HomeMy WebLinkAbout09-233.07 Western Dance Association Lease AgreementCONTRACT AMENDMENT TO THE AGREEMENT BETWEEN THE CITY OF
SPOKANE VALLEY AND WESTERN DANCE ASSOCIATION OF SPOKANE
Spokane Valley Contract # 09-233.07
For good and valuable consideration, the legal sufficiency of which is hereby acknowledged, City and the
Lessee mutually agree as follows:
1. Purpose: 'Phis Amendment is for the Lease Agreement with the Western Dance Association for the Dance
Ffall at Sullivan Park by and between the Parties, executed by the Parties on July 14, 2009. Said contract
is referred to as the "Original Contract" and its terms are hereby incorporated by reference herein. .
Amendment #6 to the Original Contract extended the Lease Agreement through December 31, 2025.
2. Original Contract Provisions: The Parties agree to continue to abide by those terns and conditions of the
Original Contract and any amendments thereto which are not specifically modified by this Amendment_
3. Amendment Provisions: The Original Contract 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.
(1) The Lease Agreement is extended until December 31, 2026 unless sooner terminated.or canceled
as provided by the terms of the Original Contract as amended.
(2) Section I 1 of the Lease Agreement is hereby amended to read its follows: "The LESSEE shall
initiate contract for and obtain in its own name and fully and promptly nay for all electricity,
heat lights power, telephone service, garbage and all other public and private utilities of every
kind furnished to the PREMISES: provided that WATER. which is provided through the City's
water service meter with Trentwood Irrigation District, shall be pro -rated based on actual usage
by the LESSEE that will be measured by a sub -meter to be installed by the City and billed to the
LESSEE quarterly. LESSEE shall bg responsible for the purchase of building supplies for
janitorial rest rooms, kitchens and similar uses."
(3) Section 6 (B) (1) of the Lease Agreement is hereby amended to read as follows: "This Agreement
may be terminated by the City of Spokane Valley upon 180 day's written notice to the LESSEE
Without cause."
4. Compensation Amendment History: This is Amendment 47 of the Original Contract. The history of
amendments to the compensation on the Original Contract and all amendments is as follows:
Date
Original Contract Amount
07/14/2009
Amendment # 1
06/25/2019
Amendment #2
05/11/2020
Amendment #3
11/30/2020
Amendment #4
12/06/2022
Amendment #5
12/29/2023
Amendment #6
12/18/2024
Amendment #7
to be executed
Lease Amount
$500.00/month*
$ No change
$ No change
COVID-19 payments suspended**
$ No change
$ No change
$ No change
Water payment procedures established
*Other costs including but not limited to utilities and leasehold tares are in addition to the Lease
Amount of S500.
"Payments restarted in ,hily 2021
The parties have executed this Amendment to the Original Contract this 3/ srday of December,
2025.
CITY OF SPOKANE VALLEY: WESTERN DANCE ASSOC. OF SPOKANE:
ohn Nohman By:
City Manager Its: �r Qs den-}- -PA
APPROVED S TO FORM:
ItO67--
o the City Attorney
S0IIARFO-01 SRARNETT
144c" RIDI CERTIFICATE OF LIABILITY INSURANCE
DATEs/YYYYI
r8120r2025
THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder In lieu of such endorsements).
PRODUCER
McDonald-Zaring Insurance, a Marsh & McLennan Agency LLC company
Marsh Mclennan Agency LLC
22 E. Main
PHONE '— — FAX
(A/C, No. Ext): (609) 525.5730 T AIC, No):
E- oRIss, mmanwmziinfo@marshmma.com
Walla Walla, WA 99362
INSURERS AFFORDING COVERAGE
9
INSURER A: Cincinnati Casualty Company
_NAIC
28665
,......
INSURED
INSURER B•
INSURERC:
Square & Folk Dance Federation of Washington, Inc.
INSURERD:
6612 S Napa St
Spokane, WA 99223
INSURER E :
_
INSURER F :
COVERAGES CERTIFICATE NIIMRFR• DEVIcrnNl NIIMRFR•
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILTR NSR
OF INSURANCE
ADDLTYPE
rNgn
SVWMVD UER
POLICY NUMBER
PwDDf EFE
PWDp EXP
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE X OCCUR
X
EPP 0346268
91112025
9/1/2026
EACH OCCURRENCE
$ 1,000,000
DAMAGE TO RENTED
PREMISES rrence
S 500,000
MED EXP iAny oneperson)
_
S 5,000
—_,
PERSONAL & ADV INJURY
$ 1,000,000
AGGREGATE LIMIT APPLIES PER:
POLICY ❑ JECT LOC
GENERAL AGGREGATE
S 2,000,000
GEN'L
PRODUCTS -COMPIOPAGG
2,000,000
$
$
OTHER:
AUTOMOBILE
LIABILITY
EO,';' N DtSINGLEDIAIT
S
BODILY INJURY Per rson�
S ��
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
INJURY Per accident
—"
S
y�
AUTOS ONLY AUTOS ONLY
BODILY
PPeOrapcEcRdent AGE
S `-
S
A
X
UMBRELLA LIAB
X
OCCUR
EACH OCCURRENCE
S 1,000,ODO
EXCESS LIAB
CLAIMS-NIADE
X
EPP 0346268
9/112025
91112026
AGGREGATE
$
DED I X I RETENTIONS O
1,000,000
WORKERS COMPENSATION
ANDEMPLOYERS'LIABILITY YIN
ANNFY PROPRIIET9ORMARTNER/EXECUTIVE
{MarltU Rory in NHj EXCLUC
Ifyes, describe under
NIA
PER OTH-
STATUTE
E.L. EACH ACGIDENT
$
-------
E.L. DISEASE -EA EMPLOYE
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E L. DISEASE - POLICY LIMIT
DESCRIPTI NOFOPERATI N be4w
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space Is required)
Club: Western Dance Association
Event: Rental of the Western Dance Center located @'1901 N Sullivan Rd, Spokane Valley, WA 99216 from 91112025 to 8/31/2026
City of Spokane Valley
Parks and Recreation Centerpiece
2426 N Discovery Place
Spokane, WA 99216
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03) @ 1988-2016 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
NOTICE TO POLICYHOLDERS
ADDITIONAL INSURED ENDORSEMENTS
This is a summary of the major changes found in new editions of additional insured endorsements. NO
COVERAGE IS PROVIDED BY THIS SUMMARY. Nor can it be construed to replace any provision of your
policy. YOU SHOULD READ YOUR POLICY AND REVIEW YOUR DECLARATIONS PAGE CAREFULLY for
complete information on the coverages that you are provided. If there is any conflict, between the policy and
this summary, THE PROVISIONS OF THE POLICY SHALL PREVAIL.
The major areas within the endorsements that broaden or reduce coverage, and other changes, are
highlighted below. This notice does not reference every editorial change made in the endorsements.
Clarification of Coverage:
The following additional insured endorsements are revised to indicate that when these endorsements are
attached to a policy, if coverage provided to the additional insured is required by contract or agreement,
coverage to the additional insured will be afforded to the extent permitted by law and to the extent the named
insured is required by the contract or agreement to provide insurance available under the applicable Limits of
Insurance shown in the Declarations, whichever is less:
• CG 20 03 04 13
ADDITIONAL INSURED - CONCESSIONAIRES TRADING UNDER YOUR NAME
• CG 20 05 04 13
ADDITIONAL INSURED - CONTROLLING INTEREST
• CG 20 07 0413
ADDITIONAL INSURED - ENGINEERS, ARCHITECTS OR SURVEYORS
• CG 20 10 0413
ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS -
SCHEDULED PERSON OR ORGANIZATION
• CG 20 11 04 13
ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES
• CG 20 12 04 13
ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR
SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS
• CG 20 13 0413
ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR
SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS
RELATING TO PREMISES
• CG 20 15 04 13
ADDITIONAL INSURED -VENDORS
• CG 20 18 04 13
ADDITIONAL INSURED - MORTGAGEE, ASSIGNEE OR RECEIVER
• CG 20 23 04 13
ADDITIONAL INSURED - EXECUTORS, ADMINISTRATORS, TRUSTEES OR
BENEFICIARIES
• CG 20 24 04 13
ADDITIONAL INSURED - OWNERS OR OTHER INTERESTS FROM WHOM LAND
HAS BEEN LEASED
• CG 20 26 04 13
ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION
• CG 20 27 04 13
ADDITIONAL INSURED - CO-OWNER OF INSURED PREMISES
• CG 20 28 0413
ADDITIONAL INSURED - LESSOR OF LEASED EQUIPMENT
• CG 20 29 04 13
ADDITIONAL INSURED - GRANTOR OF FRANCHISE
• CG 20 30 0413
OIL OR GAS OPERATIONS - NONOPERATING, WORKING INTERESTS
• CG 20 31 04 13
ADDITIONAL INSURED - ENGINEERS, ARCHITECTS OR SURVEYORS
• CG 20 32 04 13
ADDITIONAL INSURED - ENGINEERS, ARCHITECTS OR SURVEYORS NOT
ENGAGED BY THE NAMED INSURED
• CG 20 34 04 13
ADDITIONAL INSURED - LESSOR OF LEASED EQUIPMENT - AUTOMATIC
STATUS WHEN REQUIRED IN LEASE AGREEMENT WITH YOU
• CG 20 35 0413
ADDITIONAL INSURED - GRANTOR OF LICENSES - AUTOMATIC STATUS
WHEN REQUIRED BY LICENSOR
GA 4496 09 18
Page 1 of 2
• CG 20 36 0413 ADDITIONAL INSURED - GRANTOR OF LICENSES
• CG 20 37 0413 ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS -
COMPLETED OPERATIONS
• CG 29 35 0413 ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR
SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS
• GA 4248 0917 ADDITIONAL INSURED - PICK UP OR DELIVERY - SCHEDULED PERSON OR
ORGANIZATION
• GA 4397 0917 ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION
(VICARIOUS LIABILITY)
GA 472 09 18 CONTRACTORS ADDITIONAL INSURED - AUTOMATIC STATUS AND AUTOMATIC
WAIVER OF SUBROGATION WHEN REQUIRED IN WRITTEN CONTRACT, AGREEMENT, PERMIT OR
AUTHORIZATION
GA 4255 09 18 CONTRACTORS ADDITIONAL INSURED - AUTOMATIC STATUS AND AUTOMATIC
WAIVER OF SUBROGATION WHEN REQUIRED IN WRITTEN CONTRACT OR AGREEMENT
The above forms have the following changes:
Broadening of Coverage:
• Coverage is no longer restricted to entities for whom work is performed by you.
Reduction of Coverage:
• Coverage has been removed for oral contracts.
Clarification of Coverage:
• Expressly address, in part, claims alleging negligence or other wrongdoing in the hiring, employment,
training, supervision or monitoring of others by any insured.
• Expressly states the exclusion applies only in your capacity as an engineer, architect or surveyor and not
within construction means, methods, techniques, sequences and procedures employed by you in
connection with your operations in your capacity as a construction contractor.
CG 20 08 0413 ADDITIONAL INSURED - USERS OF GOLFMOBILES
The above form has the following change:
Reduction of Coverage:
• Golfmobile was added as a defined term.
GA 4496 09 18
Page 2 of 2
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
COMMERCIAL GENERAL LIABILITY EXTENDED
LIABILITY 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.........................................................................................
8
3.
Damage to Premises Rented to You.................................................................................................
8
4.
Supplementary Payments ................. .................................... ... ... ........................... I...........................
9
5.
180 Day Coverage for Newly Formed or Acquired Organizations.....................................................
9
6.
Waiver of Subrogation.......................................................................................................................
9
7.
Automatic Additional Insured -Specified Relationships: .................................................................
10
• Managers or Lessors of Premises;
- Lessor of Leased Equipment;
• Vendors; and
State or Political Subdivisions - Permits Relating to Premises
8.
Property Damage to Borrowed Equipment........................................................................................12
9.
Employees as Insureds - Specified Health Care Services: .............................................................13
• Nurses;
• Emergency Medical Technicians; and
• Paramedics
10.
Broadened Notice of Occurrence......................................................................................................
13
B. Limits of Insurance:
The Commercial General Liability Limits of Insurance apply to the insurance provided by this endorse-
ment, except as provided below:
I. 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 Limit shown in the Declarations; or
b. $500,000 unless otherwise stated $
4. Supplementary Payments
a. Bail bonds: $ 1,000
b. Loss of earnings: $ 350
8. Property Damage to Borrowed Equipment
Each Occurrence Limit $ 10,000
Deductible $ 250
Includes copyrighted material of Insurance
GA 227 02 07 Services Office, Inc., with its permission. Page 1 of 13
C. Coverages
2) Occurred prior to the ef-
1. Employee Benefit Liability Coverage
fective date of this en-
dorsement provided:
a. The following is added to SECTION I
a) You did not have
- COVERAGES: Employee Benefit
knowledge of a
Liability Coverage.
claim or "suit" on or
(1) Insuring Agreement
before the effective
date of this en -
(a) We will pay those sums that
dorsement.
the insured becomes legally
obligated to pay as dam-
You will be
ages caused by any act, er-
deem
deem
deemed to have
ror or omission of the in-
knowledge of a
sured, or of any other per-
claim or "suit"
son for whose ads the in-
when any "author-
sured is legally liable, to
ized representa-
which this insurance applies.
tive';
We will have the right and
I) Reports all, or
duty to defend the insured
"suit"
any part, of the
against any seeking
act, error or
those damages. However,
omission to us
we will have no duty to de-
"suit"
or any other
fend against any seek-
ing damages to which this
insurer;
insurance does not apply.
ii) Receives a
We may, at our discretion,
written or ver-
investigate any report of an
bal demand or
act, error or omission and
claim for dam -
settle any claim or "suit" that
ages because
may result. But:
of the act, er-
1) The amount we will pay
ror or omis-
Sion; and
for damages is limited
as described in SEC-
b) There is no other
TION III - LIMITS OF
applicable insur-
INSURANCE; and
ance.
2) Our right and duty to
(2) Exclusions
defend ends when we
have used up the appli-
This insurance does not apply to:
cable limit of insurance
(a) Bodily Injury, Property
in the payment of judg-
Damage or Personal and
ments or settlements.
Advertising Injury
No other obligation or liabil-
"Bodily injury", "property
ity to pay sums or perform
damage" or "personal and
ads or services is covered
advertising injury".
unless explicitly provided for
under Supplementary Pay-
(b) Dishonest, Fraudulent,
ments.
Criminal or Malicious Act
(b) This insurance applies to Damages arising out of any
damages only if the act, er- intentional, dishonest,
ror or omission, is negli- fraudulent, criminal or mali-
gently committed in the cious act, error or omission,
"administration" of your "em- committed by any insured,
ployee benefit program' including the willful or reck-
and less violation of any statute.
1) Occurs during the policy
period; or
Includes copyrighted material of Insurance
GA 227 02 07 Services Office, Inc., with its permission. Page 2 of 13
(c) Failure to Perform a Con-
effort and cooperation of the
tract
insured, from the applicable
Damages arising out of fail-
funds accrued or other col-
ure of performance of con-
lectible insurance.
tract by any usurer.
(i) Taxes, Fines or Penalties
(d) Insufficiency of Funds
Taxes, fines or penalties, in -
Damages arising out of an
cluding those imposed un-
insufficiency of funds to
der the Internal Revenue
meet any obligations under
Code or any similar state or
local law
any plan included in the
"employee benefit program".
(j) Employment -Related Prac-
(e) Inadequacy of Perform-
tices
ance of Investment / Ad-
Any liability arising out of
vice Given with Respect to
any:
Participation
(1) Refusal to employ;
Any claim based upon:
(2) Termination of employ-
1) Failure of any invest-
ment;
ment to perform;
(3) Coercion, demotion,
2) Errors in providing in-
evaluation, reassign -
formation on past per-
ment, discipline, defa-
formance of investment
mation, harassment,
vehicles; or
humiliation, discrimina-
3) Advice given to any
tion or other employ -
ment - related practices,
person with respect to
that person's decision to
acts or omissions; or
participate or not to par-
(4) Consequential liability
ticipate in any plan in-
as a result of (1), (2) or
cluded in the "employee
(3) above.
benefit program".
This exclusion applies
(f) Workers` Compensation
whether the insured may be
and Similar Laws
held liable as an employer
Any claim arising out of your
or in any other capacity andto
failure to comply with the
any obligation to share
damages with or repay
mandatory provisions of any
workers compensation, un-
someone else who must pay
employment compensation
damages because of the in -
insurance, social security or
jury
disability benefits law or any
(3) Supplementary Payments
similar law.
SECTION I - COVERAGES,
(g) ERISA
SUPPLEMENTARY PAYMENTS
Damages for which any in-
- COVERAGES A AND B also
sured is liable because of li-
apply to this Coverage.
ability imposed on a fiduci-
b. Who is an Insured
ary by the Employee Re-
tirement Income Security
As respects Employee Benefit Liabil-
Act of 1974, as now or
ity Coverage, SECTION If - WHO IS
hereafter amended, or by
AN INSURED is deleted in its entirety
any similar federal, state or
and replaced by the following:
local laws.
(1) If you are designated in the Dec-
(h) Available Benefits
larations as:
Any claim for benefits to the (a) An individual, you and your
extent that such benefits are spouse are insureds, but
available, with reasonable only with respect to the con -
Includes copyrighted material of Insurance
GA 227 02 07 Services Office, Inc., with its permission. Page 3 of 13
duct of a business of which
liability company, and over which
you are the sole owner.
you maintain ownership or major-
(b) A partnership or joint ven-
ity interest, will qualify as a
Named Insured if no other similar
ture, you are an insured,
insurance applies to that organk
Your members, your part-
zation. However, coverage un-
ners, and their spouses are
der this provision:
also insureds but only with
respect to the conduct of
(a) Is afforded only until the
yourbusiness.
180th day after you acquire
(c) A limited liability company,
or form the organization or
you are an insured. Your
the end of the policy period,
whichever is earlier; and
members are also insureds,
but only with respect to the
(b) Does not apply to any ad,
conduct of your business.
error or omission that was
Your managers are insur-
committed before you ac-
eds, but only with respect to
quired or formed the organi-
their duties as your manag-
zation.
ers.
c. Limits of Insurance
(d) An organization other than a
partnership, joint venture or
As respects Employee Benefit Liabil-
limited liability company, you
ity Coverage, SECTION III - LIMITS
are an insured. Your "ex-
OF INSURANCE is deleted in its en-
ecutive officers" and direc-
tirety and replaced by the following:
tors are insureds, but only
(1) The Limits of Insurance shown in
with respect to their duties
Section B. Limits of Insurance,
as your officers or directors.
1. Employee Benefit Liability
Your stockholders are also
Coverage and the rules below fix
insureds, but only with re-
the most we will pay regardless
spec# to their liability as
of the number of.
stockholders.
(e) A trust, you are an insured.
(a) Insureds;
Your trustees are also in-
(b) Claims made or "suits"
sureds, but only with respect
brought;
to their duties as trustees.
(c) Persons or organizations
(2) Each of the following is also an
making claims or bringing
insured:
"suits';
(a) Each of your "employees"
(d) Acts, errors or omissions; or
who is or was authorized to
administer your "employee
(e) Benefits included in your
benefit program".
"employee benefit program".
(b) Any persons, organizations
(2) The Aggregate Limit shown in
or "employees" having
Section B. Limits of Insurance,
proper temporary authoriza-
1. Employee Benefit Liability
tion to administer your em-
Coverage of this endorsement is
ployee benefit program" if
the most we will pay for all dam -
you die, but only until your
ages because of ads, errors or
legal representative is ap-
omissions negligently committed
pointed.
in the "administration" of your
"employee benefit program".
(c) Your legal representative if
you die, but only with re-
(3) Subject to the limit described in
spect to duties as such.
(2) above, the Each Employee
That representative will have
Limit shown in Section B. Limits
all your rights and duties
of Insurance, 1. Employee
under this Coverage Part.
Benefit Liability Coverage of
this endorsement is the most we
(3) Any organization you newly ac-
will pay for all damages sus -
quire or form, other than a part-
tained by any one "employee",
nership, joint venture or limited
including damages sustained by
Includes copyrighted material of Insurance
GA 227 02 07 Services Office, Inc., with its permission. Page 4 of 13
GA 227 02 07
such "employee's" dependents (d) We may pay any part or all
and beneficiaries, as a result of. of the deductible amount to
(a) An act, error or omission; or effect settlement of any
claim or suit and, upon no-
(b) A series of related ads, er- tification of the action taken,
rors or omissions, regard- you shall promptly reim-
less of the amount of time burse us for such part of the
that lapses between such deductible amount as we
acts, errors or omissions. have paid.
negligently committed in the
d. Additional Conditions
"administration" of your "em-
As respects Employee Benefit Li-
ployee benefit program".
ability Coverage, SECTION IV -
However, the amount paid under
COMMERCIAL GENERAL LIABIL-
this endorsement shall not ex-
ITY CONDITIONS is amended as fol-
ceed, and will be subject to the
lows:
limits and restrictions that apply
(1) Item 2. Duties in the Event of
to the payment of benefits in any
Occurrence, Offense, Claim or
plan included in the "employee
Suit is deleted in its entirety and
benefit program.
replaced by the following:
(4) Deductible Amount
2. Duties in the Event of an
(a) Our obligation to pay dam-
Act, Error or Omission, or
ages on behalf of the in-
Claim or Suit
sured applies only to the
a, You must see to it that
amount of damages in ex-
we are notified as soon
cess of the deductible
as practicable of an act,
amount stated in the Decla-
error or omission which
rations as applicable to
may result in a claim.
Each Employee. The limits
To the extent possible,
of insurance shall not be re-
notice should include:
duced by the amount of this
deductible.
(1) What the act, error
(b) The deductible amount
or omission was
and when it oc-
stated in the Declarations
curred; and
applies to all damages sus-
tained by any one "em-
(2) The names and
ployee", including such "em-
addresses of any-
ployee's" dependents and
one who may suf-
beneficiaries, because of all
fer damages as a
ads, errors or omissions to
result of the act,
which this insurance applies.
error or omission.
(c) The terms of this insurance,
b. If a claim is made or
including those with respect
"suit" is brought against
to:
any insured, you must:
1) Our right and duty to
(1) Immediately record
defend the insured
the specifics of the
against any "suits"
claim or "suit" and
seeking those dam-
the date received;
ages; and
and
2) Your duties, and the du- (2) Notify us as soon
ties of any other in- as practicable.
volved insured, in the You must see to it that
event of an act, error or
omission, or claim, we receive written no-
tioe of the claim or "suit"
apply irrespective of the ap- as soon as practicable.
plication of the deductible
amount. c. You and any other in-
volved insured must:
Includes copyrighted material of Insurance
Services Office, Inc., with its permission. Page 5 of 13
GA 227 02 07
(1)
Immediately send
method described in b.
us copies of any
below.
demands, notices,
summonses or le-
b. Method of Sharing
gal papers re-
If all of the other insur-
ceived in connec-
ance permits contribu-
tion with the claim
tion by equal shares,
or "suit";
we will follow this
(2)
Authorize us to ob-
method also, Under
tain records and
this approach each in -
other information;
surer contributes equal
amounts until it has
(3)
Cooperate with us
paid its applicable limit
in the investigation
of insurance or none of
or settlement of the
the loss remains,
claim or defense
whichever comes first.
against the "suit";
and
If an of the other in -
surance does not permit
(4)
Assist us, upon our
contribution by equal
request, in the en-
shares, we will contrib-
forcement of any
ute by limits. Under this
right against any
method, each insurers
person or organi-
share is based on the
zation which may
ratio of its applicable
be liable to the in-
limit of insurance to the
sured because of
total applicable limits of
an ad, error or
insurance of all insur-
omission to which
ers.
this insurance may
also apply.
c. No Coverage
d. No insured will, except
This insurance shall not
at that insured's own
cover any loss for which
cost, voluntarily make a
the insured is entitled to
payment, assume any
recovery under any
obligation, or incur any
other insurance in force
expense without our
previous to the effective
consent.
date of this Coverage
Part.
(2) Item 5. Other Insurance is de-
leted in its entirety and replaced
by the following:
As respects Employee Benefit Li-
5. Other Insurance
ability Coverage, SECTION V -
DEFINITIONS is amended as follows:
If other valid and collectible
insurance is available to the
(1) The following definitions are
insured for a loss we cover
added:
under this Coverage Part,
1. "Administration" means:
our obligations are limited as
follows:
a. Providing information to
"employees", including
Primary
a. Prima Insurance
their dependents and
This insurance is pri-
beneficiaries, with re-
mary except when c.
sped to eligibility for or
below applies. If this
scope of "employee
insurance is primary,
benefit programs";
our obligations are not
b. Interpreting the "em-
affected unless any of
ployee benefit pro -
the other insurance is
grams";
also primary. Then, we
will share with all that
c. Handling records in
other insurance by the
connection with the
Includes copyrighted material
of Insurance
Services Office, Inc., with
its permission. Page 6 of 13
"employee benefit pro-
benefits and such bene-
grams"; or
fits are made generally
d. Effecting, continuing or
available to all "employ -
ees who are eligible
terminating any "em-
under the plan for such
ployee's" participation in
benefits;
any benefit included in
the "employee benefit
c. Unemployment insur-
program".
ante, social security
However, "administration"
benefits, workers' com-
pensation and disability
does not include:
benefits; and
a. Handling payroll deduc- d, Vacation plans, includ-
tions; or ing buy and sell pro-
b. The failure to effect or grams; leave of ab-
maintain any insurance Bence programs, includ-
or adequate limits of ing military, maternity,
coverage of insurance, family, and civil leave;
including but not limited tuition assistance plans;
to unemployment insur- transportation and
ante, social security health club subsidies.
benefits, workers' corn- (2) The following definitions are de-
pensation and disability leted in their entirety and re -
benefits.
placed by the following:
2. "Cafeteria plans" means
21, "Suit" means a civil proceed -
plans authorized by applica-
ing in which money dam-
ble law to allow "employees"
ages because of an act, er-
to elect to pay for certain
ror or omission to which this
benefits with pre-tax dollars.
insurance applies are al-
3. "Employee benefit pro-
leged. "Suit" includes:
grams" means a program
a. An arbitration proceed -
providing some of all of the
ing in which such dam -
following benefits to "em-
ages are claimed and to
ployees", whether provided
which the insured must
through a "cafeteria plan" or
submit or does submit
otherwise:
with our consent;
a. Group life insurance;
b. Any other alternative
group accident or health
dispute resolution pro -
insurance; dental, vision
ceeding in which such
and hearing plans; and
damages are claimed
flexible spending ac-
and to which the in -
counts; provided that no
sured submits with our
one other than an "em-
consent; or
ployee" may subscribe
to such benefits and
c. An appeal of a civil pro -
such benefits are made
ceeding.
generally available to
those 'employees" who
8. "Employee" means a person
satisfy the plan's eligibil-
actively employed, formerly
ity requirements;
employed, on leave of ab-
sence or disabled, or retired.
b. Profit sharing plans,
"Employee" includes a
employee savings
'leased worker". "Em-
plans, employee stock
ployee" does not include a
ownership plans, pen-
"temporary worker".
sion plans and stock
subscription plans, pro-
2. Unintentional Failure to Disclose Haz-
vided that no one other
ards
than an "employee"
SECTION IV - COMMERCIAL GENERAL
may subscribe to such
LIABILITY CONDITIONS, 7. Representa-
Includes copyrighted material of Insurance
GA 227 02 07 Services Office, Inc., with its permission. Page 7 of 13
tions is hereby amended by the addition
to damage or de -
of the following:
stroy itself;
Based on our dependence upon your rep-
c) Smog;
resentations as to existing hazards, if un-
intentionally you should fail to disclose all
d) Mechanical break -
such hazards at the inception date of your
down including
policy, we will not reject coverage under
rupture or bursting
this Coverage Part based solely on such
caused by cen-
failure.
trifugal force;
3. Damage to Premises Rented to You
e) Settling, cracking,
shrinking or ex -
a. The last Subparagraph of Paragraph
pansion; or
SECTION I - COVERAGES, COV-
ERAGE A. BODILY INJURY AND
f) Nesting or infesta-
PROPERTY DAMAGE LIABILITY 2.,
tion, or discharge
Exclusions is hereby deleted and
or release of waste
replaced by the following:
products or secre-
tions, by insects,
Exclusions c. through q, do not apply
birds, rodents or
to damage by fire, explosion, light-
other animals.
ning, smoke or soot to premises while
rented to you or temporarily occupied
(b) Loss caused directly or indi-
by you with permission of the owner.
rectly by any of the follow-
ing:
b. The insurance provided under SEC-
TION I - COVERAGES, COVERAGE
1) Earthquake, volcanic
A. BODILY INJURY AND PROP-
eruption, landslide or
ERTY DAMAGE LIABILITY applies
any other earth move -
to "property damage" arising out of
ment;
water damage to premises that are
2) Water that backs up or
both rented to and occupied by you.
overflows from a sewer,
(1) As respects Water Damage Le-
drain or sump;
gal Liability, as provided in Para-
3) Water under the ground
graph 3.b. above:
surface pressing on, or
The exclusions under SECTION I
flowing or seeping
- COVERAGES, COVERAGE A.
through:
BODILY INJURY AND PROP-
a) Foundations, walls,
ERTY DAMAGE LIABILITY, 2.
floors or paved
Exclusions, other than i. War
surfaces;
and the Nuclear Energy Liabil-
ity Exclusion, are deleted and
b) Basements,
the following are added:
whether paved or
This insurance does not apply to:
not; or
(a) "Property damage":
c) Doors, windows or
other openings.
1) Assumed in any con-
(c) Loss caused by or resulting
tract; or
from water that leaks or
2) Loss caused by or re-
flows from plumbing, heat-
sulting from any of the
ing, air conditioning, or fire
following:
protection systems caused
by or resulting from freezing,
a) Wear and tear;
unless:
b) Rust, corrosion,
1) You did your best to
fungus, decay, de-
maintain heat in the
terioration, hidden
building or structure; or
or latent defect or
any quality in prop-
2) You drained the equip-
erty that causes it
ment and shut off the
Includes copyrighted material of Insurance
GA 227 02 07 Services Office, Inc., with its permission. Page 8 of 13
water supply if the heat
was not maintained.
(d) Loss to or damage to:
1) Plumbing, heating, air
conditioning, fire protec-
tion systems, or other
equipment or appli-
ances; or
2) The interior of any
building or structure, or
to personal property in
the building or structure
caused by or resulting
from rain, snow, sleet or
Ice, whether driven by
wind or not.
c. Limit of Insurance
The Damage to Premises Rented to
You Limit as shown in the Declara-
tions is amended as follows:
(2) Paragraph 6. of SECTION III -
LIMITS OF INSURANCE is
hereby deleted and replaced by
the following:
6. Subject to 5, above, the
Damage to Premises
Rented to You Limit is the
most we will pay under
COVERAGE A. BODILY
INJURY AND PROPERTY
DAMAGE LIABILITY for
damages because of "prop-
erty damage" to premises
while rented to you or tem-
porarily occupied by you
with permission of the
owner, arising out of any
one "occurrence" to which
this insurance applies.
(3) The most we will pay is limited as
described in Section B. Limits of
Insurance, 3. Damage to Prem-
ises Rented to You of this en-
dorsement.
4. Supplementary Payments
Under SECTION I - COVERAGE, SUP-
PLEMENTARY PAYMENTS - COVER-
AGES A AND B:
a. Paragraph 2. is replaced by the fol-
lowing:
the use of any vehicle to which the
Bodily Injury Liability Coverage ap-
plies. We do not have to furnish
these bonds.
b. Paragraph 4. is replaced by the fol-
lowing:
All reasonable expenses incurred by
the insured at our request to assist us
in the investigation or defense of the
claim or "suit', including actual loss of
earnings up to the limit shown in Sec-
tion B. Limits of Insurance, 4.b.
Loss of Earnings of this endorsement
per day because of time off from
work.
5. 180 Day Coverage for Newly Formed or
Acquired Organizations
SECTION If - WHO IS AN INSURED is
amended as follows:
Subparagraph a. of Paragraph 4. is
hereby deleted and replaced by the fol-
lowing:
a. Insurance under this provision is af-
forded only until the 180th day after
you acquire or form the organization
or the end of the policy period, which-
ever is earlier;
6. Waiver of Subrogation
SECTION IV - COMMERCIAL GENERAL
LIABILITY CONDITIONS, 9. Transfer of
Rights of Recovery Against Others to
Us is hereby amended by the addition of
the following:
We waive any right of recovery we may
have because of payments we make for
injury or damage arising out of your ongo-
ing operations or "your work" done under
a written contract requiring such waiver
with that person or organization and in-
cluded in the "products -completed opera-
tions hazard". However, our rights may
only be waived prior to the "occurrence"
giving rise to the injury or damage for
which we make payment under this Cov-
erage Part. The insured must do nothing
after a loss to impair our rights. At our re-
quest, the insured will bring "suit" or trans-
fer those rights to us and help us enforce
those rights.
7. Automatic Additional Insured - Speci-
fied Relationships
Up to the limit shown in Section B. a. The following is hereby added to
Limits of Insurance, 4.a. Bail Bonds SECTION II -WHO IS AN INSURED:
of this endorsement for cost of bail
bonds required because of accidents (1) Any person or organization de -
or traffic law violations arising out of scribed in Paragraph 7.a.(2) be -
Includes copyrighted material of Insurance
GA 227 02 07 Services Office, Inc., with its permission. Page 9 of 13
low (hereinafter referred to as
demolition operations
additional insured) whom you are
performed by or on be -
required to add as an additional
half of such additional
insured under this Coverage Part
insured.
by reason of.
(b) Any person or organization
(a) A written contract or agree-
from which you lease
ment; or
equipment with whom you
have agreed per Paragraph
(b) An oral agreement or con-
7.a.(1) above to provide in -
trail where a certificate of
surance. Such person(s) or
insurance showing that per-
t
aor
organization(s) are insureds
son organization as an
g
solely with respect to their
additional insured has been
liability arising out of the
Issued,
maintenance, operation or
is an insured, provided:
use by you of equipment
leased to you by such per -
(a) The written or oral contract
son(s) or organization(s).
or agreement is:
However, this insurance
does not apply to any "oc-
1 Current y in effect or
currenoe which takes place
becomes effective dur-
after the equipment lease
ing the policy period;
expires,
and
(c) Any person or organization
2 Executed prior to an
p
(referred to below as ven-
"occurrence" or offense
dor) with whom you have
to which this insurance
agreed per Paragraph
would apply; and
7.a.(1) above to provide in-
(b) They are not specifically
surance, but only with re-
named as an additional in-
spect to "bodily injury" or
sured under any other provi-
'property damage" arising
sion of, or endorsement
out of "your products" which
added to, this Coverage
are distributed or sold in the
Part.
regular course of the ven-
dor's business, subject to
(2) Only the following persons or or-
the following additional ex-
ganizations are additional insu-
clusions:
eds under this endorsement, and
insurance coverage provided to
1) The insurance afforded
such additional insureds is lim-
the vendor does not
ited as provided herein:
apply to:
(a) The manager or lessor of a
a) 'Bodily injury" or
premises leased to you with
'property damage"
whom you have agreed per
for which the ven-
Paragraph 7.a.(1) above to
dor is obligated to
provide insurance, but only
pay damages by
with respect to liability aris-
reason of the as-
ing out of the ownership,
sumption of liability
maintenance or use of that
in a contract or
part of a premises leased to
agreement. This
you, subject to the following
exclusion does not
additional exclusions:
apply to liability for
damages that the
This insurance does not ap-
vendor would have
ply to.
in the absence of
the contract or
1 An "occurrence" which
) y
agreement;
takes place after you
cease to be a tenant in
b) Any express war -
that premises.
ranty unauthorized
by you;
2) Structural alterations,
new construction or
Includes copyrighted material of Insurance
GA 227 02 07 Services Office, Inc., with its permission. Page 10 of 13
c)
Any physical or
nying or containing
chemical change in
such products; or
the product made
intentionally by the
b) When liability in -
vendor;
cluded within the
"products-
d)
Repackaging,
completed opera -
unless unpacked
tions hazard" has
solely for the pur-
been excluded un-
pose of inspection,
der this Coverage
demonstration,
Part with respect to
testing, or the sub-
such products.
stitution of parts
under instructions
(d) Any state or political subdi-
from the manufac-
vision with which you have
turer, and then re-
agreed per Paragraph
packaged in the
7.a.(1) above to provide in -
original container;
surance, subject to the fol-
lowing additional provision:
e)
Any failure to make
such inspections,
This insurance applies only
adjustments, tests
with respect to the following
or servicing as the
hazards for which the state
vendor has agreed
or political subdivision has
to make or nor-
issued a permit in connec-
mally undertakes
tion with premises you own,
to make in the
rent or control and to which
usual course of
this insurance applies:
business, in con-
1) The existence, mainte-
nection with the
nance, repair, construc-
distribution or sale
tion, erection, or re -
of the products;
moval of advertising
f)
Demonstration, in-
signs, awnings, cano-
stallation, servicing
pies, cellar entrances,
or repair opera-
coal holes, driveways,
tions, except such
manholes, marquees,
operations per-
hoist away openings,
fonned at the ven-
sidewalk vaults, street
does premises in
banners, or decorations
connection with the
and similar exposures;
sale of the product;
or
g) Products which, af-
2) The construction, erec-
ter distribution or
tion, or removal of ele-
sale by you, have
vators; or
been labeled or re-
3) The ownership, mainte-
labeled or used as
nance, or use of any
a container, part or
elevators covered by
ingredient of any
this insurance,
other thing or sub-
stance by or for the
(3) Any insurance provided to
vendor.
an additional insured desig-
nated under Paragraph
2 This insurance does not
7.a.(2) Subparagraphs (a),
apply to any insured
(b) and (d) does not apply to
person or organization:
"bodily injury", "property
a) From whom you
damage" or, "personal and
have acquired
advertising injury" arising out
such products, or
of the sole negligence or
any ingredient, part
willful misconduct of the ad -
or container, enter-
ditional insured or their
ing into, aacompa-
agents, "employees" or any
Includes copyrighted material of Insurance
GA 227 02 07 Services Office, Inc., with its permission. Page 11 of 13
other representative of the
(1) The Limits of Insurance shown in
additional insured.
the Declarations are replaced by
the limits designated in Property
b. SECTION IV -COMMERCIAL GEN-
Damage to Borrowed Equip-
ERAL LIABILITY CONDITIONS is
ment Section B. ts of In -
hereby amended as follows:
uran e, 8. Property' Damage
Condition 5. Other Insurance is
to Borrowed Equipment of this
amended to include:
endorsement with respect to
coverage provided by this en-
(1) Where required by a written con-
dorsement. These limits are in -
tract or agreement, this insur-
clusive of and not in addition to
ante is primary and / or noncon-
the limits being replaced. The
tributory as respects any other
Limits of Insurance shown in
insurance policy issued to the
Section B. Limits of Insurance,
additional insured, and such
8. Property Damage to Bor-
other insurance policy shall be
rowed Equipment of this en -
excess and / or noncontributing,
dorsement fix the most we will
whichever applies, with this in-
pay in any one "occurrence" re-
surance.
gardless of the number of:
(2) Any insurance provided by this
(a) insureds;
endorsement shall be primary to
(b) Claims made or "suits"
other insurance available to the
additional insured except:
brought; or
(a) As otherwise provided in
(c) Persons or organizations
SECTION IV - COMMER-
making claims or bring
CIAL GENERAL LIABILITY
"suits".
CONDITIONS, 5. Other In-
(2) Deductible Clause
surance, b. Excess Insur-
ance; or
(a) Our obligation to pay dam-
ages on your behalf applies
(b) For any other valid and col-
only to the amount of dam-
lectible insurance available
ages for each "occurrence"
to the additional insured as
which are in excess of the
an additional insured by at-
deductible amount stated in
tachment of an endorsement
Section B. Limits of Insur-
to another insurance policy
ance, 8. Property Damage
that is written on an excess
to Borrowed Equipment of
basis. In such case, the
this endorsement. The lim-
coverage provided under
its of insurance will not be
this endorsement shall also
reduced by the application
be excess.
of such deductible amount.
8. Property Damage to Borrowed Equip-
(b) SECTION I -COMMERCIAL
ment
LIABILITY CONDITIONS 2.
a. The following is hereby added to Ex-
Duties in the Event of Oc-
clusion j. Damage to Property of
currence, Offense, Claim
Paragraph 2., Exclusions SECTION
or Suit, applies to each
I - COVERAGES, COVERAGE A. -
claim or 'suit irrespective of
BODILY INJURY AND PROPERTY
the amount.
DAMAGE LIABILITY:
(c) We may pay any part or all
Paragraphs (3) and (4) of this exclu-
of the deductible amount to
sion do not apply to tools or equip-
effect settlement of any
ment loaned to you, provided they are
claim or "suit" and, upon no -
not being used to perform operations
tification of the action taken,
at the time of loss.
you shall promptly reim-
burse us for such part of the
b. With respect to the insurance pro-
deductible amount as has
vided by this section of the endorse-
been paid by us.
ment, the following additional provi-
9. Employees as Insureds - Specified
sions apply:
Health Care Services
Includes copyrighted material of Insurance
GA 227 02 07 Services Office, Inc., with its permission. Page 12 of 13
It is hereby agreed that Paragraph 2.a.(1)
(d) of SECTION II - WHO IS AN IN-
SURED, does not apply to your "employ-
ees" who provide professional health care
services on your behalf as duly licensed:
a. Nurses;
b. Emergency Medical Technicians; or
c. Paramedics,
in the jurisdiction where an "occurrence"
or offense to which this Insurance applies
takes place.
10. Broadened Notice of Occurrence
Paragraph a. of Condition 2. Duties in the
Event of Occurrence, Offense, Claim or
Suit (SECTION IV - COMMERCIAL
GENERAL LIABILITY CONDITIONS) Is
hereby deleted and replaced by the fol-
lowing:
a. You must see to it that we are notified
as soon as practicable of an "occur-
rence" or an offense which may result
in a claim. To the extent possible,
notice should include:
(1) How, when and where the "oc-
currence" or offense took place;
(2) The names and addresses of
any injured persons and wit-
nesses; and
(3) The nature and location of any
iryury or damage arising out of
the "occurrence" or offense.
This requirement applies only when
the "occurrence" or offense is known
to an "authorized representative".
Includes copyrighted material of Insurance
GA 227 02 07 Services Office, Inc., with its permission. Page 13 of 13