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KAPOK TERRACE SANITARY SYSTEM PROJECT - 15-0036-UT - CERTIFICATE OF LIABILITY INSURANCE (3) 0 DATE(MM/DD/YYYY) AC"IR CERTIFICATE OF LIABILITY INSURANCE 12/21/2018 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 NAME' Wendy Hingson VTC Insurance Group PHONE F r (239)275-8226 N� ,w _..._. Troy Office E-MAILss whingson@vtcins.com 1175 W Long Lake Road, #200 INSURER(S)AFFORDING COVERAGE NAIC if Troy MI 48098 iNSURrRAAmerisure Insurance Company X19488 a ........... ..,.- .. .a.� INSURED INSURER B Amerisure Partners Insurance Comp 11050 .�. - _ Suncoast Development of Pinellas County, Inc. INSURER c Travelers Prop. Casualty.Cc of Amer 23396 2340 Destiny Way INSURER Odessa, Florida 33556 INSURER E _ INSURER F: COVERAGES CERTIFICATE NUMBER:2019 - 2020 All Lines 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. IMM` ....... ADL`II_ UEI ,.. ._..... ........ - POLICY EFF POLICYEXP .....– --... __,.... ,...._...... INSFt TYPE OF INSURANCE Inlcn WV,n POLICY NUMBER IMMIDn/Y,YYY) rMMmnnVVn LIMITS LTR X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 "` .hAtv#AGE TO RLNIFf3 ---- A ' CLAIMS-MADE 1 X OCCUR incXCU Grazzlra 4asa1 100,000 JX X Y CPP2107338 1/1/2019 1/1/2020 MED EXP(Any one person) $ 15,000 . _ Liablity/Broad E'Qx:ra PD PERSONAL&ADV INJURY $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: E $ 2,000,000 11 PRO- COMP GENERAL -, /,PAGG $ 2,000,000 POLICY X JECT LOC PRODUCTS OMP/O _ _. 04I tER. _ $ AMOBILE LIABILITY (,OMNINE'CI,.UMIT $ 1,000,000 UTO (f•.- 111 1de.11}I X ANY AUTO BODILY INJURY(Per person) $ B --. -w ALL OWNED SCHEDULED AUTOS X AUTOS HIRED AUTOS X y CA2107337 1/1/2019 1/1/2020 BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE X X rear arndPn9) $ AUTOS _. -. �....... . ..-......._ PIP-Basic $ UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 4.00 EXCESS LlAB 0 000 —� CLAIMS-MADE ZUP91M7304A 1/1/2019 1/1/2020 AGGREGATE $ 4,000 000 X DED RETENTION$ 0 FOLLOWS GL,AUTO,WORK COMP $ X WORKERS COMPENSATION I X STATI ITF I I OFRH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $ 1,000 000 OFFICEtory In ER EXCLUDED? N 'N/A WC2107339 1/1/2019 1/1/2020 EL DISEASE EA EMPLOYEE:$ 1,000,000 A (Mandatory In NH) Y —,-._ If as,describe under — DESCRIPTION OF OPERATIONS below F1 DISEASE-POLICY LIMIT I$ 1,000,000 A Inland Marine CPP2107338 1/1/2019 1/1/2020 Loeased/REtned Equipment $300,000 Any One item DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Project: Kapok Terrace Sanitary System, Project #15-0035-UT Where required by written contract, the City of Clearwater is addrl insured for General Liability (GL) as respects ongoing & completed operations on a primary & non-contributory basis and add°1 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 stephanie.sansom@myclearwa SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Clearwater THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P O Box 4748 ACCORDANCE WITH THE POLICY PROVISIONS. Clearwater, FL 33758-4748 - - - -- AUTHORIZED REPRESENTATIVE Alan Chandler/V510 0198 2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) DATE(MM/DD/YYYY) CERTIFICATE 9/17/2018 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 endorsements . --- PRODUCER CONTACT clnc3y3�igan �iAMG. ..._ __.xAX ru... ..,.... VTC Insurance EXt)Group PHONE (239)275-8226 AlAdl ...� Ft. Myers Office MAIL s.whingson@vtcins.com _ -m. 6820 Porto Fino Circle Ste 2 INSURER s AFFORDING COVERAGE -.- Ft Myers FL 33912 tNsurtlnn A.Colgj�y Insi rcance C�an INSURED INSURER B: — ------ Suncoast Development of Pinellas County, Inc. _INS RE0C 2340 Destiny Way INSURER 1). „„ .m Odessa, Florida 33556 INSUR, R E; .I INS HER F COVERAGES CERTIFICATE NUMBER.2018-19 Poll/Prof Liab 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. ' U 5 BR-' .�_ -.-.-. _.,...� POLICY EFF POLICY EXP"IN_SR "TYPE OF INSURANCE POLICYNUMSER tM&fiLYYY LIMITS L R _ YY3 32ofYYY - @@ - COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE Im$ RENTED $ CLAIMS-MADE E]OCCUR ,{RE kSES„(fie r c srrt .. mED EXP(Argy one Izcr;,on, $ PF 1SONAL#L V INJUHY.. ,.�. I GENT AGGREGATE LIMIT APPLIES PER: LFNERAl,AGGREGATE $I POLICY PRL) LOC PRODUCTS-COMPIOP AGG .y JECT IER COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY LE,. Uc dlk E7 - BODILY INJURY(Per person) $ ANY AUTO ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED P A7F FRrY DAM1tE $ HIRED AUTOS AUTOS Lac Ic#an $ UMBRELLA LIAB OCCUREACH C)GC4JddRENGE 5 EXCESS LIAB CLAIMS•MADE AGGREGATE ...,_ .._ I7fIIA HIIENTI7M_ $ -- PER OTIC• E WORKERS COMPENSATIONA'Fkalf - AND EMPLOYERS'LIABILITY Y/N ANY Ppol-lRR IETO1pARI NEE;IIEXk.t t,j I VL E,L EACH ACCIDENT 0WI ERWEMBER EXCLUDED? N/A El,DISEASE—EA EIv1FLOYr {Mandatory In NH) It yes rtes+�rlLrr:under ....�,L DI.71.ASE POLIL:Y LBhrii7 DESCHIPTiON Or OIIERATIONS bobw ----__ A Pollution Liability and X Y CPLUS 422 3424 11/09/2016 11/09/2019 $1,000,000 Per Occurrence $10,000 Professional Liability $1,000,000 Per Claim Deductible DESCRIPTION OF OPERATIONS t LOCATIONS t 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. i i 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 ACCORDANCE WITH THE POLICY PROVISIONS. Engineering Department Construction Office Specialist AUTHORIZED REPRESENTATIVE P O BOX 4748 Clearwater, FL 33758-4748 Wendy Hingson/V510 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD IS025(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 CPP2107338 01/01/2019 Policy Expiration Date Date Account Number 01/01/2020 12/21/2018 Named Insured Agency Issuing Company SUNCOAST DEVELOPMENT OF V T C INSURANCE GROUP AMERISURE INSURANCE PINELI.AS COUNTY INC 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 narned as additional insureds; we will provide additional insured status as specified in this endorsement. 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 part, by: (1) Premises you: (a) Own; (b) Rent; (c) Lease; or t (d)Occupy; (2) Ongoing operations performed 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 (4 All work performed by you or on your behalf for the additional insumd$> atthe site ofthe coved operations iscomplete, including related materials, parts orcqwipment (other than service, maintenance urapa|rs); or (b) That portion of`YOW'work"out of which the injury or,darnage arises is put to its intended use by v 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: (e) The written contract, written agreement, or certificate ofinsurance requires completed operations coverage o/"your work"coverage;and (b) This coverage part provides coverage for"bodily injury"nr"properly damage"included within the''pmduc1s-cmmp/etedoperations hazand^ However,the insurance afforded to such additional insured only applies to the extent permitted by law. b. |fthe written contract, written agreement, orcertificate ofinsurance: (1) Requires"arising out of'language; or (2) Requires you to provide additional insured Coverage to that person or organization by the use of either urboth ofthe following: (a) Additional Insured—Owners, Lessees or Contractors—Scheduled Person Or Organization endorsement CG2O1O1OO1;o/ (6) Additional |nsured—Ownecs. Lessees orContractors—Completed operations endorsement CG 28371001; then the phrase'caused. in whole orin part, b/'in paragraph 2.a. above is replaced by"arising out or'. C. If the written contract, written agreement, or certificate of insurance requires you to provide additional insured coverage tothat person ororganization bythe use of: (1) Additional Insured—Owners, Lessees or Contractors—Scheduled Person Or Organization [ endorsement[GZ01OO7O4urCG201OO413; or (2) Additional Insured—Owners, Lessees orContmctors—Comp|cted Operations endorsement CG ZO 370704o/CG 20370413;or (3) Both those endorsements with either ofthose edition dates; nr (4) Either orboth ofthe following: (a) Additional Insured—Owners, Lessees or Contractors—Scheduled Person Or Organization endorsement CG 2O1Owithout anedition date specified; or (b) Additional Insured—Owners, Lessees or Contractors—Completed Operations endorsement CG 2O37without anedition date specified; then paragraph Z.a. above applies. d. Pnemises, as respects paragraph 2.a<1) obnve, include common orpublic areas about such premises if smrequired inthe written contract orwritten agreement. �. Additional insured status provided under paragraphs 2.a.(1)(b) or 2.a.(1)(c) above does not extend beyond the end ofapremises lease orrental agreement. t The limits of insurance that apply to the additional insured are the least of those specified in the: (1) Written contract; (Z) Written agreement; (3D Certificate o{insurance; nr (4) Declarations ofthis policy. � Y The limits of insurance are inclusive of and not in addition to the limits of insurance showrl ill the Declarations. Page Zof4 Includes copyrighted matchInsurance Services � cc. Inc. CG7U4o1O1s g. The insurance provided iothe 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 torender,any professional semices, including but not limited to: (1) The preparing, approving, orfailing hoprepare orapprove: (a) Maps: (b)Drawings; (c)Opinions; (d)Reports; (e) Surveys; (0 Change orders; (g) Design specifications; and (2) Supervisory, inspection, orengineering services. h. SECTION IV—COMMERCIAL GENERAL LIABILITY CONDITIONS, paragraph 4. Other Insurance is de/ete6and/ep|acedwbhthefoUowing: 4. Other Insurance. Coverage provided by this endorsement is excess over any other valid and collectible insurance available 0othe additional insured whether: a. Primary; b. Excess: c. Contingent; or 6. Onany other basis; � but if the written contract, written agreement, or certificate of insurance requires primary and non- LUI itilbu(uiy cuvei�yL% this ii Isurance will be primary and non-contributory relative to other in3urance available tothe aJ a/insuned*hichcoveothagpersonoro/genizodonasaNamoj |nsuoed. end wewill not share with that other insurance. i If the written contract, written agreement, or certificate of insurance as outlined above requires additional insured status byuse ofCG20 1D1185. then the coverage provided under this CG7048endorsement does not apply except for paragraph Z.h. Other Insurance, Additional insured status islimited 1othat provided byCG 2O1O ?185shown 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 8S apply (If no entry appears above, information required to complete this endorsement wilt 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 ufInsurance Services Office, Inc, CG70481O15 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, +`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#CPP2107338 01/01/2019- 01/01/2020 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FLORIDA CONTRACTORS GENERAL LIABILITY EXTENSION ENDORSEMENT TABLE OF CONTENTS Page 1. Additional Definitions 9 2_ Aggregate Limits Per Location 7 3, Aggregate Limits Per Project 7 4. Blanket Contractual Liability–Railroads 3 5. Broadened Bodily Injury Coverage 11 6. Broadened Knowledge Of Occurrence 8 7. Broadened Legal Liability Coverage For Landlord's Business Personal Property 8 8 Broadened Liability Coverage For Damage To Your Product And Your Work _ – 10 9. Broadened Who Is An Insured 3 10. Contractual Liability–Personal And Advertising Injury 3 11. Damage To Premises Rented To You –Specific Perils and Increased Limit 7 12. Designated Completed Projects–Amended Limits of Insurance 11 13. Incidental Malpractice Liability 7 .._..— u__._. ___.... _ .... _. 14. Increased Medical Payments Limit And Reporting Period 7 . , ._... __..am. 15. Mobile Equipment Redefined 9 16. Nonowned Watercraft And Nonowned Aircraft (Hired, Rented Or Loaned With Paid Crew) 3 17. Product Recall Expense 2 18. Property Damage Liability–Alienated Premises 2 19. Property Damage Liability– Elevators And Sidetrack Agreements 2 20. Property Damage Liability–Property Loaned To The Insured Or Personal Property In The Care, 2 Custody And Control Of The Insured 21. Reasonable Force –Bodily Injury or Property Damage 22. Supplementary Payments 3 23. Transfer Of Rights (Blanket Waiver Of Subrogation) 9 24. Unintentional Failure To Disclose Hazards 8 s t?, Includes copyrighted material of Insurance Services Office, Inc. CG 72 89 04 17 Page 1 of 11 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 are excess over any valid and collectible insurance (including any deductible) available to the insured, whether primary, excess or contingent(SECTION IV— COMMERCIAL GENERAL LIABILITY CONDITIONS, paragraph 4. Other Insurance is changed accordingly). Provisions 1. through 6. of this endorsement amend the policy as follows: 1. PROPERTY DAMAGE LIABILITY—ALIENATED PREMISES 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. 2. 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. Liability assumed under a sidetrack agreement. 3. PROPERTY DAMAGE LIABILITY—PROPERTY LOANED TO THE INSURED OR PERSONAL PROPERTY IN THE CARE, CUSTODY AND CONTROL OF THE INSURED A. Exclusion j. Damage to Property, paragraphs (3) and (4) are deleted. B. Coverage under this provision 3. does not apply to "property damage"that exceeds$25,000 per occurrence or$25,000 annual aggregate. 4. 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; 5. 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. B. Under SECTION III—LIMITS OF INSURANCE, paragraph 3. is replaced in its entirety as follows and paragraph 8. is added: 3. The Products-Completed Operations Aggregate Limit is the most we will pay for the sum of: Includes copyrighted material of Insurance Services Office, Inc. Page 2 of 11 CG 72 89 04 17 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". 8. Subject to paragraph 5. above [of the CGL Coverage Form), $25,000 is the most we will pay for all "product recall expenses" arising out of the same defect or deficiency. 5. 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: [This exclusion does not apply to:) (2) A watercraft you do not own that is: (a) Less than 75 feet long; and (b) Not being used to carry any person or property for a charge; Exclusion g. Aircraft,Auto or Watercraft, paragraph (6) is added as follows: [This exclusion does not apply to:) (6) An aircraft you do not own, provided that: (a) The pilot in command holds a currently effective certificate issued by the duly constituted authority of the United States of America or Canada, designating that person as a commercial or airline transport pilot; (b) The aircraft is rented to you with a trained, paid crew; and (c) The aircraft is not being used to carry any person or property for a charge. 6. BLANKET CONTRACTUAL LIABILITY—RAILROADS Under SECTION V—DEFINITIONS, paragraph c. of"Insured Contract" is deleted and replaced by the following: c. Any easement or license agreement; 'Under SECTION V—DEFINITIONS, paragraph f.(1) of"Insured Contract" is deleted. 7. CONTRACTUAL LIABILITY—PERSONAL AND ADVERTISING INJURY Under SECTION I—COVERAGE B., paragraph 2. Exclusions, paragraph e. Contractual Liability is deleted. 8. 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 $5,000 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. r 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 $1,000 a day because of time off from work. 9. BROADENED WHO IS AN INSURED SECTION II—WHO IS AN INSURED is deleted and replaced with the following: 1. If you are designated in the Declarations as: Includes copyrighted material of Insurance Services Office, Inc. CG 72 89 04 17 Page 3 of 11 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 orjoint 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. 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 10. of this endorsement. (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. 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. Includes copyrighted material of Insurance Services Office, Inc. Page 4 of 11 CG 72 89 04 17 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. 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. Any person or organization, including any manager, owner, lessor, mortgagee, assignee or receiver of premises, to whom you are obligated under a written contract to provide insurance such as is afforded by this policy, but only with respect to liability arising out of the ownership, maintenance or use of that part of any premises or land leased to you, including common or public areas about such premises or land 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 or lease that premises or land; or (2) Structural alterations, new construction or demolition operations performed by or on behalf of such person or organization. g. 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." h. Any person or organization who is the lessor of equipment leased to you to whom you are obligated under a written contact to provide insurance such as is afforded by this policy, but only with 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. L Any architect, engineer, or surveyor engaged by you under a written contract but only with respect to liability arising out of your premises or"your work." 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 i. does not apply if a separate Additional Insured endorsement providing liability coverage for architects, engineers, or surveyors engaged by you is attached to the policy. If the written contract, written agreement, or certificate of insurance requires primary and non-contributory " coverage, the insurance provided by paragraphs f. through i. above 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 we will not share with that other insurance. Includes copyrighted material of Insurance Services Office, Inc. CG 72 89 04 17 Page 5 of 11 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 under a written contract 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"; 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 acts or omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not apply to: (1) The exceptions contained in subparagraphs d. orf.; or (2) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products. This paragraph 4. does not apply to any insured person or organization from which you have acquired "your product", or any ingredient, part, or container, entering into, accompanying or containing "your , product'. This paragraph 4. also does not apply if a separate Additional Insured endorsement, providing liability coverage for"bodily injury" or"property damage"arising out of"your product"that is distributed or 'I sold in the regular course of a vendor's business, is attached to the policy. 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. Includes copyrighted material of Insurance Services Office, Inc. Page 6 of 11 CG 72 89 04 17 10. INCIDENTAL MALPRACTICE LIABILITY As respects provision 9., SECTION II—WHO IS AN INSURED, paragraph 2.a.(1)(d) does not apply to any "employee"who provides incidental medical or paramedical services, provided that you are not engaged in the business or occupation of providing such services. This incidental malpractice coverage is excess over any available medical professional liability coverage. Under SECTION III—LIMITS OF INSURANCE, provisions 11. through 14. of this endorsement amend the policy as follows: 11. 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. 12. AGGREGATE LIMITS PER LOCATION The General Aggregate Limit applies separately to each of your locations, but only when required by written contract, written agreement or certificate of insurance. As respects this provision 12., your locations are premises you own, rent or use involving the same or connecting lots or premises whose connection is interrupted only by a street, roadway, waterway or right-of-way of a railroad. However, your locations do not include any premises where you, or others acting on your behalf, are performing construction operations. 13. INCREASED MEDICAL PAYMENTS LIMIT A. 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. B. This provision 13. does not apply if COVERAGE C MEDICAL PAYMENTS is excluded either by the provisions of the Coverage Form or by endorsement. 14. DAMAGE TO PREMISES RENTED TO YOU—SPECIFIC PERILS AND INCREASED LIMIT A. The word fire is changed to "specific perils"where it appears in: 1. The last paragraph of SECTION 1—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 6., is replaced by a new limit, which is the greater of: 1. $1,000,000; or 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 SECTIONI— COVERAGE A is excluded either by the provisions of the Coverage Form or by endorsement. E. "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 I 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. Includes copyrighted material of Insurance Services Office, Inc. CG 72 89 04 17 Page 7 of 11 15. BROADENED LEGAL LIABILITY COVERAGE FOR LANDLORD'S BUSINESS PERSONAL PROPERTY Under SECTION I—COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions,j. Damage to Property, the first paragraph following paragraph (6) is deleted and replaced with the following: Paragraphs (1), (3) and (4) of this exclusion do not apply to"property damage" (other than damage by fire) to a landlord's business personal property that is subject to, or part of, a premises lease or rental agreement with that landlord. The most we will pay for damages under this provision 15. is$10,000. A$250 deductible applies. Under SECTION IV—COMMERCIAL GENERAL LIABILITY CONDITIONS, provisions 16.through 18.of this endorsement amend the policy as follows: 16. BROADENED 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 "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; (2) The names and addresses of any injured persons and witnesses; and (3) The nature and location of any injury or damage arising out of the"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 this 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. 17. 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. Includes copyrighted material of Insurance Services Office, Inc. Page 8 of 11 CG 72 89 04 17 We will not deny coverage under this Coverage Form 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 this 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. 18. 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, 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. ADDITIONAL 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: "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; 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 (2) Expenses that exceed the cost of normal trash discarding or disposal, except as are necessary to avoid "bodily injury" or"property damage". Includes copyrighted material of Insurance Services Office, Inc. CG 72 89 04 17 Page 9 of 11 21. REASONABLE FORCE—BODILY INJURY OR PROPERTY DAMAGE Under SECTION I—COVERAGE A., paragraph 2. Exclusions, subparagraph a. Expected Or Intended Injury is deleted and replaced with the following: [This insurance does not apply to:] a. Expected Or Intended Injury "Bodily injury" or"property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to"bodily injury"or"property damage" resulting from the use of reasonable force to protect persons or property. 22. BROADENED LIABILITY COVERAGE FOR DAMAGE TO YOUR PRODUCT AND YOUR WORK A. Under SECTION I—COVERAGE A., paragraph 2. Exclusions, exclusion k. Damage to Your Product and exclusion I. Damage to Your Work are deleted and replaced with the following: [This insurance does not apply to:] k. Damage to Your Product "Property damage"to"your product" arising out of it or any part of it, except when caused by or resulting from: (1) Fire; (2) Smoke: (3) "Collapse"; or (4) Explosion. For purposes of exclusion k. above, "collapse" means an abrupt falling down or caving in of a building or any part of a building with the result that the building or part of the building cannot be occupied for its intended purpose. I. Damage to Your Work "Property damage"to"your work"arising out of it or any part of it and included in the"products- completed operations hazard". This exclusion does not apply: (1) If the damaged work or the work out of which the damage arises was performed on your behalf by a subcontractor; or (2) If the cause of loss to the damaged work arises as a result of: (a) Fire; (b) Smoke; (c) "Collapse"; or (d) Explosion. For purposes of exclusion I. above, "collapse" means an abrupt falling down or caving in of a building or any part of a building with the result that the building or part of the building cannot be occupied for its intended purpose. B. The following paragraph is added to SECTION III—LIMITS OF INSURANCE: Subject to 5. above fof the CGL Coverage Form], $100,000 is the most we will pay under Coverage A for the sum of damages arising out of any one "occurrence" because of"property damage"to "your product" and "your work" that is caused by fire, smoke, collapse or explosion and is included within the "product- completed operations hazard". This sublimit does not apply to"property damage" to "your work" if the damaged work, or the work out of which the damage arises, was performed on your behalf by a subcontractor. Includes copyrighted material of Insurance Services Office, Inc, Page 10 of 11 CG 72 89 04 17 23. BROADENED BODILY INJURY COVERAGE Under SECTION V—DEFINITIONS, the definition of"bodily injury" is deleted and replaced with the following: 3. "Bodily injury" a. Means physical: (1) Injury; (2) Disability; (3) Sickness; or (4) Disease; sustained by a person, including death resulting from any of these at any time. b. Includes mental: (5) Anguish; (6) Injury; (7) Humiliation; (8) Fright; or (9) Shock; directly resulting from any"bodily injury" described in paragraph 3.a. c. All"bodily injury" described in paragraph 3.b. shall be deemed to have occurred at the time the "bodily injury" described in paragraph 3.a. occurred. 24. DESIGNATED COMPLETED PROJECTS—AMENDED LIMITS OF INSURANCE When a written contract or written agreement between you and another party requires project-specific limits of insurance exceeding the limits of this policy; A. for"bodily injury"or"property damage"that occurs within any policy period for which we provided coverage; and B. for"your work" performed within the"products-completed operation hazard"; and C. for which we previously issued Amendment Of Limits Of Insurance (Designated Project Or Premises)CG 71 94 either during this policy term or a prior policy term; and D. that designated project is now complete; the limits of insurance shown in the CG 71 94 schedule will replace the limits of insurance of this policy for the designated project and will continuo to apply for the amount of time: the written contract or written agreement requires, subject to the Florida 10-year statute of repose These limits are inclusive of and not in addition to the replaced limits. a "i psi Includes copyrighted material of Insurance Services Office, Inc. CG 72 89 04 17 Page 11 of 11 SunooaetDevelopment cfPinellas County, Inc. Po|icy#CA2iO7337 01/01C2019- 01/01/2020 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ /TCAREFULLY. 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 hythe endorsement. The premium for this endorsement is 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. 10 days before the effective date of cancellation if we cancel for nonpayment of premiurn; or b. 60 days before the effective date of cancellation if we cancel for any other reason. 2. BROAD FORM INSURED SECTION V- LIABILITY COVERAGE A.1.WHO /S/\N INSURED isamended bythe addition ofthe following: d Any o/gaobabonyou ncw�acquire orform, othc/than apaoncrship.joint ventmneor|imhcd|iabUity ' company, and over which you maintain ownership or a majoi ity interest,will qualify as a Named Insured, However, (1) Coverage under this provision isafforded only until the end u/the policy pariod� (2) Coverage does not apply to^accidents''or''|uss''that occurred before you acquired orformed the organization;and (3) Coverage does not apply toanorganization that isan''insuved''under any other policy orwould bean ~insnucd''bmforitsuann)nabonordheexhaushngofits |im/tofinsucancc. m. Any^emp/oyee^ofyours using: (1) Acovcned''auto''you(Jono/own. hiraorbormw, oracovened''aum''notnwnedbythe^enVdmyee''or a member of his or I ter household, while performinci duties relaled to the conduct of your business or your personal affairs; or (2) At)^aufo~h4ednrrented under cun[rac( uragreomen|>n that'emp4oyee's^name, aithyuur lien n/ssia,n. mhDcpedbrmingduties ns[ated tothe ccm6uctm/yotit-business. Howeiver,yo u/ , does not quaUfyasaninsunadumder<W�pama mp��whi|eusing �covencg'au|o rented 'from you orbmomany membe/of\hehousehuid. t Your mettnbers, if you are a limited liability company,while using a covered"auto"you do no own,hire, or borrow, whi[e perfoiniing dUties related to the conduct of your business or your personal affairs. g' Any pef son or organization with whom you agree in a wrmon contract, written agn,",ionient or permit, to mwJu/nsu,aoccsuchosisaKovdcdunde/dhispo|/cy bo(nnh/wN` espect1oym'�coveved^autos'' P . This provision does not apply: � (7) Unless the written contract or agreement is executed or the permit is issued prior to the"bodily injury" or"property dama8c^: /nc/udoscopyrighted ma/er/a| of.|nsuranccServices Office, Inc, Page Infs CA7171 05oo CV To any person or organization included as an insured by an endorsement or in the Declarations;or (3) To any lessor of^autos^unless: (a) The lease agreement requires you to provide direct primary insurance for the lessor: (b) The^auio^isleased without adriver;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 orsubsidiary in which you own more than 50% ofthe voting stock on the effective date ofthis endorsement. This provision does not apply to"bodily injury"or"property damage"for which an"insured"is also ail insured under any other 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 inexcess ofthis policy. 3. COVERAGE EXTENSIONS'SUPPLEMENTARY PAYMENTS Under SECTION /[ LIABILITY COVERAGE,A2.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 ofan^acddenC'wecover. YVedonot have{nfurnish these bonds. (4) All reasonable expenses incurred by the"insured"at our request, including actual loss of earnings up to $5OOaday because ofdmeoff from work. 4. AMENDED FELLOW EMPLOYEE EXCLUSION SECTION 11- LIABILITY COVERAGE,B. EXCLUSIONS, paragraph S. FELLOW EMPLOYEE is deleted and replaced bythe following: "Bodily injury"to anyKaHoe'emp|myee^cfthe^insunzd''arising out ofand in the course nfthe fellow "empfoyee's"employment or white performing duties related to the conduct of your business. However,this exclusion does not apply to your"employees"that are officers or managers if the "bodily injury"results from the use ofacovered''au(o^you own, hire orborrow. Coverage/oexcess over any other collectible insurance. S. HIRED AUTO PHYSICAL DAMAGE COVERAGE AND LOSS 0FUSE EXPENSE /\. Under SECTION III- PHYSICAL DAMAGE COVERAGE,/k.COVERAGE,the following isadded: If any of your owned covered"autos"are covered for Physical Damage, we will provide Physical Damage coverage to"autos"that you or your"employees"hire or borrow, under your name or the"employee's" name, for the purpose o/doing your work. VYewill provide coverage equal tothe broadest physical damage coverage applicable to any covered "auto"shown in the Declarations, Itern Three, Schedule of Covered Autos You Own, oronany endorsements amendingthis schedule. B. Under SECTION III-PHYSICAL DAMAGE COVERAGE,A.4.COVERAGE EXTENSIONS, paragraph b. Loss of Use Expenses isdeleted and replaced with the following: b. Loss OfUse Expenses For Hired Auto Physical Damage, wcwill pay expenses for which an^insuved''becomes legally responsible to pay for loss of use of a vehicle rented or hired without a driver, under a written rental contract uragreement. VYewill pay for loss nfuse expenses ifcaused by: (1) Other than collision, only if the Declarations indicate that Comprehensive Coverage is provided for any covered''au\n''; (Z) Specified Causes ofLoss, only if the Declarations indicate that Specified Causes OfLoss Coverage/sprovided for any covered ^au^o^; or Includes copyrighted material ofinsurance Services Office, Inc. Page 2 of CA 71 71 05 08 (3) Collision, only if the Declarations indicate that Collision Coverage bprovided for any covered "auto", However,the most wewill pay for any expenses for loss ofuse is $3Oper day,toamaximum of $2,000. c. Under SECTION IV—BUSINESS AUTO CONDITIONS. paragraph 5.b. Other Insurance is deleted and replaced bythe following: �h are b. ForHire6Au(oPhys�a/D�mage [ovecega. e following 1. Any covered^autm"you lease, hire, rent orborrow;and 2' Any covered^au|o"himed|orrented byyour^en � - nderacontract inthat individual "emp|oyee's^nmmne.with your permission, while peJoxningdu(ies /ekmYod1otheconUug 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 alimited liability cnmpany).ormembers oftheir households. 6. LOAN QRLEASE GAP COVERAGE Under SECTION III-PHYSICAL DAMAGE COVERAGE,A. COVERAGE, the following is added: If a covered"aulo-is owned or leased and it we provide Physical Damage Coverage on it, we will pay, in the event of a covered total"loss", a11Y Unpaid aniount due on the lease or loan for a covered"auto", less: (a) The amount paid under the Physical Damage Coverage Section nfthe policy;and (b) Any: (1) Dve/Juv leu��u/ /uanpaynantsinc/u6ingp�n�ki�s. in»cu�s or�hcrchorgcc ��u�nghomovevdua payments a\the time ofthe 1nss^: (3) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; (3) Costs for extended warranties, Credit Life |nsurancc. Heahh.AccidcnKo/DisabUhy|nsurance purchased with the loan orlease; WV Security deposits not refunded by a lessor; and (S) Carry-over balances from previous loans orleases, 7. RENTAL REIMBURSEMENT SECTION III-PHYSICAL DAMAGE COVERAGE,/\. COVERAGE, paragraph 4. Coverage Extensions is deleted and replaced bythe following: 4. Coverage Extensions (a) We will pay up to$75 per day to a maximurn of$2000 for transportation expense incurred byyou because ofcovered ''!pss^ VVewill pay only for thosecovered',,qu$os''for which you carry Collision i6ed[ of "vVmm6Upmy covmaoam/�m|i/�erCu/npre/v¥nsiwac�vc/ngou/�/�ac �v�sc� o Mor|/mo�pmxa(�»n�xponsc�xxuoeJdud/�QAxuperodboghnnimgZ4how's �MerU�ecunu/ed1oss" ond c/u/h;g' mgsrd]eos o/Ux.pulWon, w|wm dny covered "auio"is ugunnodvu nym orec payfor its ^kas^ Th� covmmgeis�nadd�/ontothe oihenv�capp|�ab|ccoverage you have ona cove/ed^aum'' Nodet-jm1iWesapply tothis coverage. (h) This coverage does not apply while there isaspare o/reserve ^auto''available toyou for your operation. r includes copyrighted ma|cria| o( /nsurancc Srm/ccsOV/cc. /nc. Page zofG CA 71 71 05 08 8. A/RBAG[DVERAGE SECTION III-PHYSICAL DAMAGE, B. EXCLUSIONS, Paragraph 3. isdeleted and replaced bythe following: We will not pay for"loss"caused by or resulting from any of the following unless caused by other"loss"that is covered bythis insurance: a. Wear and tear, freezing,mechanical urelectrical breakdown. However,this exclusion does not include the discharge ofanairbag. b. Blowouts, punctures orother road damage totires. g. GLASS REPAIR-WAIVER OF DEDUCTIBLE SECTION III-PHYSICAL DAMAGE COVERAGE,D. DEDUCTIBLE is amended to add the following: Nodeductible applies hyglass damage. 18. COLLISION COVERAGE—WAIVER OF DEDUCTIBLE SECTION III - PHYSICAL DAMAGE COVERAGE,D. DEDUCTIBLE is amended to add the following: When there is a"loss"to your covered"auto"insured for Collision Coverage, no deductible wil(apply if the "1oss''was caused byacollision with another.outo^insured byus. 11. KNOWLEDGE OF ACCIDENT SECTION |V-BUSINESS AUTO CONDITIONS,A.LOSS CONDITIONS, 2. DUTIES |NTHE FVENT&F ACC/DENT, CLAIM,SUIT 0R LOSS, paragraph a. isdeleted and replaced bythe following: a. You mnusf see to it that we are noified as soon asc|�DNe of ail "accident", cb�m. �uh~cv~1oss° �e �i -.sui('or'1cma^' ymu shaU not. in itsc1L conslku� ----=- - —"accident,", of ' (VOm�ce, .dinectuo, managans. ormembers (Jyou --- ~ are a limited LUcompany)� )hsknledgeofthe^accidencdahn. .suh.mr^loss . NodceshouN include: (1) Ho*. when and where the"accident"or"loss"occurred; (2) The 1nsured's^name and address;and (3) To the extent possible,the names and addresses of any injured persons and witnesses. 12. TRANSFER OFRIGHTS (BLANKET WAIVER(JFSUB ROGATION) SECTION /V- BUSINESS AUTO CONDITIONS A.5.TRANSFER 0FRIGHTS[}FRECOVERY AGAINST OTHERS TOUS /sdeleted and replaced bythe hoUowing: lf aoypevsun ororganizadontm or for whoni we make payment under this Coverage Form has rights to recover damagzskom anaUher, diose rights are (oaws/ermd to us. T/`a(pm-son or orgon|za6onoius1 do everything necessa/y|osecureour righ|sand must donothing �,�Tter^'acddenC'or''/oss^iohnpa|/U-W/n. However,Kthe 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 custornary contracts require a waiver, we waive any right of recovery we may have under this Coverage Form. 13, UNINTENTIONAL FAILURE TODISCLOSE HAZARDS SECTION IV- BUSINESS AUTO CONDITIONS, B. GENERAL CONDITIONS, 2. CONCEALMENT, MISREPRESENTATION OR FRAUD isamended bythe addition ofthe following: We WjUmot deny coverage underihisCowacygeFonn i|ynuuninteokl000!lyfail Lodisc/nseall hazards existing aso[d1eincopxodate ofdhlspolicy, You must repu/tlousany kmow�edgoofamcrro/of-om/ssioninyuur reprcsenoa|iom/ as soon as prac/icabkemfie/i|s discove/y. This provision does no{a#ac<our60\to cmKoci addidumdpoumiumn mrexenci�;e ()or rjAht o/ o/non-renewal. /nc|udCscopyrighted material ofInsurance Scrv�ccsO/ficc. /nc Page 4ofs [A71 71 os nn 14, AUDIO,VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE SCHEDULE Description of Covered "Auto". 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 trarismit:5 aLi&o, visual or data signals and that is not designed solely for the reproduction of sound. This covet-age applies only if the equipMer"t is POITWH'leildY installed in the covered"auto"at the time of t[`Jf."loss"Or the CqUiprl101t is M-MOVablC flon)a housing unit that is permanently installed in the covered"auto"at the time of loss", and such equipri'iert is designed to be solely operated 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 or discs. B. Exclusions For purposes of this provision 14,the exclusions that apply tO physical Damage covet,ogo, except.for the exclusion relating to Audio,Visual and Pata Electronic Equipment, also apply to coverage provided by this 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: 1. 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 equips-tient designed solely for the reproduction of sound if the sound reproducing equipment is permanently 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 of a radio. 1 A device dc,�igned at, used to detect spe.,,(j moamiring equipment such as t,afj�ir or laser detectors or a janirning ;q,,;parawls intended to dude or r6srupi speed measurement eqUifIn lent, whether permanen0y installed or temporarily Ti-lounted in or on the covered"auto". C. Limit of Insurance With respect to coverage under provision 14. of this endorsement, the Limit of Insurance provision of Physical D,-irnage Coverage is replaced by the following: 1. 1 h f-p-lost we will pay for all"loss"to audio, visuzd or data e[coronic equipmerfl 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 5 of 6 2. An adjustment for depreciation and physical condition will be made in determining actual cash value a(the time ofthe loss^ 3. /farepair orreplacement results inbetter than like kind orquality,*ewill not pay for the amount of betterment. D. Deductible 1' K1uss"totheuodio.visua|or6atae|ec(ronicequipmentoraccessohesusedwhhthisequipmx*mt'as described inpmom0ephA. above, isthe result ofa^|oss^tothe covered"auto"under this[ovora Fomn'sComprehensive of-Collision Coverage,Yhenfor each covered'auk/"our obligation to pay for, repair, nolurnorreplace do,naqeflorsio|enprmper/ywA|bereduced byihvyapp/cab!ededux(iWe shown inthe Decanaikws. Any Coverage dedmcdh|eshnenif,UhmDecangiimnsdoes not apply 1o''lmss''Loaudio,visual ordateelectronic e4uipment caused byfire o/[ighCning. 2. if"loss"to the audio,visual or data electronic equipment or accessories used with this equipment, as described in paragraph A. above, is the result of a "loss"to the covered"auto"under this Covefage Fonn'sSpecifiedCausesofLossCoverage. thenK/reachcovened'auto''ourob|igabontopayfbr, repair, return or replace damaged or stolen property will be reduced by the applicable deductible shown inthe Schedule ofthis endorsement. 3. if"loss"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 inthe Schedule ofthis endorsement. 4. |nthe event that there ismore than one applicable deductible,only the highest deductible will apply, /nnoevent will more than one deductible apply, E. When This Provision Becomes Void This provision,AUDIO,VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE, isvoid if CA 99 , 60,Audio, Visual And Data Electronic Equipment Coverage, is attached to the policy. Includes copyrightcdma|eha/ofInsurance Services Office, Inc Page 6nf6 CA 71 71 05 08 vvursAtna C,vrvrrtrvJArlvfv Aruu tIVIF'LUYtrib LIAbIL11 Y 1IV6U fAlv(;t rvuLY WC 00 03 13 (Ed. 4-g4) 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 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 01/01/2019 Policy No. WC2107339 f wfoisernent. No, Insured Suncoast Development of Pinellas County, Inc. Premium $ 11 r Insurance Company Countersigned by , Amerisure Insurance Company WC 00 03 13 -dYfaD;2& 6•d FLdxy (Ede 4-84-) Copyright 1963 National Council on Compensation Insurance, n ca r No 94Anr B CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/21/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les) must 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). _-_ CON`iA "i Wend PRODUCER y Hingson VTC Insurance Group PHnNe, (239)275-8226 FAX UAL✓.PI+�mLtc[)=m..a— L MAIwhin son@vtcins.comTroy Office ADDRLSS: _ 1175 W Long Lake Road, #200 INSURER(S)AFFORDING COVERAGE NAIC A Troy MI 48098 INSURER Insurance Company 19488 _ _ INSURED INSURER B.-Amerisure Partners Insurance Comp 11050 Suncoast Development of Pinellas Count Inc. INSURER ......_. `-- p y, -Travelers Prop. Casualty Co of Amer 23396 2340 Destiny Way INSURER D: Odessa, Florida 33556 INSURERS INSURER F! COVERAGES CERTIFICATE NUMBER:2019 - 2020 All Lines 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 REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE _-_ - rucn wpm POLICY NUMBER IMM/DD/YYYYI ,MM/pR1VYYY1 LIMITS X COMMERCIAL GENERAL LIABILITY ` EACH OCCURRENCE $ 1,000,000 i3r MAGE TO Rt NP (.r ....._ A (CLAIMS-MADE 111 OCCUR EA91 ES l a occurs+rr_eP ($ 100,000 X Inc qi Contractual X CPP2107338 1/1/2019 1/1/2020 MED EXP(Any one person) $ 15,000 a l fy/ lyroad raxna. P,D W_, PERSONAL&ADV INJURY $ 1,000,000 - --- GENIAGGREGATELIMITAPPLIESPER. GENERAL AGCREGAIE $ 2,000 000 POLICY LOC I PRODUCTS COMP/OPAGG $ 2,000,000 PI CT JI COM AUTOMOBILE LIABILITY COMBINED SING Ll LIMIP $ 1,000,000 1 tf�1°ict - X ANY AUTO BODILY INJURY(Per person) $ +EXCESS ALL OS OWNED X SCHEDULED - CA2107337 1/1/2019 1/1/2020 BODILY INJURY(Per accident) $ UTOS NON-OWNED Lr#&C7f i.lqtY Z,3AMAr E -$ D AUTOS X AUTOS (Pr cr�rleiry}; ..,..PIP Rasic �$RELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 CLIAB 'CLAIMS-MADE ZUP91M7304A 1/1/2019 _ 1/1/2020 AGGREGATE $ 4.000;000 DFD X RETENTION$ 0 FOLLOWS GL,AUTO,WORK COMP $ WORKERS COMPENSATIONITF FR OTH CTAT. AND EMPLOYERS'LIABILITY YIN': _ ANY PROPRIETOR/PARTNER/EXECUTIVE I— E.L EACH ACCIDENT $ 1,_000,00011 OFFICER/MEMBER EXCLUDED? N/A E' A (Mandatory in NH} (- -� IWC2107339 1/1/2019 1/1/2020 E.L DISEASE-EA EMPLOYEE'{$ 1.00-0.000 It yes,describe under ------- f --- DFSCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMff I$ 1.000.000 A Inland Marine CPP2107338 1/1/2019 1/1/2020 Loeased/REInedEquipment $300,000 Any One Item DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Where required by written contract, "City of Pinellas Park" is added as Additional Insured (Owner) for work performed by Insured as respects the project: Annual Pipe Replacement Program, Contract #167-0397-CP. I, I< Fa CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Pinellas Park THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Human Resources Department ACCORDANCE WITH THE POLICY PROVISIONS. 5141 78th Avenue North Pinellas Park, FL 33781 AUTHORIZED REPRESENTATIVE 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)