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CERTIFICATE OF LIABILITY INSURANCE - RFQ 26-19 (12) Client#: 216019 20MCKIMCRE DATE(MM/DD/YYYY) ACORD.. CERTIFICATE OF LIABILITY INSURANCE 1 9/24/2020 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Brittany Yardley cGriff Insurance Services PHONE 919 281-4500 FAX 8887468761 A/C,No,Ext): (A/C,No): Post Office Box 13941 E-MAIL ADDRESS: nccertificateteam@mcgriff.com Durham, NC 27709 INSURER(S)AFFORDING COVERAGE NAIC# 919 281-4500 Phoenix Insurance Company 25623 INSURER A: p Y INSURED INSURER B: Navigators Specialty Insurance Company 36056 McKim and Creed Inc INSURER C:Accident Fund General Insurance Co. 12304 1730 Varsity Dr Ste 500 Lexington Insurance Company 19437 INSURER D: g p Y Raleigh, NC 27606-2689 Travelers Property Casualty Co of Amer 25674 INSURER E: p Y Y INSURER F: Twin City Fire Insurance Company 129459 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY 6302GO91871 PHX 09/05/2020 09/05/2021 EACH OCCURRENCE $1,000,000 CLAIMS-MADE ®OCCUR PREMISES(Ea olccurrDence) $300,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- POLICY JECT LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ E AUTOMOBILE LIABILITY 81054432442043 09/05/2020 09/05/2021 CO(EaMBINED ccidentSINGLE LIMIT $1e 000e 000 a X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ $ B X UMBRELLA LIAB X OCCUR SF20CZ063C 09/05/2020 09/05/2021 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED I X1 RETENTION$10000 $ C WORKERS COMPENSATION CV6212863 09/05/2020 09/05/2021 PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER YIN N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? ® N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $190009000 D Excess Umbrella 080877946 09/05/2020 09/05/2021 5,000,000/Aggregate F Cyber Liability 220292076 09/05/2020 09/05/2021 2,000,000/Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re: RFQ#26-19 City of Clearwater is named as Additional Insured under the General Liability,Auto Liability,and Umbrella Liability if required by contract, before a loss on a primary& non-contributory basis. Thirty(30)days notice of cancellation except for non-payment of premium applies on the General Liability, Auto Liability,and Workers Compensation policies if required by contract. CERTIFICATE HOLDER CANCELLATION City Of Clearwater Engineering, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RFQ#26-19 ACCORDANCE WITH THE POLICY PROVISIONS. P O Box 4748 Clearwater, FL 33758 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD S26520514/ 26470632 BLBA This page has been left blank intentionally. McKim and Creed Inc 6302GO91871 PHX COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. XTEND ENDORSEMENT FOR ARCHITECTS, ENGINEERS AND SURVEYORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general coverage description only. Read all the provisions of this endorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. Non-Owned Watercraft—75 Feet Long Or Less H. Blanket Additional Insured — Governmental B. Who Is An Insured —Unnamed Subsidiaries Entities — Permits Or Authorizations Relating To Premises C. Who Is An Insured — Retired Partners, Members, Directors And Employees I. Blanket Additional Insured — Governmental D. Who Is An Insured — Employees And Volunteer Entities — Permits Or Authorizations Relating To Workers — Bodily Injury To Co-Employees, Co- Operations Volunteer Workers And Retired Partners, J. Incidental Medical Malpractice Members, Directors And Employees K. Medical Payments— Increased Limit E. Who Is An Insured — Newly Acquired Or Formed L. Amendment Of Excess Insurance Condition — Limited Liability Companies Professional Liability F. Blanket Additional Insured —Controlling Interest M. Blanket Waiver Of Subrogation —When Required G. Blanket Additional Insured — Mortgagees, By Written Contract Or Agreement Assignees, Successors Or Receivers N. Contractual Liability—Railroads PROVISIONS uses or is responsible for the use of a A. NON-OWNED WATERCRAFT — 75 FEET watercraft that you do not own that is: LONG OR LESS (1) 75 feet long or less; and 1. The following replaces Paragraph (2) of (2) Not being used to carry any person Exclusion g., Aircraft, Auto Or Watercraft, or property for a charge; in Paragraph 2. of SECTION I — B. WHO IS AN INSURED — UNNAMED COVERAGES — COVERAGE A — BODILY SUBSIDIARIES INJURY AND PROPERTY DAMAGE The following is added to SECTION 11 —WHO IS LIABILITY: ANINSURED: (2) A watercraft you do not own that is: Any of your subsidiaries, other than a partnership (a) 75 feet long or less; and or joint venture, that is not shown as a Named (b) Not being used to carry any person Insured in the Declarations is a Named Insured or property for a charge; if: 2. The following replaces Paragraph 2.e. of a. You are the sole owner of, or maintain an SECTION 11—WHO IS AN INSURED: ownership interest of more than 50% in, such e. Any person or organization that, with subsidiary on the first day of the policy your express or implied consent, either period; and CG D3 79 02 19 @ 2017 The Travelers Indemnity Company.All rights reserved. Page 1 of 6 Includes copyrighted material of Insurance Services Office, Inc.with its permission. COMMERCIAL GENERAL LIABILITY b. Such subsidiary is not an insured under Unless you are in the business or occupation similar other insurance. of providing professional health omne No such subsidiary is an insured for "bodily services, panygnoPha (1)(a). (b). (c) and (d) / injury' or "property damage" that occurred or above do not apply to "bodily injury"' arising "personal and advertising injury" caused b'— an out of providing or failing to provide first aid offense committed: or'{�ood Samaritan services" by any of your � � retired partnens, membens, directors or a. Before you maintained an ownership interest "emp|oyeea", other than a doctor. Any such ofmore than 5096 in such subsidiary; or retired partnens, membens, directors or b. After the date, if any, during the policy period "employees" providing or failing to provide that you no longer maintain an ownership first aid or "Good Samaritan services" during interest ofmore than 5096 in such subsidiary. their work hours for you will be deemed to be acting within the scope oftheir employment For purposes of Paragraph 1. of Section || —Who by you or performing duties related to the Is An |nsured, each such subsidiary will be conduct ofyour business. deemed to be designated in the Declarations as: "Personal Pensona| injury': a. Alimited liability company; (a) To you, to your current or retired b. An organization other than a padnenshiP, partners or members (if you are a joint venture or limited liability company; or partnership or joint venture), to your c. Atrust; currentretiredou �nt or retired members (if you are a as indicated in its liability company),name or the documents that ' to your other current or retired directors or govern its structure. "employees" while inthe course of his or C. WHO IS AN INSURED— RETIRED PART0ERS, her employment or performing duties MEMBERS, DIRECTORS AND EMPLOYEES related to the conduct of your busineaa. The following to your other "volunteer workers" mwing i� added to p�nygnoph �. of while performing duties related to the SECT|ONU—WHO |S AN INSURED: conduct ofyour business; Any person who isyour retired partner. member. (b) To the apouse, ohi|d, parent, brother or director or"employee"that is performing services sister of that current or retired partner, for you under your direct supervision, but only for member. director, "employee" or acts within the scope of their employment by you "volunteer worker' as a consequence of or while performing duties related to the conduct Paragraph (2)(a) above; of your business. However, no such retired (c) For which there is any obligation to padner, member, director or "employee" is an share damages with orrepay someone insured for: else who must pay damages because of the injury described in Paragraph (2)(a) (1) "Bodily injury": or(b) above; or (a) To you, to your current partners or (d) Arising out of his or her providing or members (if you are a partnership or failing toprovide professional health omne joint venture), to your current members services. (if you are a limited liability company) or toyour current directors; (3) "Property damage" to property: (b) To the apouse, ohi|d, panent, brother or (a) Owned, occupied orused by; or sister of that current partner, member or (b) Rented to in the omr� custody or control director as aoonaequence of Paragraph ' ' of or over which physical control is (1)(a) above; ' being exercised for any purpose by; (c) For which there is any obligation to share damages with orrepay someone you, any of your retired padnens, members else who must pay damages because of or directors, your current or retired the injury described in Paragraph (1)(a) "employees" or "volunteer workens", any or(b) above; or current partner or member (if you are a (d) Arising out of his or her providing or partnership or joint venture), or any current failing toprovide professional health care member (if you are a limited liability services. company) orcurrent director. Page 2of6 @oo17The Travelers Indemnity Company.All rights reserved. CG D3 79O2 19 COMMERCIAL GENERAL LIABILITY D. WHO ISA INSURED — EMPLOYEES AND organization will be deemed to be VOLUNTEER WORKERS — BODILY INJURY designated in the Declarations as: TO CO-EMPLOYEES, CO-VOLUNTEER a. A limited liability company; WORKERS AND RETIRED PARTNERS, MEMBERS, DIRECTORS AND EMPLOYEES b. An organization other than a partnership, The following is added to Paragraph 2.a.(1) of joint venture or limited liability company; or SECTION 11—WHO ISA INSURED: Paragraphs (1)(a), (b) and (c) above do not c. A trust; apply to "bodily injury" to a current or retired co- as indicated in its name or the documents "employee" while in the course of the co- that govern its structure. "employee's" employment by you or performing F. BLANKET ADDITIONAL INSURED — duties related to the conduct of your business, or CONTROLLING INTEREST to "bodily injury" to your other "volunteer 1. The following is added to SECTION 11 — workers" or retired partners, members or WHO ISA INSURED: directors while performing duties related to the conduct of your business. Any person or organization that has financial E. WHO ISA INSURED— NEWLY ACQUIRED control of you is an insured with respect to OR FORMED LIMITED LIABILITY COMPANIES liability for "bodily injury", "property damage" or "personal and advertising injury" that The following replaces Paragraph 3. of arises out of: SECTION 11—WHO ISA INSURED: a. Such financial control; or 3. Any organization you newly acquire or form, b. Such person's or organization's other than a partnership or joint venture, and ownership, maintenance or use of of which you are the sole owner or in which premises leased to or occupied by you. you maintain an ownership interest of more than 50%, will qualify as a Named Insured if The insurance provided to such person or there is no other similar insurance available organization does not apply to structural to that organization. However: alterations, new construction or demolition a. Coverage under this provision is operations performed by or on behalf of such afforded only: person or organization. (1) Until the 180th day after you acquire 2. The following is added to Paragraph 4. of or form the organization or the end SECTION 11 —WHO ISA INSURED: of the policy period, whichever is This paragraph does not apply to any earlier, if you do not report such premises owner, manager or lessor that has organization in writing to us within financial control of you. 180 days after you acquire or form it; G. BLANKET ADDITIONAL INSURED — or MORTGAGEES, ASSIGNEES, SUCCESSORS (2) Until the end of the policy period, OR RECEIVERS when that date is later than 180 days The following is added to SECTION 11 —WHO IS after you acquire or form such ANINSURED: organization, if you report such organization in writing to us within Any person or organization that is a mortgagee, 180 days after you acquire or form it; assignee, successor or receiver and that you b. Coverage A does not apply to "bodily have agreed in a written contract or agreement injury" or "property damage" that to include as an additional insured on this occurred before you acquired or formed Coverage Part is an insured, but only with the organization; and respect to its liability as mortgagee, assignee, successor or receiver for"bodily injury", "property c. Coverage B does not apply to "personal damage" or "personal and advertising injury" and advertising injury" arising out of an that: offense committed before you acquired a. Is "bodily injury" or "property damage" that or formed the organization. occurs, or is "personal and advertising injury" For the purposes of Paragraph 1. of Section caused by an offense that is committed, 11 — Who Is An Insured, each such CG D3 79 02 19 @ 2017 The Travelers Indemnity Company.All rights reserved. Page 3 of 6 Includes copyrighted material of Insurance Services Office, Inc.with its permission. COMMERCIAL GENERAL LIABILITY subsequent to the signing of that contract or openings, sidewalk vaults, elevators, street agreement; and banners or decorations. b. Arises out of the ownership, maintenance or I. BLANKET ADDITIONAL INSURED — use of the premises for which that GOVERNMENTAL ENTITIES — ITS mortgagee, assignee, successor or receiver OR AUTHORIZATIONS RELATING TO is required under that contract or agreement OPERATIONS to be included as an additional insured on The following is added to SECTION 11 —WHO IS this Coverage Part. ANINSURED: The insurance provided to such mortgagee, Any governmental entity that has issued a permit assignee, successor or receiver is subject to the or authorization with respect to operations following provisions: performed by you or on your behalf and that you a. The limits of insurance provided to such are required by any ordinance, law, building code mortgagee, assignee, successor or receiver or written contract or agreement to include as an will be the minimum limits that you agreed to additional insured on this Coverage Part is an provide in the written contract or agreement, insured, but only with respect to liability for or the limits shown in the Declarations, "bodily injury", "property damage" or "personal whichever are less. and advertising injury" arising out of such b. The insurance provided to such person or operations. organization does not apply to: The insurance provided to such governmental (1) Any "bodily injury" or "property damage" entity does not apply to: that occurs, or any "personal and a. Any "bodily injury", "property damage" or advertising injury" caused by an offense "personal and advertising injury" arising out that is committed, after such contract or of operations performed for the agreement is no longer in effect; or governmental entity; or (2) Any"bodily injury", "property damage" or b. Any "bodily injury" or "property damage" personal and advertising injury" arising included in the "products-completed out of any structural alterations, new operations hazard". construction or demolition operations J. INCIDENTAL MEDICAL MALPRACTICE performed by or on behalf of such mortgagee, assignee, successor or 1. The following replaces Paragraph b. of the receiver. definition of "occurrence" in the H. BLANKET ADDITIONAL INSURED — DEFINITIONS Section: GOVERNMENTAL ENTITIES — ITS OR b. An act or omission committed in AUTHORIZATIONS RELATING TO PREMISES providing or failing to provide "incidental The following is added to SECTION 11 —WHO IS medical services", first aid or "Good ANINSURED: Samaritan services" to a person, unless you are in the business or occupation of Any governmental entity that has issued a permit providing professional health care or authorization with respect to premises owned services. or occupied by, or rented or loaned to, you and 2. The following replaces the last paragraph of that you are required by any ordinance, law, Paragraph 2.a.(1) of SECTION 11 — WHO IS building code or written contract or agreement to ANINSURED: include as an additional insured on this Unless you are in the business or occupation Coverage Part is an insured, but only with of providing professional health care respect to liability for "bodily injury", "property services, Paragraphs (1)(a), (b), (c) and (d) damage" or "personal and advertising injury" above do not apply to "bodily injury" arising arising out of the existence, ownership, use, out of providing or failing to provide: maintenance, repair, construction, erection or (a) "Incidental medical services" by any of removal of any of the following for which that your "employees" who is a nurse, governmental entity has issued such permit or nurse assistant, emergency medical authorization: advertising signs, awnings, technician, paramedic, athletic trainer, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away audiologist, dietician, nutritionist, Page 4 of 6 @ 2017 The Travelers Indemnity Company.All rights reserved. CG D3 79 02 19 Includes copyrighted material of Insurance Services Office, Inc.with its permission. COMMERCIAL GENERAL LIABILITY occupational therapist or occupational that is available to any of your "employees" therapy assistant, physical therapist or for "bodily injury" that arises out of providing speech-language pathologist; or or failing to provide "incidental medical (b) First aid or "Good Samaritan services" services" to any person to the extent not by any of your"employees" or"volunteer subject to Paragraph 2.a.(1) of Section 11 — workers", other than an employed or Who Is An Insured. volunteer doctor. Any such "employees" K. MEDICAL PAYMENTS— INCREASED LIMIT or"volunteer workers" providing or failing The following replaces Paragraph 7. of to provide first aid or "Good Samaritan SECTION III — LIMITS OF INSURANCE: services" during their work hours for you will be deemed to be acting within the 7. Subject to Paragraph 5. above, the Medical scope of their employment by you or Expense Limit is the most we will pay under performing duties related to the conduct Coverage C for all medical expenses of your business. because of "bodily injury" sustained by any 3. The following replaces the last sentence of one person, and will be the higher of: Paragraph 5. of SECTION III — LIMITS OF a. $10,000; or INSURANCE: For the purposes of determining the b. The amount shown in the Declarations of applicable Each Occurrence Limit, all related this Coverage Part for Medical Expense acts or omissions committed in providing or Limit. failing to provide "incidental medical L. AMENDMENT OF EXCESS INSURANCE services", first aid or "Good Samaritan CONDITION — PROFESSIONAL LIABILITY services" to any one person will be deemed to be one "occurrence". The following is added to Paragraph 4.b., 4. The following exclusion is added to Excess Insurance, of SECTION IV — COMMERCIAL L LIABILITY Paragraph 2., Exclusions, of SECTION I — CONDITIONS: COVERAGES — COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE This insurance is excess over any of the other LIABILITY: insurance, whether primary, excess, contingent Sale Of Pharmaceuticals or on any other basis, that is Professional Liability or similar coverage, to the extent the "Bodily injury" or "property damage" arising loss is not subject to the professional services out of the violation of a penal statute or exclusion of Coverage A or Coverage B. ordinance relating to the sale of M. BLANKET WAIVER OF SUBROGATION — pharmaceuticals committed by, or with the WHEN REQUIRED BY WRITTEN CONTRACT knowledge or consent of the insured. OR AGREEMENT 5. The following is added to the DEFINITIONS Section: The following is added to Paragraph 8., Transfer "Incidental medical services" means: Of Rights Of Recovery Against Others To Us, of SECTION IV — COMMERCIAL GENERAL a. Medical, surgical, dental, laboratory, x- LIABILITY CONDITIONS: ray or nursing service or treatment, If the insured has agreed in a written contract or advice or instruction, or the related agreement to waive that insured's right of furnishing of food or beverages; or recovery against any person or organization, we b. The furnishing or dispensing of drugs or waive our right of recovery against such person medical, dental, or surgical supplies or or organization, but only for payments we make appliances. because of: 6. The following is added to Paragraph 4.b., a. "Bodily injury" or "property damage" that Excess Insurance, of SECTION IV — occurs; or COMMERCIAL GENERAL LIABILITY CONDITIONS: b. "Personal and advertising injury" caused by This insurance is excess over any valid and an offense that is committed; collectible other insurance, whether primary, subsequent to the signing of that contract or excess, contingent or on any other basis, agreement. CG D3 79 02 19 @ 2017 The Travelers Indemnity Company.All rights reserved. Page 5 of 6 Includes copyrighted material of Insurance Services Office, Inc.with its permission. COMMERCIAL GENERAL LIABILITY N. CONTRACTUAL LIABILITY—RAILROADS 1. The following replaces Paragraph c. of the definition of "insured contract" in the DEFINITIONS Section: c. Any easement or license agreement; 2. Paragraph f.(1) of the definition of "insured contract" in the DEFINITIONS Section is deleted. Page 6 of 6 @ 2017 The Travelers Indemnity Company.All rights reserved. CG D3 79 02 19 Includes copyrighted material of Insurance Services Office, Inc.with its permission. COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED WRITTEN CONTRACTS (ARCHITECTS, ENGINEERS AND SURVEYORS ) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. The fn||ovvinA is added to SECTION || WHO IS plies only to such "bodily injury" or "property AN |NSURED: damaAe" thatoccurobefnretheendofthepe- riod of time for which the "written contract re- "written e Any person or organization that you agree in a - "vvrittencontractrequirinAinourance" toinc|udeao quirinA insurance" requires you to provide anadditional insured onthis Coverage Part, but: such coverage orthe end ofthe policy period, whichever ioearlier. a. Only with respect to liability for "bodily injury". "property damage" or"personal injury"; and 2. The following is added to Paragraph 4.a. of SEC- TION |V COMMERCIAL GENERAL LIABILITY b. If, and only to the extent that, the injury or CONDITIONS: damage is caused by ads or omissions of you or your subcontractor in the performance is insurance provided to the additional insured of "your work" to which the "written contract io exceoo over any valid and collectible "other in- of insurance" applies. The person or ounance'', whether primary, exceoo, contingent or orAani�ation does not qualify as an additional on any other baoio, that is available to the addi- inoured with respect to the independent acts tiona| insured for a |000 we cover. Hmwever, if you oromiooionoofouchpersonororAani�ation� oPecificaUyagree inthe '\wri�encontract requihnA insurance" that this insurance provided to the ad- The insurance provided tosuch additional insured ditiona| insured under this Coverage part must iolimited aofnUmwo� � apply on a primary basis or a primary and non- c. In the event that the Limits of Insurance of contributory basis, this insurance is primary to this ��ovenaAePa� shown inthe Oec|ara�ono "other insurance" available to the additional in- exceed the limits of liability required by the oured which covers that person or organization as "written contract requiring inounance", the in- a named insured for such |000, and we will not ounance provided to the additional insured share with that "other inounance" But this inour- ohaU be limited to the limits of liability required ance provided to the additional insured still is ex- by that "written contract requiring inounance" cess over any valid and collectible "other inour- Thio endorsement shall not increase the limits ance", whether primary, exceoo, contingent or on of insurance described in Section U| Limits any other baoio, that is available to the additional Of|nounance. insured when that person or organization is an d. This insurance does not apply to the render- additional insured under any "other inounance" inA of or failure to render any "professional 3. The following is added to SECTION |V COM- services" or construction management errors R8ERCIALGENERAL LIABILITY CONDITIONS: oromissions. Duties Of An Additional Insured e. This insurance does not apply to "bodily in- As a condition of coverage provided to the addi- jury" or "property damage" caused by "your tiona| insured: vvorK' and included in the "products- completed operations hazard" unless the a. The additional insured must give us written "written contract requiring insurance" opecifi- notice as soon as practicable of an "occur- caUy requires you to provide such coverage rence" or an offense which may result in a for that additional inoured, and then the inour- claim. To the extent p000ib|e, such notice � ance provided to the additional include: iona| insured ap- CG D4 14 04 08 2UO8The Travelers Companies, Inc. Page 1 of COMMERCIAL GENERAL LIABILITY i. How, when and where the 'occurrence" any provider of other insurance which would or offense took place; cover the additional insured for a loss we ii. The names and addresses of any injured cover. However, this condition does not affect persons and witnesses; and whether this insurance provided to the addi- iii. The nature and location of any injury or tional insured is primary to that other insur- damage arising out of the 'occurrence" or ance available to the additional insured which offense. covers that person or organization as a named insured. . If a claim is made or "suit" is brought against Sec- the additional insured, the additional insured 4. The following is added to the DEFINITIONS Sec- mtion: must: i. Immediately record the specifics of the "Written contract requiring insurance" means that claim or"suit" and the date received; and part of any written contract or agreement under which you are required to include a person or or- ganization as an additional insured on this Cover- The additional insured must see to it that we age Part, provided that the "bodily injury" and receive written notice of the claim or "suit" as "property damage" occurs and the "personal in- soon as practicable. jury" is caused by an offense committed: c. The additional insured must immediately send a. After the signing and execution of the contract us copies of all legal papers received in con- or agreement by you; nection with the claim or"suit", cooperate with . While that part of the contract or agreement is us in the investigation or settlement of the in effect; and claim or defense against the "suit", and oth- erwise comply with all policy conditions. c. Before the end of the policy period. d. The additional insured must tender the de- fense and indemnity of any claim or "suit" to Page 2 of 2 2008 The Travelers Companies, Inc. CG D4 14 04 08 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY WITH OTHER INSURANCE This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM PROVISIONS 2. The following is added to Paragraph B.5., Other 1. The following is added to Paragraph A.l.c., Who Insurance of SECTION IV — BUSINESS AUTO Is An Insured, of SECTION 11 — COVERED CONDITIONS: AUTOS LIABILITY COVERAGE: Regardless of the provisions of paragraph a. and Any person or organization who is required under paragraph d. of this part 5. Other Insurance, this a written contract or agreement between you and insurance is primary to and non-contributory with that person or organization, that is signed and applicable other insurance under which an addi- executed by you before the "bodily injury" or tional insured person or organization is the first "property damage" occurs and that is in effect named insured when the written contract or during the policy period, to be named as an addi- agreement between you and that person or or- tional insured is an "insured" for Covered Autos ganization, that is signed and executed by you Liability Coverage, but only for damages to which before the "bodily injury" or "property damage" this insurance applies and only to the extent that occurs and that is in effect during the policy pe- person or organization qualifies as an "insured" riod, requires this insurance to be primary and under the Who Is An Insured provision contained in SECTION 11. non-contributory. CA T4 74 02 15 @ 2015 The Travelers Indemnity Company.All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office,Inc.with its permission. This page has been left blank intentionally. McKim and Creed Inc 8105N4432442043 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GENERAL DESCRIPTION OF COVERAGE—This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights,duties, and what is and is not covered. A. BROAD FORM NAMED INSURED H. HIRED AUTO PHYSICAL AGE— LOSS OF B. BLANKET ADDITIONAL INSURED USE—INCREASED LIMIT C. EMPLOYEE HIRED AUTO I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES—INCREASED LIMIT D. EMPLOYEES AS INSURED J. PERSONAL PROPERTY E. SUPPLEMENTARY PAYMENTS— INCREASED K. AIRBAGS LIMITS L. NOTICE AND KNOWLEDGE OF ACCIDENT OR F. HIRED AUTO — LIMITED WORLDWIDE COV- LOSS AGE—INDEMNITY BASIS M. BLANKET WAIVER OF SUBROGATION G. WAIVER OF DEDUCTIBLE—GLASS N. UNINTENTIONAL ERRORS ORO II PROVISIONS A. BROAD FORM NAMED INSURED this insurance applies and only to the extent that The following is added to Paragraph A.1., Who Is person or organization qualifies as an "insured" An Insured, of SECTION 11—COVERED AUTOS under the Who Is An Insured provision contained LIABILITY COVERAGE: in Section III. Any organization you newly acquire or form dur- C. EMPLOYEE HIRED AUTO ing the policy period over which you maintain 1. The following is added to Paragraph A.1., 50% or more ownership interest and that is not Who Is An Insured, of SECTION 11 — COV- separately insured for Business Auto Coverage. ERED AUTOS LIABILITY COVERAGE: Coverage under this provision is afforded only un- An "employee" of yours is an "insured" while til the 180th day after you acquire or form the or- operating an "auto" hired or rented under a ganization or the end of the policy period, which- contract or agreement in an "employee's" ever is earlier. name, with your permission, while performing duties related to the conduct of your busi- B. BLANKET ADDITIONAL INSURED ness. The following is added to Paragraph c. in A.1., 2. The following replaces Paragraph b. in B.5., Who Is An Insured, of SECTION 11 — COVERED Other Insurance, of SECTION IV — BUSI- AUTOS LIABILITY COVERAGE: NESS AUTO CONDITIONS: Any person or organization who is required under b. For Hired Auto Physical Damage Cover- a written contract or agreement between you and age, the following are deemed to be cov- that person or organization, that is signed and ered "autos"you own: executed by you before the "bodily injury" or (1) Any covered "auto" you lease, hire, 11 property damage" occurs and that is in effect rent or borrow; and during the policy period, to be named as an addi- (2) Any covered "auto" hired or rented by tional insured is an "insured" for Covered Autos your "employee" under a contract in Liability Coverage, but only for damages to which an "employee's" name, with your CA T3 53 02 15 @ 2015 The Travelers Indemnity Company.All rights reserved. Page 1 of 4 Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL AUTO permission, while performing duties (a) With respect toany claim made ov "suit" related to the conduct of your busi- brought outside the United States of ness. Amerioe, the territories and possessions of the United States of America, PuertoHowever. any''au0o'' thatis |eased. hived. ' � rented or borrowed with a driver is nota Rico and Canada� covered ''au0o" (i) You must arrange to defend the ''in- D. EMPLOYEES AS INSURED aured''against, and investigateorset- The any such claimfollowing iaadded toPamgmph^�.1.. ��ho |e usadvised ofall proceedings and ac- An Insured, of����|C�� ||—���������UT�� tions. LIABILITY COVERAGE: (ii) Neither you nor any other involved Any^emp|oyee^o{yours is an "insured"while us- "insured" will make any settlement |ngacovered ''auto''you don't own, hire orborrow without our consent. inyour business oryour personal affairs. (iii) We may, atour discretion, participate E. �Up�L�0 �#�4�Y p��� �#T�— |M������� in defending the "insured" against, or LIMITS in the settlement of, any claim or 1. The following replaces Paragraph A.2.a.(2). "suit". of SECTION U—COVERED AUTOS LIAB|L- (k)VVe will reimburse the "insured" for |TYCOVERAGE: sums that the "insured" legally must (2) Up to $3.000 for cost of bail bonds (in- pay as damages because of "bodily duding bonds for related traffic law viola- injury" or"property damage" to which tions) required because ofan "accident" this insurance appliea, that the "in- we cover. We do not have to furnish sured^ pays with our consent, but these bonds. only uptothe limit described in Para- 2. The following replaces Paragraph A.2.a.W0. graph C, Limits Of Insurance, of — COVERED AUTOS|| of SECTION U—COVERED AUTOS LLAB|L- SECTION LIABILITY . ( ' Allreasonable expenses incuincurredbythe (v) We will reimbursereimbursethe "insured" for "insured" at our requeg, including actual the reasonable expenses incurred |oae of earnings up to $500 a day be- with our consent for your investiga- mauaeoftime off from work. tion ofsuch claims and your defense of the ''insuned" against any such FH|��� ��UTC3 — L|0O|��� ����L�V�|�� ���- "suit",auit''. but only up to and included ERAGE—INDEMNITY BASIS within the limit described in Para- The following replaces Subparagraph(5) in Para- graph C, Limits Of |nsumnoe, of graph BI, Policy period' Coverage Territory, SECTION || — COVERED AUTOS of SECTION [V — BUSINESS AUTO CONDI- LIABILITY COVER4BE, and not in TIONS: addition to such limit. Our duty to Anywhere in the world, except country or make such payments ends when we ' ' have used up the applicable limit of jurisdiction while any trade sanction, em- bargo. or similar regulation imposed by the insurance in payments for damages, United States ofAmerica applies toand pro- settlements ordefense expenses. hibi1s the transaction of business with or (b) This insurance is excess over any valid within such country or jurisdiction, for Cov- and collectible other insurance available enedAu0oa Liability Coverage for any covered to the ''insuned" whether primary. excess, "auto'' that you lease, hire, rent orborrow contingent oronany other basis. without adriver for aperiod of3Odays orless (c) This insurance is not a substitute for re- and that is not an ''auto" you lease, hire, rent quired or compulsory insurance in any or borrow from any of your "employees", country outside the United Stekea, its ter- partners (if you are a partnerahip), members ritorieaand possessions, Puerto Rico and (if you are a limited liability company) or Canada. members oftheir households. Page 2of4 @uo1aThe Travelers Indemnity Company.All rights reserved. CAT353O215 COMMERCIAL AUTO You agree to maintain all required or (2) |noronyour covered ^aukz^ compulsory insurance in any such coun- This coverage applies only in the event ofa total try uptothe minimum limits required by theft ofyour covered ''auto" local law. Your failure to comply with No deductibles apply to this Personal Property compulsory insurance requirements will coverage. not invalidate the coverage afforded by this policy, but wewill only beliable tothe K. AIRBAGS same extent we would have been liable The following is added to Paragraph B.3.. Exo|u- had you complied with the compulsory in- eiono. of SECTION ||| — PHYSICAL DAMAGE aumncerequinements. COVERAGE: (d) It is understood that weare not an admit- Exclusion 3.a. does not apply to ''|oas" to one or ted or authorized insurer outside the more airbags inacovered ''auto'' you own that in- United States of Amerioe, its territories Uate due to a cause other than a cause of ''|oas" and possessions, Puerto Rico and Can- set forth in Paragraphs A.1.b. and A.1.o., but ada. We assume no responsibility for the only: furnishing of certificates of insumnce, or a. If that ''au0o" is a covered ''auto" for Compre- for compliance in any way with the laws hensive Coverage under this policy; ofother countries relating to insurance. b. The airbags are not covered under any war- G. WAIVER OF DEDUCTIBLE—GLASS mnty; and The following is added to Paragraph D.. Deducti- c. The airbags were not intentionally inflated. b|e' of SECTION ||| — pH�S|��� ���A�� We will pay up to a maximum of$1,000 for any COVERAGE: one"loss". Modeductible for acovered ^au0o^ will apply to L NOTICE AND KNOWLEDGE OF ACCIDENT OR glass damage if the glass is repaired rather than LOSS replaced. The following is added to Paragraph A.2.a.. of H. HIRED AUTO PHYSICAL DAMAGE— LOSS C3F SECTION |V—BUSINESS AUTO CONDITIONS: USE—INCREASED LIMIT Your duty togive usorour authorized nepneaenta- Thefollowing replaces the last sentence of Pam- tive prompt notice of the ''accident" or ''|oas" ap- gmph A.4.b.. Loss Of Use Expenses, of SEC- plies only when the ''accident" or ''|oas" is known T|C3W III—PHYSICAL DAMAGE COVERAGE- to: However, the most wewill pay for any expenses (a) You (if you are anindividua|); for loss ofuse is $65 per day, to maximum of (b) Apartner(if you are apartnerahip); $75Ofor any one''accident" . (c) A member (if you are a limited liability com- |. PHYSICAL DAMAGE — TRANSPORTATION peny); EXPENSES |M���^���� L|0O|� — (d) An executive dffioer, director or insurance The following replaces the first sentence inPara- manager(if you are acorporation orother or- graph A.4.a.. Transportation Expenoeo, of ganizaUon); or SECTION ||| pH�S|�^�� ���A�� COVER-- (e) Any''emp|oyee''authorized byyou togive no- AGE: tioeofthe ''accident''or''|oas" We will pay up to $50 per day to a maximum of M. BLANKET WAIVER OF SUBROGATION $1.500 for temporary transportation expense in- The following replaces Paragraph^�5` Transfer cur»edbyyou because o{the total theft ofa cov- Of Rights Of Recovery ^�Q �ntOthers To Ue, ened ''au1o''ofthe private passenger type. of SECTION |V — BUSINESS AUTO CONDI- J. PERSONAL PROPERTY TIONS: The following is added to Paragraph AA., Cover- 5. Transfer Of Rights Of Recovery Against age Extensions, of SECTION ||| — PHYSICAL Others To Us DAMAGE COVERAGE: VVewaive any right ofrecovery wemay have Personal Property against any person or organization to the ex- tent required of you by a written contract We will pay upto $4OOfor ''|oas" towearing aP- signed and executed prior to any ''accident" pane|and other personal property which is: or''|oas''. provided that the ''accident''or''|oas" (1) Owned byan^insured^; and arises out of operations contemplated by CAT353O215 @uo1aThe Travelers Indemnity Company.All rights reserved. Page 3o{4 COMMERCIAL AUTO such contract. The waiver applies onlytothe The unintentional omission of, or unintentional person or organization designated in such error in, any information given by you shall not contract. prejudice your rights under this insurance. How- W. UNINTENTIONAL ERRORS C3ROMISSIONS ever this provision does not affect our right tocol- The following is added to Paragraph B.2.. Con- |ecL additional premium or exercise our right of cea|ment' Misrepresentation, Or Fraud, of cancellation ornon-nenewa|. SECTION |V—BUSINESS AUTO CONDITIONS: Page 4of4 @uo1aThe Travelers Indemnity Company.All rights reserved. CAT353O215 McKim and Creed Inc vvcv6212e63 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (Thio agreement applies only to the extent that you perform work under e 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 that you perform work for that is liable for an injury, covered by this policy, that prior tnthe injury has written contract requiring a waiver of our right to recover from them. 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 nn/ns/unun Policy No. vvcv6212e63 Endorsement No. Insured �,*m/umy McKim and cm*u Inc Insurance Company Countersigned by VVCO003 13 (Ed. 4-84) Copyright 1000National Council onCompensation Insurance. This page has been left blank intentionally. POLICY NUMBER: ISSUE DATE: - - THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EARLIER NOTICE OF CANCELLATIONMONRENEWAL PROVIDED BY US This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS INCLUDED IN THIS POLICY SCHEDULE CANCELLATION: Number of Days Notice: WHEN WE DO NOT RENEW(Nonrenewal): Number of days Notice: PROVISIONS: B. For any statutorily permitted reason other than A. For any statutorily permitted reason other than nonpayment of premium, the number of days re- nonpayment of premium, the number of days re- quired for notice of When We Do Not Renew quired for notice of cancellation, as provided in (Nonrenewal), as provided in the CONDITIONS the CONDITIONS Section of this insurance, or as Section of this insurance, or as amended by any amended by any applicable state cancellation applicable state When We Do Not Renew endorsement applicable to this insurance, is in- (Nonrenewal) endorsement applicable to this in- creased to the number of days shown in the surance, is increased to the number of days SCHEDULE above. shown in the SCHEDULE above. IL T3 20 09 97 Copyright, The Travelers Indemnity Company, 1997 Page 1 of 1 This page has been left blank intentionally. POLICY NUMBER: 6302GO91871PHX THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED ENTITY - EARLIER NOTICE OF CANCELLATIONMON RENEWAL PROVIDED BY US This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS INCLUDED IN THIS POLICY SCHEDULE CANCELLATION: Number of Days Notice: WHEN WE DO NOT RENEW(Nonrenewal): Number of Days Notice: NAME: City of Clearwater Engineering, ADDRESS: RFQ#26-19 P 0 Box 4748 Clearwater, FL 33758 A. For any statutorily permitted reason other than applicable state When We Do Not Renew nonpayment of premium, the number of days re- (Nonrenewal) endorsement applicable to this in- quired for notice of cancellation, as provided in surance, is increased to the number of days the CONDITIONS Section of this insurance, or as shown in the SCHEDULE above. amended by any applicable state cancellation C. We will mail notice of cancellation or nonrenewal endorsement applicable to this insurance, is in- or material limitation of those coverage forms to creased to the number of days shown in the the person or organization shown in the schedule SCHEDULE above. above. We will mail the notice at least the Num- B. For any statutorily permitted reason other than ber of Days indicated above before the effective nonpayment of premium, the number of days re- date to our action. quired for notice of When We Do Not Renew (Nonrenewal), as provided in the CONDITIONS Section of this insurance, or as amended by any IL T3 54 03 98 Copyright, The Travelers Indemnity Company, 1998 Page 1 of 1 This page has been left blank intentionally. COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ARCHITECTS, ENGINEERS AND SURVEYORS 0NDUSTRYEDGEom ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE This endorsement broadens coverage. Hnwever, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to this Coverage Pad, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The fn||ovvinA listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. Broadened Named Insured M. Who Is An Insured Newly Acquired Or B. Incidental Medical Malpractice Formed Organizations C. Reasonable Force Bodily Injury [)rProperty N. Injury To Co-Employees And Co-Volunteer WorkersOamaAe D. Non-Owned Watercraft Increased To Up To 0. Medical Payments Limit 75 feet P. Knowledge And Notice Of Occurrence Or E. Aircraft Chartered With Pilot Offense F. Extension Of Coverage Damage To Q. Other Insurance Condition Premises Rented To You R. Unintentional Omission G. Personal Injury Assumed by Contract S. Waiver Of Transfer Of Rights Of Recovery H. Increased Supplementary Payments Against Others To Us When Required By Contract |. Additional Insured Owner. Manager Or Lessor[)fPremises T. Amended Bodily Injury Definition U Amended Insured Contract Definition F�ai| J. Additional Insured Lessor [)fLeased Equip- U. - road Easement ment V. Additional Definition Written Contract Re - Subdivisions Additional Insured State [)r Political ' - Subdivioiono Pennito Relating ToPremises quirinA Insurance L Additional Insured State Or Political Subdivisions PennKo Relating TnOperations PROVISIONS ever, coverage for any such additional orAaniza- A. BROADENED NAMED INSURED UNNAMED tion will cease as of the date, if any, during the SUBSIDIARIES policy period, that you no longer are the sole owner o� or maintain the majority ownership in- TheNamed Insured in Item 1. of' tereot in, such organization. ioamendedaofnUo�o� B. INCIDENTAL MEDICAL MALPRACTICE The person or organization named in Item 1. of the Declarations and any organization, other than 1. The following is added to the definition of"oc- cunence" in the DEFINITIONS Section: a partnership, joint venture, limited liability com- pany or trust, of which you are the sole owner or Unless you are in the business or occupation in which you maintain the majority ownership in- of providing professional health care oeniceo, tereot on the effective date of the policy. How- "occurrence" also means an act oromission CG D4150508(Rev. 10-08) @2UO8The Travelers Companies, Inc. Page 1 of COMMERCIAL GENERAL LIABILITY committed by any of your "employees" who is for "bodily injury" that arises out of providing employed by you as a registered nurse, li- or failing to provide "incidental medical ser- censed practical nurse, emergency medical vices" or "Good Samaritan services", except technician or paramedic, in providing or failing for insurance purchased specifically by you to to provide "incidental medical services" or apply in excess of the Limits of Insurance "Good Samaritan services"to a person. shown in the Declarations for this Coverage 2. The following is added to the DEFINITIONS Part. Section: 6. The following is added to Paragraph 5. of a. "Incidental medical services" means SECTION III LIMITS OF INSURANCE: medical, surgical, dental, laboratory, x-ray For the purposes of determining the applica- or nursing service, treatment, advice or ble Each Occurrence Limit, all related acts or instruction; the related furnishing of food omissions committed by any of your "employ- or beverages; the furnishing or dispens- ees" in providing or failing to provide "inciden- ing of drugs or medical supplies or appli- tal medical services" or "Good Samaritan ser- ances; or first aid. vices" to any one person will be deemed to be . "Good Samaritan services" means those one 'occurrence". medical services rendered or provided in C. REASONABLE FORCEPROPERTY AGE an emergency and for which no remu- EXCEPTION TO EXPECTED OR INTENDED I - neration is demanded or received. JURY EXCLUSION 3. The following is added to Paragraph 2.a.(1) The following replaces Exclusion a., Expected Or of SECTION II WHO IS AN INSURED Intended Injury, in Paragraph 2. of SECTION I Paragraphs (1) (a), ( ), (c) and (d) above do COVERAGES COVERAGE A BODILY IN- not apply to any of your "employees" who are JURY AND PROPERTY DAMAGE LIABILITY: employed by you as a registered nurse, li- a. Expected Or Intended Injury Or Damage censed practical nurse, emergency medical technician or paramedic but only while per- "Bodily injury" or "property damage" expected forming the services described in Paragraph or intended from the standpoint of the in- 1. above and while acting within the scope of sured. This exclusion does not apply to "bod- their employment by you. Any such "employ- ily injury" or "property damage" resulting from ees" rendering "incidental medical services" the use of reasonable force to protect any or "Good Samaritan services" will be deemed person or property. to be acting within the scope of their employ- D. NON-OWNED WATERCRAFT INCREASED ment by you. TO UP TO 75 FEET 4. The following exclusion is added to Para- 1. The following replaces Paragraph (2) of Ex- graph 2. Exclusions of SECTION I COV- clusion g., Aircraft, Auto Or Watercraft, in AGES COVERAGE A BODILY INJURY Paragraph 2. of SECTION I COVERAGES AND PROPERTY DAMAGE LIABILITY: COVERAGE A BODILY INJURY AND Sale of Pharmaceuticals PROPERTY DAMAGE LIABILITY: "Bodily injury" or "property damage" arising (2) A watercraft you do not own that is: out of the willful violation of a penal statute or (a) Less than 75 feet long; and ordinance relating to the sale of pharmaceuti- ( ) Not being used to carry any person or cals committed by or with the knowledge or property for a charge. consent of the insured. 2. The following is added to SECTION II WHO . The following is added to Paragraph 4. ., x- IS AN INSURED: cess Insurance, of SECTION IV C CIL GENE L LIABILITY CONDI- Any person who, with your expressed or im- TIONS: plied consent, either uses or is responsible for the use of a nonowned watercraft that is less This insurance is excess over any valid and than 75 feet and not being used to carry per- collectible 'other insurance", whether primary, son or property for a charge is included as an excess, contingent or on any other basis, that insured under this Coverage Part. is available to you or any of your "employees" Page 2 of 8 ©2008 The Travelers Companies, Inc. CG D4 15 05 08(Rev. 10-08) COMMERCIAL GENERAL LIABILITY E. AIRCRAFT CHARTERED WITH PILOT of the mwner, caused by: fire; explosion; light- The following iAht-ThefnUmwinA is added to Exclusion g., Aircraft, ninA; smoke resulting from such fire. exp|o- Auto Or Watercraft, in Paragraph 2. of SECTION oion. or lightning; or water. The Damage To | COVERAGES COVERAGE A BODILY |N_ Premises Rented To You Limit will apply to all JURY AND PROPERTY DAMAGE LIABILITY: "property damage" proximately caused bythe same "occurrence", whether such damage This exclusion does not apply to an aircraft that /oresults from: fire; explosion; lightning; smoke � resulting from such fire, explosion, or light- (a) Chartered with a pilot to any insured; and ninA; or water; or any combination of any of (b) Not owned byany insured. these causes. F. EXTENSION OF COVERAGE DAMAGE TO The Damage To Premises Rented To You PREMISES RENTED TO YOU Limit will bethe higher of: 1. The following replaces the last paragraph of ' $300,000; or SECTION | COVERAGES COVERAGE A b. The amount shown for the Damage To BODILY INJURY AND PROPERTY DAM- Premises Rented To You Limit in the AGE LIABILITY: Declarations for this Coverage Pad. Exclusions c. through In. do not apply to dam- 4. The following replaces Paragraph a. of the age to premises while rented to you, or tem- definition of "insured contract" in the DEF|N|- ponari|y occupied by you with permission of TIONS Section: the owner, caused by: a. A contract for a lease of premises. How- a. Fireever, that portion of the contract for a ' b' Explosion; lease of premises that indemnifies any ' person or organization for damage to c. Lightning; premises while rented to you, or tempo- d. Smoke resulting from such fire, exp|ooion, nari|y occupied by you with permission of orlightning; or the mwner, caused by: fire; explosion; e lightning; smoke resulting from such fire, ' Water. explosion, or lightning; or water is not an Aoeparate limit of insurance applies to this "insured contract"; coverage as described in SECTION U| UR8- G. PERSONAL INJURY ASSUMED BY CON- ITS OF INSURANCE TRACT 2The insurance under this Provision F. does' ' The following replaces Exclusion e, Contractual not apply todamage to premises while rented Liability in Paragraph 2. of SECTION | COV- to you, or temporarily occupied by you with ERAGES COVERAGE B PERSONAL AND permission ofthe owner, caused by: ADVERTISING INJURY LIABILITY: a. Rupture, burstinA, or operation of Pres- "Advertising injury" for which the insured has as- sure relief devices;' oumed liability in a contract or agreement. This b. Rupture or bursting due to expansion or exclusion does not apply to liability for damages swelling ofthe contents ofany building or that the insured would have inthe absence ofthe structure, caused byorresulting from vva- contract oragreement. teror ' H. INCREASED SUPPLEMENTARY PAYMENTS c. Explosion of steam boi|ers, steam pipeo, steam engines, oroteamturbineo� 1. The following replaces Paragraph 1.b. of SUPPLEMENTARY PAYMENTS COVER- 3. The fn||ovvinA replaces Paragraph 6. of SEC- AGES A AND B of SECTION | COVER- TION ||| LIMITS OF INSURANCE AGES: Subject to 5. above. the Damage To prem- b. Up to $2.500 for coot of bail bonds re- ioeo Rented To You Limit is the most wewill quired because of accidents or traffic law pay under Coverage A for the sum of all violations arising out of the use of any damages because of "property damage" to vehicle towhich the Bodily Injury Liability any one premises while rented to you. or Coverage applies. We do not have tofur- temporarily occupied by you with permission niohthese bonds. CG D4150508(Rev. 10-08) @2UO8The Travelers Companies, Inc. Page 3of8 COMMERCIAL GENERAL LIABILITY 2. The following replaces Paragraph 1.d. of performed by or on behalf of such SUPPLEMENTARY PAYMENTS COVER- additional insured; or AGES AAND B of SECTION | COVER- (3) Any premises for which coverage is AGES: excluded by another endorsement to d. All reasonable expenses incurred by the this Coverage Part. insured atour request to assist us in the 3. This Provision i does not apply on any basis investigation or defense of the claim or to any person or organization for which cov- "ouit'. including actual loss ofearnings uP enaAe as an additional insured specifically is to $500 a day because of time off from added by another endorsement tothis Cover- work.. aAePart. | J���|7l{��/�L |��U���� �VV���� R�J��/�C���� ' ' J. ADDITIONAL INSURED LESSOR OF LEASED OR LESSOR OF PREMISES EQUIPMENT 1. The following ioadded toSECTION U WHO 1. The following ioadded toSECTION U WHO |SAN |NSU����� � |SANINSURED: Any person or organization that you have Any person or organization that you have agreed in a "written contract requiring inour- agreed in a "written contract requiring insur- ance" to nour-ance'' to include aoan additional insured on ance. to include as an additional insured on this Coverage Part ioaninoured but ' this Coverage Part io an inoured, but a. Only with respect to liability for "bodily in- a. Only with respect to liability for "bodily in- ]uryror "property damage" that occurs or 11 ' ju�ror "propedydamage" that occurs, or personal injury" by an offense "personal injury" caused by an offense commKted, after you have entered into commKted, after you have entered into that "written contract requiring inounance"� ' that "written contract requiring inounance"; and and b. Only if the "bodily injury", "property dam- b. Only if the "bodily injury", "property dam- age" or "personal injury" is cauoed, in age" or "personal injury" is cauoed, in whole or in part, by ads or omissions of whole or in part, by ads or omissions of you or any person or organization Per- you or any person or organization per- forming operations on your behalf, and forming operations onyour behalf, in the arises out ofthe ownership, maintenance maintenance, operation or use of equip- or use of that part of any premises leased ment leased to you by such additional in- to you under that "written contract requir- oured. inAinounance" 2' The insurance prov'dedtoouchaddKiona| in- 2. The insurance provided tosuch additional in- sured under this Provision i is subject t» the oured under this Provision J. is subject to the following provisions: following provisions: �. The limits of insurance afforded to such aThe limits of afforded to such' additional insured shall the limits additional insured shall be the limits which you aAreedtopro��deinthe �w�� which you agreed toprovide inthe '\wri� ten contract requiring insurance", or the ten contract requiring inounance", or the |imits shown in the Declarations for this limits shown in the Declarations for this ��ovenaAePa�. vvhicheverare less; and ��ovenaAePa�. vvhicheverare |eoo� and b. The insurance afforded tosuch additional bThe additional' insured does not apply: insured does not apply to: (1) To any "bodily injury" or "property (1) Any "bodily injury" or "property dam- danlaAe" that occurs, or "personal in- age" thatoccurs or injury"' jury" caused by an offense commit- caused by an offense committed, sf- ted, after the equipment lease ex- ter you cease to be a tenant in that pireo; or premises; (2) If the equipment is leased with an (2) Any structural aKerationo, new con- operator. otruction or demolition operations Page of @2UO8The Travelers Companies, Inc. CG D4 15 05 08(Rev. 10-08) COMMERCIAL GENERAL LIABILITY 3. This Provision J. does not apply on any basis riod, whichever is earlier. Any such newly ac- to any person or organization for which cov- quired or formed organization that you report erage as an additional insured specifically is in writing to us within 180 days after you ac- added by another endorsement to this Cover- quire or form the organization will be covered age Part. under this provision until the end of the policy K. ADDITIONAL INSURED STATE OR POLITI- period, even if there are more than 180 days CAL SUBDIVISIONS PERMITS RELATING TO remaining until the end of the policy period. PREMISES N. INJURY TO CO-EMPLOYEES AND CO- The following is added to SECTION II WHO IS VOLUNTEER S ISU The following is added to SECTION II WHO IS Any state or political subdivision that has issued a AN INSURED: permit in connection with premises owned or oc- 1. Your "employees" are insureds with respect cupied by, or rented or loaned to, you, is an in- to "bodily injury" to a co-"employee" in the sured, but only with respect to "bodily injury", course of the co-"employee's" employment by "property damage", "personal injury" or "advertis- you, or to your "volunteer workers" while per- ing injury" arising out of the existence, ownership, forming duties related to the conduct of your use, maintenance, repair, construction, erection business, provided that this coverage for your or removal of advertising signs, awnings, cano- "employees" does not apply to acts outside pies, cellar entrances, coal holes, driveways, the scope of their employment by you or while manholes, marquees, hoist away openings, side- performing duties unrelated to the conduct of walk vaults, elevators, street banners or decora- your business. tions for which that state or political subdivision 2. Your "volunteer workers" are insureds with has issued such permit. respect to "bodily injury" to a co-"volunteer L. ADDITIONAL INSURED STATE OR POLITI- worker" while performing duties related to the CAL SUBDIVISIONS PERMITS RELATING TO conduct of your business, or to your "employ- OPERATIONS ees" in the course of the "employee's" em- The following is added to SECTION II WHO IS ployment by you, provided that this coverage ISU for your "volunteer workers" does not apply Any state or political subdivision that has issued a while performing duties unrelated to the con- duct of your business. permit is an insured, but only with respect to bod- ily injury", "property damage", "personal injury" or 3. Subparagraphs 2.a.(1)(a), O and (c) and "advertising injury" arising out of operations per- 3.a. of SECTION II WHO IS AN INSURED formed by you or on your behalf for which that do not apply to "bodily injury" for which insur- state or political subdivision has issued such ance is provided by paragraph 1. or 2. above. permit. However, no such state or political subdi- 0. MEDICAL PAYMENTS LIMIT vision is an insured for: The following replaces paragraph 7. of SECTION 1. "Bodily injury", "property damage", "personal III LIMITS OF INSURANCE: injury" or "advertising injury" arising out of op- Subject to 5. above, the Medical Expense Limit is erations performed for that state or political the most we will pay under Coverage C for all subdivision; or medical expenses because of "bodily injury" sus- 2. "Bodily injury" or "property damage" included tained by any one person, and will be the higher within the "products completed operations of: hazard". a. $10,000; or M. WHO IS AN INSURED LY ACQUIRED b. The amount shown on the Declarations OR FORMED ORGANIZATIONS for Medical Expense Limit. The following replaces Paragraph 4.a. of SEC- P. KNOWLEDGE AND NOTICE OF OCCUR- TIONII WHO IS AN INSURED: C OFFENSE a. Coverage under this provision is afforded only The following is added to Paragraph 2. Duties In until the 180th day after you acquire or form The Event of Occurrence, Offense, Claim Or the organization or the end of the policy pe- CG 4 15 05 08(Rev. 10-08) ©2008 The Travelers Companies, Inc. Page 5 of 8 COMMERCIAL GENERAL LIABILITY Suit ofSECTION PV COMMERCIAL GENERAL ance^ by the method described in c. LIABILITY CONDITIONS: below. Notice of an "occurrence" or of an offense which b. Eocess |nsurance may result in a claim must be given as soon as This insurance is excess over any of practicable after knowledge ofthe "occurrence" or the "other inounance", whether pri- offenoe has been reported to you, one of your mary, exceoo, contingent or on any "executive officers" (if you are a corponation), one other basis: ofyour partners who is an individual (if you area (1) That is Fire. Extended CovenaAe, partnership), one of your managers (if you are a Builder's Risk, Installation Risk, limited liability company), one of your trustees or similar coverage for "your who is an individual (if you are a truot), or an work"; "employee" (such aoan insurance, loss (2) That is Fire insurance for prem- risk manager oradministrator) designated by you ioeo rented to you or temporarily togive such notice. occupied byyou with permission Knowledge byany other "emp|oyee" ofan "occur- ofthe owner; rence" or offense does not imply that you also (3) That is insurance purchased by have such knowledge. you to cover your liability as a Notice of an "occurrence" or of an offense which tenant for "property damage" to may result in a claim will be deemed to be given premises rented to you or tempo- as soon as practicable to us ifitio given in good nari|y occupied by you with per- faith as soon as practicable to your workers' com- er-faitha0000naopnacticab|etoyourvvorkers' com- mission ofthe owner; or penoation, accident, or health insurer. This ap- (4) If the |000 arises out ofthe main- plies only if you subsequently give notice of the tenance or use of aircraft. "occurrence" oroffense to us as soon as pnacti- "autoo", or watercraft to the ex- cable after you, one of your"executive officers" (if tent not subject to Exclusion g. of you are acorponation). one ofyour partners who Section | Coverage Bodily is an individual (if you are apartnership). one of Injury And Property Damage Li- your managers (if you are a limited liability com- ability; or pany). one ofyour trustees who ioanindividual (if (5) That is available to the insured you are atruot). or an "employee" (ouch as an in- when the insured is an additional ounance. |000 control orrisk manager oradminio- insured under any other po|icy, trator) designated by you to give such notice dio- including any umbrella or excess covers that the "occurrence" or offense may in- policy. vo|vethis policy. When this insurance is excess, we Q. OTHER INSURANCE CONDITION will have no duty under Coverages A or � to defend the insured against 1 The replaces Paragraph � Other , ' " any "suit" if any provderof "other in- GENERAL of SECTION |V COMMERCIAL . ounance haoadutytodefendthe��ENERALL|��B|L|TY CONDITIONS:' in- sured against that "suit". If no pro- 4. Other Insurance vider of "other insurance" defends, If valid and collectible "other insurance" is wewill undertake todoso, but wewill available to the insured for a |000 we be entitled to the inoured'o rights cover under Coverages A or B of this against all those providers of "other Coverage Part, our obligations are limitedinounance" ed . as follows: When this insurance is excess over a. Primary Insurance "other inounance", we will pay only our share ofthe amount ofthe |000. if This insurance is primary except any. thatexceedotheoumot when b. below applies. If this inou� ance is primary, our obligations are (1) The total amount that all such not affected unless any of the "other "other insurance" would pay for insurance" is also primary. Then, we the loss inthe absence ofthis in- will n-vviU share with allthat "other inour- ounance�' and Page 8of8 @2UO8The Travelers Companies, Inc. CG D4150508(Rev. 10-08) COMMERCIAL GENERAL LIABILITY (2) The total of all deductible and Insurance shown on the Declarations of self-insured amounts under that this Coverage Part. "other inounance" . R. UNINTENTIONAL OMISSION We will share the remaining |000 if ' 1. The following is added to Paragraph 6. Rep- any, with' mesentationsofSECTION |V COK8R8ER- not described in this Excess |nour- C|ALGENERAL LIABILITY CONDITIONS: anceprovioion. c. Method OfSharing The unintentional omission of, or uninten- tional error in, any information provided by If all of the "other insurance" permits you which we relied upon in issuing this policy contribution by equal ohareo, we will shall not prejudice your rights under this in- follow this method also. Under this ounance. approach each provider ofinsurance contributes equal amounts until ithas 2. This Provision R. does not affect our right to paid its applicable limit of insurance collect additional premium or to exercise our or none of the |000 remaino, which- right of cancellation or nonrenewal in accor- evercomeofirst. dance with applicable insurance laws orreAu- |fany of the "other insurance" does |ationo. not permit contribution by equal S. WAIVER OF TRANSFER OF RIGHTS OF RE- ohareo, we will contribute by limits. COVERY AGAINST OTHERS TO US WHEN Under this method, the share of each REQUIRED BY CONTRACT provider ofinsurance is based on the The following is added to Paragraph 8. Transfer ratio of its applicable limit of inour- of Rights of Recovery Against Others to Us of ance to the total applicable limits of SECTION IV COMMERCIAL GENERAL LI- insurance of all providers of inour- ABILITY CONDITIONS: ance. 2. The following definition ioadded toSECTION We waive any rights of recovery we may have V DEFINITIONS: against any person or organization because of payments we make for "bodily injury". "property, "Other insurance":� damaAe". "personal injury" or "advertising injury" a. Means inounance, or the funding of arising out of: |000eo, that is provided by. through or on 1. Premises owned by you, temporarily occu- beha|fot pied byyou with permission of the owner, or (1) Another insurance company; leased orrented toyou; (2) Us or any of our affiliated insurance 2. Ongoing operations performed by you, or on companieo, except when the Non your behalf, under a contract or agreement cumulation of Each Occurrence Limit with that person ororganization; section ofParagraph 5. ofLIMITS OF 3 "Your work"; INSURANCE (Section U|) or the Non ' ' cumulation of Personal and Adverho- 4. "Your products". inA Injury limit sections of Paragraph We waive these rights only where you have 4. of LIMITS OF INSURANCE (Sec- agreedto do so as part of "written contract re- tion U|) applies; quihnAinsurance" entered into byyou before, and (3) Any risk retention group; in effect when, the "bodily injury" or "property (4) Any self-insurance method or pro- damage" occurs. or the "personal injury" offense Aram. other than any funded by you or"advertising injury" offense is committed. and over which this Coverage part T. AMENDED BODILY INJURY DEFINITION applies; or The following replaces the definition of "bodily (5) Any similar risk transfer or risk man- injur/' inthe DEFINITIONS Section: agement method. "Bodily injury" means bodily injury, mental an- excess Does not include umbrella insurance, or ' Auioh mental ir�ury, shock, fright, dioabi|Ky, exceoo inounance. that you bought ope- ' ' ' ' ' hu- mi|iation sickness or disease sustained by a per- CG e� ci�caUytoapp|yinexce000ftheLimitoof ' CG D4150508(Rev. 10-08) @2UO8The Travelers Companies, Inc. Page 7of8 COMMERCIAL GENERAL LIABILITY son, including death resulting from any ofthese at "Written contract requiring insurance" means that anytime. part of any written contract or written agreement U. AMENDED INSURED CONTRACT DEFINITION under which you are required to include a person RAILROAD EASEMENT or organization as an additional insured on this Coverage Part, provided that the "bodily injury"i. Subparagraph c. of the definition of "insured contract" in the DEFINITIONS Section is re, and "property damage" occurs, and the "personal placed bythe fnUovvinA: inju�" iocaused byanoffense committed: c' Any easement orlicense agreement; a. After the signing and execution ofthe contract oragreement byyou; 2. Subparagraph f.(1) of the definition of "in- b. While that part ofthe contract oragreement io oured contract" in the DEFINITIONS Section in effectand is deleted. ' c Beforetheendofthe �d�ypehod� V. ADDITIONAL DEFINITION WRITTEN CON- TRACT REQUIRING INSURANCE The following definition is added to the DEFINI- TIONS Section: Page 8of8 2UO8The Travelers Companies, Inc. CG D4150508(Rev. 10-08) McKim and Creed Inc 6302on91e71pHx COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OTHER INSURANCE ADDITIONAL INSUREDS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS b. The "personal injury"ur"advertising injury"for COMMERCIAL GENERAL LIABILITY CONDITIONS which coverage iasought arises out ufenuf- (Section |V). Paragraph 4. (Other |nsunance), is hanaenummitted emended as follows: subsequent to the signing and execution of that 1. The following is added to Paragraph a. Primary contract uragreement by you. Insurance: 2. The first Subparagraph (2) of Paragraph b. Em- Huwever, if you specifically agree in e written nun- cess Insurance regarding any other primary in- tract or written agreement that the insurance pm- aunanueevei|eb|e to you is deleted. vided to an additional insured under this 3. The following iaadded to Paragraph b. Excess Coverage Pert must apply un e primary beaiu. or |naunance, as an additional subparagraph under e primary and non-contributory beaia, this inaup Subparagraph (1): enue is primary to other insurance that is avail- That iaavailable tuthe insured when the insured able tusuch additional insured which covers such is added as an additional insured under any other additional insured as e named insured, end we policy, including any umbrella urexcess policy. will not share with that other insurance, provided that: a. The "bodily injury' or "property damage" for which coverage iasought occurs;and CG DO 37 04 05 Copyright 2005 The SL Paul Travelers Companies, Inc.All rights reserved. Page 1 of 1 This page has been left blank intentionally.