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Amendment
THIRD AMENDMENT TO AGREEMENT BY AND BETWEEN THE CITY OF NATIONAL CITY AND U.S. MOBILE WIRELESS COMMUNICATIONS, INC., DBA DAY WIRELESS SYSTEMS This Third Amendment to Agreement is entered into this day of July 2012, by and between the City of National City, a municipal corporation (the "CITY), and U.S. IUlobile Wireless Communications, Inc., a corporation, dba Day Wireless Systems, (the "CONTRACTOR"). RECITALS WHEREAS, the CITY and the CONTRACTOR entered into an Agreement dated November 9, 2009, ("Agreement") wherein the CONTRACTOR agreed to provide general services related to two-way radio communications maintenance for the City of National City, including certain projects for the Police Department, the Fire Department, and Neighborhood Services for the period of July 1, 2009 through June 30, 2010. WHEREAS, the Agreement was subsequently amended on July 1, 2010, for one year through June 30, 2011, forme not -to -exceed amount of $46,509.00. WHEREAS, the parties now seek to continue the maintenance of the two-way radio communications and increase the scope of work due to an.lncrease in the number of police vehicle radios to be included, and extend the length of the Agreement for one-year, expiring on June 30, 2013. NOW, THEREFORE, the parties agree as follows: 1. The length of the agreement, stated in Section 5 of the Agreement, is amended by extending the term for one year. The new term shall be from July 1, 2012 to June 30, 2013. 2. The scope of services, stated in Section 2 of the Agreement, is increased by increasing the scope of work as described in Exhibits "A" and "B". The specific subsections of the Agreement are amended to read as follows: A. SCOPE OF SERVICES — POLICE DEPARTMENT. The CONTRACTOR shall perform the services set forth in Exhibit "A° for the Police Department during the extended one-year term through June 30, 2013. B. SCOPE OF SERVICES — FIRE DEPARTMENT. Contractor shall perform the services set forth in Exhibit "B" for the Fire Department during the extended one-year term through June 30, 2013. 3. The total amount for all work performed under this Amendment shall not exceed Fifty -Two Thousand One Hundred Eighty Nine Dollars ($52,189.00). This total amount includes the following limits on the amounts payable based on the scope of services identified above: A. POLICE DEPARTMENT. The total cost for all work performed for the Police Department pursuant to this Amendment shall not exceed Forty Thousand Dollars ($40,000.00). This not to exceed amount includes the specific scope of services set forth in Exhibit ''An totaling Eighteen Thousand Seven hundred Eighty ($18,780.00) for the teen of this Amendment, and up to the remaining balance for additional as -needed work during the term of this Amendment. B. FIRE DEPARTMENT. The total cost for. all work performed for the Fire Department pursuant to this Amendment, as detailed in Exhibit ABA shall not exceed Twelve Thousand Nine Dollars ($12,189.00) for the term of this Amendment. 4. With the foregoing exceptions, each and every provision of the Agreement date November 9, 2009, as amended, shall remain in full force and effect. IN WITNESS. WHEREOF, the parties hereto have executed this Second Amendment on the date and year first above written. CITY OF NATIONAL CITY Ron Morrison, Mayor APPROVED AS TO FORM: Claudia G. Silva, Esq. City Attorney U.S. MOBILE WIRELSS COMMUNICATIONS, INC., DBA DAY WIRELESS SYSTEMS, INC. (Signetunss of two corporate officers !squired) By: TIViime) (Print) n of- 0r(7iile)1�L� By:IALO....hr (Name) (Print) (Title) Second Amendment 2 Between City of National City and Day Wireless Systems .4 Y frillfageS SYSIVIIS dba: US Mobile Wireless Communications, Inc. 8300 Juniper Creek Lane STE 100 San Diego, CA 92126 858-537 0709 Fax: 858-537-9570 CUSTOMER NAME: City of National City- Police Department ATTN: Accounts Payable BILLING ADDRESS: 1243 National City Blvd. CITY: CONTRACT START DATE: 7/1/2012 National City ZIP 91950 YES AUTO RENEWAL NO I x. SERVICE AGREEMENT DATE 4/3/2012 CUSTOMER #: NAT140 A ,,„"4,7,,,k -�. WIRELESS 5V$rEMS . CUSTOMER/AGREEMENT: 565-00 CUSTOMER CONTACT: Dave Noteware - Support Services Manager TELEPHONE / FAX #: 619-336-4509 Fax: 619-336-4525 EXPIRATION DATE: 6/30/2013 OTY 3 3 1 1 1 1 9 MODEL DUMBER/SERIAL NUMHERIDESDRIPTION Mobile Control Stations" Reomate Op Positions* Spectra Consolette Existing' Ethernet Router* Ethernet Switch* Tensor Channel Bank* XTL5000 Consolettea* P LACE OF StHYIL & ✓ UITCORR X X SVC OTR MILAN • , IHLt'$'Dt`iCif�13' 1 PAGE 1 OF 1 MIEN THE MEe fMr E AC:MTEO NSW DORMS WIRILESS,TRE IANVIENT oRTMEV51WNCElAaREE11EMf ORDER REFEReICZORROE VAL ME RERVCEO HYUO. ROWE WIRSISER W ADOWLWtE WI[XTMETERMS ANOCOIERIONOPRIMRo OR ATTACHMENT. TNo MREEIEIRDDesNor EIrLLOE REPLACEMDAT OF ANTENNAS. aRTTERIEB, OR SFRVR:E OF.UftTRANBMIERION 4NE,ANTEHML,TOWER OR TOWER UBHEHIO MUSS SUCH WORMS DEMO EELOW aER uNrr 3 15 17 67 20 6 56 BDA 9.00 74.00 25.00 15.00 15.00 25.00 9.00 .25.00 EXTENDED 27.00 222.00 25.0D 15.0D 15.00 25.00 81.00 75.00 SPECIAL INSfRUCTJONS: HOURS OF SERVICE: 8:00 AM TO 4:30 PM Monday thni Friday excluding weekends and holidays. An annual preventative maintenance inspection is included in this contract and is to be scheduled by a representative of National City Pace Department. This contract includes ail parts and Iaborwith the exception of antennas, batteries, cables, programming, physical abuse and water/checrriical damage. Astro Mobiles XTS3000 Portables XTS5000 Portables XTS2500 (warranty) XTS5000 Portables (Warranty Astro Mobiles (Warranty) X X X 3 Moto Astros (Warranty) 8.00 8.00 8.00 2.00 2.00 4.00 4.00 120.00 136.00 536.00 40.00 12.00 224.00 12,00 Totals for page 1 PAYMENT CYCLE: j 1 ANNUALLY [ j SEMI-ANNUALLY j x ] QUARTERLY [ ] MONTHLY [ ] OTHER (SPECIFY IN SPECIAL INSTRUCTIONS) TAX EXEMPT: j YES, ATTACH EXEMPT CERTIFICATE I X J NO TOTAL PER MONTH $1,565.00 TAXES $0.00 TOTAL $1,565.00 TNEABDVE SERVICE AMOUNT Is St/EJECT TO STATE d LOCAL TAXING JURISDICTIONS, TO BE VERIFIED BY DAY WIRELESS *Denotes that this equipment is covered under 24171365. Contract included pick up and delivery of portables. [ X ] NEW [ ] ADJUSTMENT AGREEMENT AGREEMENT# Adatap.14MII', Mtn( me and omdf0mm oTlhi SERVICE Ali REEMENT gum pfidad x FRYI.3. PURCHASE NUMBER AUTHORIZED CUSTOMER (SIGNATURE) DATE: SERVICE REPRESENTATIVE (SIGNATURE) DATE: l.� 1-1-4-L1 prvrr )r dba: US Mobile Wireless Communications, Inc. 8300 Juniper Creek Lane STE 100 San Diego, CA 92126 858-537-0709 Fax: 858-537-9570 CUSTOMER NAME NATIONAL CITY -FIRE DEPT ATTN: BILLING ADDRESS: CITY: National City STATE: CA CONTRACT START DATE: 7/1 /2012 YES BRENDA HODGES 619-336-4570 1243 NATIONAL CITY BLVD ATY 4 20 33 6 28 2 4 17 5 1 1 MODEL NUMPERISERIAi NUMeERlDESCR1PTION Astro XTL5000 Mobile Control Station' Astro XT1.5000 Mobiles 1 WiDuaI CH XTS5000 Portables XTS3000 Portable VehicularTri-them charger Battery Maint Systems Impress Rapid Rate Chargers Speaker Mics ZIP 02050 AUTO RENEWAL: NO 'PLACE OF SERVICE SWIMMER x x x x x x x x MASAN SERVICE AGREEMENT DATE 4/5/2012 CUSTOMER#: NATI30 CUSTOMER/AGREEMENT: WSRELESS SYSTEMS CUSTOMER CONTACT: CAPT. MARK GUNDERT/JUDY WILKINS 619-336-4550 TELEPHONE 1 FAX #: 619-336-4550/619-336-4562 mqundertPnationalcityca.GOV PAGE 1 OF 1 EXPIRATION DATE: 6/30/2013 MONTHLY SSVC AMOUNT PER UNIT 15.00. 15.00 9.00 9.00 7.50 3.00 3.00 2.00 EXTENDED 60.00 300.00 297.00, 54.00 210.00 6.00 12.00 34.00 Desktop chargers Model AA1670 Batt Maint System Model WPLN4079BR XTL5000 Mobile x x x 3.75 9.00 15.00 18.75 9.00 15.00 PAYMENT CYCLE: t ] ANNUALLY I ] SEMI-ANNUALLY [ x ] QUARTERLY [ ] MONTHLY [ 1 OTHER (SPECIFY IN SPECIAL INSTRUCTIONS) TAX EXEMPT: 1 YES, ATTACH EXEMPT CERTIFICATE x1NO TOTAL PER MONTH $1,015.75 TOTAL $1,015.75 THE ABOVE SERMCE AMOUNT iS SUS.5CT TO STATE & LOCAL TAxIHO JURLSDICTIONe TO SE VERIFlFA BY OAT WIRELESS Mali This AWED/ENT CB ACCEPTED aced 11511IEWREIEV3,t. eOWPM!NT ON TIE 4TeeTO1011/AGREENIENTORIA ItEIEAENCED ABOVE MILS! EEAVICEO eras Np1311L W [REEFaew 09:011IMNeE WRM THEY rRYSARO 0010Rm6 PAIRED CN ATIMIIIERT. TNVf AAREEENT DOES NOTe6tUDE UCEMDlTOFA15NIl S.SITT£RE'S, DRDEAWDE OFARYTRANb7We10R lee; AN76NNA. TOWER ORTORIER UOMTINB DILMS SU=WORK EI D®GRIBEo anew SPOCIAL INSTRUCTIONS: HOURS OF SERVICE: 8:00 AM TO 4:30 PM Mondaythru Friday, EXCLUDING WEEKENDS and HOLIDAYS. An annual preventive maintenance inspection is included in this contract and is to be scheduled by a representative of the FIRE DEPT. This contract includes. all parts and labor with the exception of antennas, batteries, cables, programming, physical abuse and water/chemical damage. "THERE IN NO 24 HOUR COVERAGE ON THE CONTRACT [ X ] NEW 1 I ADJUSTMENT AGREEMENT AGREEMENT#. Add Saud Wm, dellMS:gv, end owl:Stens of els SERVICE AGREEMENT 6IS RAnMd On 0.10 i, P.O.' IS P.O. REQUIRED? L J YES, ATTACH P.O. ( 1 NO Customer (SIGNATURE) DATE: SERVICE REPRESENTATIVE (SIGNATURE) DATE: 4f7' e4-i `r X 'tC�,,,,,_ Rat CERTIFICATE OF LIABILITY INSURANCE ATt7i2oDii' THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. AND CONFERS NO RIGHTS UPON THE CERTIFICATE EXTEND OR ALTER THE COVERAGE AFFORDED HOLDER. THIS BY THE POLICIES AUTHORIZED A CONTRACT BETWEEN THE ISSUING INSURER(S), IMPORTANT: If the certificate holder la an ADDITIONAL INSURED, the policy(los) must be endorsed. If SUBROGATION IS WAIVED, subject to the temis 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 lleu of such endorsement(s). PRODUCER Durham and Sates Agencies Inc 720 SW Washington Suite 250 Portland . OR 97205-3554 cT melody Xirkendall or Joanna Brown erNITANAM e, Eiffit (503)241-0154 Far (AimNok L60MM42-Q62B IL .melodykedbates.oam or joannabedbates.00m eutrrnmert Io#100003730 RAFFORDINGCOVERAGE . INSUREISI limed MIRED US Mobile Wireless Communiaatians, Ilan. DBA.: Day Wireless Systoas 4700 SE International Way Milwaukie OR 97222 sasulERA:OneBeacon America Ins. Co anunERsNavigators Insurance Company glum C;Hartford Ins.Co.of the Midwest 7478 INSURERD:Hartford Ace & Indemnity 2357 PON,IRER €: 44SURERF1 COVERAGES CERTIFICATE NUMBER:DS Mobile wireless 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 CONDMON 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 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED PAID CLAIMS. ItfaR TYPE OF RA ADM ID BOOR 1.WD POLICY NIJM R FBY (MMIDO$YYYYI IW 1 C:di L. tIMn9 A GENERAL r1°rmrTY COf�tERCIALGENERAL LIABILITY ® OCCUR - /10099180005 110/1/2011 LB/1/2012 EACH OCCURRENCE $ 1,000,000 DAPAAX PREMISES oo S Ei TO Tcurr.nca] • $ 1,000,000 CLAIMS -MADE EXP(Any ere person) S 10,000 X 01, 000,000 ONTIRSIGIA PERSONAL & ADV INJURY $i 1,000,000 X OaP GENERAL AGGREGATE $ 2,000,000 NESETR TON STOP OEM AGGREGATE LIMIT APMJES PER: POLICY j I PIF TIC LOC PRODUCTS. COMPPOP AGG $ 2,000,000 WAEMPLOYERS LIABILITY $ 500,000 $ 1,000,000 A AUTOMOBILE X LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NONOWNEDAUTOS 7110099100005 10/1/2011 10/1/2012 COMBINED SINGLE LIMIT (Ea.cddenq BODILY INJURY (Per person) $ BODILY MIRY Ter.oaWenQ $ © X PROPERTY DAMAGE (Per sodden') $ $ $ B X UMBRE'ILAUAB EXCESS LIAR X OCCUR CLAIMS -MADE IESC1611651V 10/1/2011 10/1/2012 EACH OCCURRENCE . $ 8,000,000 AGGREGATE $ 8,000,000 DEDUCTIBLE RETENTION $ 3 $ el - D WORKERS COMPENSATION • AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y! N Man emyInNM CERAIEMOER OCCLUDED? tfy ear describe under DESCRIPTION OF OPERATIONS below NIA 241NIN9641 - C Hartford of Midrest ,OR-D Hartford Epp Ind 10/1/2011 /0/1/2012 VaCBTATU- CTN- X T[]RY UMIT'Q ER E.L. EACH ACCIDENT 1 1,000,000 $ 1.000,000 EL. DISEASE -EAEMPLOYEE E.L. DISEASE - POLICY LIMIT $ 1000 009 A LEPERS 1100991E10005 �Of1/201i 10/1/2012 COMP &COLL LASTS $250,000 DEDUCTIBLE $ 500 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES [Attach ACORD10T, Additional Remarks Schedule, If more spec. h regldredl Res Continuing Maintenance Projeots throughout National City, Bee attached fora VC9207 07 09 Vantage for General Liability Technology Companies, and VCA 201 01 09 Vantage for Automobile. Mail Original aert tos City of National City Attn: Ranni sengotar 1200 National City Blvd, national City, sa 91950-4301. CERTIFICATE HOLDER CANCELLATION (619)336-4525 raengataenationalcityca.go CITY OF NATIONAL CITY ATTN : RONNI Z 5TGOTA 1243 NATIONAL CITY BLVD NATIONAL CITY, CA 91950-4301 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE PATH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Joanna Brown/NJ2 ACORD 25 (2009/09) ITtS025 ((2000s) @ 1988 2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD iiiimemmon+ 11=111111141 POLICY NUMBER: 711009918-0005 ThISENOORSEMENHANGE$ THE poucy, purosE READ IT"OAREFULLY. @VANTAGE FOR GENERAL LIABILITY TECHNOLOGY COMPANIES Ths.fldOr*flt modilies illstireneeproviledunder tbe fettoiing: 'OOMMEROIAL GENERAL LIABILITY ovERpa.folkm The loROWIng setiedubr IIts It* .covatage eXtemilona prOvidart by thie endorsement Peter to provisions; to datenakikthe extent otyour coverage. SCHEDULE OF OVERAGE EXTENSIONS- orm* Territory -11VorkIWIde AdditIonaltriailied - Broad Fette.VehriOre Additkfrialinstired -lticContract, Agreement Pennitralating Olt performed by you. 41 ,eiT*5 you ownon11, lease- or Occur/ Equipment you lease 3. :Allgtellate Urfa Pertocatron 4,. Blanket Waivero$ Bubrogatteri S. godly. lejuryRedelned Mental Antinith 6. illroadened. Nettled Witted . 7, 01.070.kneaPrOpertY tfarnage no. Bermweit Etialpineht o'Custimorti! Goofs. To. Mee. ot Elevators Delos hEvent of Oceurn3noerrotaintbr Suit. trP. ected:er Intended ThjUry (PD)- `Indderitall4tedIdattitalpnaptice IVIedtalPayinents Mobile EquiprnentRecretrned NeWly."Acqtlited Or.F.OrtilfA 9411Mizatignt Non -Owned /Mori* NwWned WatOltriir ?Own& end ArivertitiO9 1(310 Preduct Reocill Expense 19. Supplementaly Payments. Increitiaed Otitis 1. Angh13014011, INSURED -BROAD:POW:VENDORS Section' II -Who In An Insured is emended to incltidele efilirldgionallesuredeny person(s) or organization(s) (referred to bebw as vendor) UT Whom you agreed in a 'Witten Contract.ot agreement to provide. Instrrarm bt only villth respect telxallty Injnrr efliroperbiderriatie'r ar1eitg..0t Of Niiir IftrOdiloWlvhicli are distributed or sold In;tM moutarcetuae of the vendoiasbusInevis,seUblett:to thelollbwhig additional' extlustons; as One previt1001.00a:notaitipfy to: 111.1odilyiriWor "propel* darraverfor; iribidttne vend0111 sbligahadlon Pay damages. by: reason of to apaumptteoot liahkity ig a f contract or -agreement. This, eircluekitt does, not apply to lability for damages 'that)* vendor would -hawk; ths enoeof tbe.contract Oragreemert, Any-trip-Ifiets warranty net authorized IN you:: 3) Any Physical. or atomic* chanotinthe product nride'Infenlitirmilly bythe vendor; RePackati114 exetipt When unpacked ablety.ior. the..pOrpOse 011ropection, demons/n*3% teating othe substartion of patie under krstnictiens tear the inanufeCtufer, And then repackaged, In the. Abel container; (5) AN Nitre ta Make such thapecticm eAtstmentel testa crservitingootte Vendor has %ppm'. th make Othonnally: Undertakes to make in the usual -course -of business, Ir Connection With the distribution or we'd the PrOduOtai- (6) fhomen,stratIon,: servicing ct r�palr ”operatloris', *cog sub. opatations perfonted at 'the d:orie mug* koonnaction witti them& CUM produt (7) Preduchl vithICItrafter distribution or eatefiy you,..klave been labeled or relabeled or used es:a container, tomtit intokiterit oj o'er/Other thing or gob:Stance by or for the vendor or (8) "Bodily:141W .orl'property4amagei" Mgr)" 'Ott of theta) riegg,enee attie gender fet Vts n actort 1.01500no ow these cf:14 empOieeser anyeneeige adio-otvitis bottEdf. However, thls exOlUsion.dnee not appytol. (a) lita:Mopeptiand cOritainedin-Sittiorildralki4 Orel: ht 400.2or.or oe. hpAufas Opyrmid moterpii of insuranutlervice9 Orme, Um Opyrjght 2009, iitnuiiiininniftininElliiiiiiniumr • ittilitninilittnii Plot 07 .$141: leaPectiens, adjiattrtente, teed 'dr servicing -arrthe vendor has -agreed to rake or normally Undertakeetalnaki kV the usual aoione Of biskreit, In entinechon with. the 010031140n or sale of the Otoilsets.. 9) Atti'vender k Petsbb or 0.040.0tion:.ffltlefsOdOolt-oonvlefecf operations hazard° is exuded either by the proVislorisoTthetevetsge Form or by endorsement, b. This insurance does net apply. to Any "irstareld. *wain cie Organization', tern *NO ItOtt he *Ciii* 6110 priXbiCtk or any/ingredient pelt or coritiiiher,, eAtellhg. InbteccoMpanying or ocattalrilap.stich.prochicts. 2; ADDITIONAL. MIRED 60NTRAOT, AGREEMENT OR PERMIT' 61000), who loPn tes-erect Piterneadod to Wilde -se en.. additional ingured atif iiiri(e) r oiriark, zogiM yijittrvificot top Icimect fire-vvIltten oontraokwrftten aljrnenierit OF pittsnitto f)roVidelniagance such be 4:0040 under:10s Coverage Ps* but oriirwith respect ta,liabilityfor "hoditY 144", "mopeds! damage°. Or*pamonal And lOvegiaing MAI caused, fn whole or- in: part, by your acts. or omissions ix the acts or eallesiona:Of thoaa acilna yourbelkit • I. In the Oellotradece of 7piriviide kr' the eidaleAel itisure40): at *Owl dettguated Niti#'0011fraoti agreement or pont; te 2. In the mailierfebeei.operafieivor use of echipmealt teased tom bysuch:Periatni(a) or Oltenizetiat(e), De. 3 in connechowwilit premishayeb own., reh1. batik This inserting& applfes.pna _primary priprimary endnon-contribtitory bob Itthat is fstpritediriwrifing hY the rJantraa, egreeMeMorpermit. . b. The insurance provided fathe iticgtionalinsiired herein itlimited, ngs insurance doet notapplit 1. OlgeSS • fa} the written contract, agreernentbr-perrnitis currentlyiti effect or becortiestifeclivi3 &IRV the *rt,o of 0,0.3 OW and -.(b) the _oontnt4 Aft#OrYlent W grAcadO4 Prroit 1,91400 prior to the injury". "preparty dainatieu.; "potsiiiittlfiviti Adylotgoinglrilwri 2: To, laiy pegfejl orwation included se an Insured Undel the Additional thawed Broad roan -VenclOra:Kofftilort efitikerriforiernent. Th-eirly porton:a *gait/Ago lectucteti ea.en Met* toy OtkVigiorsemopt WO by- usand made part of: thisCov.eitigePedi 11? 0!1Yp�iorr1?-r rgafflaJon lf Atm "bodily intry°,, lareOrty damage', Veracmg and acivorirsing injury' anee0 out Of the 'rendering of. or faikireto render :any Ofessitieer atotiltactural, •aminsering or .0100Y100 eririalObs bY ittY91:1:111brtidintg, fa) The. preperirti, apipeltifig, Or Wing to prepare or eppteim, mps, shoRdravrings, opinions, reports, adiveyri, ffe chlihgeOrders orctremitge and'apecificeitiensi -or. (6) tiliPONietirtIrt.Opettion, erehitsatureouengineering activities. !S: To (a) LesobrOtkinlent.Eitiar the' efIVIIVIE419.8s0 fOririllEdes brexires; br Ownewor interiiiitattfriViicirn fetid. hoe beehjoesettor (c) Mietagetti o1e�. ef Premlies tit lizemoggerreepeteices pace afteryou cog* re be a tenant ht that premises; Of (2) "property darbOarr.17eittbritarA gdY00119tnyubut of alructural elfaralforis, new Oenettiictiori or domolitiori operatioaa planted. by (gm- behalf of the manager eeeot. . . ubbdift 41:1sPrOPeitY 04Triegii" affer 'Alivvolk diI theOrojed (other*. Senn hialritinehtie tt IV*") to In PeriormOd by orb behalf -the additfortarineured..at thksite efthe boiined OrierktritihOes. been trompleted; or (ft)i That POt$00. o 'Our Work' put to which the- friary or ifemape arises. het been pat to Ile Intended alte by, iiiny Ramos r organizaibs. 44thar thetn ftOther contractor or subconhietrir &gaged In PoOnillnaVeratibrOlOrlo Ptirib.OSifs- partofitsarns.. PlblObt-• 13300-2. 111040.6.004fiht54 ma tiMlil of InsurtinteServiceabtrm. Inc. VCI3 201 07 Copyriiriitlabci, mizninnimilmillninhiiii !DUO! ill (1.• "Units of 'Insurance applicable -to- the addilional insured a -nettle*, speCified n te contract, agreement or 'permit' or in the Declarations ettidepandy, whichever Is loss, and fix the Most we Will pity 01 the Naga* ot 1. Insureds; 2, ttjairnS inette:or (toiterti.rPoSIA 0 r Plusses* argartiatIroharrieldniroWills oriningfnreauits". •111844 t:Itt.lit% Of inpu.reno* pro Inclusive of and net In addition 'to the UMW of -Insurance ..shown in the Nclaraterta, AGGREGATE LIMIT PERI-04MAX a. UnderSectIdti fib- Limfts otrinsurance, the GeneratAgOregrite. Limit apPliee **era-ten/to Oath of your •lOcatIOnrewried 01/ °Magi Or teased -to you,. Older sestioa Detinitfons,.the -following.dettiltion Is addostr et fneana premises tretoltrig the 'some or connecting lotsk .Of prehirres .Whose orintectiOn intetrUpted only by .ashoot. Medway, waterway or rigtit.ot-wey ota railroad, EgANKtfikAIVER OF ,SUBROGATION .Secfron IV A- Transfet Of ;Righte. of R et.wersi .Againet Others JO tle Condition le *needed. tO add the Vie will waive an right 9f reoovety w may -have agetfist env .perebrr or OtoSniZettOn- bemuse ot payments we Make for injuryoi.dair)ago ending out $yourotigaing cperationedans undera-wintencorltraot Oregrepment with that poison or .priganizgoon and, included fr 'your work" &Via ''prOdoOts,conipleted operatlooe, !Isar, This liahref apple9:ohrif. to 'Persona or 'OTtiantkIrs wlth whom you have a Written Contract, executed odor to the Wily injury!' ornprOportydernage"; that requires you Iv waive yourdphtsof rotovary-. 5. BODILtlaJURY REDEFINEM--141ENTAL ANGUISH Undet Sew V, thedefinition of%diiylnitay° tstreplacedbythe folio/AO *Sedily injury!' means bodily 104? sickness, Ordiseaka **Wined OV. ParsOrrJ looladleg mental aguish .or.death reauttingfrem any 'of thetentarry time. 6 BROADEN. EDNAMED INSURED Section 0,-Virito is:An lnsuredis amendadlolitokide tit an inSukid:thetolieWirer Any Orginizatten wbieh Is a janallY IndorpOrated nthy in which you .own a blinder interest of-mere:than SO - Percent Of the outing MO* Orrthor etfectIVe do* of nit enslorsement.will boa 'Rained Itieured Until the 140th day orthe. mid Of the pacY- 'period, Whichever genies' tat, provided there is .tid Other slmilat insurance *tenable to tifitbiganizektiok Thfk !earns-Ivo affordedherOlh, does ItOt Mily..f0,:ent.entity %thrall kr aiso.:air itisurad' under another policy or Wookt. be an insured undersuch policy bbtfdrils terrnination or the exhaustion' of ito .fineltt of insuranm 7. BROADENED 'PROPERTY DAMAGE - litItttOWED ECNIP.MENT; CUSTOMERS' GOODS AND USE OF ELEVATORS me Enaurande tor Imp** dameilebinty leoubjecIto:Thefollo)010: a. The DernageTO Propetty eitolisitot Wider $00191V1,0averenelit (amended artfolhatat 1. The AXOlusibri for personal Trteaeit.Y. In the care, custodY or saitta. of the InOural do.ot not, PP* to "Proparty-4ahtege" 10 aqolpgiont you borrow While at S:job site and provided Inv not holing used by anyana ta, perfOrrn operations* the tirne of -loss. 2: The (5*d-barons for. (a) 11.0Pertt loilthett'OIOO; hosonat property:in the carei custody or tontrOlof the insurect; te) That. paittcolat part of at property that ,111tNts be NOVA repaired of rePiaSed'hateese Siour WOTV Was. hiS011aCtIVOtrafttia OS it dd. not 1 1141:0Perlydninage"- talocustomers' gottarwhint on your prenikes nor ijo they apply to .."`property damage"-odsing from the USSO orivitrirs-ativantses yOu own,*tentl.ieeso or occupy, Subject Irk the Einth -Oddurrefice PIA die Mit- we Will pay lor'property .dainage" to °Customers' Goode IS $aspoo par *oicetirance".. VCG Irev. RA* .oduckartopytfahted.teareflei of1nStY kot 3 of? -Copyrtatit2009,11111111111110111411011111111MITIMIItM111 POLICY NUMBER: 711009918-0005 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. @VANTAGE FOR AUTOMOBiLE This endorsement modifies Insurance provided under the following: BUSINESS AUTO COVERAGE FORM The following schedule lists the coverage extenebns provided by this endorsement Refer to the krdhridual provi, sions to determine the extent of your overage. SCHEDULE OF COVERAGE EXTENSIONS 1. Additional Insured By Contract 12. 2. Airbag Discharge 13. 3. Auto Theft Reward 14.. 4. Blanket Waiver of Subrogation 15, 5. Bodily Injury Redefined — Mental Anguish le. 8. Broad Form Named Insured 17. 7, Communications Equipment 18. 8. Diminution In Value 19. 9 Drive Other Car — Executive Officers 2e. 10. Duties In The Event ot Accident, Claim, Suit or Loss 11. Employees As insureds 21. Employee Hired Autos Fellow Employee Eteclusion Glass Repair — Waiver of Deductible Hired Auto Physical Oarnage Coverage Lease Gap Coverage Liability Coverage — Supplementary Payments Newly Formed or Acquired Organizations Physl al Damage — Trensporteflon menses Rental Reimbursement— Private Passenger Vehicles Towing —Any Covered Auto 1. ADDITIONAL INSURED SY CONTRACT • The Who Is An Insured provision under SECTION i! — LJABILITY COVERAGE Is amended to Include as an additional "insured" any person or organization with whom you agreed In a written contract, written agreement or permit, to provide insurance such as is afforded under this Come Form. Such person or organization Is an insured" only with respect to liability for "bodily injury" or ^property damage" caused, in whole or in part by your maintenance, operation or use of your covered autos". tlVfih respectto the Insurance afforded to these additional Insureds', this instrrance does not apply: a. Unless the written contract or agreement has been executed or the perm has been issued prior to the "bodily injury" or "property damage"; b. To any person ar organization Included as an 'Insured" by endorsement ar in the Declarations; or c. To any Lessor of "autos" when their contract or agreement with you for such leased "auto" ends. 2. AIRBAG D16CHARGE if you purchased physical damage coverage for a covered "auto" under this policy, we will pay to reset or re- place an airbag that accidentally discharges without the vehicle being involved in an acddent. No deductible applies to this additional coverage. However, this coverage only apprise if the airbag is not covered under a manufacturers warranty end you did nfltintontlonoAy cause the airbag to discharge. 3. AUTO THEFT REWARD We will pay up to a $2,000 reward in the event of a covered iota, for Information leading to the arrest and con - ocean of anyone stealing .a covered "auto" A reward will not be paid 10 you, a family member, employee or any public official while perforrrdng their duty. 4. BLANKET WANER OF SUBROGATION The Transfer Of Rights of Recovery Against Others To Us condition under SECTION IV — BUSINESS AUTO CONWTIONB, paragraph A. LOSS CONDITIONS is replaced by the following: We will waive any right of recovery we may have against any person or organization because of payments we make for Injury or damage arising out of the operation of a covered "auto" when you have assumed Nobility for such "bodily injury" or "property damage" under an "insured contract", provided the contract is in writing and executed prior to the "bodily injury or "properly damage". 4. BODILY INJURY REDEFINED — MENTALANOUI$H The definition of "bodily injury" under SECTION V— DEFINITIONS le replaced by the following: "Bodily injury' means bodily injury, sickness, or disease sustained by e person, including mental anguish or death resulting from eny of these at anytime. VOA 201010e Inckideecoprightedmateciel of Inavrpnoa Suvices Office. inc. 2004, Page 1 or5 . . , . . , . . . . AcaRior CERTIFICATE.OF LIABILITY INSURANCE elettseggegyyrrt '9130/2.0•31. • 11IS ognittatEtisIginnill AS A .14ATTM OF niftwoo.o.11. ONLY CERTIFICATeDOES, NOT AIVIRMATIVELY OR NAIIIVELY MEND; 'EXTEND _Rum IrKS• CERTJFKAIR:oF imuRANcE. Imes Nor -mtivigult AgPROinifeliig 0$:.fmnucti1;0010:got1or../er0f,pER., Atm..c.otiggRa. , NO WOWS AMON THE CENTIFVA113, OR ALTER THE COVERAGE AFFORDED, HOLDMIER114t BY THE POLICIES . AtITHORI2ED :A CONTRACT NETINEEN THE Asupep paumm(4 IP/PORTANT! gibe vertitIestit holdorte an ADDMONAL INSUROO, itrtMEOWes) must be endorsed. It susgoomtork IS WAIVED, 111110ct-to • V0.11 00 colkOitlin0 • Wt/tgi pelky,Ser.tele peilebte nay tetsibe an et dofeement. A slaternentbeetittelliffeatttlOBS not Confer iftibtelOthe . = *Milecitte MOW* lettPtiii4bigtdatagenerittlit: PA15,140* 'Dorbara 53.14eitzar ..Asinsgiateer Znar 7g9 Egfs-V.*stAiistA94- gait° 439 Pettiaxid Oft. 9720S-35547 ; ,tq,r gtellAtty farkeildia ike Aggirigi . •.• . it:" (03)44-01ge mg:. t44050.11442-#45. 44:i. R telialOdrildiPat00 ,40131.,cir, joarmalgedbeiteo. corn. ' ' 211:-A0003•130 sustegualw, - .= - • r " • .. • aossnentsiAR,OnfilOONERSCE '''-1.- 11101*5.0 OS leobite WirelialS Jtommunicatiordif In0. PtAf Wzi M.A04•41.1•6' Sk0.414.4 4709 N. Zuti*atiOtial. *4 , ,I•ttigragglae d91122 a .,. Oagottleh;Obetleacen lummaest Ins.. CO, INGlenbiktretv&gatoo , lefailrawm COmpeilY .. Xiftia Cs*: of, thor ati . • t • 7.' . . Aftwavirtixh A Co goRstmatitegok4 xido..141 rTklialint-ex, 02337 . .. . . ..11011WL.i.11,„,_ „ MAW: ...'' • ... . . . ' . iseleeo ION NUNEIERt VgIVIS TO.CEAVY THAT illE NUMMI:IF' INSURANCE LIMO 01:0WHAygsEEtt it,surazio THEINSURB) NAMED MOW PO THE POI.10. PERU* 1tD!CAWD NIMATIIITANOING ANIAOOPIBlitAMT, TERM OR. 00104710.1; OF ANTIptifigrr DR OMER .ciOcumENT OTT RositoT TO. MOH THS) Menne-Ala' MAT BE1381jEDORAIAT PERTAIN. TFIE.INSUMNCE AFFOROEtr ay..THE pourits. oescffluo figfiggss si4pJEO; rq ALL ME. TERMs: .ExcustioNt AND dfitiampigs.oF SUCH POLICIES: LIINTS3Howti NAY HAVE BEEEN'RENCEO ay popreukol. • M1 • role ormileggielt- • =W.. . .. . . - ' pansy *Nom .77-1 • egaarna' • - • • stustsLussairt i.1.00!asteneuv.rimignm.tgalestr [ I mortatouRgion s i..41bri.o00 ' ''rnats. 4.2 aoctitrioestr" ii.000A)0.0 ittAblikaitiat .a04400,. 1.00 rizoossispow -.04 10,1420-42 • IAEA SSP tivrponapistr4 '1$ . Xi...404.000, IfitentEre* L.:LO . *In. sMAILAbv gueeY• . 1,000.00 0 : OMOIntdtott intik, OM : imov.odti bueitom 'g '2,0,00:400 Oilkt **we bar/v*10E1 5ilkiaa iFtri.iims -66hiplomo 2.r0.60.00O 1 Fowl • . ImkEtai.4*P?s4.4Vr, ,t _. 61364,0cm • Airomtei.Letteiterni' ,-.„. ?..trort)iIrr0:• jAA " littsotopiIglIedEbiAoitobg: grrre V. *04(404 X I volgersItrrAUTSO I.i OCalk4611,446 Lbw :.1 ' 1 ;WO , ocb 3.1.090.•4400S I/ 2 011 it [Pr' P 0e4ug0 --3g-0oo4-1Y-roM..u.uA,tiYngRr• g4n' s' •s NiceetKr? WAGS Our 4.4§Fl. 0- • ' ------ ' . $ ' :.-- -,-,-:---. . s• . • e S', ,30.10400.LIr!e lcfottcp* ; dikiliowiE 1.___,I 60:64165V ph:004 -10i1i0.12. ,,,,,,,NoteijOgiica.... ... ... li ,000•,•000 :0271E(341El . 114,004,•000' egOecTlids IRETENTiON S'i . :1:r.-•• : 7n, 7-,.... - -wQmisinomPogisrioN 44.P1.010114V Ming* trOiagrA2KirCUTIVC i Mir datitolii pitg: .r-'116-2ffs':*- 'rice& • :i PIIA .). 1011,2011. W1?20t2 ).c.:1.Mdranii -:fat•-.. . g - er i4kFtAccP4 Pt *09.0sti -E..1. 004;v4PENt 1 i 0004p0 id** ithAttio4 .14act lhd , J.L. Omer. EA isilunt. .. , 1, 000.; 000 • - ._ El. MBEASE1-A0CiOuidt S, I:. 000, A:7.77T-- ._ ..rulossra ) g0.099,10005. ' pf112014. A0/.2./2103.2INO.V.41.;OLL.I.AfTei $250-, OOP ognustitiE .. $O0 bucraPq01_. ,TI°M OPOPWATONf00.41901n4s1F08:016:10 AV* i,18 i Adaire*RatraidA114411460,ntoniNW!lipiipitnal .16i: •IINFirA10 1414.14**60 . ,*03004 .0tC6515010101 St40414 ckii, pow a.O.nclzeit. *mos, itc02.01. 017 II) s *ming tOzr peonemp.i 4444V *thlui.14.3gy, gckuP.44:4*,.. 44 11PA. 201 ot 09 /411tauft..,tqF tuitoix01:10•• 160.1.94/Ir*4• roost- to: City orlsetioneL. City Attn:: lionni snoter• 12,00. tiottotilg1 r.,44r. slink AatiAstal. .o.iier,, toi. .. 0,04-4301, .,, . 0,RTIFICATE HOLDER. • (6122)A.44-02..5. • isurpgqtigna#00104kcia,40: City 124.3 NATIOlqAL. CITY- RIND 1447/00.7., c.xrr, c4: 09.50-430t *CANCEPATIOK • sr( AtiT. Tr#4130e,ottaiiitebir0uities d4Pii*A.ED WirOtit 'MgEXPJMIIN PATE VUEREOP; NOIVE WILL *ft PALVERER At4oRbiciitglianyntgP0441PR9V10018, • " iMtlIo#00.SORgasemnTa !franc* 0s.mrettett Acti.ltrytki2. Optoity oi088-2009:AcORD•coRPoRA-now4 Al igh* feikartmel: INS025-9ffetts *tIeACOROitemband toselltereofstered merits istAPORO • poucy--.NumpeR mow Qom nos moletatwervig010 'Ora*. fittaupROO, ttIVAATAGE FOR GENEIMLLIAISILIV TIOINOWOY COOPMEtit •thit-oclotatmeittmodltirrooreinosotrAt4 anitexiii6aUfr ateigit*Oktiigikg. LIMO/ OckyEA00010 'The NtkittUclieftt: 4dB the Iiewirtp***048 **ad Wit lit kilm611 laavialbarilt% !Wait:004r *Nat& toriagirmii+ honampow*.41, ii.GECRAGletniNgtolila A61119411** - .B1%40 Ferill *OM • Ifi Teri , Mildred° I. Addlthilitififiatrad 4iParitrackAg*thefit: bf- .1. DA* ij istvinf littOistOtice,.clatinOSAt . POITAtItira#10 ICC ig • 440 1000ktikrnitiFYROY .0 NVOI(Offibrrraid rinfau it :1VidtibibrAigithbaitaltaftif O. FreAltsitis YMI Oin; *At .1007A-OraMPf it momitrirmithenit • 0 Pilitin.antr.:41 le Ogigt • 134 MOP Ergii**ntli#01144:1 -tA, No** Eknit Pal [-wader, . 14. NeW1000164,-offtimei.40 -Ws 4: VaaketWalloit '04$01*4094. 154 1401KOstivki 0004 $, totilliligtotkailaffned -.Mentalrojah 1 ft, NcitOwned iNatereskift tr, AtesOtabed etameditisiked . 17. •PerskindliticlAckertitting Injury .7::, Ovgrciehf3c1 ProPkty 174matiok it. ProdtgRecali 4cpsitse 49. fAingainefital PaSiinetita. IfittiOatiadtiftlis ' *01.0*.gelliPtOtki, • taftbmene Gott thicof .140Vatao 1. .mourptgLattirtgb:- Efjtopi:« ioftivtiittltget ; t.,•thttio Is Airt Intuteti.4 arp-soloconovido oGan-OcintoRt!f krure4wparacg44.oravanizattga) • to kallimt is vend* agreitk. in. a witelitaract* 2hhsIiIRr bbt toliddRinWpt'IdOpeitttlaititriO allang la :"Voirf tftodutioNIkkjime bgtedior ski fitetninelFigieutse ofthe vits% Wishes*. ttiblertto theelkiteit*irldItteriaiVdtierms: Ip6vislautea-notapiettcl. • 14010601144'Pr'ProPaPtt, 40159rforyifiteltthwverifF41#01141)A0dmaes bj *ewe! itie .assamplion.of lab* ih.a aotraat or agreement. 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Or Ii4pr tnir irt litArdiamppriVelltrialmistotililkimbito-terates baize; het :043yr101:20A ill Iii11111111101111111111 11111111,114P1111111 .0ap 07 ] °0y'"Fi " ,.• .ti 01rirlctiip 'ifoolof $ld't0 intilit ar nor . :toliakiiii Igo emt0 OOPOOPOITAkttto 41.otlibmgoOtioOlvitthe 'PIMPWhlYtOkri ur frgprodie444opvileted. opotoifOritt MAW hritolhOir Oho by fife t11endorit** O.'tilt OWOO` : #+dot mil► WON WOO i -Of •O1 . rt; loin• VPLI ktlitd sud! produate 'any rngredleit, d! !ladrrer rel a :ir o accoih a hg-or cii'n VoilikOrrOttits. . , rnONICINSFIRED—cpN r AGREE 13#0 ';Pi F' .46 lost op A -0010 is Art Ynsiureitir .a'tf lift inikidei al an aello011: ehr t . ► (14 *t: +'11 1- W ti hg(i'pri ]Y Ou�.•.�e+0i'aed llr: �y,� OOOteK.:" . a re`edunryai {•Orr•:p�6fi}xr :toi n3umj nbe It e_:. dr d Uy e:Fad bu tth rup�tl teUfty o hod rri op_rf dem�R or • or`ld..er• [nisi j dueck In Ogle .or;�i .Q9�L, i,y: r acts }' bmriiesiona, t tPl.o or omtaOUiis.o f so g�, y�our0 In•fitiiptilWiThlfibe ofVilt.w `.ffi'1* otiufi ;$ur d at:'iktf1aa 'o►.rlesiB,nateti:il $riowontm :a ,i$ertlartdr'p or- . 14-06tininbtenginitt WitkhokorItse,of'ogt m nt.'1a i 3m t' t°such .piacdri(s) 0}04074201:10VOr ...l vortge with ptleniisesloko*O .:reakka$e or.edeupt 'its 00.9 apigworepOmory or.prknaryand.noua pairibttfr 4a0.0'11a145.rig0d.invvarrt'hitIffe * ; $eanitirpem b, •Theihsur'an a pfodidod.to•'the:addI * al insured: rein is agi1ted:•thro insufanca toes nOtepply: :(1`,tYrremittibt CtFagre nt:orpeaitTs ii11 factor afferdlye 41folutrA'or- ' :00110.; eirrd 401 the. cookaot or attotolefit t?Y ertectlbidt of Formft IsOoO pt or p t te1adly nWpr'o ddatna ge`,.« tatrd 01401511VinPir p i tifillOttatton, mi ah .l►i' , VOcior t . t' tr ur 1. - broad:: won L. ' * Stott (irOiatzarefinOttied Ns nit MOW. Ivan etidot lit ratite ed sue 404 instils -pit ot. , 1o.anS': person orciiprtizelOtt: t ir'r "OOP* fiau& VrIKIPsOlif and- ata e IOW arises': :aylfoc t atirgor°t : tonclot.ronitp[c essIonaI ct ttecbrat;:eagt,00,:or • si►rces:liYarfoLyou10.44ifO :Of 'TM tesptittitit...a g..ar WWI to Vitootto 01[41provo, •.tnraf ,.s.ori'd i► t optriianeilepo s.: sutvOfklteWoi+de ;•biros a ol'detf'141EMOVis i. at -or 110 0000.460/319$0101i, fit ttii torstiottieierli ;i feia: LaGO O.141 # i 4tio!* a :teas.fermlt s`ortexgir'e .•ar. ' -whop: of Other Inkffrail •f *WOO 1 liamonavolegiorsuotparrtctfistsft .0) 1b ":talcas. a*er rc@aaa t tiriraa tlertaltt kith t prrrriilses. or . 'Thu'"i f :i1 m(, r rty ctarr 0of i "Peroli*tfa'40 rag 1110 adios out of alru ret p ratigns1 ofilifOorkOktik.0 PrdbiO0019.M0POOfonsPerkirned teStzi on belie attic °man es` lrfiIesear. -`ct'l,'91".'!lY.f0oroultag-OOP . # •li tdt ldttf aAiii «.( thlitt.0010 m iltrarui til, o ..; N-wog .4hel df ::ad dLt'lonanfili' d *.t oAtte.of'tho. wed opottitIotts n '9141# dry' lb); that of 'VW triode Of'wt 1'_ttte.-it urY ar ET gelitisesh'a ben. to tp doo: Y , •4r..± h ` : _agar > ctof. of. .s'tibcon c engaged frr. POtkiTtAtig-OPorOftlOkVraPtil*Oolas tOtttkesame,p1O i'±nia ail rof Fq,SOraire sevic ee-Mieer, inc. topfeketttrio.'I lstilllLlllEli!!ti!!lljil l!!1!1!!!!! ttlillllirr! 1' vt G 2o'ra?ba tterte of ibis ro .14.010 of la..10*,;m0flit lbevbfitivai Wi .paitr iat*KilliaSaf4tia, ifietkedt +:.Me.itremteda.orveilitsniwitOffei Pereene or .n dng'.c eti*aeg pigs". ' else brae _1naiketi9e ere Intftlaive°•sf and • not !WOO** to t10. .Litidta, of friskitertee eltder0 ro the. 000.14000, a. AGIGRENVOTAIMAKOMTION UJtg °o1 1It -. L, coifs eritsurancevitit Cen t • t ••app1i - y10 fSidi • lbootione.420,4ttott by ae-i tad.or. esi . tti ysu. b- :Vndat ofl V.-p afar 1 fot The: folfovrfir• deih ioa.ta,xx tt • x igt►Nrteana pygplOr litocirfhg the oomor..or .ocionedoo, rot •i: proitNe .#4hi a Corr 1i rl..taamipteittin rb a'efroet,:roe ray,_ ewaror^tfQtit-of iray.of inroad .4. .B1,1 .11tt . 4AIV04'l:.0F sthlROG$IO,H. Down 1Vr - Tritikilor a Rights.' 'RGo ttAlsaing :110100 to Pon Ooadi!#oo:15 offendedto add.torktieW they 'Afee4111:4kalve tot ttattaf ecover ft vie adafr iabi iira .cr argaa ttga• t . t fpair rt . we. .dra*ee WOO st darr;a *Wig did ot. r oil gpetait dense !a r' a wi 1tt r h con ar�agreerne tir 'fit 3efSon ar vl r itlon and •.Ind! ct'ltr'your. ware or- the ' ioadiids-y,ot led up,*t --ha rd".'Thi# +I .ver ey es: ogty.: to' parsn#rs ormlita�aKtfRlri' ►dti• a a.w .ri ,00iltta Aa'a ted 'prig fo:'the. '''b649iftWor•ptOpoityd-rl'tiiatii".• t eMs-ifgv YOUr0011114.1.000YOW '.• BODILY IN.IU!#ii Ri �PINEp:- 1 f:IVI ArL t ISI ( Under'$e on V•,.ite a tltfcar of "bl y blare 3s r pIaoedivl to tollawibc: iFri!ai ' hfeat s badt t Iiory.,..4 1m at ,4 sewae l ti: by a rawly.? i nc1t 91''taontat:atitOilsf er.,.•d*tfi ultin1 irate •01Y at e.!0.; + .4fr ne, 8; BRQADENED NAMED DAAfikep . t diosi:11- Wt10 tii•Ari laiariri s,, ametnd iia l'e :asi Wang . wing AttooNztattii woluit laga *toasted: onity wog* you o i tr: i nandai *twos tiurrog.o ttr#a D for#nt pttltetiottn6t: stoi on thoi ettacvve; dace Ott* enttoieomant vgill. be a Kernel insurad.unttl:Tho 180th ' dey .0.09' AO01 they Ow. pegoti. ;'NTtIthevef woo list. 'Provided there is -.no Dater eireiterirle0OOS. TbOsomm, agedd h.1 • not.. I:en t � eat aisG-erf;. ft ured.•srider• a dhhar POW-Or rgtottldOta�rit uwed.under�ssatpnitey.bettolisteireftegorvortheat tal..atita 11040.0Tnauiance . Ai jED Pitoptlitt OAMI O E - Rt D EQUIPMENT, CUS 1"tiMEREP DIES AND US* EL Eiri IVIttS Ti.4.0t fir' . d 4` 11 au. ijeoctR'tllif'eu01•00 '.nranattioemiptogertttexclosowandeigettioltoorago A rcametid'e& s Moo. iv The; exakrsiontop. primal p rertyliA .. m gualat coi itaffltoi.bf.ttte Iced applylo '°brit flan ' i i ° hope 'Ygt borA *tile at job sand proylitod *nay "one to perform Or4sationo ate tine of I. IOW Itiotaxandons far ) edto'you • iti}• NrabbaI s eai tting c .hr St oen -et itiftliOntredt ehd 10 'Milt *itjtitO Part of`. p Met Met .bel feetiPted.k *.e'eut• . ork"wee ir rtth+perfolme: • t ticit'apalyili 10404 sta liege" to• "castertiers'toads" AilorOo yOW ptelot.Oos norsaik thoyApigyto "pTcpertti laamagV•Orisirig _trorrtthe us®.ot'ef tats-ot reiniseetAi:04:.0 1 ease oreagrpy, NO to .tom; Blob: t hidatertce i1r 1, the FrrQst we -V .pa?lt: for." iaap0y dprra gir to "tustamerse` 535.090 Per *ctut.'enee'., Y or as WOO i>i ;i'ri satv•. awe trot. •PaaeeArr rrrers200 ;I111JitMirbrit#!t1011liirnfi 11WHrnitri ' POUtY NUMBERS 711:1 99184.t T14$ aZoRREWIENTIMANGES'T s'P KICY..'1 EASE*►©rT CAREF4t.Y. AN` .AGE FOR AUTc MOBL ,E Vita endieeeanent rreSditai lest et t pro+40e0: tln Kl 013 AUTCt ERA6tFtAut- ' w141,414 solzOthik ilia-coforagn extensionst proViderf tit: this oilitOrSOniont 11141010thlorOrt0- oloptt thlorOrt0- trtdoiOnnitie.the 01404.1,0orccriiet , . . Saki:WLE C F COVERAGE EXTENSIONS t. motional rns1oat Brtonitaet i� tilopharge :3, Aticktfte0 ROOM 4.StiikketiVeWet0ObtbOelion Aod lrilury: ieila�i►eci"�- MeiiI at:Anpluirb' 6: 13' i'Fonyi t+i ted,lttsuteal. >!� 'CO nnOtsioaltons.Egrdptnent B: P1[iddi trOn Ii Vi 1S, 19; Dove .Ci ter Car ,-taactalaii aaiteera 2L 1L Eraploatee.Hire 'Ian FOotifdritfOilek E*ciu$iWR •14. G3aee.Repek4.W4ertifDeittAbfb lF..Wed.AutO FitoloilD.Or0#004ve.roiX lg. Lelaee Gals Couete*a. y7, uelial rp*erege= SOptionleittol Paym isi iO. Navy Fonaexipr-Acgrdiiid Ofigioisem3 icatk7a rage Trario0Pi i0•EIpense4 telm ursem tt - Neete.P oneoper 10. tifsegillhoEvettfOlAtaieentItierotSelt otLoss: Vetj : 11.•. l:nrplaxetaitli,arInsureds - . . _4. 1 ooverad-Anfb . M, lnstired 0f014140 It Ste * M $IUT:Y COVERAGE ss errreitdad• to Wilde 4s en .awm insured" any per,* of www0Zattpo tiatr-whoni yeti -Agreed In a writrern cot11ra0t, Wiltteit.Ogte-atnent gr'Pah. t:1?f9VIdo' d (rr fs•as,'Walfotded u} i;this.Co+retagn Fcmi. Such *son .Cor iNgtaikation ts er`<"'irtsurid7Iinty wfti **Oki** for "bo4lly uilthrOr 4 raprty t ii fused. irrvittoki.010 0ert 5r ygur rn*tenonv , of erd6'oon or use of tiortr coyerei3 mbs". • tArithlesporktattieloomanceeifOritecita.thest onatInsrrocte;tAl trtortsnceitoo notOPptlt. yniela pte .wrrlteii �conti�act, br agreement l :floo t , or he: pe 'ftas ttaeri:iseued -'ptlit to tho bo '1nj^# or' e;Iyti&tote ' ` °oily person ororpa ioeednoluded'ae.ap'tpat t"'tiyer tanamatri+tr. kr:ehe tholaretittee:-0- 17601klettoOt of "piiDfte!' wriest theft Orittt tot a roomont with. y dii•for'su.Gt oissed.'auto .etas. 8. •entst a9ISCHARGE Jfyav Onrahiniott IdarnagoOnvorattelfor a eotesed.`'area'°lodor.thfs p y.^rys Wei d>aIt fo x or rt�. piece, 8i3*NKr n tlf M dr itdrges out go: hlcte betn 'l*olvm'ed.ort'acoldent- No•deoudile a ppit�s�addlfio►ta# taee..However, W s: cove s° only me se f me Is not comet( under.° towiro W rsntybeind ,tl,d nol ntlan r-thei.elrt4g t 1 8. i `attifi E1AtARb: •t+trite.40 fcey, rsy at e:tDOC:reereel flat 'heF event ef'evoueiettic+s;.Ior intonation leadrna .to the erteskaed cot - v► 400r_ ltta c stcaatgl'aJwirett.^a,ut4 A'r wat4 :rid! be t*ld.i$'>r'09. a Nt n!terobef',. epr:vny. publ �Vh1e`parfbur .t tetrittio • trakisjirOf Riplds elf 1tecoiriTy: #.0' °OK *{ 1`cr Ue 00040 rt t S C SitJa1+1 -C,O1, DID S". ptitrasraph.ii. LOSS0314 itiON$ie'r eceit by-the.toIkw. bw. We Wllf-wet o dn9 oftary vet , l ov D 8g .eny .. rsog- Or y ����� .... �. pe . • 4r�ri11 *Ouse tst *Me* • •make for1njUryi br dooloas atl�out of the operatlnn eta cowered "auto" w+rr�hpn ltou t ed':ded>i ty fat .ear "l EY,t410rir Or "prop8ttr .matte" Odor an 'Inland' coneace. 11 o tOntant ts.le WOO and- execu1ed prior o.t le "bodl0ydojur '•or''propffl derrrirgV. - SIiP VIfr J,RY'RINED- ME IT.L-ANGUI$$ T * dtg0i9pn flf' ! irtjtrry"'h►eder:sE.Y1DNV- r repIOOe t.tsy ti olci. b - Vodfilikuvr Mows t {F � .tott;dt%kne.131 'aCOeeeee;eoBtttlned byr a peril; rrictuortd,.471errteit arm-vr death f0001timiftb0i airy of tt geli afy►i tee 90A Mid* "r i oto ..Solna s cm** t+ 9 role