18-168.01 Bernardo Wills Architects: Appleway Trail Evergreen to Sullivan 18- iceg,o �
a
Washington State
�� Department of Transportation
Supplemental Agreement Orgamzauon and Address
Number 1 BernardoiWills Architects, PC
Original Agreement Number South 153 Jefferson
18-168 Spokane, WA 99201
Phone:
Project Number Execution Date Completion Date
0268 November 1, 2018 August31, 2020
Protect Title New Maximum Amount Payable
Appleway Trail: Evergreen Rd to Sullivan Rd $ 30,000.00
Description of Work
Provide construction administration services as requested by the City
The Local Agency of City of Spokane Valley
desires to supplement the agreement entered in to with BerardolWills Architects. PC
and executed on November 1,2018 and identified as Agreement No. 18-168
All provisions in the basic agreement remain in effect except as expressly modified by this supplement.
The changes to the agreement are described as follows:
Section 1, SCOPE OF WORK, is hereby changed to read:
See Supplement#1 Exhibit B—Scope of Work.
II
Section IV, TIME FOR BEGINNING AND COMPLETION, is amended to change the number of calendar days
for completion of the work to read: The Contract Completion Date extended to August 31,2020.
III
Section V, PAYMENT, shall be amended as follows:
Maximum amount payable increased from$26,460.00 to $30,000.00, an additional of$3,540.00.
as set forth in the attached Exhibit A, and by this reference made a part of this supplement.
If you concur with this supplement and agree to the changes as stated above, please sign in the Appropriate
spaces below and return to this office for final action. Mel.
'
By. By: ✓vlQrf/ CO iii3Oul't
Pt,& $ . &A1 - �IIYh*/ 1104Th JI
Consultant Signature fpproving Author Signature
n/,2.. M
DOT Form 140-063
Revised 09/2005
Exhibit"A"
Summary of Payments
Professional Fees
This supplement to the original contract revises the below listed services to the following Lump Sum
Fee Structure.
Items Fee
Task 1 - Design Development $ 8,000.00
Task 2 - Construction Documents $ 10,000.00
Task 3 - Public Meetings $ 0.00
Task 4- Design Support for Construction $ 12,000.00
$ 30,000.00
Exhibit"B
Scope of Work
This supplement to the original contract revises specific tasks as summarized below:
Task 1,Design Development—No Change
Task 2, Construction Documents-No Change
Task 3—Deleted
Task 4,Design Support for Construction—Added
• Review and responding to contractor submittals and shop drawings
• Review and response to clarification and Request for Information(RFI)
• Site visits to observe the progress of work and/or attend construction meetings as requested by the City.
Site observations may include:
o Presurre testing of Irrigation mainline and lateral lines
o Review of planting material for quality and quantity
o Punchbsts for substantial and final completion
•
DOT Form 140-063
Revised 09/2005
�,�., BERNARC-01 JWOLFER
acoiznCERTIFICATE OF LIABILITY INSURANCE °A 30/
4......--- 10/10/30/20792019
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 ISSUINGINSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder In lieu of such endorsement(s).
PRODUCER MTEACT Jenna Wolfer
Alliant Insurance Services,Inc. jHON,ry ESP(509)624-3291I(n C,NO)(509)456-0294
815 W Riverside Ave Ste 800
Spokane,WA 99201 M$$.jenne.wolfer@ailiant.com
INSURERISI AFFORDING COVERAGE NAIC II
INSURER A•National Fire Insurance Company of Hartford 20478
INSURED INSURER B Transportation Insurance Company 20494
Bernardo-Wills Architects INSURER C:Travelers Casualty and Surety Company of America 31194 1
153 S Jefferson Street INSURER 0:
Spokane,WA 99204
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 ADOL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSD MD POLICY NUMBER IMMIDOPYYYI IMMIDDfIYYYI OMITS
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000
CLAIMS-MADE X OCCUR X X 2072475103 11/1/2019 11/1/2020 DAMAGES RENTED 306,000
MED EXP 'n one.erson $ 10,000
PERSONAL&ADV INJURY $ 1,000,000
GENII AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2.000,000
POLICY 13118E []LOC PRODUCTS-COMP/OP AGO $ 2.000,000
OTHER $
A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
ANY AUTO 4024492367 11/1/2019 11/1/2020 BODILY INJURY Per.-ILD„ $
OWNEDSCHEDULED
AUTOS ONLY X AUTOS BODILY
BODILY INJURY Per accident $
AUTOS ONLY _ AUTO� SONLV POPE 1aeTYar'MAGE $
$
B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000
EXCESS LAB CLAIMS-MADE 2072475067 11/1/2019 11/1/2020AGGREGATE $ 4,000,000
DED X RETENTION$ 10,000 I $
A ANWORKERS
EMPLOYERSEWBILIITY i PERTUTE FR
2072475103 11/1/2019 11/1/2020 1,000,000
ANY
PROPRIIETOR/PARTNER/E ECUTIVE NIA EL EACH ACCIDENT $
IManGWrymNHI EL DISEASE-EA EMPLOYEE $ 1,000,000
If yes,dexnbe under 2,000,000
DESRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $
C Professional Liab 0105740569LB 2/1/2019 2/1/2020 Professional Liab 3,000,000
C Professional Liab 0105740569LB 2/1/2019 2/1/2020 Retention 35,000
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more Spate Is required)
Project:Appleway Trail,Evergreen to Sullivan
The City of Spokane Valley is named as additional insured under the general liability for ongoing operations of the named insured as required by wntten
contract.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Cityof3 Spokane ValleyTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
P ACCORDANCE WITH THE POLICY PROVISIONS.
10210 E Sprague Ave
Spokane Valley,WA 99206
AUTHORIZED REPRESENTATIVE^J�/^J
)
ACORD 25(2016/03) ®1968-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
SB746932F
CNA (Ed. 6-16)
BLANKET ADDITIONAL INSURED
AND
LIABILITY EXTENSION ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS LIABILITY COVERAGE FORM
BUSINESSOWNERS COMMON POLICY CONDITIONS
TABLE OF CONTENTS
I. Blanket Additional Insured Provisions
A. Additional Insured—Blanket Vendors
B. Miscellaneous Additional Insureds
C. Additional Provisions Pertinent to Additional Insured Coverage
1. Primary—Noncontributory provision
2. Definition of"written contract."
II. Liability Extension Coverages
A. Bodily Injury—Expanded Definition
B. Broad Knowledge of Occurrence
C. Estates.Legal Representatives end Spouses
D. Legal Liability—Damage to Premises
E. Personal and Advertising Injury—Discrimination or Humiliation
F. Personal and Advertising Injury—Broadened Eviction
G. Waiver of Subrogation-Blanket
I. BLANKET ADDITIONAL INSURED PROVISIONS
A. ADDITIONAL INSURED—BLANKET VENDORS
Who Is An Insured Is amended to include as an additional insured any person or organization (referred to below
as vendor)with whom you agreed under a 'written contract'to provide insurance, but only with respect to 'bodily
injury' or'property damage'arising out of'your products'which are distributed or sold in the regular course of the
• vendor's business,subject to the following additional exclusions:
1. The insurance afforded the vendor does not apply to:
a. 'Bodily injury' or 'property damage' for which the vendor is obligated to pay damages by reason of the
assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages
miss
that the vendor would have in the absence of the contract or agreement;
b. Any express warranty unauthorized by you;
c. Any physical or chemical change in the product made intentionally by the vendor;
d. Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or the
substitution of parts under Instructions from the manufacturer, and then repackaged in the original
container;
SB146932F(6-16)
Page 1 of 7
Copyright.CNA All Rights Reserved.
SB146932F
CNA (Ed. 6-16)
a. Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make
or normally undertakes to make in the usual course of business, in connection with the distribution or sale
of the products;
I. Demonstration, installation, servicing or repair operations, except such operations performed at the
vendor's premises in connection with the sale of the product;
g. Products which, after distribution or sale by you, have been labeled or relabeled or used as a container,
part or Ingredient of any other thing or substance by or for the vendor; or
h. 'Bodily injury' or 'property damage" arising out of the sole negligence of the vendor for its own acts or
omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not
apply to:
(1) The exceptions contained in Subparagraphs d.or f.; or
(2) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally
undertakes to make in the usual course of business, in connection with the distribution or sale of the
products.
2. This insurance does not apply to any insured person or organization, from whom you have acquired such
products, or any ingredient, part or container, entering into, accompanying or containing such products.
3. This provision 2. does not apply to any vendor included as an insured by an endorsement issued by us and
made a part of this Policy.
4. This provision 2. does not apply if 'bodily injury° or "property damage" included within the 'products-
completed operations hazard' is excluded either by the provisions of the Policy or by endorsement.
B. MISCELLANEOUS ADDITIONAL INSUREDS
1. Who Is An Insured is amended to include as an insured any person or organization (called additional
insured) described in paragraphs 3.a. through 9.j. below whom you are required to add as an additional
insured on this policy under a 'written contract.':
2. However, subject always to the terms and conditions of this policy, Including the limits of Insurance, we will
not provide the additional Insured with:
a. A higher limit of insurance than required by such'written contract';
b. Coverage broader than required by such 'written contract"and in no event greater than that described by
the applicable paragraph a. through k. below; or
e. Coverage for 'bodily injury' or 'property damage' included within the 'products-completed operations
hazard.' But this paragraph c. does not apply to the extent coverage for such liability is provided by
paragraph 34 below.
Any coverage granted by this endorsement shall apply only to the extent permitted by law,
9. Only the following persons or organizations can qualify as additional insureds under this endorsement:
a. Controlling Interest
Any persons or organizations with a controlling interest in you but only with respect to their liability arising
out of:
(1) such person or organization's financial control of you; or
(2) Premises such person or organization owns, maintains or controls while you lease or occupy these
premises;
provided that the coverage granted to such additional Insureds does not apply to structural alterations,
new construction or demolition operations performed by or for such additional insured.
SB146932F(8-16)
Page 2 of 7
Copyright,CNA AU Rights Reserved.
SB146932F
CNA (Ed. 6-16)
b. Co-owner of Insured Premises
A co-owner of a premises co-owned by you and covered under this insurance but only with respect to the
co-owners liability for'bodily injury', 'property damage' or °personal and advertising injury" as co-owner
of such premises.
c. Grantor of Franchise
Any person or organization that has granted a franchise to you, but only with respect to such person or
organization's lability for 'bodily injury', 'property damage", or 'personal and advertising injury' as
grantor of a franchise to you.
d. Lessor of Equipment
Any person or organization from whom you lease equipment, but only with respect to liability for 'bodily
injury', 'properly damage" or 'personal and advertising injury° caused in whole or in part by your
maintenance, operation or use of such equipment, provided that the 'occurrence" giving rise to such
'bodily injury' or 'property damage" or the offense giving rise to such 'personal and advertising injury'
takes place prior to the termination of such lease.
e. Lessor of Land
Any person or organization from whom you lease land, but only with respect to liability for'bodily injury',
"property damage' or 'personal and advertising injury° arising out of the ownership, maintenance or use
of that specific part of the land leased to you, provided that the 'occurrence° giving rise to such 'bodily
injury' or 'property damage' or the offense giving rise to such 'personal and advertising injury', takes
place prior to the termination of such lease. The insurance hereby afforded to the additional insured does
not apply to structural alterations, new construction or demolition operations performed by, on behalf of or
for such additional insured.
I. Lessor of Premises
An owner or lessor of premises leased to you, or such owner or lessor's real estate manager, but only
with respect to liability for 'bodily injury°, 'property damage' or 'personal and advertising injury' arising
out of the ownership, maintenance or use of such part of the premises leased to you, and provided that
the'occurrence' giving rise to such "bodily injury" or 'property damage' or the offense giving rise to such
'personal and advertising injury',takes place prior to the termination of such lease. The insurance hereby
afforded to the additional insured does not apply to structural alterations, new construction or demolition
operations performed by, on behalf of or for such additional Insured.
g. Mortgagee,Assignee or Receiver
A mortgagee, assignee or receiver of premises but only with respect to such mortgagee, assignee, or
receiver's liability for'bodily injury', "property damage° or'personal and advertising injury' arising out of
the ownership, maintenance,or use of a premises by you.
This insurance does not apply to structural alterations, new construction or demolition operations
performed by, on behalf of or for such additional insured.
h. State or Political Subdivisions
A state or government agency or subdivision or political subdivision that has issued a permit or
authorization, but only with respect to such government agency or subdivision or political subdivision's
liability for'bodily injury', 'property damage' or'personal and advertising injury'arising out of:
(1) The following hazards in connection with premises you own, rent, or control and to which this
insurance applies:
(a) The existence, maintenance, repair, construction, erection, or removal of advertising signs,
awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoistaway
openings,sidewalk vaults, street banners, or decorations and similar exposures; or
(b) The construction,erection,or removal of elevators; or
(c) The ownership, maintenance or use of any elevators covered by this insurance;or
SB146932F(6-16)
Page 3 of 7
Copyright,CNA All Rights Reserved.
CN SB146932F
/i (Ed. 6-16)
(2) The permitted or authorized operations performed by you or on your behalf. But the coverage granted
by this paragraph does not apply to:
(a) 'Bodily injury', 'property damage' or "personal and advertising injury' arising out of operations
performed for the state or government agency or subdivision or political subdivision; or
(b) °Bodily injury' or'property damage'included within the"products-completed operations hazard.'
With respect to this provision's requirement that additional insured status must be requested under a
'written contract', we will treat as a 'written contract' any governmental permit that requires you to
add the governmental entity as an additional Insured.
I. Trade Show Event Lessor
With respect to your participation in a trade show event as an exhibitor, presenter or displayer, any
person or organization .whom you are required to include as an additional insured, but only with respect
to such person or organization's liability for 'bodily injury', 'property damage', or "personal and
advertising injury'cause by:
a. Your acts or omissions; or
b. Acts or omissions of those acting on your behalf;
in the performance of your ongoing operations at the trade show premises during the trade show event.
j. Other Person or Organization
Any person or organization who is not an additional insured under paragraphs e.through I. above. Such
additional insured Is an insured solely for "bodily injury', 'property damage' or "personal and advertising
injury'for which such additional insured is liable because of your acts or omissions.
The coverage granted by this paragraph does not apply to any person or organization:
(1) For'bodily injury,' property damage,'or'personal and advertising injury'arising out of the rendering
or failure to render any professional services;
(2) For'bodily injury' or'property damage' included in the 'products-completed operations hazard.' But
this provision(2)does not apply to such 'bodily Injury'or"property damage' if:
(a) It is entirely due to your negligence and specifically results from your work for the additional
insured which is the subject to the'written contract"; and
(b) The 'written contract' requires you to make the person or organization an additional insured for
such 'bodily Injury'or'property damage'; or
(3) Who is afforded additional insured coverage under another endorsement attached to this policy.
C. ADDITIONAL PROVISIONS PERTINENT TO ADDITIONAL INSURED COVERAGE
With respect only to additional insured coverage provided under paragraphs A.and B. above:
1. The BUSINESSOWNERS COMMON POLICY CONDITIONS are amended to add the following to the
Condition entitled Other Insurance:
This insurance is excess of all other insurance available to an additional insured whether primary, excess,
contingent or on any other basis. However, if a'written contract'requires that this insurance be either primary
or primary and noncontributing, then this insurance will be primary and non-contributory relative solely to
insurance on which the additional insured is a named insured.
2. Under Liability and Medical Expense Definitions,the following definition is added:
'Written contract' means a written contract or agreement that requires you to make a person or organization
an additional insured on this policy, provided the contract or agreement:
a. Is currently in effect or becomes effective during the term of this policy; and
b. Was executed prior to:
813146932F(6-16)
Page 4 of 7
Copyright,CNA All Rights Reserved
•
CNA SB146932F
(Ed. 6-16)
(1) The 'bodily injur or'properly damage'; or
(2) The offense that caused the'personal and advertising injury';
for which the additional insured seeks coverage.
II. LIABILITY EXTENSION COVERAGES
It is understood and agreed that this endorsement amends the Businessowners Liability Coverage Form. If any
other endorsement attached to this policy amends any provision also amended by this endorsement, then that other
endorsement controls with respect to such provision, and the changes made by this endorsement to such provision do
not apply.
A. Bodily Injury—Expanded Definition
Under Liability and Medical Expenses Definitions,the definition of"Bodily injury' is deleted and replaced by the
following:
'Bodily injury' means physical injury, sickness or disease sustained by a person, including death, humiliation,
shock, mental anguish or mental injury by that person at any time which results as a consequence of the physical
injury, sickness or disease.
B. Broad Knowledge of Occurrence
Under Businessowners Liability Conditions, the Condition entitled Duties In The Event of Occurrence, Offense,
Claim or Suit is amended to add the following:
Paragraphs a.and b.above apply to you or to any additional insured only when such 'occurrence," offense, claim
or'suit' is known to:
(1) You or any additional insured that is an individual;
(2) Any partner, if you or an additional insured is a partnership;
(3) Any manager, if you or an additional insured is a limited liability company;
(4) Any'executive officer'or insurance manager, if you or an additional insured is a corporation;
(5) Any trustee, if you or an additional insured is a trust; or
(6) Any elected or appointed official, if you or an additional insured is a political subdivision or public entity.
This paragraph applies separately to you and any additional insured.
C. Estates,Legal RepresentatIves and Spouses
The estates, heirs, legal representatives and spouses of any natural person insured shall also be insured under
this policy; provided, however, coverage is afforded to such estates, heirs, legal representatives and spouses only
for claims arising solely out of their capacity as such and, in the case of a spouse, where such claim seeks
damages from marital common property, jointly held property, or property transferred from such natural person
insured to such spouse. No coverage is provided for any act, error or omission of an estate, heir, legal
representative or spouse outside the scope of such person's capacity as such, provided however that the spouse
of a natural person Named Insured and the spouses of members or partners of joint venture or partnership
Named Insureds are insureds with respect to such spouses'acts, errors or omissions in the conduct of the Named
Insured's business.
D. Legal Liability—Damage To Premises
1. Under B.Exclusions, 1.Applicable to Business Liability Coverage, Exclusion k.Damage To Property, is
replaced by the following:
k. Damage To Property
'Property damage"to:
e 1. Property you own, rent or occupy, including any costs or expenses incurred by you, or any other
person, organization or entity, for repair, replacement, enhancement, restoration or maintenance of
SB146932F(6-16)
Page 5 of 7
Copyright,CNA All Rights Reserved.
58146932F
CNA (Ed. 6-16)
such property for any reason, Including prevention of injury to a person or damage to another's
property;
2. Premises you sell, give away or abandon, if the 'property damage" arises out of any part of those
premises;
3. Property loaned to you;
4. Personal property In the care, custody or control of the insured;
5. That particular part of any real property on which you or any contractors or subcontractors working
directly or indirectly in your behalf are performing operations, if the 'property damage' arises out of
those operations;or
6. That particular part of any property that must be restored, repaired or replaced because 'your work'
was incorrectly performed on It.
Paragraph 2 of this exclusion does not apply if the premises are "your work' and were never occupied,
rented or held for rental by you.
Paragraphs 1, 3, and 4,of this exclusion do not apply to °property damage' (other than damage by fire or
explosion)to premises:
(1) rented to you:
(2) temporarily occupied by you with the permission of the owner, or
(9) to the contents of premises rented to you for a period of 7 or fewer consecutive days.
A separate limit of insurance applies to Damage To Premises Rented To You as described in Section D—
Liability and Medical Expenses Limits of Insurance.
Paragraphs 3,4,5, and 6 of this exclusion do not apply to liability assumed under a sidetrack agreement.
Paragraph 6 of this exclusion does not apply to 'property damage' included in the "products-completed
operations hazard.'
2. Under B.Exclusions,1.Applicable to Business Liability Coverage, the following paragraph is added, and
replaces the similar paragraph, if any, beneath paragraph (14) of the exclusion entitled Personal and
Advertising Injury:
Exclusions e,d,s,f,g,h, i, k, I,m, n,and o, do not apply to damage by lire to premises while rented to you
or temporarily occupied by you with permission of the owner or to the contents of premises rented to you for a
period of 7 or fewer consecutive days. A separate limit of insurance applies to this coverage as described in
Section D.Liability And Medical Expenses Limits Of Insurance.
3. The first Paragraph under item 5.Damage To Premises Rented To You Limit of the section entitled Liability
And Medical Expenses Limits Of Insurance Is replaced by the following:
The most we will pay under Business Liability for damages because of "property damage' to any one
premises, while rented to you or temporarily occupied by you with the permission of the owner, including
contents of such premises rented to you for a period of 7 or fewer consecutive days, is the Damage to
Premises Rented to You limit shown in the Declaration.
E. Personal and Advertising Injury—Discrimination or Humiliation
1. Under Liability and Medical Expenses Definitions, the definition of 'personal and advertising injury' is
amended to add the following:
h. Discrimination or humiliation that results in injury to the feelings or reputation of a natural person, but only
if such discrimination or humiliation is:
(1) Not done intentionally by or at the direction of:
(a) The insured;or
SB146932F(6-16)
Page 6 of 7
Copyright, CNA All Rights Reserved.
SB146932F
CNA (Ed, 6-16)
(b) Any 'executive officer,' director, stockholder, partner, member or manager (if you are a limited
liability company)of the insured; and
(2) Not directly or indirectly related to the employment, prospective employment, past employment or
termination of employment of any person or person by any insured.
2. Under B. Exclusions, 1. Applicable to Business Liability Coverage, the exclusion entitled Personal and
Advertising injury is amended to add the following additional exclusions:
(15)Discrimination Relating to Room, Dwelling or Premises
Caused by discrimination directly or indirectly related to the sale, rental, lease or sub-lease or prospective
sale, rental, lease or sub-lease of any room,dwelling or premises by or at the direction of any insured,
(16)Employment Related Discrimination
Discrimination or humiliation directly or indirectly related to the employment, prospective employment,
past employment or termination of employment of any person by any insured.
(17)Fines or Penalties
Fines or penalties levied or imposed by a governmental entity because of discrimination.
3. This provision (Personal and Advertising Injury — Discrimination or Humiliation) does not apply if
Personal and Advertising Injury Liability is excluded either by the provisions of the Policy or by
endorsement.
F. Personal and Advertising Injury-Broadened Eviction
Under Liability and Medical Expenses Definitions, the definition of Personal and advertising injury' is
amended to delete Paragraph c. and replace it with the following:
c. The wrongful eviction from, wrongful entry Into, or invasion of the right of private occupancy of a room
dwelling or premises that a person or organization occupies committed by or on behalf of its owner, landlord
or lessor,
G. Waiver of Subrogation—Blanket
We waive any right of recovery we may have against:
a. Any person or organization with whom you have a written contract that requires such a waiver.
All other terms and conditions of the Policy remain unchanged.
ff
SB146932F(6-16)
Page 7 of 7
Copyright,CNA All Rights Received
CNA
SB146968B
CNM (Ed. 6-16)
IMPORTANT: THIS ENDORSEMENT CONTAINS DUTIES THAT APPLY TO THE ADDITIONAL
INSURED IN THE EVENT OF OCCURRENCE, OFFENSE, CLAIM OR SUIT. SEE PARAGRAPH
C., OF THIS ENDORSEMENT FOR THESE DUTIES.
BLANKET ADDITIONAL INSURED ENDORSEMENT
WITH PRODUCTS-COMPLETED OPERATIONS COVERAGE
BLANKET WAIVER OF SUBROGATION
Architects, Engineers and Surveyors
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS LIABILITY COVERAGE FORM
BUSINESSOWNERS COMMON POLICY CONDITIONS
A. Who Is An Insured is amended to include as an Insured any person or organization whom you are required to add as
an additional insured on this policy under a written contract or written agreement; but the written contract or written
agreement must be:
1. Currently in effect or becoming effective during the term of this policy; and
2. Executed prior to the:
a. 'Bodily injury'or'property damage"; or
b. Offense that caused the'personal and advertising injuy;
for which the additional insured seeks coverage
B. 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 'bodily injury', "property
damage'or'personal and advertising injury'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 operations specified in the written contract or written agreement; or
c. 'Your work' that is specified in the written contract or written agreement, but only for 'bodily injury' or
'property damage'included in the'products-completed operations hazard',and only If:
(1) The written contract or written agreement requires you to provide the additional insured such coverage;
and
(2) This Coverage Part provides such coverage.
2. The Limits of Insurance applicable to the additional insured are those specified in the written contract or written
agreement or In the Declarations of this policy,whichever Is less. These Limits of Insurance are inclusive of, and
not in addition to,the Limits of Insurance shown in the Declarations.
3. The insurance provided to the additional insured does not apply to'bodily injuy, 'property damage' or °personal
and advertising injuy arising out of an architect's, engineer's, or surveyor's rendering of or failure to render any
professional services including:
a. The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys,
field orders, change orders or drawings and specifications by any architect, engineer or surveyor performing
services on a project of which you serve as construction manager; or
b. Inspection, supervision, quality control, engineering or architectural services done by you on a project of
which you serve as construction manager.
SB146968B(6-16)
Page 1 of 2
Copyright,CNA AN Rights Reserved.
S6146968B
CNA (Ed. 6-18)
4. The insurance provided to the additional insured does not apply to 'bodily injury', 'property damage' or 'personal
and advertising injury" arising out of construction or demolition work while you are acting as a construction or
demolition contractor.
C. Under Businessowners Liability Conditions, the condition entitled Duties In The Event of Occurrence, Offense,
Claim or Suit is amended to add the following:
An additional insured under this endorsement will as soon as practicable:
1. Give written notice of an occurrence or an offense to us which may result in a claim or'suit' under this insurance;
2. Tender the defense and indemnity of any claim or'suit°to us for a loss we cover under this Coverage Part;
3. Except as provided for in paragraph D.2.below:
a. Tender the defense and indemnity of any claim or °suit° to any other insurer which also has insurance for a
loss we cover under this Coverage Part; and
b. Agree to make available any other insurance which the additional insured has for a loss we cover under this
Coverage Part.
We have no duty to defend or indemnify an additional insured under this endorsement until we receive written notice
of a claim or'suit'from the additional insured.
D. With respect only to the insurance provided by this endorsement, the condition entitled Other Insurance of the
BUSINESSOWNERS COMMON POLICY CONDITIONS is amended to delete paragraphs 2.and 3. and replace them
with the following:
2. This insurance is excess over any other insurance available to the additional insured, whether primary, excess,
contingent or on any other basis, But if required by the written contract or written agreement,this insurance will be
primary and noncontributory relative to insurance on which the additional insured is a Named Insured.
3. When this insurance is excess,we will have no duty under Business Liability insurance to defend the additional
Insured against any °suit° if any other insurer has a duty to defend the additional insured against that 'suit° If no
other insurer defends, we will undertake to do so, but we will be entitled to the additional insured's rights against
all those other insurers.
When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any,
that exceeds the sum of:
(a) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and
(b) The total of all deductible and self-insured amounts under all that other insurance.
We will share the remaining loss, if any, with any other insurance that is not described In this Excess Insurance
provision and was not bought specifically to apply in excess of the Limits of Insurance shown In the Declarations
of this Coverage Part.
E. The condition entitled Transfer of Rights of Recovery Against Others to Us of the BUSINESSOWNERS COMMON
POLICY CONDITIONS is amended to deleted paragraph 2.and replace it with the following:
2. We waive any right of recovery we may have against any person or organization wdh whom you have agreed to
waive such right of recovery in a written contract or agreement because of payments we make for injury or
damage arising out of your ongoing operations or 'your work° done under a contract with that person or
organization and included within the'products-completed operations hazard.'
—
Rim
—
All other terms and conditions of the Policy remain unchanged.
SB146968B(6-18)
Page 2 of 2
Copyright,CNA All Rights Reserved.
r,� BERNARC-01 JWOLFER
. _,...-e-0,
DATE(MMIDDIYYYY)
l� CERTIFICATE OF LIABILITY INSURANCE 10/30/2019
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
CONTACT Jenna Wolfer
PRODUCER NAM :
Alllant Insurance Services,Inc. PHONE
o,EMI:(508)624-3291 i
FAX
xep(509)456-0294
818 W Riverside Ave Ste 800
Spokane,WA 99201 noogaFss.lenna.wolfer(rQal liant.com
INSURERS)AFFORDING COVERAGE NAIC/I
INSuRERA National Fire Insurance Company of Hartford 20478
INSURED INSURER •Transportation Insurance Company 20494
Bernardo-WAIS Architects INSURER C:Travelers Casualty and Surety Company of America 31194
153 S Jefferson Street INSURER D,
Spokane,WA 99204 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
/NSR ADOL SUER POLICY EFF POLICY EXP LIMITS
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDD/YYYYI (MMND/WYYI
A X COMMERCIAL GENERAL LIABILITY �E��A,Cr�H�,OCCURRENCE $ 1.000,000
CLAIMS-ADE X OCCUR X X 2072475103 11/1/2019 11/1/2020 fdgaS $ 300,000
MED EXP A one•arson $ 10'000
PERSONAL a ADV INJURY $ 1.000.000
GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S 2.000.000
POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000
OTHER $
COMBINED SINGLE LIMIT 1,000,000
A AUTOMOBILE LABILITY '"-
ANY AUTO 4024492367 11/1/2019 11/1/2020 BODILY INJURY Per.-reon
AUTOS X SCHEDULED BODILY INJURY Per accident $
A41TOS 0NLY VATS PdBra ids DAMAGE $
$
B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE 4,000,000
EXCESS DAB CLAIMS-MADE 2072476067 11/1/2019 11/1/2020gcaaeGPTE $ 4,000,000
DED X RETENTION$ 10,000 $
A OTH-
AND EMPLOYYERS'LIABILITY STATUTE ER
Y/N 2072475103 11/1/2019 11/1/2020 1,000,000
ANY PROPRIETgO�Rq/PARTNER/EXECUTIVE E L.EACH ACCIDENT $
OF cERR9 NH)EXCLUDED'+ NI A 1,000,000
SIMM EL DISEASE-EA EMPLOYE: $
If yes,describe under 2,000,000
DESRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT $
C Professional Liab 0105740569LB 2/1/2019 2/1/2020 Professional Liab 3,000,000
C Professional Liab 0105740569LB 2/1/2019 2/1/2020 Retention 35,000
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional RemarksSNBEulq may De attached If more space M required)
City of Spokane Valley is additional insured with respects to general liability arising out of the operations by the named Insured where required by written
contract.Forms attached.
Project:Appleway Trail Improvements-University to Pines
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 PROWSIONS.
10210 E Sprague Ave
Spokane Valley,WA 99206
AUTHORIZED REPRESENTATIVE
I
ACORD 25(2016/03) ®1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
CNA 58146932E
(Ed.6-16)
BLANKET ADDITIONAL INSURED
AND
LIABILITY EXTENSION ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS LIABILITY COVERAGE FORM
BUSINESSOWNERS COMMON POLICY CONDITIONS
TABLE OF CONTENTS
I. Blanket Additional Insured Provisions
A. Additional Insured—Blanket Vendors
B. Miscellaneous Additional Insureds
C. Additional Provisions Pertinent to Additional Insured Coverage
1. Primary—Noncontributory provision
2. Definition of"written contract."
II. Liability Extension Coverages
A. Bodily Injury—Expanded Definition
B. Broad Knowledge of Occurrence
C. Estates,Legal Representatives and Spouses
D. Legal Liability—Damage to Premises
E. Personal and Advertising Injury—Discrimination or Humiliation
F. Personal and Advertising Injury—Broadened Eviction
G. Waiver of Subrogation-Blanket
I. BLANKET ADDITIONAL INSURED PROVISIONS
A. ADDITIONAL INSURED—BLANKET VENDORS
Who Is An Insured is amended to include as an additional insured any person or organization (referred to below
as vendor)with whom you agreed under a°written contract° to provide insurance, but only with respect to °bodily
injury'or°property damage'arising out of'your products"which are distributed or sold in the regular course of the
vendor's business, subject to the following additional exclusions:
1. The Insurance afforded the vendor does not apply to:
a. 'Bodily injury' or 'property damage' for which the vendor is obligated to pay damages by reason of the
assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages
that the vendor would have in the absence of the contract or agreement;
b. Any express warranty unauthorized by you;
c. Any physical or chemical change in the product made intentionally by the vendor;
= d. Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or the
substitution of parts under instructions from the manufacturer, and then repackaged in the original
container;
SBI46932F(6-16)
Page 1 of 7
Copyright,CNA All Rights Reserved.
SB146932F
CNA (Ed.6-16)
a. Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make
or normally undertakes to make in the usual course of business,in connection with the distribution or sale
of the products;
f. Demonstration, installation, servicing or repair operations, except such operations performed at the
vendor's premises in connection with the sale of the product;
g. Products which, after distribution or sale by you, have been labeled or relabeled or used as a container,
part or ingredient of any other thing or substance by or for the vendor; or
h. 'Bodily injury' or 'property damage' arising out of the sole negligence of the vendor for its own acts or
omissions or those of its employees or anyone else acting on its behalf. However,this exclusion does not
apply to:
(1) The exceptions contained in Subparagraphs d.orf.; or
(2) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally
undertakes to make in the usual course of business, in connection with the distribution or sale of the
products.
2. This insurance does not apply to any insured person or organization, from whom you have acquired such
products, or any ingredient, part or container, entering into, accompanying or containing such products.
3. This provision 2.does not apply to any vendor included as an insured by an endorsement issued by us and
made a part of this Policy.
4. This provision 2. does not apply if 'bodily injury° or "property damage° included within the 'products-
completed operations hazard' is excluded either by the provisions of the Policy or by endorsement.
B. MISCELLANEOUS ADDITIONAL INSUREDS
1. Who Is An Insured is amended to include as an insured any person or organization (called additional
insured) described in paragraphs 3.a. through 3.j. below whom you are required to add as an additional
insured on this policy under a 'written contract.'.
2. However, subject always to the terms and conditions of this policy, including the limits of Insurance, we will
not provide the additional insured with:
a. A higher limit of insurance than required by such 'written contract';
b. Coverage broader than required by such 'written contract' and in no event greater than that described by
the applicable paragraph a.through k. below; or
e. Coverage for 'bodily injury° or "properly damage' included within the "products-completed operations
hazard.' But this paragraph e. does not apply to the extent coverage for such liability is provided by
paragraph 3.1.below.
Any coverage granted by this endorsement shall apply only to the extent permitted by law.
3. Only the following persons or organizations can qualify as additional insureds under this endorsement:
a. Controlling Interest
Any persons or organizations with a controlling interest in you but only with respect to their liability arising
out of:
(1) such person or organization's financial control of you; or
(2) Premises such person or organization owns, maintains or controls while you lease or occupy these
premises;
provided that the coverage granted to such additional insureds does not apply to structural alterations,
new construction or demolition operations performed by or for such additional insured.
SB146932F(6-16)
Page 2 of 7
Copyright,CNA MI Rights Reserved.
SB146932F
CNA (Ed. 6-16)
b. Co-owner of Insured Premises
A co-owner of a premises co-owned by you and covered under this insurance but only with respect to the
co-owners liability for'bodily injury', 'property damage' or 'personal and advertising injury' as co-owner
of such premises.
e. Grantor of Franchise
Any person or organization that has granted a franchise to you, but only with respect to such person or
organization's liability for 'bodily injury', 'property damage", or 'personal and advertising injury" as
grantor of a franchise to you.
d. Lessor of Equipment
Any person or organization from whom you lease equipment, but only with respect to liability for 'bodily
injury', 'property damage' or "personal and advertising injury' caused in whole or in part by your
maintenance, operation or use of such equipment, provided that the 'occurrence" giving rise to such
'bodily injury' or 'property damage' or the offense giving rise to such "personal and advertising injury'
takes place prior to the termination of such lease.
e. Lessor of Land
Any person or organization from whom you lease land, but only with respect to liability for'bodily injury',
'property damage' or 'personal and advertising injury° arising out of the ownership, maintenance or use
of that specific part of the land leased to you, provided that the 'occurrence' giving rise to such 'bodily
injury' or "property damage' or the offense giving rise to such "personal and advertising injury', takes
place prior to the termination of such lease.The insurance hereby afforded to the additional insured does
not apply to structural alterations, new construction or demolition operations performed by, on behalf of or
for such additional insured.
f. Lessor of Premises
An owner or lessor of premises leased to you, or such owner or lessor's real estate manager, but only
with respect to liability for 'bodily injury°, 'property damage' or °personal and advertising injury' arising
out of the ownership, maintenance or use of such part of the premises leased to you, and provided that
the "occurrence" giving rise to such 'bodily injury'or°property damage' or the offense giving rise to such
'personal and advertising injury",takes place prior to the termination of such lease. The insurance hereby
afforded to the additional insured does not apply to structural alterations, new construction or demolition
operations performed by, on behalf of or for such additional insured.
g. Mortgagee,Assigner or Receiver
A mortgagee, assignee or receiver of premises but only with respect to such mortgagee, assignee, or
receivers liability for 'bodily injury', °property damage" or°personal and advertising injury" arising out of
the ownership, maintenance, or use of a premises by you.
This insurance does not apply to structural alterations, new construction or demolition operations
performed by, on behalf of or for such additional insured.
h. State or Political Subdivisions
A state or government agency or subdivision or political subdivision that has issued a permit or
authorization, but only with respect to such government agency or subdivision or political subdivision's
liability for'bodily injuy, 'property damage'or'personal and advertising injury'arising out of:
(1) The following hazards In connection with premises you own, rent, or control and to which this
ll insurance applies:
(a) The existence, maintenance, repair, construction, erection, or removal of advertising signs,
awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoistaway
openings,sidewalk vaults, street banners, or decorations and similar exposures; or
(b) The construction, erection, or removal of elevators;or
(e) The ownership, maintenance or use of any elevators covered by this insurance;or
58146932E(6-16)
Page 3 of 7
Copyright,CNA All Rights Reserved.
SB146932F
CNA (Ed. 6-16)
(2) The permitted or authorized operations performed by you or on your behalf. But the coverage granted
by this paragraph does not apply to:
(a) °Bodily injury°, 'property damage° or 'personal and advertising injury" arising out of operations
performed for the state or government agency or subdivision or political subdivision; or
(b) "Bodily injury° or°property damage°included within the"products-completed operations hazard.°
With respect to this provision's requirement that additional insured status must be requested under a
°written contract', we will treat as a "written contract' any governmental permit that requires you to
add the governmental entity as an additional insured,
I. Trade Show Event Lessor
With respect to your participation in a trade show event as an exhibitor, presenter or displayer, any
person or organization .whom you are required to include as an additional insured, but only with respect
to such person or organization's liability for °bodily injury', °property damage", or 'personal and
advertising injury' cause by:
a. Your acts or omissions;or
b. Acts or omissions of those acting on your behalf;
in the performance of your ongoing operations at the trade show premises during the trade show event.
j. Other Person or Organization
Any person or organization who is not an additional insured under paragraphs a.through i. above. Such
additional insured is an insured solely for 'bodily injury', °property damage° or 'personal and advertising
injury"for which such additional insured is liable because of your acts or omissions.
The coverage granted by this paragraph does not apply to any person or organization:
(1) For'bodily injury;"property damage,'or"personal and advertising injury°arising out of the rendering
or failure to render any professional services;
(2) For°bodily injury' or"property damage" Included in the "products-completed operations hazard.' But
this provision(2)does not apply to such'bodily injury"or"properly damage'if:
(a) It is entirely due to your negligence and specifically results from your work for the additional
insured which is the subject to the °written contract";and
(b) The °written contract° requires you to make the person or organization an additional insured for
such°bodily injury"or°property damage"; or
(3) Who is afforded additional insured coverage under another endorsement attached to this policy.
C. ADDITIONAL PROVISIONS PERTINENT TO ADDITIONAL INSURED COVERAGE
With respect only to additional insured coverage provided under paragraphs A. and B. above:
1. The BUSINESSOWNERS COMMON POLICY CONDITIONS are amended to add the following to the
Condition entitled Other Insurance:
This insurance is excess of all other insurance available to an additional insured whether primary, excess,
contingent or on any other basis. However, if a"written contract' requires that this insurance be either primary
or primary and noncontributing, then this insurance will be primary and non-contributory relative solely to
insurance on which the additional insured is a named insured.
2. Under Liability and Medical Expense Definitions,the following definition Is added:
"Written contract' means a written contract or agreement that requires you to make a person or organization
an additional insured on this policy, provided the contract or agreement:
a. Is currently in effect or becomes effective during the term of this policy; and
b. Was executed prior to:
SB146932F(6-16)
Page 4 of 7
Copyright,CNA All Rights Reserved
• CNA SB14632E
(Ed.6-16)
(1) The'bodily injury" or'property damage°; or
(2) The offense that caused the'personal and advertising injury";
for which the additional insured seeks coverage.
11. LIABILITY EXTENSION COVERAGES
It is understood and agreed that this endorsement amends the Businessowners Liability Coverage Form. It any
other endorsement attached to this policy amends any provision also amended by this endorsement, than that other
endorsement controls with respect to such provision, and the changes made by this endorsement to such provision do
not apply.
A. Bodily injury—Expanded Definition
Under Liability and Medical Expenses Definitions,the definition of°Bodily injury° is deleted and replaced by the
following:
°Bodily injury' means physical injury, sickness or disease sustained by a person, including death, humiliation,
shock, mental anguish or mental injury by that person at any time which results as a consequence of the physical
injury, sickness or disease.
B. Broad Knowledge of Occurrence
Under Businessowners Liability Conditions, the Condition entitled Duties In The Event of Occurrence, Offense,
Claim or Suit is amended to add the following:
Paragraphs a.and b.above apply to you or to any additional insured only when such 'occurrence, offense, claim
or°suit'is known to:
(1) You or any additional insured that is an individual;
(2) Any partner, If you or an additional insured is a partnership;
(9) Any manager, if you or an additional insured is a limited liability company;
(4) Any'executive officer'or insurance manager, if you or an additional insured is a corporation;
(5) Any trustee, if you or an additional Insured is a trust; or
(6) Any elected or appointed official, if you or an additional insured is a political subdivision or public entity.
This paragraph applies separately to you and any additional insured.
C. Estates,Legal Representatives and Spouses
The estates, heirs, legal representatives and spouses of any natural person insured shall also be insured under
this policy; provided, however,coverage is afforded to such estates, heirs, legal representatives and spouses only
for claims arising solely out of their capacity as such and, In the case of a spouse, where such claim seeks
damages from marital common property, jointly held property, or property transferred from such natural person
insured to such spouse. No coverage is provided for any act, error or omission of an estate, heir, legal
representative or spouse outside the scope of such person's capacity as such, provided however that the spouse
of a natural person Named Insured and the spouses of members or partners of joint venture or partnership
Named Insureds are insureds with respect to such spouses'acts,errors or omissions in the conduct of the Named
Insured's business.
D. Legal Liability—Damage To Premises
er= 1. Under B.Exclusions,1.Applicable to Business Liability Coverage, Exclusion k. Damage To Property, is
replaced by the following:
k. Damage To Property
'Property damage'to:
1. Properly you own, rent or occupy, including any costs or expenses incurred by you, or any other
person, organization or entity, for repair, replacement, enhancement, restoration or maintenance of
SB146932F(6-16)
Page 5 of 7
Copyright,CNA All Rights Reserved.
SB146932F
CNA (Ed. 6-16)
such property for any reason, including prevention of injury to a person or damage to another's
property;
2. Premises you sell, give away or abandon, if the °properly damage' arises out of any part of those
premises;
9. Properly loaned to you;
4. Personal property in the care, custody or control of the insured;
5. That particular part of any real property on which you or any contractors or subcontractors working
directly or indirectly in your behalf are performing operations, if the property damage' arises out of
those operations;or
6. That particular part of any property that must be restored, repaired or replaced because 'your work'
was incorrectly performed on It.
Paragraph 2 of this exclusion does not apply if the premises are your work' and were never occupied,
rented or held for rental by you.
Paragraphs 1,3,and 4, of this exclusion do not apply to "property damage' (other than damage by fire or
explosion)to premises:
(1) rented to you.
(2) temporarily occupied by you with the permission of the owner, or
(3) to the contents of premises rented to you for a period of 7 or fewer consecutive days.
A separate limit of insurance applies to Damage To Premises Rented To You as described in Section D—
Liability and Medical Expenses Limits of Insurance.
Paragraphs 3, 4,5, and 6 of this exclusion do not apply to liability assumed under a sidetrack agreement.
Paragraph 6 of this exclusion does not apply to 'property damage' included in the 'products-completed
operations hazard,'
2. Under B.Exclusions, 1.Applicable to Business Liability Coverage, the following paragraph is added, and
replaces the similar paragraph, if any, beneath paragraph (14) of the exclusion entitled Personal and
Advertising Injury:
Exclusions e,d,e,f,g,h,I, k, I,m,n,and o, do not apply to damage by fire to premises while rented to you
or temporarily occupied by you with permission of the owner or to the contents of premises rented to you for a
period of 7 or fewer consecutive days. A separate limit of insurance applies to this coverage as described in
Section D. Liability And Medical Expenses Limits Of insurance,
3. The first Paragraph under item 5.Damage To Premises Rented To You Limit of the section entitled Liability
And Medical Expenses Limits Of Insurance is replaced by the following:
The most we will pay under Business Liability for damages because of 'property damage' to any one
premises, while rented to you or temporarily occupied by you with the permission of the owner, including
contents of such premises rented to you for a period of 7 or fewer consecutive days, is the Damage to
Premises Rented to You limit shown in the Declaration.
E. Personal and Advertising injury—Discrimination or Humiliation
1. Under Liability and Medical Expenses Definitions, the definition of 'personal and advertising injury' is
amended to add the following:
h. Discrimination or humiliation that results in injury to the feelings or reputation of a natural person, but only
if such discrimination or humiliation is:
(1) Not done intentionally by or at the direction of:
(a) The insured;or
SB146932F(6-16)
Page 6 of 7
Copyright,CNA Ag Rights Reserved
SB146932F
CNA (Ed.6-18)
@) liability company)of the
°executive
ice
drecand
to, stockholder, partner, member or manager (if you are a limited
(2) Not directly or indirectly related to the employment, prospective employment, past employment or
termination of employment of any person or person by any insured.
2. Under B. Exclusions, 1. Applicable to Business Liability Coverage, the exclusion entitled Personal and
Advertising injury is amended to add the following additional exclusions:
(15)Discriminatfon Relating to Room,Dwelling or Premises
Caused by discrimination directly or indirectly related to the sale, rental, lease or sub-lease or prospective
sale, rental, lease or sub-lease of any room, dwelling or premises by or at the direction of any insured.
(16)Employment Related Discrimination
Discrimination or humiliation directly or Indirectly related to the employment, prospective employment,
past employment or termination of employment of any person by any insured.
(17)Fines or Penalties
Fines or penalties levied or imposed by a governmental entity because of discrimination.
3. This provision (Personal and Advertising Injury — Discrimination or Humiliation) does not apply if
Personal and Advertising Injury Liability is excluded either by the provisions of the Policy or by
endorsement.
F. Personal and Advertising Injury-Broadened Eviction
Under Liability and Medical Expenses Definitions, the definition of Personal and advertising injuy is
amended to delete Paragraph c. and replace it with the following:
c. The wrongful eviction from, wrongful entry Into, or invasion of the right of private occupancy of a room
dwelling or premises that a person or organization occupies committed by or on behalf of its owner, landlord
or lessor.
G. Waiver of Subrogation—Blanket
We waive any right of recovery we may have against:
a. Any person or organization with whom you have a written contract that requires such a waiver.
All other terms and conditions of the Policy remain unchanged.
rs
SB146932F(8-16)
Page 7 of 7
Copyright,CNA All Rights Reserved.