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KAPOK TERRACE SANITARY SYSTEM PROJECT - 15-0036-UT - CERTIFICATE OF LIABILITY INSURANCE (2) DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 12/19/2017 --- THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Wendy Hingson ._I`II VTC Insurance Group PHONE (239)275-8226 FAX (239) 275-8837 -(A,C No.Ets17. ...... ........ Troy Office EraMDRIL whingson@vtcins.com _.... 1175 W Lon Lake Road #200 INSURER A Amerisure Insurance Comp — . - Nalc u Long r INSURER(S)AFFORDING COVE Troy MI 48098 ompanV 19488 INSURED -INSURER 8 Travelers Prop. Casualty Co of Amer 1 25674 Suncoast Development of Pinellas County, Inc. INSURER_CAmerisure Mutual Insurance Companv 23396 2340 Destiny Way INSURER D- _ INSURER.... .............._._.. .....�.___ ...._......._ Odessa, Florida 33556 E: INSURER F COVERAGES CERTIFICATE NUMBER:2018-2019 GL,AUTO,WC,UMB, 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. ,..e .......... ADDL SUB POLICY INSR , _ EFF POLICY EXP F INSURANCE pni ..,..........._.. LIMITS TR TYPE O N_MRFR !MM nn/V V V Vl MM/DDFYYYY ....._._..----- X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DA 1AlaE TO RLNl ED — E A CLAIMS-MADE [A-1 OCCUR PR MSC S 100 ,000 X. Inc. XCU Contractual X Y CPP210733800 1/1/2018 1/1/2019 MED EXP(Any one Person) $ 15,000 Liabil t_y/Broa_d F'ornl PD _ PERSONAL INJURY $ 1,000,000 _ ......... — ._.._ ..-- ......-.. GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY[X]JE,cr � LOC PRODUCTS COMP/OP AGG $ 2,000,000 OTHER: _ _AUTOMOBILE LIABILITY GOMBINED SINGLE LIMIT $ 1,000,000 1,as aCClde l3 X ANY AUTO BODILY INJURY(Per person) $ A --- ALLOWNED SCHEDULED W.. AUTOS X AUTOS X Y CA210733700 1/1/2018 1/1/2019 BODILY INJURY(Peraccident)I$ 9 ----- NON-OWNED PRf PERTY6AMHGE' X HIRED AUTOS X AUTOS (('al acc.Ld ntb $ .... PIP Basic $ �., .... B X UMBRELLA LIAR X OCCUR EACH OCCURRENCE_ $ 4,000.000 EXCESS LIAR �GLAIMS-MADE ZUP-91M7304A-18-NF 1/1/2018 1/1/2019 AGGREGATE $ 4,000,000 DED " I RFTFNTIGN.$ 0 Follows Gl,Auto,Work Comp Is WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N' I STATI_ITF_1_ FR ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ l;000.000 OFFICER/MEMBER EXCLUDED? N r'NIA --- — C =(Mandatory In NH) y WC210733900 1/1/2018 1/1/2019 E.L.DISEASE EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 A Inland Marine CPP210733800 1/1/2018 1/1/2019 Leased/Rented Equipment $300,000 Any One Item f DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Project: Kapok Terrace Sanitary System, Project #15-0036-UT Where required by written contract, the City of Clearwater is add'1 insured for General Liability (GL) as respects ongoing & completed operations on a primary & non-contributory basis and add'l insured with respects to Automobile liability. GL, Auto & Workers Comp policies include a waiver of subrogation on behalf of the City of Clearwater as required by written contract and where allowed by law. Insurer will endeavor to mail 30 days written notice of cancellation to the certificate holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Clearwater THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Engineering Department ACCORDANCE WITH THE POLICY PROVISIONS. Construction Office Specialist P O BOX 4748 AUTHORIZED REPRESENTATIVE Clearwater, FL 33758-4748 Alan Chandler/V510 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) - CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY)1219/D2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Wcnd Fain sOn NAME:. Wendy VTC Insurance Group PHONE (239)275-8226 (239)-275-8837 Ft. Myers Office ADDR SS:whingson@vtoin .com ---- .........._ 6820 Porto Fino Circle Ste 2 INSURER(Sl AFFORDING COVERAGE NAIC 9 Ft. Myers FL 33912 INSURERA Westchester Surplus Lines Insurance ..................... ._...- ---...._-..-..-.__ INSURED INSURER R. Suncoast Development of Pinellas County, Inc. INSURER C: _.� _ ....... .. - .... 2340 Destiny Way -_....—...........-- Y Y INSURER D: Odessa Florida 33556 Odessa, INSURER E: I NSURER F COVERAGES CERTIFICATE NUMBER:2017-2018 Pollution ONLY 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. fNSR' ... .------ .-.. -... .I tt S� n _. POLICY NUMBER ...-..� lMMDIDYY F... _POLiCYEXP .�-- ------------- I TR TYPE OF INSURANCE YY1 fMM/DD/YYYYI LIMITS _ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE Q I� Y-DAMAGE`FO Rt.N E'D _ ,I CLAIMS-MADE D OCCUR I1RFf'I9ES„(Ea oc`urre7ru;Y__ $ MED EXP(Any one person) j$ _ PERSONAL&ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ PRO POLICY❑JLO g LOG PRODUCTS-COMP/OP AGG $ OTHER.: $.. AUTOMOBILE LIABILITY COMBINED SINGLE I..Ml"f $ _( l n i4nl) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ _- AUTOS AUTOS NON-OWNED I'RLPER3Y DAMACt $ HIRED AUTOS AUTOS _(laerr accirfem_i} UM13RELLALIAB OCCUR EACH OCCURRENCE $ T EXCESS LAB I G CLAIMS-MADE AGGREGATE $ DEII RFTFNTI0N R $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y,.N R ITF, FR ._ „_, ANY PROPRIETOR/PARTNER/EXECUTIVE " 'I EACH ACCIDENT $OFFICER/MEMBER EXCLUDED? I....N/A [El,— ---- (Mandatory In NH) E L.DISEASE-EA EMPLOYEE $ If es describe under - --— -- DESC`.RIPTinN OF OPERATIONS below E L DISEASE POLICY LIMIT $ I` A Pollution Liability and X Y G-46808836 001 9/17/2017 9/17/2018 $1,000,000 Per Occurence $10,000 Professional Liability G-46808836 001 9/17/2017 9/17/2018 $1,000,000 Per Claim Deductible DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Project: Kapok Terrace Sanitary System, Project #15-0036-UT Certificate Holder is added as Additional Insured and includes a Waiver of Subrogation as required by written contract and allowed by law. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Clearwater THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Engineering Department ACCORDANCE WITH THE POLICY PROVISIONS. Construction Office Specialist --- P O BOX 4748 AUTHORIZED REPRESENTATIVE Clearwater, FL 33758-4748 _ r _- Wendy Hingson/V510 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTOR'S BLANKET ADDITIONAL INSURED ENDORSEMENT FORM A This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Policy Number Agency Number Policy Effective Date CPP210733800 01/01/2018----...... Policy Expiration Date Date Account Number 01/01/201 t3 12/19/2017 Named Insured Agency Issuing Company uncoast Development of Pinellas County, Inc VTC Insurance Group Amerisure Insurance Company 1, a. SECTION II-WHO IS AN INSURED is amended to add as an additional insured any person or organization: (1) Whom you are required to add as an additional insured on this policy under a written contract or written agreement relating to your business; or (2) Who is named as an additional insured under this policy on a certificate of insurance. b. The written contract, written agreement, or certificate of insurance must: (1) Require additional insured status for a time period during the term of this policy; and (2) Be executed prior to the "bodily injury", "property damage", or"personal and advertising injury" leading to a claim under this policy. c. If, however. (1) "Your work"began under a letter of intent or work order;and (2) The letter of intent or work order led to a written contract or written agreement within 30 days of beginning such work; and (3) Your customer's customary contracts require persons or organizations to be named as additional insureds; E we will provide additional insured status as specified in this endorsement. �s 2. The insurance provided under this endorsement is limited as follows: a. That person or organization is an additional insured only with respect to liability caused, in whole or in 'ti;: part, by: (1) Premises you: (a) Own; (b) Rent; -(c)-Lease-,--or- (d) Occupy; (2) Ongoing operations p e formed by you or on your behalf. Ongoing operations does not apply to "bodily injury`or"property damage"occurring after: Includes copyrighted material of Insurance Services Office, Inc, CG 70 48 10 15 Pages 1 of 4 (a) All work iobe performed by you oron your behalf for the additional insuned(s) at the site ofthe covered operations is complete, including related materials, parts or equipment(other than semice, maintenance or repairs):or (b) That portion of"your work"out of which the injury or damage arises is put to its intended use by any person or organization other than another contractor working for a principal as a part of the same project. (3) Completed operations coverage, but only if. (a) The written contract, written agreement, or certificate of insurance requires completed operations coverage or"Your work"coverage; and (b) This coverage part provides coverage for"bodily injury"or"property damage"included within the^pmducts-comp|eted operations hazard''. However, the insurance afforded ho such additional insured only applies to the extent permitted bylaw. b. If the written contract, written agreement, or certificate ofinsurance: (1) Requires"arising out nf'/anguage;or (2) Requires you to provide additional insured coverage to that person or organization by the use of either or both of the following: (a) Additional Insured—Owners, Lessees or Contractors—Scheduled Person Or Organization endorsement CG2O101DO1;or (6) Additional Insured—Owners, Lessees or Contractors—Completed Operations endorsement CG 2O371OD1; then the phrase"caused. in whole nr/n part, by"in paragraph 2.a.above is replaced by"arising out of'. c. /f the written contract, written agreement, orcertifirateof insurance requires you 0n provide additional insured coverage to that person o/organization by the use of. (1) Additional Insured—Owners, Lessees or Contractors—Scheduled Person Or Organization � endorsemen\CG2O1OO7O4o/CG2O1OO413; or (2) Additional Insured—Owners, Lessees or[ontractocs—Completed Operations endorsement CG2O 370704orCG20 370413; or (3) Both those endorsements with either of those edition dates; ur (4) Either o/both nf the following: (a) Additional /nsuned—Owmecs. Lessees or Contractors—Scheduled Person Or Organization endorsement CG2O1O without an edition date specificd: or (b) A6dbiona/ /nsuned—C`vwne/s. Lcbsevsu/ Cu//haciors—Comp/etedOpemdonscndocsementCG 2037 without an edition date specified; then paragraph 2.a. above applies. dL Premises, as respects paragraph 2.a,(I) above, include common or public areas about such premises if so required hn the written contract or written agreement. � e. Additional insured status provided under paragraphs 2.a.(1)(6) or2.a.(1)(c)above does not extend beyond the end ofa premises lease or rental agreement. t The limits of insurance that apply to the additional insured are the least of those specified in the: (1) Written contract; (2) Written agreement; (3) Certificate mf insurance; or (0 Declarations nf this policy, The limits of insurance are inclusive of and not in additilon to the limits of insurance-shown in the Declarations. Includes copyrighted material of Insurance Services Office, Inc. Page 2of4 CG7n481O15 g. The insurance provided to the additional insured does not apply to "bodily injury", "property damage", or "personal and advertising injury"arising out of an architect's, engineer's, or surveyor's rendering of, or failure tn render, any professional services, including but not limited to: (1) The preparing, approving, o/failing tn prepare orapprove: (a) Maps; _ (b) Drawings; (c)Opinios; (d) Reports; (e) Surveys; (f) Change orders; (q) Design specifications, and (2) Supervisory, inspection, or engineering services. h. SECTION IV—COMMERCIAL GENERAL LIABILITY CONDITIONS, paragraph 4. Other Insurance is de/etedandoep|acedwdhthefoUowing: 4. Other Insurance. Coverage provided by this endorsement is excess over any other valid and collectible insurance available ko the additional insured whether: n. Primary; b. Excess; c. Contingent;or ciDn any other basis; but if the written contract, written agreement, or certificate of insurance requires primary and non- contributory coverage.this insurance will be primary and non-contributory relative to other insurance available to the additional insured which covers that person or organization as a Named Insured, and *e will not share with that other insurance. [ If the written contract, written agreement, or certificate of insurance as outlined above requires additional insured status by use of CG 20 10 11 85, then the coverage provided under this CG 70 48 endorsement does not apply except for paragraph 2.h. Other Insurance. Additional insured status is limited tothat provided byCG201011 O5 shown below and paragraph 2'h.Other Insurance shown above. ADDITIONAL INSURED- OWNERS, LESSEES OR CONTRACTORS(FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: Blanket Where Required by Written Contract, Agreement, or Certificate of Insurance that the terms of CG 20 10 11 85 apply (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section 11) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising Out Of"Your work"for that insured by or for you, CG 20 10 11 85 Copyright, Insurance Services Office, Inc., 1984 Includes copyrighted material of Insurance Services O07ca. Inc. CG78481O15 Pages 3of4 j. The insurance provided by this endorsement does not apply to any premises or work for which the person or organization is specifically listed as an additional insured on another endorsement attached to this policy. «ail I Includes copyrighted material of Insurance Services Office, Inc. Page 4 of 4 CG 70 48 10 15 Suncoast Development of Pinellas County, Inc. Policy#CPP210733800 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS GENERAL LIABILITY EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM Under SECTION I -COVERAGE A.BODILY INJURY AND PROPERTY DAMAGE LIABILITY, paragraph 2. EXCLUSIONS, provisions 1.through 6.of this endorsement amend the policy as follows: 1. LIQUOR LIABILITY Exclusion c. Liquor Liability is deleted. 2. NONOWNED WATERCRAFT AND NONOWNED AIRCRAFT(HIRED, RENTED OR LOANED WITH PAID CREW) Exclusion g.Aircraft,Auto or Watercraft,paragraph (2) is deleted and replaced with the following: (2) A watercraft you do not own that is: (a) Less than 51 feet long;and (b) Not being used to carry persons or property for a charge; Exclusion g.Aircraft,Auto or Watercraft, paragraph (6) is added as follows: (6) An aircraft that you do not own that is: (a) Hired; (b) Rented; or (c) Loaned to you; with paid crew for a period of five(5) consecutive days or less. Paragraph(6)does not apply if the insured has any other insurance for"bodily injury or"property damage"liability for such aircraft, whether such other insurance is primary, excess, contingent or on any other basis. 3. PREMISES ALIENATED A. Exclusion j. Damage to Property, paragraph (2) is deleted. B. The following paragraph is also deleted from Exclusion j. Damage to Property: 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. 4. PROPERTY DAMAGE LIABILITY- ELEVATORS AND SIDETRACK AGREEMENTS A. Exclusion j. Damage to Property,paragraphs (3), (4), and(6) do not apply to the use of elevators, B. Exclusion k. Damage to Your Product does not apply to: 1. The use of elevators;or 2. friability assumed under a sidetrack agreement. 5. PROPERTY DAMAGE LIABILITY- BORROWED EQUIPMENT A. Exclusion j.Damage to Property,paragraph (4) does not apply to"property damage"to borrowed equipment while at a jobsite and not being used to perform operations. Includes copyrighted material of Insurance Services Office, Inc. CG 70 49 11 09 Page 1 of 10 B. With respect to any one borrowed equipment item, provision S.A.above does not apply to"property damage"that exceeds$25,000 per occurrence or$25,000 annual aggregate. 6. PRODUCT RECALL EXPENSE A. Exclusion n. Recall Of Products,Work Or Impaired Property does not apply to"product recall expenses"that you incur for the"covered recall'of"your product". This exception to the exclusion does not apply to"product recall expenses"resulting from: 1. Failure of any products to accomplish their intended purpose; 2. Breach of warranties of fitness,quality, durability or performance; 3. Loss of customer approval or any cost incurred to regain customer approval; 4. Redistribution or replacement of'your product',which has been recalled, by like products or substitutes; S. Caprice or whim of the insured; 6. A condition likely to cause loss, about which any insured knew or had reason to know at the inception of this insurance; 7. Asbestos, including loss, damage or clean up resulting from asbestos or asbestos containing materials: 8. Recall of"your product(s)"that have no known or suspected defect solely because a known or suspected defect in another of"your product(s)"has been found. S. Under SECTION III—LIMITS OF INSURANCE, paragraph 3. is replaced in its entirety as follows and paragraph B. is added: 3. The Products-Completed Operations Aggregate Limit is the most we will pay for the sum of: a. Damages under COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY because of"bodily injury"and"property damage"included in the"products-completed operations hazard"and b. 'Product recall expenses". S. Subject to paragraph 5. above, $25,000 is the most we will pay for all"product recall expenses" arising out of the same defect or deficiency. The insurance afforded by provisions 1.through 6. of this endorsement is excess over any valid and collectible insurance(including any deductible)available to the insured whether primary, excess or contingent, and SECTION IV., paragraph 4.Other Insurance is changed accordingly. 7. BLANKET CONTRACTUAL LIABILITY—RAILROADS When a written contract or written agreement requires Contractual Liability- Railroads,the definition of "insured contract"in Section V-Definitions is replaced by the following with respect to operations performed for, or affecting, a railroad: 9. "Insured Contract"means: a. A contract for a lease of premises. However,that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire to premises while rented to you or temporarily occupied by you with permission of the owner is not an "insured contract"; b. A sidetrack agreement; c. Any easement or license agreement; d. An obligation, as required by ordinance,to indemnify a municipality, except in connection with work for a municipality; Includes copyrighted material of Insurance Services Office, Inc. Page 2 of 10 CG 70 49 11 09 e. An elevator maintenance agreement; f. That part of any other contract or agreement pertaining to your business(including an indemnification of a municipality in connection with work performed for a municipality)under which you assume the tort liability of another party to pay for"bodily injury"or"property damage"to a third person or organization.Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. Paragraph f.does not include that part of any contract or agreement: (1) That indemnifies an architect, engineer or surveyor for injury or damage arising out of: (a) Preparing, approving or failing to prepare or approve maps, shop drawings,opinions, reports, surveys,field orders, change orders or drawings and specifications;or (b) Giving directions or instructions, or failing to give them; (2) Under which the insured, if an architect, engineer or surveyor, assumes liability for an injury or damage arising out of the insured's rendering or failure to render professional services, including those listed in Paragraph(1) above and supervisory, inspection, architectural or engineering activities. 8. CONTRACTUAL LIABILITY-PERSONAL AND ADVERTISING INJURY Under SECTION 1 -COVERAGE B.,paragraph 2. Exclusions, paragraph e, Contractual Liability is deleted. 9. SUPPLEMENTARY PAYMENTS Under SECTION I-SUPPLEMENTARY PAYMENTS-COVERAGES A AND B, paragraphs 1.b.and 1.d.are deleted and replaced with the following: b. Up to$2,500 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or"suit", including actual loss of earnings up to$500 a day because of time off from work. 10. BROADENED WHO IS AN INSURED SECTION 11-WHO IS AN INSURED is deleted and replaced with the following: 1. If you are designated in the Declarations as: a. An individual,you and your spouse are insureds, but only with respect to the conduct of a business of which you are the sole owner. b. A partnership or joint venture,you are an insured. Your members,your partners, and their spouses ;. are also insureds, but only with respect to the conduct of your business. c. A limited liability company,you are an insured. Your members are also insureds, but only with respect to the conduct of your business. Your managers are insureds, but only with respect to their duties as your managers. d. An organization other than a partnership,joint venture or limited liability company, you are an insured. Your"executive officers"and directors are insureds, but only with respect to their duties as your officers or directors, Your stockholders are also insureds, but only with respect to their liability as stockholders. e. A trust,you are an insured. Your trustees are also insureds, but only with respect to their duties as trustees. Includes copyrighted material of Insurance Services Office, Inc. CG 70 49 11 09 Page 3 of 10 2. Each of the following is also an insured: a. Your"volunteer workers"only while performing duties related to the conduct of your business, or your"employees,"other than either your"executive officers," (if you are an organization other than a partnership,joint venture or limited liability company) or your managers (if you are a limited liability company), but only for acts within the scope of their employment by you or while performing duties related to the conduct of your business. However, none of these "employees"or"volunteer workers" are insured for: (1) "Bodily injury"or"personal and advertising injury": (a) To you,to your partners or members(if you are a partnership or joint venture),to your members (if you are a limited liability company),to a co-"employee"while in the course of his or her employment or performing duties related to the conduct of your business, or to your other"volunteer workers"while performing duties related to the conduct of your business; (b) To the spouse,child, parent, brother or sister of that co-"employee"or"volunteer worker' as a consequence of paragraph(1)(a)above; (c) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in paragraphs(1)(a) or(b)above; or (d) Arising out of his or her providing or failing to provide professional health care services except as provided in provision 11. of this endorsement. Paragraphs(1)(a),(1)(b) and (1)(c)above do not apply to your"employees"who are: (i) Managers; (ii) Supervisors; (iii) Directors;or (iv) Officers; with respect to"bodily injury"to a co2employee". (2) "Property damage"to property: (a) Owned, occupied or used by; (b) Rented to, in the care,custody or control of,or over which physical control is being exercised for any purpose by you, any of your"employees,""volunteer workers", any partner or member(if you are a partnership or joint venture), or any member(if you are a limited liability company). b. Any person (other than your"employee"or"volunteer worker"), or any organization while acting as your real estate manager. i c. Any person or organization having proper temporary custody of your property if you die, but only; (1) With respect to liability arising out of the maintenance or use of that property; and (2) Until your legal representative has been appointed. d. Your legal representative if you die, but only with respect to duties as such. That representative will have all your rights and duties under this Coverage Form. e. Your subsidiaries if (1) They are legally incorporated entities; and (2) You own more than 50%of the voting stock in such subsidiaries as of the effective date of this policy. Includes copyrighted material of Insurance Services Office, Inc. Page 4 of 10 CG 70 4911 09 If such subsidiaries are not shown in the Declarations,you must report them to us within 180 days of the inception of your original policy. f. (1) Any person or organization, other than an architect, engineer or surveyor, required to be named as an additional insured in a "work contract", letter of intent or work order. However, such person or organization shall be an additional insured only with respect to covered "bodily injury," "property damage,"and "personal and advertising injury"arising out of"your work"under that "work contract", letter of intent or work order. (2) We will provide additional insured coverage to such person or organization only: (a) for a period of 30 days after the effective date of the applicable"work contract", letter of intent or work order;or (b) until the end of the policy term in effect at the inception of the applicable'Work contract", letter of intent or work order; whichever is earlier. (3) Coverage provided under this paragraph f.is excess over any other valid and collectible insurance available to the additional insured whether primary,excess, contingent,or on any other basis unless the"work contract", letter of intent or work order requires this insurance be primary, in which case this insurance will be primary without contribution from such other insurance available to the additional insured. (4) This paragraph f.does not apply if form CG 70 48, Contractors Blanket Additional Insured Endorsement, is attached to the policy. g. Any person or organization to whom you are obligated by virtue of a written contract to provide insurance such as is afforded by this policy, but only with respect to liability arising out of the maintenance or use of that part of any premises leased to you,including common or public areas about such premises if so required in the contract. However, no such person or organization is an insured with respect to: (1) Any"occurrence"that takes place after you cease to occupy those premises; or (2) Structural alterations; new construction or demolition operations performed by or on behalf of such person or organization. h. Any state or political subdivision but only as respects legal liability incurred by the state or political subdivision solely because it has issued a permit with respect to operations performed by'you or on your behalf. However, no state or political subdivision is an insured with respect to: (1) "Bodily injury", "property damage", and "personal and advertising injury"arising out of operations performed for the state or municipality;or (2) "Bodily injury"or"property damage"included within the"products-completed operations hazard." i. Any person or organization who is the lessor of equipment leased to you to whom you are obligated by virtue of a written contact to provide insurance such as is afforded by this policy, but only with 1 respect to their liability arising out of the maintenance, operation or use of such equipment by you or a subcontractor on your behalf with your permission and under your supervision. However, no such person or organization is an insured with respect to any"occurrence"that takes place after the equipment lease expires. j. Any architect, engineer,or surveyor engaged by you but only with respect to liability arising out of your premises or"your work." Includes copyrighted material of Insurance Services Office, Inc. CG 70 49 11 09 Page 5 of 10 However, no architect, engineer, or surveyor is an insured with respect to"bodily injury," "property damage,"or"personal and advertising injury"arising out of the rendering of or the failure to render any professional services by or for you, including: (1) The preparing, approving, or failing to prepare or approve maps, drawings,opinions, reports, surveys,change orders,designs or specifications;or (2) Supervisory, inspection, or engineering services. This paragraph j. does not apply if form CG 70 48, Contractors Blanket Additional Insured Endorsement, is attached to the policy. k. Any manager, owner, lessor, mortgagee, assignee or receiver of premises, including land leased to you,but only with respect to liability arising out of the ownership, maintenance or use of that part of the premises or land leased to you. However, no such person or organization is an insured with respect to: (1) Any"occurrence"that takes place after you cease to occupy that premises, or cease to lease the land;or (2) structural alteration, new construction or demolition operations performed by or on behalf of that person or organization, 3. Any organization you newly acquire or form, other than a partnership,joint venture or limited liability company and over which you maintain ownership or majority interest, will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a. Coverage under this provision is afforded until the end of the policy period. b. Coverage A does not apply to"bodily injury"or"property damage"that occurred before you acquired or formed the organization. c. Coverage B does not apply to"personal and advertising injury"arising out of an offense committed before you acquired or formed the organization. d. Coverage A does not apply to"product recall expense"arising out of any withdrawal or recall that occurred before you acquired or formed the organization. 4. Any person or organization(referred to below as vendor) with whom you agreed, because of a written contract or agreement to provide insurance is an insured, but only with respect to"bodily injury"or "property damage"arising out of"your products"that are distributed or sold in the regular course of the vendor's business. However, no such person or organization is an insured with respect 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`your 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; e. 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'Your products"; f. Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of'your product"; Includes copyrighted material of insurance Services Office, Inc, Page 6 of 10 CG 70 49 1109 g. "Your 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. h. "Bodily injury'or"property damage"arising out of the sole negligence of the vendor for its own ads 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. This insurance does not apply to any insured person or organization from which you have acquired'your products", or any ingredient, part, or container, entering into, accompanying or containing"your products". No person or organization is an insured with respect to the conduct of any current or past partnership,joint venture or limited liability company that is not shown as a Named Insured in the Declarations. 11. INCIDENTAL MALPRACTICE LIABILITY As respects provision 10., SECTION II-WHO IS AN INSURED, paragraph 2.a.(1)(d)does not apply to any nurse, emergency medical technician or paramedic employed by you to provide medical or paramedical services, provided that you are not engaged in the business or occupation of providing such services, and your "employee"does not have any other insurance that would also cover claims arising under this provision, whether the other insurance is primary, excess,contingent or on any other basis. Under SECTION III-LIMITS OF INSURANCE,provisions 12.through 14. of this endorsement amend the policy as follows: 12. AGGREGATE LIMITS PER PROJECT The General Aggregate Limit applies separately to each of your construction projects away from premises owned by or rented to you. 13. INCREASED MEDICAL PAYMENTS LIMIT AND REPORTING PERIOD A. The requirement under SECTION I-COVERAGE C MEDICAL PAYMENTS that expenses be incurred and reported to us within one year of the date of the accident is changed to three years. B. SECTION III- LIMITS OF INSURANCE,paragraph 7.,the Medical Expense Limit, is subject to all of the terms of SECTION III-LIMITS OF INSURANCE and is the greater of: 1. $10,000;or 2. The amount shown in the Declarations for Medical Expense Limit. C. This provision 13.does not apply if COVERAGE C MEDICAL PAYMENTS is excluded either by the t provisions of the Coverage Form or by endorsement. ' 14. DAMAGE TO PREMISES RENTED TO YOU—SPECIFIC PERILS A. The word fire is changed to"specific perils"where it appears in; 1. The last paragraph of SECTION I—COVERAGE A,paragraph 2. Exclusions; 2. SECTION IV, paragraph 4.b. Excess Insurance. B. The Limits of Insurance shown in the Declarations will apply to all damage proximately caused by the same event,whether such damage results from a "specific peril"or any combination of"specific perils." C. The Damage To Premises Rented To You Limit described in SECTION III-LIMITS OF INSURANCE, paragraph B., is replaced by a new limit, which is the greater of: 1. $1,000,000;or Includes copyrighted material of Insurance Services Office, Inc. CG 70 49 11 09 Page 7 of 10 2. The amount shown in the Declarations for Damage To Premises Rented To You Limit, D. This provision 14.does not apply if the Damage To Premises Rented To You Limit of SECTION I- COVERAGE A is excluded either by the provisions of the Coverage Form or by endorsement, Under SECTION IV-COMMERCIAL GENERAL LIABILITY CONDITIONS, provisions 15.through 17.of this endorsement amend the policy as follows: 15. KNOWLEDGE OF OCCURRENCE Under 2. Duties In The Event Of Occurrence, Offense, Claim, Or Suit, paragraph a. is deleted and replaced and paragraphs e.and f.are added as follows: a. You must see to it that we are notified as soon as practicable of an "occurrence"or an offense, regardless of the amount,which may result in a claim. Knowledge of an 'occurrence"or an offense by your .1 employee(s)"shall not, in itself, constitute knowledge to you unless one of your partners, members, "executive officers", directors, or managers has knowledge of the"occurrence"or offense. To the extent possible, notice should include: (1) How,when and where the"occurrence"or offense took place; (z) The names and addresses of any injured persons and witnesses; and (3) The nature and location of any injury or damage arising out of the"occurrence"or offense. e. If you report an"occurrence"to your workers compensation carrier that develops into a liability claim for which coverage is provided by the Coverage Form, failure to report such an"occurrence"to us at the time of the"occurrence"shall not be deemed a violation of paragraphs a., b.,and c.above. However,you shall give written notice of this"occurrence"to us as soon you become aware that this"occurrence"may be a liability claim rather than a workers compensation claim. f. You must see to it that the following are done in the event of an actual or anticipated"covered recall"that may result in"product recall expense": (1) Give us prompt notice of any discovery or notification that"your product"must be withdrawn or recalled. Include a description of"your product"and the reason for the withdrawal or recall; (2) Cease any further release,shipment, consignment or any other method of distribution of like or similar products until it has been determined that all such products are free from defects that could be a cause of loss under the insurance. 16. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS Paragraph 6. Representations is deleted and replaced with the following: 6. Representations By accepting this policy,you agree: a. The statements in the Declarations are accurate and complete; b. Those statements are based upon representations you made to us; c. We have issued this policy in reliance upon your representations;and d. This policy is void in any case of fraud by you as it relates to this policy or any claim under this policy. We will not deny coverage under this coverage part if you unintentionally fail to disclose all hazards existing as of the inception date of this policy. You must report to us any knowledge of an error or omission in the description of any premises or operations intended to be covered by the Coverage Form as soon as practicable after its discovery. However,this provision does not affect our right to collect additional premium or exercise our right of cancellation or nonrenewal. Includes copyrighted material of Insurance Services Office, Inc. Page 8 of 10 CG 70 49 11 09 17. TRANSFER OF RIGHTS (BLANKET WAIVER OF SUBROGATION) Paragraph 8.Transfer of Rights Of Recovery Against Others To Us is deleted and replaced with the following: 8. If the insured has rights to recover all or part of any payment we have made under this Coverage Form, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring "suit"or transfer those rights to us and help us enforce them. However, if the insured has waived rights to recover through a written contract, or if"your work"was commenced under a letter of intent or work order, subject to a subsequent reduction to writing with customers whose customary contracts require a waiver, we waive any right of recovery we may have under this Coverage Form. 18. EXTENDED NOTICE OF CANCELLATION AND NONRENEWAL Paragraph 2.b.of A.Cancellation of the COMMON POLICY CONDITIONS is deleted and replaced with the following: b. 60 days before the effective date of the cancellation if we cancel for any other reason. Under SECTION IV—COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 9.When We Do Not Renew is deleted and replaced with the following: 9. When We Do Not Renew If we decide not to renew this Coverage Part,we will mail or deliver to the first Named Insured shown in the Declarations written notice of the nonrenewal not less than 60 days before the expiration date. If notice is mailed, proof of mailing will be sufficient proof of notice. 19. MOBILE EQUIPMENT REDEFINED Under SECTION V-DEFINITIONS, paragraph 12. "Mobile equipment", paragraph f.(1)does not apply to self- propelled vehicles of less than 1,000 pounds gross vehicle weight. 20. DEFINITIONS 1. SECTION V—DEFINITIONS, paragraph 4."Coverage territory'is replaced by the following definition: "Coverage territory'means anywhere in the world with respect to liability arising out of"bodily injury," "property damage,"or"personal and advertising injury,"including"personal and advertising injury' offenses that take place through the Internet or similar electronic means of communication provided the insured's responsibility to pay damages is determined in a settlement to which we agree or in a"suit"on the merits, in the United States of America (including its territories and possessions), Puerto Rico and Canada. 2. SECTION V--DEFINITIONS is amended by the addition of the following definitions: 4i "Covered recall"means a recall made necessary because you or a government body has determined that a known or suspected defect,deficiency, inadequacy, or dangerous condition in"your product"has resulted or will result in"bodily injury'or"property damage". ' ( "Product Recall expenses"mean only reasonable and necessary extra costs, which result from or are related to the recall or withdrawal of"your product"for: a. Telephone and telegraphic communication, radio or television announcements, computer time and newspaper advertising; b. Stationery,envelopes, production of announcements and postage or facsimiles; c. Remuneration paid to regular employees for necessary overtime or authorized travel expense; d. Temporary hiring by you or by agents designated by you of persons, other than your regular employees,to perform necessary tasks; Includes copyrighted material of Insurance Services Office, Inc. CG 70 49 11 09 Page 9 of 10 e. Rental of necessary additional warehouse or storage space; f. Packaging of or transportation or shipping of defective products to the location you designate; and g. Disposal of'your products"that cannot be reused. Disposal expenses do not include: (1) Expenses that exceed the original cost of the materials incurred to manufacture or process such product;and (Z) Expenses that exceed the cost of normal trash discarding or disposal, except as are necessary to avoid"bodily injury"or"property damage". "Specific Perils"means fire; lightning; explosion;windstorm or hail;smoke; aircraft or vehicles; riot or civil commotion;vandalism;leakage from fire extinguishing equipment;weight of snow,ice or sleet;or"water damage". "Water damage"means accidental discharge or leakage of water or steam as the direct result of the breaking or cracking of any part of a system or appliance containing water or steam. "Work contract"means a written agreement between you and one or more parties for work to be performed by you or on your behalf. i l IF Includes copyrighted material of Insurance Services Office, Inc. Page 10 of 10 CG 70 49 11 09 Sonouost Development nf Pinellas County, Inc. Po|icy#CAo1O7S37OO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ |T CAREFULLY, FLORIDA ADVANTAGE COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement,the provisions of the Coverage Form apply unless modified by the endorsement. The premium for this endorsement/s 1. EXTENDED CANCELLATION CONDITION COMMON POLICY CONDITIONS- CANCELLATION, Paragraph A.2. is replaced by the following: 2. We may cancel this policy by mailing or delivering to the first Named Insured written notice of cancellation at least: a. 1O days before the effective date of cancellation if we cancel for nonpayment of premium;or b. 60 days before the effective date of cancellation if we cancel for any other reason. 2' BROAD FORM INSURED SECTION ((- LIABILITY COVERAGE A.1.WHO /S AN INSURED b amended by the addition of the following: 6' Any organization you newly acquire orfarn/. oiher than a partnership,joint venture or limited liability company, and over which you maintain ownciship or a majority interest, will quijify as a Named Insured. However, (1) Coverage under this provision is afforded only until the end of the policy period; (2) Coverage does not apply to"accidents"or"loss"that occurred before you acquired or formed the organization;and (3) Coverage does not apply to an organization that is an "insured"under any other policy or would be an 'inou/ed^but for its termination or the exhausting o/its limit nfinsurance. e. Any'emp|oyeo^of yours using: (1) A covered"auto"you do not own, hire or borrow, or a covered"auto" not owned by the"employee"nr a member of his or her household, while performing duties related to the conduct of your business or your personal affairs;o/ (2) An'^ao|o~hiradmrnen(edunderacmmLnacLnrag/eementintha/~emp/oyee's''name^ withyour penn/ssion. while performing duties related/ duu1u/your business. However,Your , ` e ^Y °duesnotqmo/ifyasanhnsuredunder|hispanagnaph(2) whUeusimgacovered~autn rented from you or from any member of the~emplayme's'hou Sell old, � t Your members, if you are a limited liability cornpany, while using a covered"auto"you do not own, hire, or borrow, while performing duties related to the conduct of your business or your personal affairs. g' Any person or Drgan(zation with whom you agree in a written con(ract, written agreement or permit, to provide insurance such asis afforded under this policy, but on)ywk)respect to your covered 'autos' This provision does not apply: (1) Unless the written contractor agreement is executed or the permit is issued prior to the"bodily injury' o/"property damoge''; includes copyrighted material of insurance Services Office, Inc. page1 of C/\71 71 05 Oo (2) To any person or organization included as an insured by an endorsement or in the Declarations;or r (3) To any lessor of^autos^unless: � (n) The lease agreement requires You 10 provide direct primary insurance for tile lessor; (W The^au0o^is leased without a driver; and (c) The lease had not expired. Leased"autos"covered under this provision will be considered covered"autos"you own and not covered ^autos"you hire. h. Any legally incorporated organization or subsidiary in which you own more than 50%of the voting stock on the effective date of this endorsement. This provision does not apply io"bodily injury"ur"property damage^fmrwhichan'1nsured^[sa|soan insured under any cither automobile policy or would be an insured.under such a policy,but for its termination or the exhaustion of its limits of insurance, unless Such policy was written to apply specifically in excess o/this policy. 3. COVERAGE EXTENSIONS-SUPPLEMENTARY PAYMENTS Under SECTION U LIABILITY COVERAGE,A.2.a.Supplementary Payments, paragraphs (2) and (4)are deleted and replaced with the following: (2) Up to$2500 for the cost of bail bonds (including bonds for related traffic law violations)required because o/pn^accident'*ecover. VVedo not have to furnish these bonds. (4) All reasonable expenses incurred by the "insured"at our request, including actual loss of earnings up to $5DOa day because nf time off from work. 4. AMENDED FELLOW EMPLOYEE EXCLUSION SECTION 11- LIABILITY COVERAGE,B. EXCLUSIONS, paragraph S. FELLOW EMPLOYEE is deleted and replaced by the following: "Bodily injury"hn any fellow" /oyee^ofthc"insured''ahsingoutofandinthecourseofthefeUnvv ^emp/nyea's~emp/oymentorwhi|eperfbnningdudesre/aLcdtoiheconductnfyourbusincss. Howevcr, dh/s exclusion does not apply W your^emp/oyees`that are officers o/managers if the"bodily injury"results from the use nfa covered''autn"you own, hire orborrow. Coverage is excess over any other collectible insurance. S. HIRED AUTO PHYSICAL DAMAGE COVERAGE AND LOSS OF USE EXPENSE A. Under SECTION III-PHYSICAL DAMAGE COVERAGE,A. COVERAGE,the following isadded: If any of your owned covcred"autos"are covered for Physical Damage, we will provide Physical Damage coverage to"autos"that you or Your"enployces"hire or borrow, under your name or the"employee's" name,for the Purpose o[doing your work. w/e will provide coverage equal to the broadest physical darnage coverage applicable to any covered"auto"shown in the Declarations, Item Three, Schedule of Covered Autos You Own, oron any cndorsemcnts amending this schedule. B. Under SECTION III- PHYSICAL DAMAGE COVERAGE,A.4. COVERAGE EXTENSIONS, paragraph 6. � Loss of Use Expenses is deleted and replaced with the following: b. Loss Of Use Expenses For Hired Auto P| ica|Damage. wanUbsayexpensesforwhichan'insured^becomes/ega/ly responsible to pay for loss of use of a vehicle rented or hired without a driver, under a written rental contract oragreement. YVe will pay for loss of use expenses if caused by: (1) Other than collision, only if the Declarations indicate that Comprehensive Coverage is provided foranycove/ed^auuo'; (2) Specified Causes of Loss, only if the Declarations indicate that Specified Causes CfLoss Coverage/s provided for any covered'auto^; or }ndudes copyrighted ma1cria/n//nsurance Services Office, Inc. Page 2oyO cA717105oO ' (3) Collision,only if the Declarations indicate that Collision Coverage is provided for any covered auto". ' However, the most we will pay for any expenses for loss of use is$30 per day,to a maximum of $2,000. C. Under SECTION IV—BUSINESS AUTO CONDITIONS, paragraph 5,16.Other Insurance is deleted and replaced by the following: b. For Hired Auto Physical Darnage Coverage, the following are deemed to be covered"autos"you own: 1. Any covered"aub»''you lease, hire, rent o/borrow;and 2. Any covered"auto"hired or rented by your 'employee"under a contrici in that individual "amp/nyee's'' with your permission,while perfortning duties related to the conduct of your business. However,any"auto"that is leased, hired,rented or borrowed with a driver is not a covered"auto", nor is any"auto"you hire from any of your"employees", partners (if you are a partnership), members (if you are a limited liability cmmpany).or members of their households. 6. LOAN ORLEASE GAP COVERAGE Under SECTION III-PHYSICAL DAMAGE COVERAGE,A'COVERAGE, the following isadded: If a covered"auto" is owned or lea5ed and if we provide Physical Damage Coverage on it, we will pay, in the event of a covered total"loss", any unpaid WT-10unt due on the lease or loan for-j covered"auto", less: (a) The amount paid under the Physical Damage Coverage Section of the policy;and (b) Any: (1) Overdue lease or loan payments including penalties, interest or other charges resulting from overdue payments at the time of the'1oss^; (2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; (3) Costs for extended warranties, Credit Life |nsurance' HeaAb'4ccidertorDisabUhy|naurance purchased with the loan orlease; (4) Security deposits not refunded bya lessor;and (5) Carry-over balances from previous loans orleases. 7, RENTAL REIMBURSEMENT SECTION III- PHYSICAL DAMAGE COVERAGE,A.COVERAGE, paragraph 4. Coverage Extensions is deleted and replaced by the following: 4. Coverage Extensions (m) We will pay up to$75 per day to a maximum of$2000 for transportation expense incurred by you because of covered"/nss''. VYe will pay only for those covered''autos"for which you carry Collision / Coverage or either Comprehensive Coverage or Specified CeWses of Loss Coverage. VVe will pay � for trans �abon expenses incurred during the par/od beginning 24 hours o�erthe covered"/oss" andending, regardless of the policy's expiration, when the covered"auto"is returned to use or we pay for its ^|oss''. This coverage is in addition to the otherwise applicable coverage you have on a covered"auto". Nn deductibles apply to this coverage. (6) This coverage does not apply while there is a spare or reserve "autn^available to you for your operation. Includes copyrighted material of Insurance Se/vices office, Inc. CA 71 71 05 08 Page of 0. AIRBAG COVERAGE /.- SECTION III-PHYSICAL DAMAGE,B. EXCLUSIONS, Paragraph 3. is deleted and replaced by the following: 1 We will not pay for"loss"caused by or resulting from any of the following unless caused by other"loss"that is covered by this insurance: a. Wear and tear,freezing,mechanical nr electrical breakdown. However,this exclusion does not include the discharge of an airbag. b. Blowouts, ctv esoro th er road damage totires. 9. GLASS RERA/R-VVA|VERDF DEDUCTIBLE . SECTION III~PHYSICAL DAMAGE COVERAGE,D' DEDUCTIBLE is amended to add the following: No deductible applies to glass damage. 10. COLLISION COVERAGE—WAIVER OFDEDUCTIBLE SECTION III-PHYSICAL DAMAGE COVERAGE,D. DEDUCTIBLE is amended to add the following: When there is a"foss"to your covered"auto"insured for Collision Coverage, no deductible will apply if the "1oss^was caused byo collision with another^au0o^insured byus, 11. KNOWLEDGE OFACCIDENT SECTION IV-BUSINESS AUTO CONDITIONS,A.LOSS CONDITIONS,2. DUTIES IN THE EVENT OF ACCIDENT, CLAIM,SUIT OR LOSS,paragraph a. is deleted and replaced by the following: a. You must see toh that we are nodfiedas soon as practicable ofan ^acddeni''' claim, ^su/C'or^|oss" Knowledge of an"accident", claim, "suit"or"loss"by your"employees"shall not, in itself, constitute knowledge to you unless one of your partners, executive officers, directors, managers, or members (if you are a limited liability company) has knowledge of the"accident", claim, "suit"or"loss". Notice should include: (1) How, when and where the^accident"cvJoss^occurred; (2) The 1nsuoed's^name and address;and (3) Tothe extent possible, the names and addresses of any injured persons and witnesses. 12. TRANSFER OF RIGHTS (BLANKET WAIVER OF SUBROGATION) SECTION |V-BUSINESS AUTO CONDITIONS/\.5.TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TOUBis deleted and replaced by the following: If any person or organization to or for whom we make payment under this Coverage Form has rights to recover damages from another,those rights are transferred tous. That person or organization must doeverything necessary to secure our rights and must do nothing after"accident"or"loss"to impair them. However,if the insured has waived rights to recover through a written contract, or if your work was commenced under a letter of intent or work order, Subject to a subsequent reduction in writing with customers whose customary contracts require a waiver,we waive any right of recovery we may have under this Coverage Form. 13. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS SECTION |V-BUSINESS AUTO CONDITIONS, B. GENERAL CONDITIONS,2. CONCEALMENT, MISREPRESENTATION OR FRAUD is amended by the addition of the following: We will not deny coverage under this Coverage Form if you unintentionally fail to disclose all hazards existing osof the inception date of this policy. You must report tous any knowledge o/on error nr omission /nyour representations as soon as practicable after its discovery. l his provision does not affect our right to collect additional premium or exercise our right of cancellation ornon'renewa|. Includes copyrighted material of/nsurance Services Office, Inc. Page 4of6 CA7171O5O8 14. AUDIO,VISUAL AND DATA ELECTRONIC EQUIPMENT COVER-AGE SCHEDULE Description of Covered '\Autu": Limit of Insurance Deductible $500 $250 A. Coverage 1. We will pay, with respect to a covered"auto"described in the above Schedule,for"loss"to any electronic equipment that receives or transmits audio,visual or data signals and that is not designed solely for the reproduction ofsound. This coverage applies only[f the equipment(spermanently installed in the covered^autm''at the Umeof tile~loss'orU-le /s removable from ahousing unit that ispeumanentiy installed in the covered''auLo''at(he time of'1mss^. and such equipment|s designed to be solely ope.rated by use of the power from the"auto's"electrical system, in or upon the covered"auto". 2. We will pay,with respect to a covered"auto"described in the above Schedule,for"loss"to any accessories used with the electronic equipment described in paragraph A.1.above, However, this does not include tapes, records ordiscs. B. Exclusions —�— For purposes ofthispmvision14'theexc/us/onsthata 0u Physical Damage C*vo�ge. except for the exdu7 --dngtuAvd/u,Wsua|andDataE/ectronic Equipment, also apply 0o coverage,provided bythis endorsement. in addition,the following exclusions apply: We will not pay, under this endorsement,for either any electronic equipment or accessories used with such electronic equipment that is: I. Necessary for the normal operation of the covered'-'auto"or the monitoring of the covered"auto's" operating system;or 2. Both: a. An integral part of the same unit housing any sound reproducing equipment designed solely for the reproduction of sound if the sound reproducing equipment is perfmanently installed in the covered^auto"; and b. Permanently installed in the opening of the dash or console normally used by the manufacturer for the installation ofaradio. 3. A device designed or used to detect speed measuring equipment such as radar or laser detectors or a jamming apparatus intende61oe|udeorclisrupispeedmeasunemen1equ|pment. whether permanently installed or temporarily mounted inoron the covered ''auto^. C. Limit ofInsurance , With respect/o coverage under ' ion14. o(Uh/sendo/sement. dheL/mitof/nsumncepmviskonof Physical Damage Coverage/s replaced by the fm|owhng: 1. The most we will pay for all"loss"to audio, visual or data electronic equipment and any accessories used with this equipment, as described in paragraph A. above, as a result of any one"accident", is the lesser of: a. The actual cash value of the damaged or stolen property as of the time of the"loss"; or b. The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality;or C. The amount shown in the Schedule. includes copyrighted material of insurance Services Office, Inc. CA 71 71 05 08 Page of 2. An adjustment for depreciation and physical condition will be made in determining actual cash value at the time of the 1oss^ ~' . � 3. If a repair or replacement results in better than like kind or quality,we will not pay for the amount of betterment D. Deductible t If"loss"to the audio,visual or data electronic equipment or accessories used with this equipment,as described/n paragraph/i above,is the result ofa"loss''10 the covered^auto^under this Coverage Form's Comprehensive or Collision Coveragej then for each covered"auto"our obligation to pay for, repair,return or replapeclarnaged orsto/enpmpahyvvU|beoeducedby1heappUca6|ededucdb|e shown/n the Declarations. Any Comprehensive Coverage deductible shown in the Declarations does not apply to''/oss^10 audio,visual ordata electronic equipment caused by fire urlightning. 2' If"loss"to the audio,visual or data electronic equipment or accessories used with this equipment, as described/n paragraph A.above, io the result of a''/oss''to the covered^auto''under this Coverage Form's Spec/fiedCauses of Loss Coverage,then for each covered''auto''our obligation to pay for, repair, return or replace damaged or stolen property will be reduced by the applicable deductible shown/n the Schedule nf this endorsement. 3. /f''/oss''occurs solely to the audio,visual or data electronic equipment or accessories used with this equipment,as described in paragraph A. above,then for each covered"auto"our obligation to pay for, repair,return or replace damaged or stolen property will be reduced by the applicable deductible shown in the Schedule of this endorsement. 4. /n the event that there is more than one applicable deductible,only the highest deductible will apply. /nnn event will more than one deductible apply. E. When This Provision Becomes Void This provision, AUDIO,VISUAL AND DATA ELECTRONIC EQUIPMENT C{>VER-AGE, /s void JCA99 60, Audio, Visual And Data Electronic Equipment Coverage, is attached to the policy. includes copyrighted maoeria/of Insurance Services Office, Inc, Page bof6 cA7171Q508 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule "Any person or organization required by written contract or certificate of insurance," "This endorsement is not applicable in California, Kentucky, New Hampshire, New Jersey, Texas and Utah." "This endorsement does not apply to policies in Missouri where the employer is in the construction group of code classifications. According to Section 287.150(6)of the Missouri Statues,a contractual provision purporting to waive subrogation rights is against public policy and void where one party to the contract is an employer in,the construction group of code classifications," s This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement Is issued subsequent to preparation of the policy.) Endorsement Effective 01/01/2018 Policy No. WC210733900 Endorsement No. Insured Premium S Suncoast Development of Pinellas County, Inc. r Insurance Company Countersigned by Amerisure Mutual Insurance Company WC 00 03 13 F-0ar!Porrns&Servloea (Ed. 4-84) Copyright 1983 National Council on Compensation Insurance. Roeder No,14-480e wm — f-ndomeenwo)l Non'rl,er' rr rr titer/l its 6rf£°Et Suncoast Development of Pinellas County Inc rtfecs ve Date of endorsement Pol Policy sym o€ r'olrcy rJ'kimber t olit:y r'ecitxJ -I G46808836 001 09/17/2017 to 09/17/2018 09/17/2017 ltisued sy[N+;-Js7 re oP Insrararrt e cor9taarryt Westchester Surplus Lines Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ENDORSEMENT OWNERS, LESSEES OR CONTRACTORS_SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE CONTRACTOR'S POLLUTION LIABILITY COVERAGE SCI.1EDULE:: t4 Cl lr of PErranrrtq�anizatian Any person or organization that is an owner of real property car°personal property on which you cAre performing oper 1tiol1 s,tsar a contra,cloor on whose tacha[f you are performing operations, and only at the sper:ittl•.;written request of su such 1, rson or organization to you, wherein such request is made prior,to coniniencement of operations. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. SECTION If - WHO IS AN INSURED is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2. Exclusions This insurance does not apply to bodily injury or property damage occurring after: (1) All work, including materials, parts or equipment furnished in connection with such work, on the project (father than service, rraaintr}nR.Irrce or rr,pairs) to be perfo-rnied by or on behalf of the additional inskfred�s) at the site cif the coveted operations has been c.on1 eted; or l (2) That portion of your work otlt of wl,iich the injury or damage arises has been put to its intended use by any person or organization other flian another contractor or subcontractor engaged in performing r operations fora principal as a Dart of thr= sanie project. ENV-3100(08-04) Includes copyrighted material of insurance Services Office, Inc.with its permission Page 1 of 1 hl Insulted Lnriau'��snt umber Suncoast Development of Pinellas County Inc ECP�>yij��i w. n`'°s� Num836 001 09/17/2017 to.09/1 rn,.— rrr4r.RiN�ta;,le gc r=n��,g..a��,�:r;t �� 7/2018 09/17/2017 G46808 y rssrscr9 r;y{tlarcae tat Rnsuraw�oe Company) Westchester Surplus Lines Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE Narrit €1f R'�rs[ar ��r Or[5 ,?r+'sliow Any person or organization that is an yawner of real property or personal property on which you are performing operations,or a contractor on whose behalf you are performing operations, and only at the specific written request of such I°)erson or organization to you,wherein such request is made prior to conan-Rencement of operations, (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition is amended by the addition of the following: We waive any right of recovery we may have against the person or organization Shown ill tine Schedule above because of payments we make for injury or dada ge aT sing ot.rt of Your ongoing, operations or your work done under a contract with tliat person or organixration and included in the products-completed operations fhazard. This waiver applies only to the person or organiz atior'r shown in the Schedule above. All other terms and conditions remain the same. t;; 4 ENV-3143(03-05) Includes copyrighted material of Insurance Services Office, Inc.with its permission rage 1 of 1