _Lam_�� a
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ANY PROPRIETOR/PARTNER/EXECUTIVE I1 NIA
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rwdesalbeT underEL DISEASE•POLICY LBNIE
pquipIment Floater roNa EMwr
A Equipment Floater EPP0128051 0217412019 02/2112020 Leased and Rented 850,000
A Equipment Floater EPP0128051 02/24/2019 02/24/2020 Deductible 1,000
DESCR0P OR OF No.i TORSILOCATORS,VEHICLES LACOR0101.AddIIIoml RwNINSchedI.nwy be oiucl.tl Newco space Is regelredl
RE:C
The City of Spokane Valley Is additional Insured es per the attached forms.Coverage is primary and non-contributory.Waiver of subrogation and per project
aggregate applies per attached forms.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Spokane Valley ACCORDANCE WITH THE POLICY PROVISIONS.
Attn:Christine Bainbridge,City Clerk
10210 East Sprague Avenue AUTHORIZEDREPRESENTATIVE
Valley,WA 99206 I t rl
t.
ACORD 25(2016)03) ®1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
•
CONTRACTORS' COMMERCIAL GENERAL LIABILITY
BROADENED ENDORSEMENT
•
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. Endorsement-Table of Contents: .
Coverage: Begins on Page:
1. Employee Benefit Liability Coverage 2
2. Unintentional Failure to Disclose Hazards 7
3. Damage to Premises Rented to You 8
4. Supplementary Payments 9
5. Medical Payments 9
6. Voluntary Property Damage(Coverage a.)and Care,Custody or Control
Liability Coverage(Coverage b.) 9
7. 180 Day Coverage for Newly Formed or Acquired Organisations 10
8. Waiver of Subrogation 10
9. Automatic Additional Insured-Specified Relationships: 10
• Managers or Lessors of Premises;
• Lessor of Leased Equipment;
• Vendors;
• State or Political Subdivisions-Permits Relating to Premises;
• State or Political Subdivisions-Permits;and
• Contractors'Operations
10. Broadened Contractual Liability-Work Within 50'of Railroad Property 14
11. Property Damage to Borrowed Equipment 14
12. Employees as Insureds-Specified Health Care Services: 14
• Nurses;
• Emergency Medical Technicians;and
• Paramedics
13. Broadened Notice of Occurrence 14
B. Limits of Insurance:
The Commercial General Liability Limits of Insurance apply to the insurance provided by this endorse-
ment,except as provided below:
1. Employee Benefit Liability Coverage
Each Employee Limit: $ 1,000,000
Aggregate Limit: $ 3,000,000
Deductible: $ 1,000
3. Damage to Premises Rented to You
The lesser of:
a. The Each Occurrence Liinit shown in the Declarations;or
b. $500,000 unless otherwise stated$
4. Supplementary Payments
a. Bail bonds: $ 1,000'
b. Loss of earnings: $ 350
5. Medical Payments
Medical Expense Limit: $ 10,000
Includes copyrighted material of Insurance
GA 233 02 07 Services Office,Inc.,with its permission. Page 1 of 15
, 6, Voluntary Property Damage(Coverage a.)and Care,Custody or Control Liability Coverage
(Coverage b.) - ,
Limits of Insurance(Each Occurrence)
Coverage a.$1,000
Coverage b.$5,000 unless otherwise stated $
Deductibles(Each Occurrence)
Coverage a.$250
Coverage b.$250 unless otherwise stated $
COVERAGE PREMIUM BASIS RATE ADVANCE PREMIUM
(a) Area (For Limits in Excess of (For Limits in Excess of
(b) Payroll $5,000) $5,000)
(c Gross Sales
d Units
(e Other
b. Care, Custody $
or Control
TOTAL ANNUAL PREMIUM $
11. Property Damage to Borrowed Equipment
Each Occurrence Limit: $ 10,000
Deductible: $ 250
C. Coverages: have used up the ap-
plicable limit of insur-
1. Employee Benefit Liability Coverage ance in the payment of
a. The following is added to SECTION I judgments or settle-
- COVERAGES: Employee Benefit ments.
Liability Coverage. No other obligation or liabil-
(1) Insuring Agreement ity to pay sums or perform
acts or services is covered
(a) We will pay those sums that unless explicitly provided for
the insured becomes legally under Supplementary Pay-
obligated to pay as darn- ments.
ages caused by any act,er-
ror (b) This insurance applies to
or omission of the in- damages only if the act, er-
sured, or of any other per- ror or omission, is son for whose acts the in- gently committed in the
negli-
sured is legally liable, to "administration" of your
which thisWeinsurance he gpt "employee benefit pro-
and duty to defendfn the right gram";and
and to the in-
sured against any "suit" 1) Occurs during the pol-
seeking those damages, icy period;or
However, we will have no
duty to defend against any 2) Occurred prior to the
"suit" seeking damages to effective date of this
which this insurance does endorsement provided:
not apply. We may, at our a) You did not have
discretion, investigate any knowledge of a
claim "suit" a
report of an act, error or or " o
omission and settle any orbefore the on
claim or "suit" that may re- fective date of this
f-
suit. But: endorsement.
1) The amount we will pay You wit be
for damages is limited deemed to have
as described in SEC- knowledgea
TION III - LIMITS OF claim orofsui
INSURANCE;and when any
2) Our right and duty to • "authorized repre-
defend ends when we sentative";
Includes copyrighted material of Insurance
GA 233 02 07 Services Office,Inc.,with its permission. Page 2 of 15
I) Reports all, or formance of investment
any part, of the vehicles;or
act, error, or 3) Advice 'given to any
omission to us person with respect to
or any other that person's decision
insurer; oP artid to or not to
, ea.
ii) Receives a participate in any plan
written or ver- included in the "em-
bal demand or ployee benefit pro-
claim for dam- gram
ages becauseo (f) Workers' Compensation
ror or omis-
the act, er- and Similar Laws
ro
sion;and Any claim arising out of
b) There is no other your failure to comply with
applicable insur- the mandatory provisions of
PP any workers'compensation,
ance. unemployment compensa-
(2) Exclusions tion insurance, social secu-
rity or disability benefits law
This Insurance does not apply or any similarlaw.
to:
(g) ERISA
(a) Bodily Injury, Property any es for which a Dam
Damage or Personal and Damages
liable because in-
Advertising
n-
Adertising Injury
liability imposed on a fiduci-
"Bodily injury", "property ary by the Employee Re-
damage" or "personal and tirement Income Security
advertising injury". Act of 1974, as now or
(b) Dishonest, Fraudulent, hereafter amended, or by
Criminal or Malicious Act any similar federal, state or
local laws.
Damages arising out of any (h) Available Benefits
intentional, dishonest,
fraudulent, criminal or mall- Any claim for benefits to the
cious act, error or omission, extent that such benefits
committed by any insured, are available, with reason-
including the willful or reck- able effort and cooperation
less violation of any statute. of the insured,from the ap-
t Failure to Performa Con- plicable funds accrued or
( ) tract other collectible insurance.
Damages arising out of fail- (f) Taxes, Fines or Penalties
ure of performance of con- Taxes, fines or penalties, .
tract by any Insurer. including those imposed
(d) Insufficiency of Funds under the Internal Revenue
Code or any similar state or
Damages arising out of an local law.
insufficiency of funds to (j) Employment•Related
meet any obligations under Practices
any plan included in the
"employee benefit pro- Any liability arising out of
gram". any:
(e) Inadequacy of Perform- (1) Refusal to employ;
ance of Investment I Ad-
vice Given With Respect (2) Termination of em-
to Participation ployment;
Any claim based.upon: (3) Coercion, demotion,
evaluation, reassign-
1) Failure of any invest- ment, discipline, defa-
ment to perform; mation, harassment,
2) Errors in providing in- humiliation, discrimina-
formation on past per- tion or other employ-
Includes copyrighted material of Insurance
GA 233 02 07 Services Office,Inc.,with its permission. Page 3 of 15
' ment-related practices, (e) A trust,you are an insured.
acts or omissions;or , Your trustees are also in-
, sureds, but only with re-
(4) Consequential liability sped to their duties as
as a-result of(1), (2) or trustees.
(3)above.
(2) Each of the following is also an
This exclusion applies insured:
whether the insured may be
held liable as an employer (a) Each of your "employees"
or in any other capacity and who is or was authorized to
to any obligation to share administer your "employee
damages with or repay benefit program".
someone else who must (b) Any persons, organizations
pay damages because of or "employees" having
the injury. proper temporary authod-
(3) Supplementary Payments zation to administer your
"employee benefit program"
SECTION I - COVERAGES, if you die,but only until your
SUPPLEMENTARY PAY- legal representative is ap-
MENTS - COVERAGES A AND pointed.
B also apply to this Coverage.
(c) Your legal representative if
b. Who is an Insured you die, but only with re-
As respects Employee Benefit Liabil- spect to duties as such.
ity Coverage, SECTION II - WHO IS That representative will
AN INSURED is deleted in its en- have all your rights and du-
tirety and replaced by the following: ties under this Coverage
ParL
(1) If you are designated in the (3) Any organization you newly Declaretions as: ac-
quire or form, other than a part-
(a) An individual, you and your nership, joint venture or limited
spouse are insureds, but liability company, and over
only with respect to the which you maintain ownership
conduct of a business of or majority interest, will qualify
which you are the sole as a Named Insured if no other
owner. similar insurance applies to that
organization. However, cover-
(b) A partnership or joint yen- age under this provision:
ture, you are an insured.
Your members, your part- (a) Is afforded only until the
ners, and their spouses are 180th day after you acquire
also insureds but only with or form the organization or
respect to the conduct of the end of the policy period,
your business. whichever is earlier;and
(c) A limited liability company, - (b) Does not apply to any act,
you are an insured. Your error or omission that was
members are So insureds, committed before you ac-
but only with respect to the quired or formed the or-
conduct of your business. ganization.
Your managers are in-
sureds, but only with re-
spect to their duties as your As respects Employee Benefit Habil-
managers. ity Coverage, SECTION III - LIMITS
(d) organization other than OF INSURANCE is deleted in its en-
a partnership, Joint venture
Anre tirety and replaced by the following:
or limited liability company, (1) The Limits of Insurance shown
you are an insured. Your in Section B. Limits of Insur-
"executive officers" and di- ance, 1. Employee Benefit Li-
rectors are insureds, but ability Coverage and the rules
only with respect to their below fix the most we will pay
duties as your officers or di- regardless of the numberob
rectors. Your stockholders
are also insureds, but only (a) Insureds;
with respect to their liability
as stockholders. •
Includes copyrighted material of Insurance
GA 233 02 07 Services Office,Inc.,with its permission. Page 4 of 15
^ (b) Claims made or "suits" (b) The deductible amount
brought; stated in the Declarations
• applies to all damages
(c) Persons or organizations sustained by any one "em-
making claims or bringing ployee", including such
"suits"; "employee's" dependents
(d) Acts,errors or omissions;or and beneficiaries, because
of all acts, errors or omis-
(e) Benefits included in your cions to which this insur-
"employee benefit pro- ance applies.
gram". (c) The terms of this insurance,
(2) The Aggregate Limit shown in including those with respect
Section B. Limits of Insurance, to:
1. Employee Benefit Liability 1) Our right and duty to
Coverage of this endorsement defend the insured
is the most we will pay for all against any "suits°
damages because of acts, er- seeking those dam-
rors or omissions negligently ages; and
committed in the "administra-
tion" of your "employee benefit 2) Your duties, and the
program". duties of any other in-
volved(3) Subject to the limit described in eventinsured,act, inr the
(2) above, the Each Employee miof,an a m, or
Limit shown in Section B. Limits omission,or claim,
of Insurance, 1. Employee apply Irrespective of the
Benefit Liability Coverage of application of the deductible
this endorsement is the most we amount.
will pay for all damages sus-
tained by any one "employee', (d) We may pay any part or all
including damages sustained by of the deductible amount to
such "employee's" dependents effect settlement of any
and beneficiaries,as a result of: claim or "suit" and, upon
notification of the action
(a) An act, error or omission;or - taken, you•shall promptly
(b) A series of related acts, er- reimburse us for such part
of the deductible amount as
rors or omissions, regard- we have paid.
less of the amount of time
-
that lapses between such d. Additional Conditions
acts,errors or omissions,
As respects Employee Benefit Li-
negligently committed in the ability Coverage, SECTION IV -
"administration" of your "em- COMMERCIAL GENERAL LIABIL-
ployee benefit program". ITY CONDITIONS is amended as
However, the amount paid un- follows:
der this endorsement shall not (1) Item 2. Duties in the Event of
exceed, and will be subject to Occurrence, Offense, Claim or
the limits and restrictions that Suit is deleted in Its entirety and
apply to the payment of benefits replaced by the following:
in any plan included in the "em-
ployee benefit program". 2. Duties in the Event of an Act, Error or
Omission,or Claim or Suit
(4) Deductible Amount
a. You must see to it that we are not-
(a) Our obligation to pay dam- fled as soon as practicable of an act,
ages on behalf of the in- error or omission which may result in
sured applies only to the a claim. To the extent possible, no-
amount of damages in ex- lice should include:
cess of the deductible
amount stated in the Decla- (1) What the act, error or omission
rations as applicable to was and when it occurred;and
Each Employee. The limitsof (2) The names and addresses of
reducedinsurbye tshe
amountl non be anyone who may suffer dam-
thisdby the of ages as a result of the act, error
deductible. or omission.
Includes copyrighted material of Insurance
GA 233 02 07 Services Office,Inc.,with its permission. Page 5 of 15
b. If a claim is made or"suit"is brought b. Method of Sharing
against any insured,you must: If all of the other insur-
(1) Immediately record the specifics ance permits contribu-
of the claim or "suit' and the - tion by equal shares,
date received;and we will follow this
method also. Under
(2) Notify us as soon as practicable. this approach each in-
You must see to it that we receive surer contributes equal
written notice of the claim or"suit"as -amounts until it has
racticeble. paid its applicable limit
soon as
P of insurance or none of
c. You and any other involved insured the loss remains,
must: whichever comes first
(1) Immediately send us copies of If any of the other in-
any demands, notices, sum- _ surance does not per-
menses or legal papers re- mit contribution by
celved in connection with the equal shares, we will
claim or"suit"; contribute by limits.
Under this method,
(2) Authorize us to obtain records each insurer's share is
and other information; based on the ratio of its
3 Cooperate with us in the investi- applicable thelimtotalt of ip-
( ) p surance lto io -
gation or settlement of the claim plicable limits of insur-
or defense against the "suit"; ance of all insurers.
• and
c. No Coverage
(4) Assist us, upon our request, In
the enforcement of any right This insurance shall not
against any person or organize- cover any loss for
Hon which may be liable to the which the insured is
insured because of an act, error entitled to recovery un-
or omission to which this insur- der any other insur-
ance may also apply. ance in force previous
to the effective date of
d. No insured will, except at that in- this Coverage Part
sured's own cost, voluntarily make a
payment, assume any obligation, or e. Additional Definitions
incur any expense without our con-
sent. As respects Employee Benefit Li-
abilityCoverage,e, SECTION V -
(2) Item 5. Other Insurance is de- DEFINITIONS is amended as fol-
leted in its entirety and replaced lows:
by the following: (1) The following definitions are
5. Other Insurance added:
If other valid and collectible 1. "Administration"means:
insurance is available to the a. Providing infommtion to
insured for a loss we cover Providing
inf, including
t
under this Coverage Part, p '
our obligations are limited their dependents and
as follows: beneficiaries, with re-
spect to eligibility for or
a. Primary Insurance scope of "employee
This insurance is pri- benefit programs";
mary except when c. - b. Interpreting the "em-
below applies. If this ployee benefit pro-
insurance is primary, grams';
our obligations are not c. Handling records in
affected unless any of connection with the
the other insurance is "employee ee benefit he
also primary. Then,we p ,Y pro-
will share with all that grams";or
other insurance by the d. Effecting, continuing or
method described in b. terminating any "em-
below. ployees° participation
Includes copyrighted material of Insurance
GA 233 02 07 Services Office,Inc.,with its permission. Page 6 of 15
in any benefit included benefits,workers' coin-
' in the "employee bene- pensation and disability
fit program". , benefits;and
However, "administration" d. Vacation plans, includ-
does not Include: ing buy and sell pro-
grams; leave of ab-
a. Handling payroll de- sence programs, in-
ductions;or cluding military, mater-
nity,b. The failure to effect or leave; tuitiony, and civ
assis-
maintain anyinsurance Canon plans; cu
or adequate limits of talion andndhealthalth club
coverage of insurance, subsidies.
including but not limited
to unemployment in- (2) The following definitions are
surance,social security deleted in their entirety and re-
benefits, workers' corn- placed by the following:
pensation and disability
benefits. 21. "Suit" means a civil pro-
ceeding in which money
2. "Cafeteria plans" means damages because of an
plan authorized by applica- act, error or omission to
ble law to allow "employ- which this insurance applies
ees"to elect to pay for cer- are alleged. "Suit"Includes:
fain benefits with pre-tax a. An arbitration pro-
dollars. ceeding In which such
3. "Employee benefit pro- damages are claimed
grams" means a program and to which the in-
providing some or all of the sured must submit or
following benefits to "em- does submit with our
ployees", whether provided consent
through a"cafeteria plan"or
otherwise: b. Any other alternative
dispute resolution pro-
a. Group life insurance; seeding in which such
group accident or damages are claimed
health insurance; den- and to which the In-
tal, vision and hearing sured submits with our
plans; and flexible consent;or
spending accounts;
provided that no one c. An appeal of a civil
other than an "em- proceeding.
ployee" may subscribe 8. "Employee" means a per-
so such benefits andson actively employed, for-
geneh beyefavarele to merly employed, on leave
those"employees"
loyees' to of absence or disabled, or
those"employees"who retired. "Employee" in-
satisfy the plan's eligi- eludes a "leased worker".
bility requirements; "Employee" does not in-
b. Profit sharing plans, dude a"temporary worker".
employee savings
plans, employee stock 2. Unintentional Failure to Disclose Haz-
• ownership plans, pen-
n
i
ds
sion plans and stock SECTION IV- COMMERCIAL GENERAL
subscription plans, LIABILITY CONDITIONS, 7. Represen-
provided that no one tations is hereby amended by the addi-
other than an "em- tion of the following:
ployee" may subscribe
to such benefits and Based on our dependence upon your
such benefits are made representations as to existing hazards, if
generally available to unintentionally you should fail to disclose
all "employees" who all such hazards at the inception date of
are eligible under the your policy, we will not reject coverage
plan for such benefits; under this Coverage Part based solely on
C. Unemployment insur-
ance, such failure.
social security
Includes copyrighted material of Insurance
GA 233 02 07 Services Office,Inc.,with its permission. Page 7 of 15
3. Damage to Premises Rented to You e) Settling, cracking,
- shrinking or ex-
a. The last Subparagraph of Paragraph , I pension;on
-2. SECTION I - COVERAGES,• a
infest -
COVERAGE A. - BODILY INJURY f) Nesting ortion, or dinfest
AND PROPERTY DAMAGE, 2. LI- or release of
charge
ABILITY Exclusions is hereby de- or
•
leted and replaced by the following: waste wastesecretproductsro, by In-
Exclusions c.through q.do not apply sects, birds, ro-
to damage by fire, explosion, light- dents or other
ning, smoke or soot to premises animals.
while rented to you or temporarily directly or indi-
occupied by you with permission of (b) redly by any Loss caused ditoirecctly the owner.
follow-
ing:
b. The insurance provided under SEC- 1) volcanic
TION I -COVERAGES, COVERAGE Earthquake,hq , landslide or
A. BODILY INJURY AND PROP- eany other earth de
ERTY DAMAGE LIABILITY applies menta
move-
to 'property damage" arising out of
water damage to premises that are 2) Water that backs up or
both rented to and occupied by you. overflows from a
(1) As respects Water Damage Le- sewer,drain or sump;
gal Liability, as provided In 3) Water under the
Paragraph 3.b.above: ground surface press-
The exclusions under SECTION ing on, or flowing or
- COVERAGES, COVERAGE seeping through:
A. BODILY INJURY AND oundations,
PROPERTY DAMAGE LIABIL- a) Fon, floors or
ITY, 2.Exclusions, other than i- paved surfaces;
War and the Nuclear Energy
Liability Exclusion, are deleted b) Basements,
and the following are added: whether paved or •
This insurance does not apply not;or
to: c) Doors, windows or
(a) "Property damage": other openings.
1) Assumed in any con- (c) Loss caused by or resulting
tract;or from water that leaks or
flows from plumbing, heat-
2) Loss caused by or re- ing, air conditioning, or fire
suiting from any of the protection systems caused
following: by or resulting from freez-
ing,unless: •
a) Wear and tear;
1) You did your best to
b) Rust, corrosion, maintain heat in the
fungus, decay, building or structure;or
deterioration, hid-
den or latent de- 2) You drained the
fect or any quality - equipment and shut off
in property that the water supply if the
causes it to dam- heat was not main-
age or destroy it- tained.
self; (d) Loss to or damage to:
c) Smog; 1) Plumbing, heating, air
d) Mechanical conditioning, fire pro-
breakdown in- tection systems, or
eluding rupture or other equipment or ap-
bursting caused pllances;or
-by centrifugal 2) The interior of any
force; building or structure, or
to personal property in
the building or structure
Includes copyrighted material of Insurance Page 8 of 15
GA 233 02 07 Services Office,Inc.,with its permission. 9
caused by or resulting 5. Medical Payments
from rain, snow, sleet The Medical Expense Limit of Any One
byy wind or
in,d or ornoot.t.whetherdriven Person as stated in the Declarations is
amended to the limit shown in Section B.
c. Limit of Insurance Limits of Insurance, 5. Medical Pay-
ments of this endorsement.
The Damage to Premises Rented to
You Limit as shown in the Declare- 6. Voluntary Property Damage and Care,
tions is amended as follows: Custody or Control Liability Coverage
(2) Paragraph 6. of SECTION III - a. Voluntary Property Damage Coy-
LIMITS OF INSURANCE is erage
hereby deleted and replaced by We will pay for"property damage"to
the following: property of others arising out of op-
6. Subject to 5. above, the erations incidental to the insured's
Damage to Premises business when:
Rented to You Limit Is the
most we will pay under (1) Damage is caused by the in-
COVERAGE A. BODILY sated;or
INJURY AND PROPERTY (2) Damage occurs while in the in-
DAMAGE LIABILITY, for sured's possession.
damages because of
"property damage" to With your consent, we will make
premises while rented to these payments regardless of fault.
you or temporarily occupied
by you with permission of • b. Care, Custody or Control Liability the owner, arising out of Coverage
any one "occurrence" to SECTION I - COVERAGES, COV-
which this insurance ap- ERAGE A. BODILY INJURY AND
plies. PROPERTY DAMAGE LIABILITY,2.
(3) The amount we will pay is gm- Exclusions,j. Damage to Property,
ited as described in Section B. Subparagraphs (3), (4) and (5) do
Limits of Insurance, 3. Dam- not apply to "properly damage" to
age to Premises Rented to the property of others described
You of this endorsement. therein.
4. Supplementary Payments With respect to the insurance provided by
this section of the endorsement, the fol-
Under SECTION I - COVERAGE, SUP- lowing additional provisions apply:
PLEMENTARY PAYMENTS - COVER- - a. The Limits of Insurance shown in the
AGES A AND B: Declarations are replaced by the lim-
a. Paragraph 2. is replaced by the fol- its designated in Section B.Limits of
lowing: Insurance, 6. Voluntary Property
• Damage and Care, Custody or
Up to the limit shown in Section B. Control Liability Coverage of this
Limits of Insurance,4.a. Bail Bonds endorsement with respect to cover-
of this endorsement for cost of bail age provided by this endorsement.
bonds required because of accidents These limits are inclusive of and not
or traffic law violations arising out of in addition to the limits being re-
the use of any vehicle to which the placed. The Limits of Insurance
Bodily Injury Liability Coverage ap- shown in Section B.Limits of Insur-
plies. We do not have to furnish ance, 6. Voluntary Property Dam-
these bonds. age and Care, Custody or Control
b. Paragraph 4. is replaced by the fol- Liability Coverage of this endorse-
lowing:: ment fix the most we will pay in any
one "occurrence" regardless of the
All reasonable expenses incurred by number of.
the insured at our request to assist (1) Insureds;
us in the investigation or defense of
the claim or "suit", including actual (2) Claims made or'suits" brought;
loss of earnings up to the limit shown or
in Section B. Limits of Insurance,
4.b. Loss of Earnings of this' en- - (3) Persons or organizations mak-
- dorsement per day because of time ing claims or bringing "suits'.
off from work.
Includes copyrighted material of Insurance
GA 233 02 07 Services Office,Inc.,with its permission. Page 9 of 15
b. Deductible Clause 9. Automatic Additional Insured - Speci-
fled Relationships
, (1) Our obligation to pay damages ,
on your behalf applies only to a. The following is hereby added to
the amount of damages for each SECTION II-WHO IS AN INSURED:
"occurrence" which are in ex- (1) Any person or organization de-
stated
f the Section deductible amount scribed in Paragraph 9.a.(2)
Insurance,
in 6. B. Ly Ps p- below(hereinafter referred to as
erty Damage VnCare,are Prop- additional insured) whom you
todyy oControl and Cus-cvare required to add as an addi-
erage or endorsement.Liebility tThe tional insured under this Cover-
limits of thisu willnotThe age Part by reason of:
of insurance will not be re-
duced by the application of such (a) A written contract or
deductible amount. agreement;or
(2) Condition 2. Duties in the Event (b) An oral agreement or con-
of Occurrence, Offense, Claim tract where a certificate of
or Suit, applies to each claim or insurance showing that per-
"suit"irrespective of the amount. son or organization as an
(3) We may pay any part or all of additional Insured has been
the deductible amount to effect issued,
settlement of any claim or"suit is an insured,provided:
and, upon notification of the ac-
tion taken, you shall promptly (a) The written or oral contract
reimburse us for such part of the or agreement is:
deductible amount as has been 1) Currently in effect or
paid by us. becomes effective
7. 180 Day Coverage for Newly Formed or during the policy pe-
Acquired Organizations riod;and
SECTION II - WHO IS AN INSURED is 2) Executed prior to an
amended as follows: "occurrence"or offense
to which this insurance
Subparagraph a. of Paragraph 4. is would apply;and
hereby deleted and replaced by the fol-
lowing: (b) They are not specifically
named as an additional In-
a. Insurance under this provision is af- sured under any other pro-
forded only until the 180th day after vision of, or endorsement
you acquire or form the organization added to, this Coverage
or the end of the policy period, Part
whichever is earlier;
Subrogation (2) Only the following persons or
8. Waiver of Subro
9 organizations are additional In-
SECTION IV- COMMERCIAL GENERAL sureds under this endorsement,
LIABILITY CONDITIONS, 9. Transfer of and insurance coverage pro-
Rights of Recovery Against Others to vided to such additional In-
Us is hereby amended by the addition of sureds is limited as provided
the following: herein:
We waive any right of recovery we may (a) The manager or lessor of a
have because of payments we make for premises leased to you with
. whom you have agreed per
injury or damage arisingoout of" your on- Paragraph 9.a.(1) above to
goingoperationso "your workir done n- provide insurance, but only
der a written contractn requiringogsuch with respect to liability ads-
and Included ue innt person ororganizationing out of the ownership,
operopd thed "products-completed maintenance or use of that
may only
be hazard". However,othe o ""occur-rights part of a premises leased to
may only waived prior or e you, subject to the following
for which givingwe rise to the injurymunderdamage additional exclusions:
for make payment this
Coverage Part. The insured must do This insurance does not
nothing after a loss to impair our rights. apply to:
At our request,the insured will bring"suit"
or transfer those rights to us and help us 1) Any "occurrence"
enforce those rights. which takes place after
Includes copyrighted material of Insurance
GA 233 02 07 •
Services Office,Inc.,with its permission. Page 10 of 15
you cease to be a ten- c) chemic I physicalcor
• ant in that premises. ge
in the product
2) Structural alterations, made intentionally
new construction or by the vendor;
demolition operations cka
performed by or on be- d)
Repackaging,
d
o gninpackeun-
half of such additional solelylefor thepd
insured. pur-
pose of inspection,
(b) Any person or organization demonstration,
from which you lease testing, or the
equipment with whom you substitution of
have agreed per Paragraph parts under in-
9.a.(1) above to provide in- structions from the
surance. Such person(s)or _ manufacturer, and
organization(s)are insureds then repackaged
solely with respect to their in the original
liability arising out of the container;
maintenance, operation or e) Anyfailure to
use by you of equipment e suche in-
son(s)
leased to you by such per- maksection s, adjust-
-
d uin-
son(s) or organizations(s). meats, testsl or
However, this insurance servicingldsas the
does not apply to any "oc-
currence"which takes place vendor has
after the equipment lease agreed to make or
expires. normally under-
takes to make in
(c) Any person or organization the usual course
(referred to below as yen- of business, in
dor)'with whom you have connection with
agreed per Paragraph the distribution or
9.a.(1) above to provide in- sale of the prod:
surance, but only with re- ucts;
spent to "bodily injury" or Demonstration,
"property damage" ansing f) DDeflation, on,, in-
outin-
of"your products"which
are distributed or sold in the ing or repair op-
regular course of the ven- erations, except
dor's business, subject to such operations
the following additional ex- performed at the
clusions: vendor's premises
in connection with
1) The insurance afforded the sale of the
the vendor does not product;
apply to: , g) Products which,
a) "Bodily injury" or after distribution or
"property damage" sale by you, have
for which the ven- been labeled or
dor is obligated to relabeled or used
pay damages by as a container,
reason of the as- pad or ingredient
sumption of liabil- of any other thing
ity in a contract or or substance by or
agreement. This for the vendor.
exclusion does not
apply to liability for 2) This insurance does
damages that the not apply to any in-
vendor would sured person or or-
have in the ab- ganization:
sence of the con- a) From whom you
tract or agree- have acquired
meat; such products, or
b) Any express war- any Ingredient,
ranty unauthorized pad or container,
by you; entering into, ac-
Includes copyrighted material of Insurance
GA 233 02 07 Services Office,Inc.,with its permission. Page 11 of 15
coni an ing or 2) This insurance does
containing i such not apply to "bodily in-
products;or jury, "property dam-
age" or "personal and
b) When liability in- advertising injury' aris-
cluded within the ing out of operations
"products- performed for the state
completed opera- or political subdivision.
tions hazard" has
been excluded (f) Any person or organization
under this Cover- with which you have agreed
age Part with re- per Paragraph 9.a.(1)
spect to such above to provide insurance,
products. but only with respect to li-
ability arising out of "your
(d) Any state or political subdi- work" performed for that
vision with which you have additional insured by you or
agreed per Paragraph on your behalf. A person or
9.a.(1) above to provide in- organization's status as an
surance, subject to the fol- insured under this provision
lowing additional provision: of this endorsement contin-
This insurance applies only ues for only the period of
with resect to the followingtime required by the written
hazards for which the statcontract or agreement, but
or political subdivision has in no event beyond the ex-
issued
piration date of this Cover-
lion
with a permit sIconnec- age Part. If there is no
rren or premises you own, written contract or agree-
this insuranceel and tos which ment, or if no period of time
applies: is required by the written
1) The existence, mainte- contract or agreement, a
nance, repair, con- person or organization's
struction, erection, or status as an insured under
removal of advertising this endorsement ends
signs, awnings, cano- when your operations for
pies, cellar entrances, that insured are completed.
coal holes, driveways, (3) Any insurance provided to an
manholes, marquees, additional insured designated
hoist away openings,
sidewalk vaults, street under Paragraph 9.a.(2):
banners, or decora- (a) Subparagraphs (e) and (f)
tions and similar expo- does not apply to °bodily
sures;or injury'or"property damage'
2) The construction, erec- Included within the "prod-
tion, or removal of ele- ucts-completed operations
vators;or hazard';
3) The ownership, main- (b) Subparagraphs (a),(b), (d),
teP l (e)and (f)does not apply to
elevators
eva tor or use ofany "bodily injury", "property
evs covereddby damage" or "personal and
this insurance. advertising injury" arising
(e) Any state or political subdi- out of the sole negligence
vision with which you have or willful misconduct of the •
agreed per Paragraph . additional insured or their
9.a.(1) above to provide in- agents, "employees"or any
surance, subject to the fol- other representative of the
lowing provisions: additional insured; or
1) This Insurance applies (c) Subparagraph (f) does not
only with respect to op- apply to "bodily injury",
eratlons performed by "property damage" or "per-
you or on your behalf sonal and advertising Injury"
for which the state or arising out of
political subdivision has 1) Defects in design issued a permit fur-
nished by or on behalf
Includes copyrighted material of Insurance
GA 233 02 07 Services Office,Inc.,with Its permission. Page 12 of 15
of the additional in- spects any other Insurance
sured;or policy issued to the addi-
fional insured, and such
2) The rendering of, or other insurance policy shall
failure to render, any be excess and/or noncon-
professional architec- tributing,whichever applies,
Lural, engineering orwith this insurance.
• surveying services, in- (b) Any insurance provided by
in-
cluding: this endorsement shall be
a) The preparing, primary to other insurance
approving or fail- available to the additional
ing to prepare or insured except:
approve maps, 1) As otherwise provided
shop drawings, in SECTION IV -
surveys,, fireeld
or- COMMERCIAL GEN-
ders,
surveys, e or- ERAL LIABILITY
dens, change or-
ders or drawingsCONDITIONS,5.Other
Insurance, b. Excess
and specifications;
and Insurance;or
b) Supervisory, in- 2) For any other valid and
spection, archl- collectible insurance
tectural or engi- available to the addi-
neering activities. tional insured as an
additional insured by
3) "Your work"for which a attachment of an en-
consolidated (wrap-up) dorsement to another
insurance program has insurance policy that is
been provided by the written on an excess
primecontractor-project basis. In such case,
manager or owner of the coverage provided
the construction project under this endorse-
in which you are in- ment shall also be ex-
volved. cess.
b. Only with regard to insurance pro- (2) Condition 11. Conformance to
vided to an additional insured desig- Specific Written Contract or
nated under Paragraph 9.a.(2) Sub- Agreement is hereby added:
paragraph (f) above, SECTION III - Conformance to Specific
LIMITS OF INSURANCE is amended 11. on Contract or
to include: WrittAgreement
The limits applicable to the additional With respect to additional
Insured are those specified in the P
written contract or agreement or in insureds described in Para-
the Declarations of this Coverage graph 9.a.(2)(f)above only:
Part,whichever are less. If no limits If a written contract or
are specified in the written contract agreement between you
or agreement, or If there is no written and the additional insured
contract or agreement, the limits ap- specifies thal coverage for
plicable to the additional insured are the additional coverage
those specified in the Declarations of
this Coverage Part. The limits of in- a. Be provided by the In-
surance are inclusive of and not in surance Services Of-
addition to the limits of insurance fice additional insured
shown in the Declarations. form number CG 20 10
c. SECTION IV- COMMERCIAL GEN- or CG 20 37 (where
ERAL LIABILITY CONDITIONS is edition specified);or
hereby amended as follows: b. Include coverage for
(1) Condition 5. Other Insurance Is completed operations;
amended to include:
(a) Where required by a written c. Include coverage for
contract or agreement, this "your work";
Insurance is primary and / and where the limits or cov-
or noncontributory as re- erage provided to the addi-
Includes copyrighted material of Insurance
GA 233 02 07 Services Office,Inc.,with its permission. Page 13 of 15
Donal insured is more re- 11. of this endorsement fix the
strictive than was specify most we will pay in any one "oc-
cally required in that written currence" regardless of the
contract or agreement, the number of:
terms of Paragraphs (a) Insureds;
9.a.(3)(a), 9.a.(3)(b) or 9.b.
above, or any combination (b) Claims made or "suits"
thereof, shall be interpreted brought;or
as providing the limits or
coverage required by the (c) Persons or organizations
terms of the written contract making claims or bring
or agreement, but only to "suits".
the extent that such limits or Deductible Clause
coverage is included within (2)
the terms of the Coverage (a) Our obligation to pay dam-
Part to which this endorse- ages on your behalf applies
ment is attached. If, how- only to the amount of darn-
ever, the written contract or ages for each "occurrence"
agreement specifies the In- which are in excess of the
surance Services Office Deductible amount stated in
additional insured form Section B. Limits of Insur-
number CG 20 10 but does ance, 11. of this endorse-
not specify which edition, or ment. The limits of insur-
specifies an edition that ance will not be reduced by
does not exist, Paragraphs the application of such De-
)(a) and 9.a.(3)(b) of ductible amount.
this endorsement endorsement shall not
apply and Paragraph 9.b. of (b) Condition 2. Duties In the
this endorsement shall ap- Event of Occurrence, Of-
ply. fense, Claim or Suit, ap-
plies to each claim or"suit°
10. Broadened Contractual Liability-Work irrespective of the amount
Within 50'of Railroad Property
It is herebyagreed that Paragraph f.(1) of (c) We may pay any part or all
Definition12. "Insured contract" (SEC- of the deductible amount to
TION V-DEFINITIONS)is deleted. effect settlement of any
claim or "suit" and, upon
11. Property Damage to Borrowed Equip- notification of the action
menttaken, you shall promptly
• reimburse us for such part
a. The following Is hereby added to Ex- of the deductible amount as
elusion j. Damage to Property of has been paid by us.
Paragraph 2., Exclusions of SEC-
TION I- COVERAGES, COVERAGE 12. Employees as Insureds - Specified
A. BODILY INJURY AND PROP- Health Care Services
ERTY DAMAGE LIABILITY: It Is hereby agreed that Paragraph
Paragraphs (3) and (4) of this exclu- 2.a.(1)(d) of SECTION II - WHO IS AN
sion do not apply to tools or equip- INSURED, does not apply to your "em-
ment loaned to you, provided they ployees"who provide professional health
are not being used to perform opera- care services on your behalf as duly II-
lions at the time of loss. censed:
b. With respect to the insurance pro- a. Nurses;
vided by this section of the en- b. Emergency Medical Technicians;or
dorsement, the following additional
provisions apply: c. Paramedics,
(1) The Limits of insurance shown in the jurisdiction where an "occurrence"
in the Declarations are replaced or offense to which this insurance applies
by the limits designated in Sec- takes place.
tion B. Limits of Insurance, 11.
of this endorsement with respect 13. Broadened Notice of Occurrence
to coverage provided by this Paragraph a. of Condition 2. Duties in
endorsement. These limits are the Event of Occurrence, Offense,
inclusive of and not in addition to Claim or Suit (SECTION IV- COMMER-
the limits being replaced. The CIAL GENERAL LIABILITY CONDI-
Limits of Insurance shown in
Section B. Limits of Insurance,
Includes copyrighted material of Insurance
GA 233 02 07 Services Office,Inc.,with its permission. Page 14 of 15
TIONS) is hereby deleted and replaced (2) The names and addresses of
• by the following: any injured persons and wit-
, nesses;and '
a. You must see to it that we are noti-
fied (3) The nature and location of any
as soon as practicable of an un or damage arisingout of
°occurrence" or an offense which injury
occurrence'or offese.
may result in a claim. To the extent
possible,notice should include: .This requirement applies only when
(1) How, when and where the "oc- the"occurrence or offense is known
- currence"or offense took place; to an"authorized representative".
Includes copyrighted material of Insurance
GA 233 02 07 Services Office,Inc.,with its permission. Page 15 of 15
you or while performing duties related to d. Your legal representative if you die, but
the conduct of your business. However, only with respect to duties as such That
' none of these "employees" or "volunteer ' and dutiestfunder willihaves all y urParights
workers"are insureds for:
(1) "Bodily injury" or "personal and ad 3. Any organization you newly acquire or form,
vertising injury": other than a partnership,joint venture or lim
ited liability company, and over which you
(a) To you, to your partners or maintain ownership or majority interest, will
members (if you are a partner- qualify as a Named Insured if there is no other
ship or joint venture), to your similar insurance available to that organize-
members (if you are a limited Ii lion. However:
ability company), to a co-
"employee" while in the course a Insurance under this provision is afforded
of his or her employment or only until the 90th day after you acquire
performing duties related to the or form the organization or the end of the
conduct of your business, or to policy period,whichever is eadier,
your other "volunteer workers" b. COVERAGE A. BODILY INJURY AND
tote performing our business;es relatedPROPERTY DAMAGE LIABILITY does
the conduct of your not apply to "bodily injury" or "property
(b) To the spouse, child, parent, damage" that occurred before you ac-
brother or sister of that co quired or formed the organization;and
"employee" or "volunteer c COVERAGE B. PERSONAL AND AD-
Paragr' sconsequenceof VERTISING INJURY LIABILITY does not
Paragraphh(1))(a)above;
apply to "personal and advertising injury"
(c) For which there is any obligation arising out of an offense committed be
to share damages with or repay fore you acquired or formed the organi-
someone else who must pay za0on.
damages because of the injury No person or organization is an insured with re
described in Paragraphs (1)(a) sped to the conduct of any current or past or(b)above;or part-
nership, joint venture or limited liability company
(d) Arising out of his or her provid- that is not shown as a Named Insured in the Dec-
-
ing or failing to provide profes- larations.
sional health care services. SECTION III-LIMITS OF INSURANCE
(2) "Property damage"to property: 1. The Limits of Insurance shown in the Declare-
(a) Owned,occupied or used by;or tions and the rules below fix the most we will
pay regardless of the number of.
(b) Rented to, in the care, custody
or control of, or over which a Insureds;
physical control is being exer
cised for any purpose by, b. Claims made or"suits"brought; or
you, any of your "employees", "vol- c. Persons or organizations making claims
unteer workers", any partner or or bringing"suits".
member (if you are a partnership or 2 a. The General Aggregate Limit is the most
joint venture), or any member (if you we will pay for the sum of:
are a limited liability company).
(1)
COVER-
b. Any person (other than your "employee" AGE C.MEDICAL PAYMENTS;
or "volunteer worker"), or any organza
tion while acting as your real estate man- (2) BODILYINJURY
ager. AND PROPERTY
a
DAMAGE LIABILITY, except dam
c. Any person or organization having proper ages because of "bodily injury" or
temporary custody of your property if you "property damage" included in the
die,but only: "products-completed operations
(1) With respect to liability arising out of hazard";and
the maintenance or use of that prop- (3) Damages under COVERAGE B.
erty;and PERSONAL AND ADVERTISING
(2) Until your legal representative has INJURY LIABILITY.
been appointed. This General Aggregate Limit will not ap
ply if either the Location General Aggre-
Includes copyrighted material of Insurance
GA 101 12 04 Services Office,Inc,with its permission. Page 12 of 22
gate Limit of Insurance, Paragraph 2 b, your behalf at the same location for
or the Construction Project General Ag- the same persons or organizations,
' gregate Limit of Insurance, Paragraph no matter how often or under how
2 c applies, many different contracts, will be
deemed to be a single construction
b. A separate Location General Aggregate project.
Limit of Insurance, equal to the amount of
the General Aggregate Limit shown In the 3. The Products Completed Operations Aggre
Declarations,shall apply to each location gate Limit is the most we will pay under COV-
owned by, or rented or leased to you and ERAGE A. BODILY INJURY AND PROP-
is the most we will pay for the sum of ERTY es be
cause of"bodily injury"LIABILITYAGE and "property darn
(1) Damages under COVERAGE A. age" included in the "products-completed op-
BODILY INJURY AND PROPERTY eratlons hazard".
DAMAGE LIABILITY, except dam
ages because of "bodily injury" or 4 Subject to 2 a. above, the Personal and Ad-
"property damage" included in the vertising Injury Limit is the most we will pay
"products completed operations under VERTIS NGENURY LIABILGE B. SITYfor-the sDum of
AD-
hazard";and
all damages because of all "personal and ad-
(2) Medical expenses under COVER- vertising injury"sustained by any one person
AGE C.MEDICAL PAYMENTS, or organization.
which can be attributed to operations at 5 Subject to 2 or 3 above, whichever applies,
only a single location owned by, or rented the Each Occurrence Limit is the most we will
or leased to you. pay for the sum of:
c. A separate Construction Project General a Damages under COVERAGE A. BODILY
Aggregate Limit of Insurance, equal to INJURY AND PROPERTY DAMAGE Li-
the amount of the General Aggregate ABILITY;and
Limit shown in the Declarations,shall ap-
ply
construction
fo the sum of:and is the b Medical MEDICAL PAYMENTS;enses under COVERAGE C
most we will pay
(1) Damages under COVERAGE A. because of all "bodily injury° and "property
BODILY INJURY AND PROPERTY damage"arising out of any one"occurrence".
DAMAGE LIABILITY, except dam 6 Subject to 5 above, the Damage to Premises
ages because of "bodily injury" or Rented to You Limit is the most we will pay
"property damage" included in the -under COVERAGE A. BODILY INJURY AND
"prodcompleted operationsPROPERTY DAMAGE LIABILITY for dam-
agesc;s hazard";and because of "property damage" to any
(2) Medical expenses under COVER- oneof damage premises, while ileu, orin whileh
by or explosion,AGE C.MEDICAL PAYMENTS; rented to you or temporarily occupied by you
which can be attributed only to ongoing with permission of the owner.
operations and only at a single construc-
tion project. 7 Subject to 5 above, the Medical Expense
Limit is the most we will pay under COVER-
d. Only for the purpose of determining which AGE C. MEDICAL PAYMENTS for all medical
General Aggregate Limit of Insurance, expenses because of"bodily injury"sustained
2 a,2 b,or 2 c ,applies: by any one person.
(1) Location means premises involving The Limits of Insurance of this Coverage Part ap-
the same or connecting lots, or ply separately to each"coverage term".
premises,whose connection Is inter SECTION IV COMMERCIAL GENERAL LI
rupted only by a street, roadway,
waterway or right of way of a rail ABILITY CONDITIONS
road. 1. Bankruptcy
(2) Construction project means a lova Bankruptcy or insolvency of the insured or of
tion you do not own, rent or lease the insured's estate will not relieve us of our
where ongoing improvements, al obligations under this Coverage Part..
teratlons, installation, demolition or
maintenance work is performed by 2. Duties in the Event of Occurrence, Offense,
you or on your behalf. All connected Claim or Suit
ongoing improvements, alterations,
installation, demolition or mainte- a You must see to it that we are notified as
nance work performed by you or on soon as practicable of an"occurrence"or
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A M LANDSHAPER INC '
Owner or tretlesperson 8004 N.MARKET
Principals SPOKANE,WA 99217
509-468
-4335
MARK C,PRESIDENT
SPOKANENE County
MCGEE,TYE CYRIL,SECRETARY
Doing business as
A M LANDSHAPER INC
WA UBI No. Business type
801 701 273 Corporation
Governing persons
MARK
C
ALBIN
TYE C MC GEE;
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