HomeMy WebLinkAbout1st Amendment to the AgreementFIRST AMENDMENT TO AGREEMENT
BY AND BETWEEN
THE CITY OF NATIONAL CITY
AND
AMERICAN EMERGENCY PRODUCTS (AEP)/SONCELL NORTH AMERICA COMPANY
This Amendment to Agreement is entered into this day of
2012, by and between the City of National City, a municipal corporation ("CITY"), and America
Emergency Products (AEP), an emergency specialty vehicle builder (the "CONTRACTOR").
RECITALS
A. The CITY and the CONTRACTOR entered into an agreement on June 7th, 2011, (the
"Agreement"), wherein the CONTRACTOR agreed to build out police and specialty
police vehicles for the not -to -exceed amount of $200,000. Said Agreement will expire
June 7, 2013.
B. The parties desire to amend the Agreement to expand the Scope of Services to
increase the scope of work, as detailed in Exhibit "A", for the not to exceed amount of
$300,000.
NOW, THEREFORE, the parties hereto agree as follows:
1. The Agreement entered Into on the 7th day of June, 2012, shall be amended by
increasing the Scope of Services consistent with and as set forth in Exhibit "A" for
the not -to -exceed amount of $300,000.
2. The cost of this additional work is $300,000 as detailed in Exhibit "A", and hereby
amends the Agreement by adding this same amount to the not to exceed total.
The parties further agree that with the foregoing exception, each and every term and provision
of the Agreement dated June 7, 2011, shall remain In full force and effect.
IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the
Agreement on the date and year first above written.
CITY OF NATIONAL CITY AMERICAN EMERGENCY PRODUCTS (AEP)
(corpo►euon - of two corporate officers required)
By:
Ron Morrison, Mayor
APPROVED AS TO FORM:
Claudia G. Silva
City Attorney
By:
(N
(le* al/t--
(Print)
(Title)
By:
(NameMPUA ,(1/11
(Print
CAD
(Title)
ACC A: R ET CERTIFICATE OF LIABILITY INSURANCE
41..r•-•'''
MATE VINIMACITTf
06/14t1.2
HOLDER, THIS
SY THE POLICIES
AUTHORIZED
•Thlt:OERTIFIDATE IS ISSUED AS 'AMATTER OF INFORMATION bNLY AND CONFERS NO RIGHTS UPON THEOERTIFICAIE
DERTIFSOATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND; EXTEND. OR ALTER THE. 'COVERAGE AFFORDED
BELOW. THIS CERTIFICATE OF INSURANCE: Dims NOT CONSTITUTE, A D.t3NTRACT BETWEEN THE ISSUING INSURERS),
REPRESENTATIVE:OR PRODIXER,AIsID THE,ca ficATE HOLDER.
IMPORTrANTi• if the cOttficale bolder is, e.AODITI AL INSORthi.die nollcyfles) must be endorsed.. If SUBROGATION -IS WANED, subied to
the terindand tendbions Odle plicy, certain policies mrarrequIre an endOrsermint A statement on this certificate does riottonfer rights to
the OMR:ft boRterinlau Of mob endOttentelit(4. .
PRODUCER
Atm itervIces; Incofflortda,
lEc# Mad Bay Orive,Sultil+1.100
• /trarri;'FL Sattf493T
..
CONtACT -
AlmiE; Annfillk.Seniked, Inc_of Florida
' I NE
Katt 500.74S-81.30 I forklE, Net 800-522-7514
..*ItIor
. ADO :, SRI. AOP.COLCenteri§Aomem
ecturiera.APpanoinettkrairmok
mice
INtuRes,A ! New Hemmen) 1'10)
*al
INSURED
ADP Trealae R. XVII; Iric.
102110 Sunset Dive
AS00;1% 331.73
Ws
AEP .- Califon*.
11:11211WheadandeAva,
lama, ON 1/4071
____.........._ ___ L.__ -, _....._._z_
INSURER 13:,
ASSURER-0 :
INEURERV:
•INSLIOER g :
INEDRER:F
,
. . ,
THIS
INDICATED,
CERTIFICATE
' EXCLUSIONS
IS TO CERTIFY THAT THE POLICIES OF INSURANDE.
NmwrTHSTANDele ANY REQUIREMENT,
MAY HE ISSUED DR MA y -pPiTAIN,,
AMICONDITIONS OE 4UCHPOLIC103,
LIVED BELOW HAVE BEM ISSUED TO THE INSURED NAMED ABOVE POR THE POLICY PERIOD
TERM. �. CONDITION OP ANY CONTRACT DR OTHER DOCUMENT 94M-I RESPECT TO WHICH THIS
THg INSURANCE AFFORDED.EY THE POLICIES DESCRIBED HEREIN IS SUBJECT 7,0 ALL THE TERMS,
LIMJTS OKRAIN MAY HME BEENTIF-DOCED B‘f PAID eM-01S. LIMITS AREABREOliESTED,
INSR*
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ANDEOPLOVIDISALIAEE,ITT V ON
WY AMMOMWPAR11Y. -WLITIVS I —I
OFFIMEMEASERUCI.LIDEDY Li
IIOndatetir In NIE,
x yea assraeredeaer
NIA
, .
WC 038002531 .CA
mails
7/1/201 3
x. I wt srArud 1 °ITV
IMF& MIMI 1 Ell
'1- EACH ACiODEST
S:
000,00.0
E.L. DISEASE- EAEMPLOVBEI
$ 2,000400
5 .zonatick
0.1...DISEA,RE - PplioYLPET j
CESCRIPTIONOF OPERATIONS J.LUCATIONR/ VERCLES (AttAch,ACORO EH, Additional Remarks Sabodule,ltreareepalalsreanfred)
AN workalteenvioyeesvealdnp forte abovenamed eltent.cooripany paid under ADP TOTAL IIOURDE, IND'a payroll, are covered under Pis Elms elated padcy,
..............,......-- a ma. • a. ma.
CANCEL.LA1IQ
AEP-Calilornia
1072S Wheatlande Ave
Santee, CA 02071
SHOULD ANY OP THEABOVE DESCRII3ED POLICIES SE CANCELLED BEFORE
THE EXPIRATION 'DATE THEREOF, Nana • WILL BE DELIVERED IN
ACCORDANCE WITH THE poucy PROVISIONS.
AUTHORS= REPRESENTATIVE
04CIAt16.4 etvoe trforlotkia
ACOR0.20 (201010E)
Th ACORD name and logo artiregistered 0 1988401Q AICORD CD.RPORATION. Al( rights:reserved.
Marka of ACORD
POLICY NUMBER: 4019891735 COMMERCIAL AUTO
CA20480299
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by this endorsement.
This endorsement identifies person(s) or organizations) who are "insureds" under the Who is An Insured Provi-
sion of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form.
This endorsement changes the policy effective on the inception date of the policy unless another date is indi-
cated below.
Endorsement Effective:
Named Insured: See Attached Certificate of Insurance
Countersigned By:
(Authorized Representative)
SCHEDULE
Name of Person(s) or Organization(s):
The City of National City, its elected officials, officers, agents and employees
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to the endorsement.)
Each person or organization shown in the Schedule is an "Insured" for Liability Coverage, but only to the extent
that person or organization- qualifies es an "Insured" under the Who Is An Insured Provision contained
In Section 11 of the Coverage Form.
CA20480299
Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 Er
AEPCA-1 OP ID: MH
CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDDIYYYY)
07/24112
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION QNLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATTVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS}, AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, Certain policies may require an endorsement. A statement on this certmcate does net confer rights to the
certificate holder In lieu of such endorsement(si.
PRODUCER
The Arizona Group
3328 E. Baseline Rd.
Gilbert, AZ 88234
Gregory J. Okonowskl
INSURED
AEP California LLC, AEP North
America LLC, Soncell North
America Inc, TIN Mobile
Englneering Technologies Inc
750 B Street, Suite 2610
San Diego, CA 92101
480-892-8755
480-692-7625
Nre'acr Carrie Brown, CISR
eu i 4$0-892-8755
Eras; cbrown@arizonagroup.com
E/SURER(S1 AFFORDING COVERAGE
INSURERA:Valley Fame Insurance Co
INSURER a:The Cincinnati Companies
INSURER C:
tom. Nok 480-892-7525
NAIC it
20508
10677
INSURER D:
INSURER E:
INSURER F;
COVERAGE
•
_ __ __ __ .__ __ _ . __.......... •---.14.1V1.1 ,l Yil,OGi{. 1
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
L�TRR
TYPE OF INSURANCEMel.UBR
)Nets
slam
PDUCYNUMBER
POUCY FF
I POI.I EXP
LIMITS
A
GENERAL
X
LABILITY
COMMERCIAL GENERAL maim(
X
4019891054
08(10112
00/10/13
,
EACH OCCURRENCE
$ 1,000,000
ME try, )
$ 100,000
C3.NMS.MACE a OCCUR
MED EXP (Anyone person)
$ 5,000
PERSONAL & ADV INJURY
S 1,000,000
GENERAL AGGREGATE
$ 2,000,000
MEWL L AGGREGATE LINT APPLES PER
—1 POLICY n g n LOC
PRODUCTS - COMP OP AaG
$ 2,000,000
5
A
Q
AUTOMOBILE
X
LIABILITY
ANY Auro
ALL OWNED
—
•
`
SCHEDULED
AUTOS
Aa nn l�
AUTOS
X
4019881735
00f 10/12
08/10113
aMc dMaNGLE LIMIT
$ 1,000,000
BoolLY INJURY Per parson)
$
BOOLY INJURY (Per =Mang
$
I E DAMAGE Per =Men&
$
$
B
X
UMBRELLAS
UA
EXCESSLYIB
X
occur
CLAIMs.MADE
EUP0080139
04/12/12
04/12(13
EACH OCCURRENCE +
$ 5,000,
AGGREGATE
$ 5,000,
DEL) XIRETENTION $
$
WORK ERSCOMPENSATION
AND EMPLOYERS' UABILIY
ANY PROPRIETOlbPARTNERADIECU NE
OFFICERIMQMBEROCCLUDED?
In NH)
NwetaleM0,,
NER
N!A
I INC STAR 1 i OTH-
EL EACH ACCIDENT
5
EA
EL DISSE-EA EMPLOYEE
5
AL DISEASE . POLICY LIMIT
$
A
Garage Keepers
4019891735
08/10/12
00/10113
Unlit 750,000
Ded ecc
em
respectsto
business
QfO LQCA (AoAdditionalionslReeerkss�hedule fforcspecerroqulrs�Tree City of National Its elected officiate, officers, agents
are 1399
general l shown
and pform oCA2048 022/1949 with 8npdads tom
auto
OLDER
CITYO
City of National City
Att: RonniZengota
1200 National City Blvd
National City, CA 91950
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTI W fUZED REPRESENTATIVE
Monica A. Cergrs0 lylatas. p app/AW
ACORD 28 (2010105)
SO 1988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
AEP California LLC, AEP North America LLC, Soncell North America Inc, TW Mobile Engineering Technologies Inc
A
#4019891654 G-14rt57-999
.(Ed. 1203)
THISENDORSEMENT CHANGES 'ME FoOLKY;PLEifilie REV ,IT
GENERAL ILRENUTV EXTENSION ENDORSEMENT
'This endorsement modifiesinsuranceprovidett under:the folk:wing:
....ERA. LIABILITY COVERAGE.PART
Coverage allbnied under thleextenslort.of.coverapentlereement does not apply ty:person: or organization covered
as edditiOnal insiftedtaiekiy-ether eirderseinentricninir hereafter ettechediethiaCtivervige Pot
ADDITIONALMISUREV-,BLANKET VENDORS •
WWiIS AN .1111SIXBD; ' • Is ateeficidd
1.001oIle as AO at14IL IMMO y POMO Ar
orgetirzatico (iefeirad 10 bOJOW ae-vAlickir) *fib *AV
bere- At writert tolkesti er
apreement to provide Insurance, but only Mit respect.
to :mbodlly 1p4Uryu orAproperty itemise arising out of
Nock Prodotits%whi011 iffe aotrtaid a scld In the.
regtirwpatiree.cfrei.:VOnthtlit WOW% 44004110.1110-
2010,410 adiklOrlal OXONSitinIF
'Itodcl#40100 .:afromd Vte VocOOr dOea .11.4
'OFIP.V10:
%a* 101013, "I*00001 !daillogtil -tor
whichthe: vendor is obligated to pay
eamapettby mason. orthe assumption
liability -in lithfroid ithr eglitenlent. This.
•attlirlikt 40s. fOot: allitY to: .41bliti.V-
ti* galgiOtWO.01. :41'
'thelal*We. fltetlOetrit0Oroar201110.oti
ArlY-00110§% `WarAtit.lt Wioglifgett,
'You;
c My phytkal -or chemical change in :the.
pmttuottoade Intentionally:by:the vendor
cr. Repackaging, except when unpacked
solely for the: lairSte . Of hisPettlph,
tier4iftelm1/011,1810100, Or the-.
-Of. -Parta ihatrOdotla
ncOiNfatgalri 400 tisnFV0010004 Jrttflo'
edginal andel ner;
.0.: Any 'Ware to make zudh inspedliona,
.txljuitmante, teats or. servicing es the.
-1AMdde asegratitl. 10 ?flake -00.11Ormelly
urtlerlelge$ terfialr4 Lit thaVONOtoolittle0
fmlnev, Aemnivkipf.t. with to.
ciplitiogitcoArsokof0ye.pro443;
riorromttaiik jtotiottion, sorvicirti w:
repairoperations,:except.such oporstions
performed ;it the vendor% premises hi
• Cortnedtiert *Uhl* side OepFoct
dU
ii, MOMS Web, fter .ditkUlkfltl-at tide.
bylati, We Wet lebeled-Orfelabeled or -
OW as cOixtelner„.011::ot IFigceient of
-00 alharlittIO Olititakia .kiStOr tat*:
vendoroor
h..!cdily or...xpiepetty
th dIg OT
-Wider $.51' l owfl 4061: ;Or IDI*10.n.
:Masa At 114 €1.1PP.roileg or PAPP Olga
acting ton its 'behalf. .However,, thhi
**Wean does not eppirto:
11) The exceptions oonterned :in
:Satiorkagnitphad. art; Of
-(2) .Buch. inspactlotie, adAstMente„ lest)
9001**9OIS AhaVendOrtte :agreed
to :ma)e .or trnlhj kiltOtOlgirOw tq.
rnake in to paw :004.14y 'of
business, In -connection with the
-distriblitionensalootthaproducts.
Z Thlettrolvoleoestirepplyib an. y lastyU Erti
MN* *4 Pra4i42. or *V dint,
Ptirt Or 40001710.f. -PflIerlOgkitoAdoomPt#1010
prOpfltelning Korilata,
ThilreVialAill.;dpeenplapPlyteany Vendor
hielUded as an insured by an .endorsement:
issued by us and .marle a part cif this
Coiclitage Pei&
4. 'Ili% Pion 1, ifs riot .000.1Y Iflitddily
IOW' OF liktifOrAtt.Y..c.1001420" friOILOod MOO
40.1104.4010014 000000,10W.114.10
egaltided ROW )24/ 11:10 P.ItiI410011-
Ooverage'ParE orby endorsement
hildGELIANEOMAIIIDITIONAL'INSUREDS
WHO IS AN. INSURED Welton 'V) is :amended to
Include as art insured any .oeraorr or emaciation
•Oiled additforial irk) dasetibed In 10alligfaitil*
asafldthUoiai tholigh244allow *gni Aar art:r041:Iireti_twatiti
Inilvreorl,_* POWWOW vitriiterl
ccirsrwP or Otr.04.011ent mar itia .tartsll Ponetreot or
agreement must be:
1. Currently, in effect .or becornlng effective
-during:the term cif tispolloyiand
2. Exectited J1oF tolle"bodlly lnjury,"."propert&
Carnage"! 'ot ."pefional Ii end adveftielhg
tyily.:**fokyning -prams .Or ItZgari4atitif* ttra
ineirrada Under this :ent.lorothialt and
Ed
Oviemes
vici0)
Paei Oft
voilimog PNvicled *,440 @ORO*. rrolods
limlicOopm.3100 herelm
:a. Meteor Political'kWh/Mons
A *to or Poi.** 404,040 Athigotio'
•theilbliowing Provrsionw
.tty This insurance applies or with
reefed to the Trik*Ing ftithrits rof:
Whithilt state Or tiorilidial
:itetred apent* 1flOcitingglOn.
WftI'Wert** you Wel rett. Pr
Miro]. tO 0.1oh big ii1S.011100:
applies
(a) The vadatence, maintenance,
tepait„ :06WitMlaik ete0Sart;
reitiaVel yAtNeillEitrig Mee,
Wifiogs„ oithpiek. teller
Wft
71019191N- IrareN083, iht0favM,.
operiingei Sidewalk vaults street
beeiterk Of tiabotaltdrs _and
•glenlitir a:004in* et
(9. The COnsitojellony. eteatioti, Or.
'renic001 of ale9alant: ar •
12)i ThIS ineetatiaa .110546 . Orgy with
r.emeot onergtiOras Pa.*, !Mt( Of
you. or :an your „behalf far *Nigh the
State: or palaabdivision has
Isitiedapartrit
This ihstitatiCe &es na1.3001y la "%edgy
b110A" *NOV Or *Petsogll.
and ag*WMg injuty" orkilpg put ;at
ongrOong ..Pg0nrrne0 �r AkIe 13* or
tra.0.0141161
OontediiIng.intereet
AV. WIMP 374T Wite*lign$ •*.t
.corJllnj bibis h you but snly. v•iih
reapeattathelegibilityarldiN ot:
Theriiiiandlitootitrat ilff YOU; or
401 Pses 'thy' dath !Maintain St.
cdfitrel UMW yeti. jeaSe 4411PY
tie40 Ofellititt
104.1e.00 irkl: et* _IP.
tl01 AltElfatiql% IOW 70001114ttort
-ON 011101M oPe Sigitti by
.orsuefjtjonaJ insure
:s. lhategers cittessentaiPremisee
.A manager .or Iaseor of premises butonfy.
sat *pea to itabiliti/ tithdrigoUt al*:
ownership,. riialiftiandi 1150 $f 'that
.opeolitc, pBrt af-Atelt intrer1400 IeU to
10a and $0.41104 b the tAbWito additiogiel
'exch!slorm
0-147f67-1549
'12/04)
Thisiftvoimum 408,trPPlitto;
:AtirocAvrrempe WO Oki* pco
Olgir !mg. Pew lq .0 :a 'AP:P*1n
-lhat:premiamor
Structeral eltertifilinte,, new
Ocitoltiadliati
0Perattris 0,rettfttt ;by r. KAI
koltrattureuckod. 0.01.1atiOurtist
AgtpliggASSOneic*R000.40
. .
:A ;Itlarttlegae, .41411gpea� 1040Ever
ergy. Ai respect le iheit Ib40$
:mortgagee, aaalfinsa, nor tecalifer end
artstro out of :the minerin
Mainteleinde4 icrisse e Oreitileat
OD.
This thatihinte does. net Joy ss
StrutW titiA10.1/g,.:*** OnggitAitin Cr
'01aPPIOAPPerittkgla Part:WM*0 :4Y pr f*PF
341.1041000:104afttt
I). -Owners/Other iriferesis; Land :is
Leased
An *velar or other interest 'from Whom
land halo liaoh,leased by *mut oi* With
OspeOtti 110.114ty- oftintt .got eif :the
-0Wflatabfp, ma1tens or Vtie :Of that
$5$00.49.-PRA tie: 100 ;I* a4dialPit
au)).10 the fellaWitig Maio*
•exduons:
ThIsinsurance does not apply to:
(1) Any 1boourrenor which Woe place
afteilett tease to; leaselheltaet
(2) iStruskiral eiteratioins, rum
obriettitAaa dertieWs#460010.hil
PattOthlrg L7 r. ri :behalf « al4015
441011104al W.Baret:
09-9,!intrOt.*** Prefil*Ifo
A Mit .ProOggfit •Osi
.Vov Ancl-OOVelgd 40.4gr. thig iriatgin00:40
onV:willi resosetto thevo,owners HabijIt
O$ 40-aWrieh ONOMit:We
teeititrofEipefteteti
AO per& or -Otgrinlitatian fry Wheel
04 At* ecA.1.1pItittiit, Sikh .0*N011or
orgraibtation Jim 10016 lMUl
Taspoolo-Nr osanty *41tig ',0:gt 0. to
mair#grarcei-DOerafieti OP .uqa* you 71'
equipment ,ieemed to you blisech person
otganikettin. A :Oa:soiree Ot
ttgailigat kittee tat* isiranittigit0 littdar
tadaftisteritiendaWherVthaVYitittati
.404:40b agreOttleht youfAmti
teased aqqtptseRteilOs.
1344416741500
mai iv8)
Pogo 0 aft
W.' wood; fire. ingotbo _tvlbd
Aftpxak addlhonoi owe*, the
* 0.41i.#1110tong•
add*bbosiopir:
Thib ffRomge:gownot
01 To an :"OotbrtinOtr' wt.* 'takes.
place after the. ;equipment :lease,
00insItt*
(2),T� "bc1010 OW Atir111410!
Or IaTICI ROOrtai 01,1tify..
tutilv .dot_ Dt #10 sole. ravNactila
41501 400100.0 trial/Mk
ADY )rtaa.rance iMitad *lapel tAkrad
Oaakra40.9.0r,araala a; ittilW •aboie.
toes not .apply Lboth Wimp or Inver*
Irieltited Wei the viiiatto-motsittid
cm:MAW
AO- 0161300trt ante itO00040...111TM00.. /1*
endoalart*Ilt, PrItagniPh 4" SEO.T,10 .IV .
gmmERcii* -:GiomoitAL ,pmaitoy
tiroinael isdelateci-Oig mole* -44 *pi
foIlOvati;
4. Other insurance
.h.. Excess Insurance
This Insurancerle-excesaever
Any other Insurance naming the
• &Within& 1 an Ineimsd WhetheregrItirOth ;Atitihrtant atilf
OW SO WWI* .4 '1~ WittOttir
Agreet.bralbOY' 1.33%*** Ihot Pik
1rialaal*9 be OINK' Prlraal Or POMMY
-and noncontribuilng, Where requhed by
'Written: -tionfratti • (it arkasitriatit Via:
:cOntildef•airry riatitaitled
brim iaddifibtai intoriart filr• Wog/
'0*MP ;OM. ttlk atiOctROMarit lb-
. 4aex!ITOM' WO P07040000 11.1.11I thiF
insurance.
3.- NEWLY FORMED DR •ACO1J1RED
ORGANIZATIONS
PatitgralPflta. SeOliOn :U.— Wit°
Oaletadand placed bYtherf011OWilit
Cbtrataii*Untirthia PrOYnstirill ItaffOrdettonly:tintiltte•
arti:outhitolorrwocf ortNetiot titiolv6r0 Of thli.;
;Oar oUACCIukiIi 'Pt IOW .010!
osniauc *Male r 4 ogler,
.4. JOINT 'VENTURES. r PARTNERSHIP 1 LDAITE13
LIABILJWCOMPAIIY•CINERAGE
A.. The folloviing le added to-SectiOnWho
'Mauled:
Yoii insured Mtent harfsin Wars,*
joint: VOAttlYel Pednafahlp• fibitoO
047167,.-39.9.
Ft VA)
0-147107-B99
(rd. 1=6)
flaky oomoor0.100 PutIrtatioci op*
pOort thib POW Pbt104 bot 011V:to
tp�•Pgent o Yoor /KOK* 14
venture, partnership or [knifed 1014
Thiacerage 4Otit tot app4i:'
Fidoriil tit ISfrithetibn data Of aily jrint
•vtalt^ partriorsb4). IMO by
.001.7vaby.;:ot •
0); tem ts otherr Naltd IOW*
itistitbriOti ritirchbOd SPOINOKIY10 Ifilefe
.the obririblot* Alitura 'or Az*
iabilltycompany.
B. The 'last paragraph of :Sadao 11 /19hai .An
Ihitared !stated andraphited Vibe follimitiO.
Eite01 as. 'OrtOirliki in 4. iiibshib. :her platten rk.
chtgarrittatkon Is .art 'MAWWtrlesparif tb,
corptua to Joy ,turtgiOt bt Ottptettiblv:Joibt
verittPR :or _Lim* 1.1000/ cony that...::Mt
01.PWit as Ilarriatthsarari JIIVIstsclartI4Ons.•
PARTNERSHIP ORANNI'VENTURES
paragraph th. Of Sadiron 11;,-; Wlio; le.An. Insured- la
taletedfand reptaced'Ivilwetellovinvi
b. A partnership (inducting a (+milted liability
Paitnanittpl or joInt'Vertirie,400 are 'en
'Intuit Your :fiternbehr, 'Ir.OUr
id Molt $01.4e00,1itet *leo Iwo** but
only: Teligsrit to the cond uCt 'of :your
10400406
EMPLOYEES :AS INSUREDS HEALTH CARE
-SERVICES
For other than a pkySiclan, paragraph 26110)- of
,Sirition It— Who la. Ali trukurred tOett nig apP5f dth
reaped tO professIdnal 'health cal* 406640 .iiktavitled
talkie oansetif*Obl&0obtby.y60,
SOPINAMENtARY.PAVNIENT.4
meter $00401 Oubili0m0401f: NYAIrto,,
04fengob arg 41rgi.laPh itiR 'nit Of
$20aejn *little 4001-0b135 bonds: IsTbpJboo
by t2.5
B. In:Paragraph f.dthe lirnitOtS250-shown.tortalty
We aendech•la to:Paced by.241,00Qc
MEDICAL PAYMEIM3
A. Paragraph:T. Atedical.fteltisei UM% of:SediOn
III- Loos ot Waiter* la;drakdadjirid Amato
Toilowitv;
Y, tit*: ip 5, :*ve Oo0OntindO
tob Medical EIsree•LknitIsVh.e: tnObt
WeWIU pay air Section — 1 -Atoinarage.-C
Res all -media *expenses 'became Of Imp,
ikkfit :euetillied by. any..or rson. The
AillOkdilWPBRIOgOadt.Ixtibi9
:PAO
:et) $1,10*-9!
:(2)Th.20104Ilt :shown .the:
qbtifira#P4s iDr MO*: PIP§role
LImI
a This provIsion Nadicat Payments) does not
'apply *Alen - Cokteig* WO*
PW* 1xL&d60 OW; br the 0040% At
Ike CPye* Naar tiy0t4orsiterot
14PJJqfSctiI.OpirefteC
Wigwag* thaVoWititi;
11.0 ens* igte Mciit0 os.
Olilkitmeleers. :at** 01.
APOWNIED WATERCRAFT
lArtder Seaton -. Coverage A i•-• Bodily Injuri and
Pioperty tamp, Excilusicti Lelaubparagraph M
deietiadand *toad bleiti.fdlcking.
f4 A iknIblittfaftyotide Not Own that It.
Letaahtid.55.6gatieing*d
114 Not br used:to, Oany *item's.
or)*
10. NON447.10, **GRAFT
eiteurs00.2.4., 611001 P01.004100 - *NW
.11441 and. PrOPRottnalflatia,, dOei 'hot 4151)f .an
Ottosfl.VoI4 do Wok" po:Okted
.14 T glaVartd hOicts. ;On*
v0 1. .5.0t1WO, 11.1040 I* the 00Y
ionsfituted aathofibj nf the •110ted dates of
Marra 'or Canada; diaaltWrol that POMO
:aBfltc fretocimpilot
2, • It. iinaritindthataiiiitit Paid treitsiti
dries :nettliiitratpiiitl *gating .ot c ft. a
000,
WAL LIABIPTY -DPM.O.T.O:P.RENDO6
:Ottiortiecifforri.- coverage A -.Bo* NWY
grid Props* Almelo 2, 1.1101110110,
Ji rAPIEt* by OM 01004
l'i0PoltY0Ploge,to;
PrO., ROY yown MA Or Oeta0Y.
including any ;costs or, warms]
Inetitriad b4ou,. reily
ottadditatiOn emityi telOalr,
ratilftentrit '0%0106110M,
te#00911: or IITIOPte0r011-of v.gqh
PrOPOrti fpr Jay Teas911,. *piing
prevenfion; Oinibry ID a person or,
deritatalOariother's property
.(2) aWay. Or.
albandok it the IitOpetiy (*Rite
6-1471674392
lEd.12,611
loisb!$: Qi. :akAY ar: 1028
penes;
ro PrVertY IPRTABOAINg
Parac.gral :PrOlattiV in to 'Para;
zustoilyor control tithe insured;
tei That parttoular pat of real property
isthicA :ot are tont:idol* 'et
.040ffittittift liar1114. .tlitettir
itidittaIy ob per behoff
.0fomilktroperatiorek 1114,1gOpetlY
damage tifi.ges. 'out
oscillations; or
lit) That partfcular .pat t of any
Wet '.rased. eed or
,fgillvetrboVelaii6 "our 'WA" WO
itidottedblettoitfied:Ortit,
pkagtoii toxtlkiftsh• OBS AO
PPIY:OVO 140010044r0191! Wont,01,0
were remer 9t7C411)!Otf rer*I or Md fe
rental; by -you
Fiareirephs :(U (3 and tog af
fl AC hot ppIy ta
0r ffittak 4Th* taigeby fiV
premiss:
.(i) TWO toyokt
folepastittoppived Now oh te
liter/nIssian'Orthe Oiarter.'or
(3) OW WV*qfProKNoet!l.tori*I
tr At: Period of 1or 'few
.coneecutivedaYe
A .separate *nit of Insurance applies to
°ornate TO :Narrates-R*04d TO 'Yelti as
,Steitabad .re troction UI - Wen Or
IngaritOct•
P. .10011313). (4). (} strid otills.
000 do mot RP* 1010tY
!god sioeOplogreemset,
PovgroPh :03) eft VACitigiOP
g°°11t to *CP* °MVO. 'Jnduad *In
thi/ thIllik201110teted tfliikalbn$
Ward:"
B. OtittiO`..tdogeri I - CoVergige. A .1304!"
and PTCPorkI 'Notaile. to lag 00311§h
Escateitoes• Is ;deleted .rid Ter4090 0Y TR
641ologloc tr91,10-o. 40not:417* to damage
by flre premien while tented to you cr
tallith** oridIped: yoiti )1440i parr*** Of
thefeatriet.cetothaCto hies *trod to
*period of Tat NattatOokoiturvallayt
04-47i 6141129
'Mt ltile)
Pno 4 of
A 00Potats *it- -01. 614,01;0. .4:41ett0, thig:
VoYeratie 40- described 111 340004 :14- -Molts Of•
Insurance.
C. '12*.amanaLt EL Damage To PremTses Rented To
Onlimitc;f Section 111?-i, LimitsOf Insurance is:
reptaded biNtitt.itilloielncr.
S. SUbjed to 5. arktVe, (the Bath Ocsititteritte
.1:iitait.). eta Detnape 1 Pee S Fliartted Tt
Y.oki: .Uttilt 11:1110: itfillisi 0 will pay Wier
*MA .- I - :0010,0400 A l'Or 10.01040.1r
Otroegse of kProFerlf atimmevi! to sot cm:
• premises .whtte. rented to you ar temporarily'
Ottupled by 11,4 loth to jatirrelaltiOn Cif
-.016,ner, Midig OctritakitS Of Web pOitMlsota:
toot( ai you!' for- 'a ple0d Of 7 4r %Wet
XiI10611141,41 dlik Itle:Patteg0 TO:ketflWes!
Aeritsti TO Y.1;4:14Mitistecrsateret
a- :40.-4000;.:
`k The Demerol- To 1Preni)ses Ron* To
You Urettshown in beelaratione
O. Parapet:41.44 nef,SectioalV*,,t.pmfasiting
Genera Ltubr . Mont le deleted .and
iftipliked hittiebitaitirt
(b That :ifi PtoXittY ItOingek fl,
preeerented WPM Or toMPOrfOrt
op rsil :by 'PM Vo..th*te ferialeeton
of thINWPIer; or
E. This owl 'ft tLEGAL 'LIABILITY-
Ili . • Iti :PREMISES): does! not amity .4r
Doriiittk To Pesatisee -Rented TO Yeti LK011ty:
'Wider SeCtIon I - CevereS, Ak- 10:44luded tatter
- Itte OrovisIdne 'et the 1::.Ovet400 Pert or by.
1. araernent.
12: 'WOD M- LEDGE— 00-000)140406
lkimmertist Generab
:a Lll : Oraditions.
Tt10161061tig edded Pilit:Pbh 0.14401011.1V-,
in ThaEvelitorOcourrenco,,. nee.. Claim or.Bult:
You must glee La- or our authorized- representative.
halite rifterlociaittinee city
amain .th Pk dffensa. deka dr Noir IS;
kOWn't0;
Yvii,Ifyboatton INIAChielt
:t4 kportet, ifyttrore kpalthersb(p.;
(.0) Mmiegposiortioof ot,the, offOioyeei
gloitio*, )3y rso. to OW *Ach
Potke.:ItY04-Preil cgr.Parig911; or
:(4 A. manager., :yeu am a Iltrite0
Iliblatycompiny.
G•14710T-E199
.(Ed.. 12/06)
11 NOTIMOtOcOMME
**god bo rapt:L.403W
Cole . 0.0pierei Cenditioto Oities
InThelventoTOieurrenc% MintiatisiimorStitt
YPW rights AirttIOY 1No 'ecivitraS4 Pralftwill110
prejediced if _you tail to Owe us race ,of an
."-ocedtrafteereffaitiei CIO) Or Nbir *id taid
eekthl tliAe.t *OW :91000tte5te hiallefltefthe 7000
Irtity" "IttOtkrtYllemeips" laltot PoVeredlitater 51$
tOYONSIN Part .HOIGNAt YOU eball 6/4 *co
Of Ns Abbcumbei" •ortims.* *gm or Nve lig As
:soon as youanaawanalhatAils Insurance:may apply
tlalistictOOdctetera*" Offense Cleirnmt*Iti!!
14. UNINTENTIONAL :FAILURE TO: DISCLOSE
i• 4
•.1
NOEMOS
Based bri-cur ifln� Ony6(iii itepireeentatiOneei
Ifl hafslarda if OnintentOnagjoriii 1�u1d :fell la
'thOi PAW', !IWO* INI-LOOSP*, Oa* tW
poft demfooveMte 4riclffir:t#0 Coverage
I:ierre of such failure;
4.5. EXPANDED -PERSONAL AND ADVERTISING
IMAM
A. Theial&intleadded lo'BeetiOn:V OrindltIOnai
the definition of "poorialandobenising
tt. -DiattlfrdniktiOn of ti:Untiriadott that .restilts
JO 444 lo the .toodingg QrJeputafiot 'of la
IMIttar Mc . but only if smell
41400111141toil Ottiiitkiritor
11) ootrOa *10 1ot' /404b011y .by ;to
-diron.'
Thiineured; or
(b) 'Any "executive officerP director,
atecidthliter, Nether, 'merit& '0
**Pk ! 01 4 likOited
:it atAttY caritoop b.stuiti:
et*
0401 does*-0064(frebit, re16140:ibitio
v010Yrrient PrOOPeeRNO,
employment, :past employment :or
rnthetrOo8. -Of eirtiOloyeterit
PiiiabkOt4teleo tatty:* thawed.
UcilttsilffiS OrSOLIVOINI-!-OrNetorMS-FiiOnal
and :101,0011010. •I*47/ -114410/At rs offended le
Moving:
pfst4441140 14000 TO T.04114
orPierntses
r44064 disPrOlnati9qt OilOd.titOr Ore*
relatsdito:theeafeereriU, lease :or elk -lease
rentaLlease
Of a 'llintnrilkitiegitio or prottifteibr
_Oft 046y:16040k
0,1471674399
(Et 121001
P.40 5:.`of1)
IP :On" Or Pena**
:Eltiwor mist* OM or IMPOOPtt by.
ratify .00aPae, :or
iffeeniniOatian,
Ttris ionit (EXPANDSV:POISONAL AND,
MARY :COVE *AO *4-
OPirit) 41$01riltiallWeit:Ilutabidkin..Onialtegojn
ittilital0eof Now *it or:WA .Akci,ittPANIEP
PERSONAL AO' Arf11400- 1100
:COVERAGE** nOt ER* * *10‘.1EisAed JR:
theatateavilNew Yorkeratia,'
liisprovielon (EXF'AffilDEOPMONAL. AND
AMMON INAIRr :CANSRAGia Oaks Oa
*Sot 1 - 9**00 PohicAncl.
1100.1nidrirAbliii, may* Ater by
tattViabrat Or Via Coverage Nat Or OV
SOSILYAIJUSY
section it M- baffnitionat delinftion of: 1.15011y
injury" fathomed tweed
"Bodily' irilary'rrneans inctiVINuryrelokneisa or disease
**Odd by beriSeh, lnotadrnit death, italinOatioe,
alvotis, tr,lortst L.:011'arthettat 1014 bYtiat*Osi•
at al gale 0$1010 $ conseoptm00 Om*
begv:lalarveelokraiga or rftseaec
G-147167409
1611.12100)
175 EXPEOMORAIENOgD .110-10Y.
E401111.01111; or *lotion 1: - qoyeragit - 4001
labuyand Property tamps liabilfty kranbisad .by
thetOtirolltfing;
-a. adty injure -or- "property damage"
Ati(066710d tt WA:Wedon tr.:310144/113t:
thp ;Wood :Thai_ exelvslost SOei 310.1t
- 1041Y. ittkile "Ot . WOO*
, ;MVP re400 frOat 'We Pr
Town** .fotve. to .protect: persona :or
ProPertY,
1/1. LINERALIZAtiON CLAUSE
lfwe adopt e.Ohangein our *MIS *miles vrtich would
broaden **eta& l'Adarthlsi iritdorienaintiaittraitien
.0141110hal , 3ratail4in 'yew fblic* WJT
igitte*Oly Itifilidda. the nal 'ameragiie- at .0f
iti$416':=1,*11410ti is 41rettve in:your ale*-
4.10. pry DAPASIE-Eigymoito.
'91%. rkkgP.4914.00:0004091t I -.Covergelk.
mot 4 and 167. ql Winton .1 :Rad
sichnion k do notapplylo ilyfruse of elevators:
'The lifewarme effiapied by -this provIsion-it twattess
:ovet any WO arall. tirdiattiMit prbOtti 11160(e6ce
omitting " chieltiotthle),avatoktobe bd, and
"WOW" 0010SM fralthaVki:$060taingly.
0447 .epsog
ilattalftriS