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KAPOK TERRACE SANITARY SYSTEM PROJECT - 15-0036-UT - CERTIFICATE OF LIABILITY INSURANCE (4) `" CERTIFICATE OF LIABILITY INSURANCE 12/1M/°D,Y. r 12/19/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(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 endorsenlent(s),. PRODUCER CONTAC1 WendyHiSOn NAME_ rt_ VTC Insurance Group PHONE (239)275-8226 fAX WC,-No.ExW__ — (AiC Tdca): -- Troy Office E-MAIL SS: gson@ whin vtcins.com ADDRE 1175 W Long Lake Road #200 ICJSUnEr3(S)AFFtFTUlTt1 COVERAGE: NAIL# - Tray MI 48098 INSUHkRAAIteriSUre Insuaante Cosnta lE§1r 19488 -- ...--....__ -- --- INSURED INSURER B)kmerisure Mutual Insurance Company 23396 Suncoast Development Of Pinellas County, Inc.. INSURER C. 2340 Destiny Way INSURER D Odessa, Florida 33556 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER 2020 —2021 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. iNSR. lAuiiL SUtiR POLICY FY'F POLICY EXP ..... .. .. LTR TYPE OF INSURANCE POLICY NUMBER MMlDDIYVf MM/DD/YYVY)� LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE X OCCUR UAt+,MGE TO RCNM $ 100,000 _ I P9aMlyli (L t ntlirrs r:ea .� X Inc. XCU, Contractual X Y CPP2107338 1/1/2020 1/1/2021 MED EXP(Any one person) $ 15,000 laa]310 Ity/£sacs d E_arsal PLS PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: =GENERAL AGGREGATE $ 2,000,000 POLICY X l�tlEC�'7F LOG PRODUCTS_..... ..—_..,....._. , -COMPIOPAGO $ 2,000,000 '. ID fH:ER. AUTOMOBILE LIABILITY COI'ABIN{;;I)SINGI-1-IAMIy" $.... 1,000,000 A X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED CA2107337 1/1/2020 1/1/2021 BODILY INJURY Per accident) $ AUTOS 1 AUTOS X Y ��. 1 NON OWNED Iyltfll I]1-1Y ISAMA�`E X HIRED AUTOS X ]AUTOS (Pea 1 t..ide ) $..---._ . . PIP Basic $ 100,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4 000,-.000 t EXCESS LIAB $ , „- _ CLAIMS-MADE_ CU211369600 1/1/2020 1/1/2021 AGGREGATE ,$ 4,000,0_00 DED X RETENTION.' 0 FOLLOWS GL,AUTO,WORK, COMP $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N STAT1,lTE E.R ANY t+')301'I11E,Ss,7I1PART14tFilEXEE,iJ31uF, I WC2107339 EL EACH ACCIDENT $ 1 000 000 r,7f`l ICL11dv13dsdlIBER EXCLUDED? f N_7 N/A ACCIDENT _.___ --ate— ....._ A IMindatoryIn NH) y 1/1/2020 1/1/2021 E L.DISEASE EA EMPLOYEE $ .1,OOOR 000 If yew.describe ujdoi -- -- . _. (7C RC;H1PTIryN OF OPFFiA1 IONS b*1qY I _ E L DISEASE-POLICY LIMIT $ 1, — _000"000 i A Inland Marne CPP2107338 1/1/2020 1/1/2021 Leased/Rented Equipment 1 $300,000 Any One Item DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it 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'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 HOLDEN 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 ©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 DII L INSURED S T FORM A This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Policy Number Agency Number Policy Effective Date CPP2107338k 01/01/2020 Policy Expiration Date Date Account Number 01/01/2021 12/19/2019 20043076 Named Insured Agency _ Issuing Company SUNCOAST DEVELOPMENT OF V T C INSURANCE GROUP AMERISURE INSURANCE PINELLAS 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) ust:(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; 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 (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 (a) All work to be performed by you oron Your behalf for the additional insored(s)anthe sitlao(the covered operations i complete, including related mamodab. parts o/cquipmem(otherthan service.mointenonceorrepa|o):ur (b) That partion of"your work"out of which the injury or damage arises is put to its intended use by any person or organization other than anolher contraclai working for a principal as a Part of the sannep,cject. (s) Completed operations coverage, but only if: (a) The written contract, written agreement,or certificate of insurance requires completed operations coverage nr"your work"coverage;and (b) This coverage part provides coverage for"bodily injury"or"property damage"included within the''pmduc1s-comp|e»edoperations hazard^ 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 orboth nfthe following: (a) Additional Insured—Owners, Lessees or Contractors—Scheduled Person Or Organization endorsement CG2O1O1001;or (b) Additional Insured—Owners, Lessees or Contractors—Completed Operations endorsement CG Z0371OO1� then the phrase"caused, in whole or in part, by"in paragraph 2.a.above is replaced by"arising out of'. c. If the written contract,written agreement, or certificate of insurance requires you to provide additional insured coverage mthat person ororganization bythe use of: (1) Additional Insured—Owners, Lessees or Contractors—Scheduled Person Or Organization endorsement CG2010O7O4or[sZO7On413:or (2) Additional insured—Owners, Lessees or Contractors—Completed Operations endorsement CG 20 370704o/CG20370413;n/ (3) Both those endorsements with either ofthose edition dates;or (g Either orboth ofthe following: (a) Additional Insured—Owners, Lessees or Contractors—Scheduled Person Or Organization endorsement CGZO10without anedition date specified;or (b) Additional Insured—Owners, Lessees or Contractors—Completed Operations endorsement CG 2O37without anedition date specified; then paragraph 2.a.above applies. d' Premises, as respects paragraph 24a.(1)above, include common or public areas about suchpremises if snrequired inthe written contract o/written agreement. e. Additional insured stu(osprovided under paragraphs 2.a.(1)(b)or2.a.(1)(c)above does not extend beyond the end nfapremises lease o,rental agreement. f. The limits ofinsurance that apply tuthe additional insured are the least ofthose specified inthe: (1) Written contract; (2) Written agreement; (s) Certificate ofinsurance; or (4) Declarations ofthis policy. The limits of insurance are inclusive of and not in addition to the limits of insurance shown in the -/ Declarations, md"drscnpyhgh��dm����a| uf!nsuonoco�rvi�cs��c�. |nc� Paoe2of4 cG7n4a1u1s g. The insurance provided kzthe addbiona{insueJdoes not apply to"bodily knjury", "property dannaQ«^'or 1e�ooa|and advertising injury"arising Out nfamarchUact's ' orsurveyor's ncndoio rendering or failure(arender, any professional services,imdMm ud)ngbu(nu� imcd6o- (1) The preparing,approving, orfailing ouprepare urapprove: (a) Maps; (b) Drawings; (c) Opinions; ' (d) Reports; (e) Surveys; (0 Change orders: (g) Design specifications; and (2) Supervisory, inspection, orengineering services. x. SECTION |V—COMMERCIAL GENERAL LIABILITY CONDITIONS, para6mph4'Other Insurance is de/etodandnep|acedwbhthe{oUowing: - 4. Other Insurance. Coverage provided by this endorsement is excess over any other valid and collectible insurance available tnthe additional insured whether: a.Primary; b.Excess; c.Contingent;m dL[many other basis; but if the written cnnuact, written ag,cemcnt, or certificate of insurance requires primary and non' contribUtorycuverage.thisinyurancewi||bcphma,yandnon~conthbuto/ync|advcoomherinsu,ancc available to the additional insured which covers that person or organization as a Named Insured,and we will not share with that other insurance. L 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 islimited tothat provided by CG 20 10 11 85 shown below and paragraph 2.h.Other Insurance shown above. ADDITIONAL INSURED-OWNERS,LESSEES OR CONTRACTORS(FORM B) rThiCsendorsement 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, inforn ia0on reqUir<-,,�d to complete this endorsement will be shown in the Declarations as appfic-able to this enclorsernent-) 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., 1984CG 70 48 10 15 Includes copyrighted material ofInsurance Services Office, Inc. Pages of j. The insurance provided bythis endorsement does not apply to any premises nrwork for which Uh, person or organization is specifically listed as an additional insured on another endorsement attached to this policy. 09 Includes copyrighted material ofInsurance SemiccsQffice Inc. Page*of4 CG 70481015 Suncoast Development of Pinellas County,Inc. Policy#CPP2107338 01(01/2020-01/01/2021 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FLORIDA CONTRACTORS GENERAL LIABILITY EXTENSION ENDORSEMENT 1. Addition -- TABLE OF CONTENTS -nal Definitions g 2 Air circ date Limits Per Location "—p w _ 3. A9, _atr I imus Pr.r Prcaject _ . . ..w...®— 7 4. Blanket Contractual ji�i riy—Ra€Iroads 3 S. I ro idened Bract€.. rarDe 11 fa Broadened Knowledale Of Occurrence 8 7, Broadened Legal Liabili Cowrz e For Landlords Business Personal Prwert g 8. Broadened ned Liability e For Darnaw To Your Product And Your Wont µ - 10 Broadened Who Is An Insured 3 10. Contractual Liability— ersonal And Adyertisiaac�_!tjqyr 3 11. L7arta$a e_To f1retr ices Rented To You silic_Perils and Increased Limit 7 _._ Amended Limits of Insurance 11 _12, Designaled Conlplctc:d I-roiccts—Ana ..._^ ., _ — 13. Iris idr.rat:aI Malpractice t.iability 7 14. Increased Medical Payments Unnit And I ;)ort ng Period 7 15. Moble Equ>�ment Redefined —9 - 16. Nonowned Watercraft And Non wn d Arrr,raft tiirecd, Dented Or Loaned With Paid C rr--rX 3 .11 Product R-e-call Expen3e 2 18. Property Damage Liabili Alienated Premises" _ y _ 2 _.. _w. 441. Prolcrty�fae Liability—Elevators And w rdetraclt Agren�c€�t.'mm_,__ .. . 2 .._..... 20. Property Damage Liability—Property Loaned To The Insured Or Personal Property In The Care, 2 Custody And Control Of The Insured 11�i-tca:jonable Force—t�r�ffy Ir�ua or i�tucrry f��tttatle^ —� _ �� � 1® 22. �I�Yra°u nt a'`.4' nac rtts 3 ................ �3 1 s`an fer Cif frlits (t3laaal r t Waiver Of Subrog�aticartf w 9 24. Unanientional Failure I o Disclose I I azard's _.. 8 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 UnUerSECT|ON{—COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY, panagnaphZ. 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 ischanged aczordingky). Provisions 1.through 6.of1hisendorsement amend the policy asfollows: 1. PROPERTY DAMAGE LIABILITY—ALIENATED PREMISES A. Exclusion j.Damage tuProperty,paragraph(2)isdeleted. B. The following paragraph isalso deleted from Exclusion j.Damage tnProperty: Paragraph(2) of this exclusion does not apply if the premises are"your work"and were never Occupied, rented nrheld for rental byyou. 2. PROPERTY DAMAGE LIABILITY—ELEVATORS AND SIDETRACK AGREEMENTS A. Exclusion i. Damage toProperty,paragraphs (3)'(4). and(6)dmnot apply tothe use ofelevators. B. Exclusion k.Damage toYour Product does not apply to: 1. The use nfelevators;or Z. Liability assumed under asidetrack agreement. 3. PROPERTY DAMAGE LIABILITY—PROPERTY LOANED TOTHE INSURED 0RPERSONAL PROPERTY |NTHE CARE, CUSTODY AND CONTROL OFTHE INSURED A. Exclusion j'Damage^nProperty,paragraphs(3)and(4)are deleted. B. Coverage under this provision 3. does not apply m "property damage"that exceeds$Z5.0O0per occurrence or$25.VO0annual 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,ynurpmduct'. This exception tnthe exclusion does not apply tn"product recall expenses"resulting from: 1. Failure ofany products toaccomplish their intended purpose; a. Breach ofwarranties offitness,quality, durability nrperformance; 3. Loss ofcustomer approval nrany cost incurred toregain customer approval, 4. Redistribution or replacement of"your product",which has been recalled, by like products or substitutes; 5. Caprice orwhim nfthe insured; 6. A condition likely to cause loss, about which any insured knew or had reason to know at the inception o/this insurance; 7 Asbestos, including loss, damage or clean up resulting from asbestos or asbestos containing materials; 8. Recall of"your mduct(s)^that have nmknown msuspected defect solely because aknown or suspected defect inanother of"your pmduc|(s)''has been fuund. 8. Under SECTION III—LIMITS OF INSURANCE, paragraph 3. is replaced in its entirety asfollows and paragraph o. isadded: 3. The Products-Completed Operations Aggregate Limit is the most we will pay for the sum of: Includes copyrighted material ofInsurance Services Office, Inc. Page Zcf11 CGr2e9o417 a. Damages under COVERAGE A BODILY INJURY AND PROPERTY DAMAGELIAB|L-\TY because of"bodily injury"and"propmly damage"included in the"products-cornpleted operations hazard"and b. "Product recall expenses" V' Subject^uparagraph 5.above[of the CGL Coverage,Fom].$25`O0&isthe"nogwe*iUpayfora|| lproduct recall expenses"arising out ofthe samedefect ordefidency. s. NONOWNED WATERCRAFT AND NONOWNED AIRCRAFT(HIRED, RENTED OR LOANED WITt_1 PAID [RsVy) Exclusion g.Aircraft,Auto or Watercraft,paragraph(2)is deleted and replaced with the following: [This exclusion does not apply to:] (Z) Awatercraft you donot own that is: (o) Less than 75feet long;and (b) Not being used k»carry any person vrproperty for acharge; Exclusion g.Aircraft,Auto or Watercraft,paragraph(6)is added as follows: [This exclusion does not apply ioJ (0) Anaircraft you donot own, provided that: (a) The pilot in command holds a currently effective ccqlificate issued by the duly constituted allthority of the United States of America or Canada, designating that person as a commercial or airline transport pilot; (W The aircraft isrented k/you with atrained, paid crew; and (c) The aircraft isnot being used»ocarry any person orproperty for acharge. a. oLAmKsTcomTRACTuALuxg|uTY—RA!LRoAos Under SECTION V—DEFINITIONS, paragraph c.of"Insured Contract"is deleted and replaced by the following: c. Any easement orlicense agreement; 'Under SECTION V—DEFINITIONS, paragraph{(1)nf"Insured Contract"is deleted. r CONTRACTUAL LIABILITY—PERSONAL AND ADVERTISING |mJunr Under SECTION I—COVERAGE B.,paragraph 2. Exclusions, paragraph e.Contractual Liability is deleted. o. SUPPLEMENTARY PAYMENTS Under SECTION |—SUPPLEMENTARY PAYMENTS—COVERAGES AAND s. paragraphs I.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 ofany vehicle towhich the Bodily Injury Liability Coverage applies. VYedonot have tnfurnish 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$1,000 a day because of time off from work. e. BROADENED WHO IS AN /wsuREo SECTION |(—vVHo IS AN INSURED is deleted and replaced with the following: 1. |fyou are designated inthe Declarations as: includes copyrighted material of Insurance Services 0f8cc. Inc. Cs 72uyo4 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 or joint venture,you are an insured. Your members,yourpartners,and their spouses are atso 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 hinited 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 o. Your subsidiaries if. (1) They are legally incorporated entities;and (Z) You own more than 5O%ofthe voting stock insuch subsidiaries asnfthe eMecdvedate Of this po|icy. 0such subsidiaries are not shown inthe Declarations,you must report them muswithin 180 days of the inception o/your original policy. f. Any person or organization, including any manager,owner, |essnr, mortgaQee, assignee or receiver of premises,to whom you are obligated under a written contract to provide insurance such as is afforded bythis policy, but only with respect|oliability arising out nfthe ownership, maintenance or use of that part of any premises or land leased to you, including common or public areas about such premises orland ifsnrequired inthe contract. However, no such person or organization is an insured with respect to: (1) Any^nccunence"that takes place after you cease moccupy nrlease that premises Orland;n/ (2) Structural alterations, new construction or demolition operations performed by or on behalf of such person ororganization. g. Any state nrpolitical subdivision but only asrespects legal liability incurred bythe state orpolitical subdivision solely because it has issued a permit with respect to operations performed by you or on your behalf. However,nostate orpolitical subdivision isaninsured with respect to: (1) "Bodily injury", ^pmpertydamage^.and''parsona|andadvertis|nginjury"ahsingou,nf operations performed for the state ormunicipality;o/ (2) "Bodily injury"or"property da m age"included within the"products-co m pl eted operations hazard." h. Any person or organizationwho bthe lessor nfequipment leased m youmwhom you are obligated under awritten contact ooprovide insurance such esisafforded bythis 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. i. Any architect,engineer, orsurveyor engaged byyou under a written contract butnnlywith respect oo liability arising out ofyour premises nr"your*nrk." 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 byu,for you, including: (1) The preparing,approving,or failing to prepare or approve maps, drawings,opinions, reports, surveys,change orders, designs orxpcdficadons:or (2) Supervisory, inspection,orengineering 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 cnve/age,the insurance provided hyparagraphs t 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 1nsun,d, and we will not share with that other insurance. �«p Includes copyrighted material ofInsurance Services Office, Inc. CG 72uy 0417 Page 5of11 3. Any organization you newly acquire or form,other than a partnership,joint venture or Limited liability c ornpany and overwhich you maintain ownerShil)or rrrajor'ity rrrtcrre t,will qualify as a Named Insured if there is no other s miiar insurance available to that orgarili ation, 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 darriage"a rising out of"your products"that are distributed or sold in the regular course of the vendor',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,dernonstm tion,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.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 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 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. a.n Includes copyrighted material of Insurance Services Office, Inc. Page 6 of 11 CG 72 89 04 17 10. INCIDENTAL MALPRACTICE LIABILITY As respects provisione,SECTION U YVMOr5ANINSURED, h2 (1)(d)does not apply any "employee"who provides incidental rnedicaJ or par,,,,imedical services, provided that you 2rQ not('nga9Qdinthe business or occupation of pfoviding such seMces. 'Fhis incidental malpractice coverage is excess ovQ,r any available medica/p,o/cssiona|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 Prennises owned byorrented tuyou. 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 orcertificate ofinsurance. Asrespects 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. SECT/ONO|—LIM|TSOF|NSURANCE' pasageph7..thek4edica| ExpenscLimit. issubjeoitoa|| of\hc terms ofSECTION III—LIMITS OFINSURANCE and isthe greater of: t $10,000;or 2. The amount shown inthe Declarations for Medical Expense Limit. B. This provision 13.does not apply if COVERAGE C MEDICAL PAYMENTS is excluded either by the ' provisions ofthe Coverage Form orbyendorsement. 14. DAMAGE TO PREMISES RENTED TDYOU—SPECIFIC PERILS AND INCREASED LIMIT A. The word fire ischanged tu"specific perils"where i\appears in: 1. The last paragraph ofSECTION i—COVERAGE A. paragraph 2. Exclusions; z' 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"orany combination nf"specific peh/s," C. The Damage To Premises Rented To You Limit described in SECTION III—LIMITS OF INSURANCE, paragraph§, isreplaced hyanew limit,which isthe greater of: 1. $1,000,000;or 2. The amount shown inthe Declarations for Damage ToPremises Rented ToYou 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 Poh/s^means fire; lightning;explosion;windstorm o,hail;smoke; aircraft or vehicles;hot or civil commm|on;vanda|ism;/eakagehnnn0ee*inguishingequipmen1: maightnfsnow. iocnrs|eet;or^\vauer da/na8c^ "Water damage"means accidental discharge or leakage of water or steam as the direct result of the breaking orcracking ofany part ofasystem o,appliance containing water orsteam- Includes cupyrghted material nfInsurance Services Office, Inc. cs 72npo4 17 paso 7of11 15. BROADENED LEGAL LIABILITY COVERAGE FOR LANDLORD'S BUSINESS PERSONAL PROF`ti-RTY Under SECTION|-COVERAGE ABODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions,j.Damage to Property,the first paragraph following paragraph (6)is deleted and replacQd with the following: Flas0'spAs(1). (3)and(qofthis exclusion donot apply m"properly dama e"(uUe/thamdamagcbyfingm alandlord's business personal property that is subject to, orpamutzpmsnisesleasevrrental aQ,ee/nerkwith that landlord. The most wewill pay for damages under this provision 1S.|s$10.000, A$250deductible applies. Under SECTION IV-COMMERCIAL GENERAL LIABILITY CONDITIONS, provisions 16.through 18.of this endorsement amend the policy asfollows: 16. BROADENED KNOWLEDGE oFOCCURRENCE Under 2.Duties In The Event Of Occurrence,Offense,Claim,Or Suit,paragraph a.is deleted and replaced and paragraphs r'and tare added asfollows: a. You must see to it that we are notified as soon as practicable of an"occurrence"or an offense, regardless of|hmamount,which may result inaclaim. Knowledge ofan^oocu/mnce''oranotfemseby your"emplmyeos)^shall not, )niiae/Lconstitute knowledge toyou unless one ofyour part^ers.Members, �xecudwem@cecs~^dinectors^ o,managershasknu*ledgeofthe'occuncnce"oroffensc. Tothe extent possible, notice should include: (1) How,when and where the^oocunenoe^oroffense took place; (2) The names and addresses ofany injured persons and witnesses;and (z) 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 isprovided bythis Coverage Form,failure toreport such an'occunencc''tousatthe time of the"occurrence"shall not be deerned a violation of paragraphs a., b., and c.above. Howeve/, you shall give written notice of this"occurrence"to us as soon you become aware that this''occumence" may healiability claim rather than aworkers compensation claim. t You must see toh/hat'hcfo||owingancdnneintheevcntnfanactua|oranddpa»ed^covcrcdreca||^dhat may result in"product recall expensc'': (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; (a) 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 beacause ofloss under the insurance. 17. UNINTENTIONAL FAILURE TODISCLOSE HAZARDS Paragraph 6.Representations isdeleted and replaced with the following: a Representations 8yaccepting this policy,you agree: a, The statements in the Declarations are accurate and complete; b. Those statements are based upon representations you made\ous; c. VYehave issued this policy inreliance 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 nc.pageoof11 cm7an9o417 We will not deny coverage under this Coverage Form if you unintentionally fail to disclose all hazy rds 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 trarisferred 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 h�W 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 S. above[of 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 69 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: (S) 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 continue 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. I � Includes copyrighted material of Insurance Services Office, Inc. CG 72 89 04 17 Page 11 of 11 Suncoast Development of Pinellas County,Inc. Policy#CA2107337 01/01/2020-01/01/2021 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FLORIDATE COMMERCIAL AUTOMOBILE ROA 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 rnodified by the 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 premium;or b. 60 days before the effective date of cancellation if we cancel for any other reason. 2. BROAD FORM INSURED SECTION 11-LIABILITY COVERAGE A.I.WHO IS AN INSURED is amended by the addition of the following: d. Any organization you newly acquire or form, other than a partnership,joint venture or limited liability company,and over which you maintain ownership or a majority interest,will qualify 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 "insured"but for its termination or the exhausting of its limit of insurance. e. Any"employee"of yours using: (1) A covered"auto"you do not own, hire or borrow,or a covered"auto"not owned by the"employee"or a member of his or her household,while performing duties related to the conduct of your business or your personal affairs;or (2) An"auto"hired or rented under a contract or agreement in that"employee's"name,with your permission, while performing duties related to the conduct of your business. However,your "employee"does not qualify as an insured under this paragraph(2)while using a covered"auto" rented from you or from any member of the'I employee's"household. f. Your members, if you are a limited liability company,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 organization with whom you agree in a written contract,written agreement or permit, to provide insurance such as is afforded under this policy,but only with respect to your covered"autos". This provision does not apply: (1) Unless the written contract or agreement is executed or the permit is issued prior to the"bodily injury" or"property damage; Includes copyrighted material of Insurance Services Office, Inc. CA 71 71 05 08 Page 1 of 6 (2) 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"auto"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 to"bodily injury"or"property damage"for which an"insured"is also an 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 in excess of this policy. 3. COVERAGE EXTENSIONS-SUPPLEMENTARY PAYMENTS Under SECTION II-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 of an"accident"we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the"insured"at our request, including actual loss of earnings up to $500 a day because of time off from work. 4. AMENDED FELLOW EMPLOYEE EXCLUSION SECTION II- LIABILITY COVERAGE,B.EXCLUSIONS,paragraph 5.FELLOW EMPLOYEE is deleted and replaced by the following: "Bodily injury"to any fellow"employee"of the"insured"arising out of and in the course of the fellow "employee's"employment or while 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 of a covered"auto'you own,hire or borrow. 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 is added: 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 of doing your work. We will provide coverage equal to the broadest physical damage coverage applicable to any covered"auto"shown in the Declarations, Item Three, Schedule of Covered Autos You Own,or on any endorsements amending this schedule. B. Under SECTION III-PHYSICAL DAMAGE COVERAGE,A.4.COVERAGE EXTENSIONS,paragraph b. Loss of Use Expenses is deleted and replaced with the following: b. Loss Of Use Expenses For Hired Auto Physical Damage,we will pay expenses for which an"insured"becomes legally responsible to pay for loss of use of a vehicle rented or hired without a driver,under a written rental contract or agreement. We will pay for loss of use expenses if caused by: (1) Other-than collision,only if the Declarations indicate that Comprehensive Coverage is provided for any covered"auto"; (2) Specified Causes of Loss,only if the Declarations indicate that Specified Causes Of Loss Coverage is provided for any covered"auto"; or Includes copyrighted material of Insurance Services Office, Inc. Page 2 of 6 CA 71 71 05 08 (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.b.Other Insurance is deleted and replaced by the following: b. For Hired Auto Physical Damage Coverage,the following are deemed to be covered"autos"you OWn: 1. Any covered"auto"you lease, hire, rent or borrow;and 2. Any covered"auto"hired or rented by your"employee"under a contract in that individual "employee's"name,with your permission,while performing 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 company),or members of their households. 6. LOAN OR LEASE GAP COVERAGE Under SECTION III-PHYSICAL DAMAGE COVERAGE,A.COVERAGE,the following is added: If a covered"auto"is owned or leased and if we provide Physical Damage Coverage on it,we will pay, in the event of a covered total"loss",any unpaid amount due on the lease or loan for a 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"loss'; (2) Financial penalties imposed under a lease for excessive use,abnormal wear and tear or high mileage; (3) Costs for extended warranties,Credit Life Insurance, Health,Accident or Disability Insurance purchased with the loan or lease; (4) Security deposits not refunded by a lessor;and (5) Carry-over balances from previous loans or leases. 7. RENTAL REIMBURSEMENT SECTION III-PHYSICAL DAMAGE COVERAGE,A.COVERAGE, paragraph 4.Coverage Extensions is deleted and replaced by the following: 4. Coverage Extensions (a) We will pay up to$75 per day to a maximum of$2000 for transportation expense incurred by you because of covered"loss". We will pay only for those covered"autos"for which you carry Collision Coverage or either Comprehensive Coverage or Specified Causes of Loss Coverage. We will pay for transportation expenses incurred during the period beginning 24 hours after the covered"loss" and ending, regardless of the policy's expiration,when the covered"auto"is returned to use or we pay for its"loss". This coverage is in addition to the otherwise applicable coverage you have on a covered"auto". No deductibles apply to this coverage. (b) This coverage does not apply while there is a spare or reserve"auto"available to you for your operation. Includes copyrighted material of Insurance Services Office, Inc. CA 7171 05 08 Page 3 of 6 8. AIRBAGGOVERAGE SECTION III-PHYSICAL DAMAGE,B.EXCLUSIONS, Paragraph 3. is deleted and replaced by the following: 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 or electrical breakdown. However,this exclusion does not include the discharge of an airbag. b. Blowouts,punctures or other road damage to tires. 9. GLASS REPAIR-WAIVER OF DEDUCTIBLE SECTION III-PHYSICAL DAMAGE COVERAGE,D.DEDUCTIBLE is amended to add the following: No deductible applies to glass damage. 10. 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 will apply if the "loss"was caused by a collision with another"auto"insured by us. 11. KNOWLEDGE OF ACCIDENT 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 to it that we are notified as soon as practicable of an"accident",claim,"suit"or"loss". 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"or"loss"occurred; (2) The"insured's"name and address;and (3) To the extent possible,the names and addresses of any injured persons and witnesses. 12. TRANSFER OF RIGHTS(BLANKET WAIVER OF SUBROGATION) SECTION IV-BUSINESS AUTO CONDITIONS A.S.TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US is 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 to us. That person or organization must do everything 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 IV-BUSINESS AUTO CONDITIONS, B. GENERAL CONDITIONS,2.CONCEALMENT, MISREPRESENTATION OR FRAUD is amended by the addition of the following: We will not denycoverage 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 your representations as soon as practicable after its discovery. This provision does not affect our right to collect additional premium or exercise our right of cancellation or non-renewal. Includes copyrighted material of Insurance Services Office, Inc, Page 4 of 6 CA 71 71 05 08 14. AUDIO,VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE ScHsnuLe Description ofCovered''Auto^: Limit ofInsurance Deductible $sno $250 A. Coverage 1. We will pay,with respect to a covered"auto"described in the above Schedule,for"loss"to any electronic equipment iha('eceivcs orTransmits audio,vistie(ordata signals and that isriot designed solely for the reproduction cKsuund. This coverage applies only|itheequipment ispermanently installed inihecovered~autu~at the time mf the 1oss^orthe equipment isremovable from ehousimg unit that iapermanently installed|nthe covered°auk/`at the time o[1uss^`,and such eqoipmentis designcdtobeso(olyoperatcdbyuseofthepowerhnmthe^auto's''e|egdca|sysxem.inoruponthe covered"auto". 3. 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 of this provision 14,the exclusions that apply to Physical Damage Coverage,except fothe exclusion relating to Audio,Visual and Data Electronic Equipment.also apply tocoverage provided bythis endorsement. |naddition,the following exclusions apply: VVewill not pay,under1hioendorsement.forcidhcranyc|ect/onicequipmentoracccssohesusedvvith 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;n/ 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 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 ofaradio. 3. 8device designed orused u`detect speed measuhogu i nt such as radar orlaser detectors or ajanuming apparatus intended to elude or disrupt speed measurement equipment,whether permanently installed ortemporarily mounted inoronthe covered'auto^ C. Limit oYInsurance With respect to coverage under provision 14. of this endorsement,the Limit of Insurance provision of Physical Damage Coverage isreplaced bythe following: 1. The most we will pay for all"loss"to audio,visual or data electronic equipment and any accessories used with this cquipmcn\,as described in paragraph A.above,as a result n/any one^acddenf'. is the lesser ot a. The actual cash value of the damaged o,stolen property as of the time of the^|nss''; or b. The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality;o, c' The amount shown inthe Schedule- Includes copyrighted material of Insurance Services Office, Inc. chedu|c.|nc|vdesovpyhgh\ednna»chu|of|nsurancrServioas0fficc. /nc. cx7171nson Page sof* 2. An adjustment for depreciation and physical condition will be made in determining actual cash value atthe time ofthe 1oss". I If a repair or replacement results in better than like kind or quality,we will not pay for the amount of betterment. D. Deductible 1' |f''/os�'oothe audio,visual ordata electronic equipment oraccessories used with this equiPcncn'.as described in paragraph A.above,is the resuft of a"foss"to the covered"auh�under this Cover�qe Form's Comprehensive o/Collision Coverage,then for each covered''auto"our obligation IoPay for, repair,return or replace damaged or,stolen property will be reduced by the applicable deductiIJIe shown inthe Declarations. Any Comprehensive Coverage deductible shown inthe Declarations does not applytn'1oss^toaudio,visual ordata electronic equipment caused byfire orlightning. 2. If"loss"to the audio,visual or data electronic equipment or accessories used with this equipment, as described{nparagraph A.abuvc.is[lie result ofa''|oss^Vothe covered''auto^under this'Cuvor e Form's Specified CaUSCS of Loss Coverage,Ihen for each covered"auto"our obligation to pay jor. repair, return or,replace darnaged or stolen property will be reduced by the applicable deductible shown inthe Schedule nfthis endorsement. 3. /f^lo»s^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 obligationto for, repair, return or replace damaged or stolen properly will be reduced by the applicable deductible shown inthe Schedule ofthis endorsement. 4. In the event that there is more 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, bvoid if CA 99 60.Audio,Visva|And Data Electronic Equipment Coverage,isattached 0othe policy. ~` Includes copyrighted material ofinsurance Services Office, Inc. Page sovs Cx7171 05nn WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WIC 010 03 13 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our paymenis frorn 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 VOL! perform work under,a written contract that requires you to obtain this agreernant 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 287.160(61 of the Missouri Statues,a contractual provision purporting to waive subrogetion rights is against public policy and void where one party to the contract Is an employer in the construction group of code classifications." 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.) I Endorsement Effective 01/01/2020 Policy No. WC2107339 Endorsement No. Insured Suncoast Development of Pinellas County,Inc. Premium Insurance Company Countersigned by zV- Amerisure Insurance Company WC 00 03 13 (Ed. 4-84) Copyright 1983 National Couiwil on Compensation Insurance.