HomeMy WebLinkAboutbocc.con.amended.078.2013A �, Rev. 08-30-11 jls
COUNTY CLERK'S
CONTRACT COVERSHEET
CONTRACT #: 78.2013A
ORIGINATING DEPARTMENT: Facilities
PROCUREMENT OFFICER: Jodi Smith PHONE #: 9205396
PROJECT NAME: HVAC Service Agreement CONTRACTOR: 2H Mechanical, LLC
DOLLAR AMOiJNT: $33,400.00 LINE ITEM# Varies
CONTRACT EXECUTION DATE: 3/17/2014 CONTRACT END DATE: 4/1/2015
AUTOMATIC RENEWAL: ❑ YES � NO TERM: One year
❑ BOCC AGENDA ITEM (Grants, IGA) � STAFF AUTHORIZED SIGNATURE
(Requires BOCC Signature) (Per Revised Procurement Code 7/2005)
❑ OVER $50,000 (Requires Section Leader& Counry Manager's Signature)
✓ CHECK PROCUREMENT TYPE:
� None ❑ Informal ❑ Formal ❑ Sole Source ❑ Emergency ❑ Outside Agency/State Bid
❑ Compliance with C.R.S. 8-17-5-101, 102 as amended (Immigration Form) ❑ Exempt
❑ Contract Renewal
✓ CHECK CONTRACT TYPE:
� Services/Maintenance ❑ Emp(oyment
❑ LicenseNse ❑ Intergovernmen[al Agreement(Resolution Required)
❑ Lease ❑ Non-Profit
❑ Construction � ❑ Quasi-Public(e.g.-AVH)
❑ Goods, Equipment, Supplies ❑ Grant Agreements (Notify Finance & Resolution Required)
❑ Other(e.g. revenue) ❑ Change OrdedContract Amendment
, (C/O: 10%or$25K whichcvcr is thc Icsscr must huve County Manager signaturc)
� All Contracts should be proofed and all exhibits and notices must be attached for the following:
✓ Q No Pages Missing ✓❑ All Other Blanks Filled In
✓ ❑ If Page Left [ntentionally Blank—Note on Page ✓❑ All Exhibits Attached
✓ ❑ Page numbered consecutively ✓❑ All Legal Descriptions attached (ifapplrcable)
✓ ❑ All Original Signatures Affixed ✓❑ Notice of Award/Notice to Proceed Attached ('fapplicable)
✓ ❑ All Dates Filled [n ✓❑ Warranty(if applicable)
✓ ❑ Special Instructions for Finance Department:
✓ ❑ Authorized Procurement Officer's Name:
13Y CHECKING ABOVE AND ENTERING NAME,THE AUTHORIZED STAFF PERSON INDICATES THAT
THE ATTACHED DOCUMENT HAS BEEN PROOFED AND READY FOR SCANNING.
NOTE: CLERK'S OFFICE WILL KEEP ORIGINAL DOCUMENTS IN COMPLIANCE WITH COLORADO STATE
ARCHIVES RETAINAGE SCHEDULE. ALL ATTACHMENTS MUST BE WITH THIS CHECKLIST!
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OriginnlCOntrect# �8.2oi3 �
6udgc[Line Item: Varies
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FACILITIES MANAGEMEN7
March 10,2014
2H Mechanic�l, LLC
566 South Westgate Drive
Grand Junction, CO 8I505
RE: Pitkin County I-NAC Service Agreement
Rene�val of Coutract # 78.2013 and ChanEe Order#78 2013A
Pitkiu County has elected to renew tl�e 2H Mechanical, LLC contract#78.2013 �vhich
expires on 04/U2/14. Per the teims of tlie contract it states ttiat"At thc expiration of the
initial term,the contract may be extended for an additional term of four(4) one- (1-)year
terms by tlie express written consent of both pv ties."
This Contract#78.2013 is also hereby amended as follows:
Deseription of Clianee:
Tl�e Pitkin County Ambnlance Barn at 401 Castle Creek Road, Aspen, Colorado,an8 thc
County Solid W�ste Cenfer(Landfill)at 32045 Hwy 82, Aspen, Colorado are hvo
additional sites added to the original coniract for bi�imual periodic maintenance fa•
HVAC seivice. A PM Estunated Areakdown Sheet itemizing all additional se�vices is
attached as Exlubit A.
Reason for Chanee:
An increase in services is required,plus the addition of tha above-described two
buildings.
Original Contract Price: $24,972.00
Net Increase/Decrease in Conhact Price(this change ordcr): $ 8,42A.00
*Total Adjusted Conti�act Yrice(including this change ordei•) 33 400.00
Pitkin County Facilities Management,48,512io Grande Place, Unit toi,Aspen, CO 8i6ii
97a-9a�-5396�97o-920-5285 Fax or email:jodis�co.pitkin.co.us
� Original Cbntracl ffi �8.2013 �
• Budgelilfmltem: Varics �
If tlie renewal of this contract is agreeable to 2H Mechanical,LLC, please sign this letter
in the space provided and retum along with t�current copy of your certificate of
insurance,naming Pitkin Cotmty as additionally ins�ved on the Certificate. . .
Pitkin Coiuity hereby anthorizes the renewal of this contract and change order#
78.2013A with 2H Mechnnical, LLC, fw�a period of one year from contract expirntion ,
date;new expiration date is now 04/0 U I 5.
All rates will be in accordence with tl�e attached Exhibit A.
Any other chan�es will be made by an addeuAum.
2H MECHANICAL, LLC
B --� � �°''.�6�.�ace �t°l��-
Title: . ��n7c-i(�/��--
: PIT COUNTY .
By �� Dete: - — r "' L���
Jodi Smi , ecilities Superintendent
_ • By � � r J � Date: , , ��T
Jon Peac k,County Mana r
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Piflcin County Facilities 14Iunagement,485 Rio Grande Place,Unit ioi,Aspen,CO 8i6ii
97o-92O-5396,97o-9zo-g28g Fax or email:jodis@co.pitldn.co.us
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IV
EXHIBIT A 3 OF 3
PROPOSAL FOR PERIODIC
1 MAINTENANCE
688 S.Weslgale Orive JOB NAME PI6MCOUn� Faauuas
Gtand�Junclion,CO 815D5 PROPOSALW 66379-14 •
GA]C�-CG{1G1^.Mn 06 ^-L�L [�f�C� Tel:(870)778-4560 ConWctNumbor
� Fax:(868)298�6054 JobConteclNam loa�smnh
. SUBMI7TE0 TO PilkJn Counry Fadlitles Mgmt 97p970-5767 �
Addroea 485 Wo Grande Place Date: March 6 2014 "aoe iocAnon �
. UN1S101 Namovenw.
� Clly,6leto d ZI 0.v CO 87811•1902 Addre3e '
� City,Stat6 S TI ,co
. DATES: Janua 1 20141hroU h December 31,2014 �
Sco e o1 Work
' ' BI-Annuel Pariodlc Malnlenance far CauKhouse,Piaza,Human Servlcos,Jail,Publlo Works Admin 8 Publla Wotke Fleot 31lee
Amhulanee Bullding end Lend811 Bullding �
E W nl•aoi4re,Fan Coil Unils Dlred eiM Be40riven),RooFTOp F14ACe,AY Hendli UniCS.CtiWer,Gas Ftred Meko-U Nr UNts,
R Roan Air ConJNa�er,S Rediant Healen,Fxhaustere,fia5eboaN Hea4 Shop Hotsy,UnH fleaten,Faroad Ni Furnaoe,
Enironca Watl Healere antl On Oemend Walor Heatera. .
SPRING VISIT: R co e neees elr fJ(cre and bUts(to ba used(ran a,�neft ntak end Nsted fa auvnen ,Iu6ACata e11 m
enObeari sdeanallcondonsarcalpwiNCO2,deanaAnecessa fenwiluMtcdl�.checkrefAgeranikvola,UU.rJeendUhlen
eledrlcalconnecUons lakeellrtalaem r e�eadin � checkaiaafe tleNcea checkellacWatarmotan(or r tlon, �
� � check ell da a bWao seaia,check OoR en nmenle,cAeUC xii 000fin o ieVOns,check eoonomfzer op¢ratbns end cAeck exheuslers. . �
FALLVI5IT: reROrmcan6usHOnena abonaObollen,checNall as �eledeu endmanitold rouu�es ro leeeen neeaseary
alr fdlors entl hel4s o be uaed(rom ownan alak aM Nsletl for re acemonl,lubdcete all Wm eiM bead s,clean a�newea
� fenoo9unitcoOS,cAeckellAaaGn o eWne.checkEasebaardentlsnowmellheel,lakeellmotwam 2 erea01 e,checkend �-
'hlenellelecUlulcannecUOne,dierJCelleaferydeNces,�ecka;laxheuelerscheckallecNatormotorafor ro r 2VOnf,
cAttk Oell elt nmenb,ch¢ck ell d bledo seab,Neck a0 cd laveb.(iu5h waWr hea!ers and tl�aln down era etivu woGng.
Pedodic malnlenance I aheels wi0 De com leted eNer eve Wslt and su Iled lo ovmer.
Thls INCLUDESsIIlaOor,CO2enddeeN cu es.
This rkeEXCLUDE3eddAbnal M1siroleddrossedlnlMs al. �
Mourerworlcwitl6eoom bfede1595.00 rtaur uematetlelsbbae ovedPRIORWrwkconmend . .
The lear daxn eM dean� ol en boler bumers wW Do UNled an e Wm entl maleAel W�IS,etw.
.WE PROPOSE; here6 lo tumis�matarlel&lebar-com lele In eccordence wilh Iho ebova a ecificallon for Ihe eum oC
5 . �3400.00 Thl •7hrooThousend FourHuadredandnoH00•""•"""""'•"••••""""""""'•"•""""""""""'•"""'
� PAYMENiTEPM3: 300%Upanwm IttlonolebovlSC ne�30da . � �
� � Ownnta�:NlmatetlallsNaonteedtobeufpetllled.ANwo�kbloDemmp!eudinaprotm�IOnalmenneqecco�d4ylosWndardpntllcesMydeNnlanorepeiaWn
(rwn Ih!above speNied,ImroMngaNa rosb,WIII b!t�KUled onMupon Youi app�onl.M a(leemM4<onlh{enl upOn iLikb,au1dMU w de(ayti beybnd awmnUd. .
NOTE;ThItP�oposelmay6ewBMrzvmhyusllmlenepledvA1hN30d�y�. ' '
- Acc�pu�ceofProposal: TheaCV.ePAcea.epetlACaUOnaondwqiYon�ervu9afedayeiMaraherebyeaep:ed.Youveau9�pitMlodolhowakaf�pecUed Pa/rtienl '
vAlbemedeeawOnede0ow.51iwkonacmmtbeunlbm'Iec6an�.o95%wOeWoncha�paM4EOaddad. ' .
PmpoulPUpuadOy: ]11MeahaNUI,UGSeMteOOpanmml . .
• SfONATU0.E: � DAT20FACCEPTANCE:
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, Client#: 123195 2HMECHAN
� ACORD�, CERTIFICATE OF �IABILITY INSURANCE °A�`"""°°"""'
�
�_ �vzana�s
7HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS �
CERTIFICATE DOES NOT AFFIRMATNELY OR NEGATIVELY AMEN�,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW.THIS CERTFICATE OF INSURANCE DOES NOT CONS7ITUTE A CONTRACT BET�VEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,ANO THE CERTIFICATE HOLDER. I
IMPORTANT:If the cert(flcate hoider is an ADDI710NAL INSURED,the pollcy�ies)must be entlorsed.If SUBROGATION IS WAIVED,suhject to �
� the terms and condHions of the policy,.certain policies may require an endorsement A sWtement on tltis ceRificate dces not confer dghts to lhe
. certificate holder In Ileu of such endorsement(s). � � � �
PRODUCEit NqMEP� Couitrjey Brown
HUB Intematlonal Ins Svcs Inc ac"N;Ert:g70-254-3310 - ,y�xo: 866-908-6374 .
2742 Crossroads Blvd E�MAIL courtne brown hubintemational.com
nooaess� , Y• @
' GrandJunction,CO 81506 ' � plSUFER�S�RFFORDINGCOVERAGE nacr .
888 245-8017 wsuaean:Employers Mutual Casualty Compa 21415 �
wsur�u � ir�suaea a:P�nnacol Assuranee Company � 47190
2H Mechanic0l LLC , wsuaEac: � �
Sfi6 S Wesfgate Dr � iNSUaeao: I - �
- Grand Junetion,CO 87505 - �
INSURERE: ' '
INSORERF:CALIC2f1SE#IIIS777B ' '
COVERAGES CERTIFICA7E NUMBER: I � REVISION NUMBER: �
THIS IS TO CERTIFY THAT 7HE POLICIES OF INSURMICE LISTED BELOW HAVEBEENISSUED TOTHE INSURED NAMEOABOVE FORTHE POLICYPERIOD
INDICATED. Nb7WITHSTAN0ING ANV REQUIREMENT, TERM OR CONDITIONOF ANY CONTRACTIOR OTHER DOCUMENT.WITH RESPECT TO WHICH THIS
CERTIFICATE MAV BE ISSUEO OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRI6ED HEREIN IS Sl1BJECT TO ALL THE TERMS,
EXGWSIONS AND CONDRIONS OF SUCH POLICIES. CIMITS SHOWN MAV HAVE BEEN REOUCED BV PAID CLAIMS. �
�1p TYPEOFINSURANCE �����ryp . POUCYNUMOER MM�O�EFF ��OLp E%P LIMRS
A GENERALLIABILrtY X X 3X1715915 1101@01�4011011201 EACHOCCURRENCE s1000000
X COMMERCUILGENERALIIABILITY v°Px"e'rAnls�sT��Ere�� s300000
CUIMSMAOE �occua MEDE%P o�a��a0 a5000
X PDDE(I:SOO PERSONPLBADVINJURV s1000000
- GENERPLAGGREGHTE EZ OOO OOO
GENLhGGREGATELIMrtAPPLIESPER: PROOUCTS-COMP/OPAGG SYOOOOOO.
POLICY X �Q LOC s
(� AUTOMOBILELNBILITY X X 3X'I7�SB'IS 'IIO'IIYO'I�A O'IIO�IYO� �MB�I.N�SINGLELIMIT ��OOO�OOO
� X ANYPLTO BODILYINJURY(Perpenm) 5
P110WNE0 SCHEDULE� . BODILVINJURY(Pera¢Ident) $
AUTOS NON-0WNEO PROPERTYDAMAGE f
X HIREOAVfQS X pUT05 . � � ^�
5
/� �( UMBRELLALIAB x occua� 3X1715915 . 1/07201�401/01@07 EACHOCCURRENCE 5$000�0�
� EXCESSLIAB CWMSlM�E AGGREGATE SSOODOOO .
OEO X RETENrIONE�OOOO f
B WORKERSCOMPEN9ATION X 4089128 ��Q�nQ��Q Q�/Q�/'2Q� X WGSTATLL OTH-
ANO EMPLOYERS'LNBIIIiY
ANVPROPRIEfORIPNRTNEfLE%ECUTNEY�N I E.L.FALHACCIOEM S'I OOOOOO
OFFICERIMEMBFRE%CLUOEOi � N/A
(ManEatoryinNH) . I E.L.OISEFSE-EAEMPLOYEE f� OOOOOO �
It Y�.d�*��uMer
OESCfiIFrIONOFOPERAT10N5belav E.L.DISEfSE�POLIC`/LIMR f� OOOOOO .
OESCRIPTION OF OPERATION5/LOCATIONS/VEHIClE3�AtlacM1 PCORO 101,ntltlieonal Remarks Schedule.�I mere npaia la nyulnE)
Re:Contract#78.2073. �
The County,Its subsidiary,parent,associated and/or affiliated entities,successors,or asslgns,its . � .
eleeted officlals,trustees,employees,agents and volunteers are additional insure�ds as regards general� -
. Iiablllty. This insurence Is primary and nontontributory with any any insuranee�r self Insurance
pruchased by the County. Waiver of subrogadon in favor of the County on workers compensation.
CERTIFICATE HOLDER GANCELLATION �
� PI�KIfICO11f1fYFBCIIINQS . � .THEUE%IRA770NHDATEVTHEREOFENO�ICE'EWILLCBECDELNERED NE
� Management ACCOROANCE WfTH THE POLICY PROVISIONS. '
485 Rio Grande Plaee,Unit 101
Aspen,CO S'IB'I� AIITHORIZEOREPRESENTATIVE '
'Ii:��.0
. . 0 7988-2070 ACORD CORPORATION.All rights reserved. :
ACORD 25(2010/OS) - 1 of 7 The ACORD name and logo are registered marks of ACORD �
ilS2587462/M2582036 . . � � � SS09 ' � �
---._.. . ,.. .._, . . . , .
,
COMMERCIAL GENERAL LIABILITY
� THIS�ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
�. BLANKET ADDITIONAL INSURED - CONSTRUCTION CONTRACTS
INCLUDING COMPLETED OPERATIONS '
This endorsement modifies the insurance provided under the following: �
COMMERCIAL GENERAL LIABILITY COVERAGE PART .
• A. Sectian II — Who Is An Insured is amended to a. The preparing, approving, or failing to prepare
include as an additional insured any person or or approve maps, sfiop drawings, opinions,
organizs6on when you have agreed in writing in a reports, surveys, field orders, change orders or
contrad or agreement that such person or drawings and specificaUonst or ''
I � organization be added as an addiUonal insured on b: Supervisory, inspection, architectural or
your policy. Such person or organ¢alion is an engineering activities. � • .
� additional insured�only with mspect to liabiliry for •
'bodily inJurY, 'property damage' or 'personal and , C. The limits of insurence applicable to the addiGonal'
advertising inJury'caused, in whole or in paA,by: insured are those specified in,the Declara6ons of
� 1. Your acts or omissions; this policy or ;in the written conVact or written
agreemenl,whichever is lower. .
� 2. The ects•or omissions of.those acting on your D. Any wverag'e provided hereunder shall be excess •
. behalf; over any other valid and collectible•insurance
in the periormance of: available to the additional insured whether that •
� . a. your ongoing operations for the additionai insurance is p�fmary, excess, conUngerit or on any
insured;or other basis, unless you and ihe additional insured
� have specifically agreed in a written contract or
b. 'Your work' for the addibonal insured and written agreement that this insurance be primary.
� included in the 'products — completed '
• ope2Gons hazard'. - When co'verage,is provided on a primary basis we
will not seek conVibution from any other.insurance
, 6. With resped to the insurance afforded to these available to the additional insured H a written
additional •Insureds, the following additional conVact or wririen agreement requires thet this
exciusion applies: insurance be noncontributory.
. This insurance dces,not apply to 'bodily irijury," E. All other terms and conditions of this policy remain
°property damage" and 'personal and advertising unchanged.
injury" arising out of the rendering af, or failure to
render, any prMessional, architectiiral, engineering
or surveying services induding: �
I • .
� . CG7174.3(1-08) Ixludes[opyrigMed materlal of ISO ProperGes,Inc witl�its petmission.. � . Page 1 at t �
i . � . ._....,.-'--'- -"--"-'-' ---
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
AMENDMENT—AGGREGATE LIMITS OF INSURANCE(PER PROJEC�
This endorsemenl modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVEF2AGE PART
The General Aggregate Limft under LIMITS OF INSURANCE (Section III) applies separetely to each of your projects
away from premises owned by or rented to you.
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. ��� Inciudes copydghted material of Insuranec Services OHice,lnc.with Ite petmisalon.
� Fortn CG7428(Ed.11-98) Copyright,Insuranco Sorvices Offiee,Ine.,1984
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET WAIVER OF SUBROGATION WHEN REGIUIRED IN A WRITTEN
CONTRACT OR AGREEMENT . '
' This endorsement modifies insurance provided under the tollowing:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
The TRANSFER OF RIC�HTS OF flECOVERY AGAINST OTHERS TO US Condition (SecUOn N —
COMMERCIAL GENERAL LIABILITY CONDITIONS) is deleted and replaced by the following:
We waive any right of recovery we may have against any person or organization against whom you have agreed.
to waive sucli right of recovery in a written conVact or agreement because of.payments we make for injury or
damage arising out oi your ongoing operations or °your work' done under a conVact with that person or
organization and included in the°produc[s-completed operations hazard".
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CG7555(11-04) Includes copyrighted material of�SO Properties, Inc.with�Rs permission. Page 1 of 1
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COMMERCIAL AUTO
'CHIS ENDORSEMENT CHANGES THE POLIGY. PL64SE READ IT CAREFULLY.
BLANKET WAIVER OF SUB120GATfON WHEN REQUIRED
IN A WRITTEN COf�tTi2ACT OR AGREEMENT
This endorsement modifies insurence provided under the following:
BUSINESS AUTO COVERAGE FORM
GARAGE COVERAGE FORM
TRUCKERS COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
The TRANSFER OF RIGH7S OF RECOVERY 1. °Garage operations" means tha ownership,
AGAINST OTHERS TO US Condition SecHon is maintenance or use of Ipqatioos for garage
added to and replaced by the,following: business and tha[portion of the roads or otfier
We walve any right of recovery we may have against accesses lhat adjoin these locatlons. "Garage
any person or organizafion against whom you have operatlons' Includes the . ownership,
agreed to waive such right of recovery in a written maintenance or use.of the"autos"indicated in
agreement or written contract bacause of paymenfs Section I of this Coverage Form as covered
we make for injury or demage arising ouf of qour "autos". 'Cyarage operations° also indude ell
ongoing operations or "work.you performed" un�er a operaBons necessary or incldental to a garage
.written`contract or written agreement with lhat person business.
w organization and 'included. ,in the "Garage 2. "Work you performed°includes:
Operations". a. Work that someone performed on your
A. The following definitions are added to the behalF;and
DeFnition Section of this endorsemenf onlp: b.. The providing of or falure ta provide
wamings or instructions.
CA7392(12-05) Includes aapyrlghted maleriai of ISO Propehios,Inc.wl(h its permission. Page 1 ot t
COMMERCULL AUTO '
TH1S ENDORSEMENT CHANGES THE POLICY. PLEASE READ R CAREFULLY.
COMMERCIAL AUTO AMENDMENT
' This endorsement modiFles Insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
The BUSINESS AUTO COVERAGE FORM is amended to tnclude the following clariikadons end extensions of .
Icoverage.With respect W coverage provided by Ihis endorsement,the provisions of the Coverage Fortn appty unless
modlfled by the endorsement
A. BLANf�TADDfT10NAL INSURED D. COVERAGE EXTENSIONS — SUP.PLEMENTARY'
, SECTION II — LIABILfTY COVERAGE, A.1: Who PAYMENTS '
' Is An Insured 1s amended by edding the foliowing: SECTION II — GIABWTY COVERAGE, A.2.a.
d. My person or organkallon who is a party to a Coverage Eztensions, Supplementary Payments
writlen agreement or contract with you in which (2) and (4)are replaced by ihe foltoiving:
you agree to provide the type of insurance (2) Up to 53,000 for the cost oi. bail bonds
� afforded. under thls' Bustness Auto Coverage (including bonds fw related trafflc law
Fortn. viola0ons) required because of an 'adcident°
This provision appiles to cleims for Uodlly injury"or we:cover. We do not fiave to:fumish these
"property damage'which oear aRer the execution bonds.
of arry written agreertient w contract. t4) AII reasonaMe expenses Incurted by. fhe
B. NEWLY FQRMED OR ACQUIRED ORGAt�ATIONB' 'insured"at our request,including actual tps�of
SECTION II — LUIBILITY COVERAGE,'A.1. Who eamings up 10 5350 a day because of time off
Is M I�sured is amended by adding the fullowing: from work
e. Any organ¢elfon which.you acqulre or form E. PHYSICALDAMA(iE—TOWINO
after the eHedive data of thls policy In which SECTIpN QI—PHY5ICAL �AMAGE'COVERAGE,
you maintain ownershfp or maJodty Interest. A.2.Towing is replacad vrlth fha fvllowing:
IHowever. We wlll Ray:'far towing and labor c8sb incurted,
(7) Coverege under this provision Is afforded subJect ro llse;'follovAng:
only up to 180 days efter you acquire w a. Up to 5100 each Hme a covered 'aulo' of the
Itortn the organlza8on, or to the end of the private passe�9er rype is dlsabled;w
, policy period,whichever is eadier. b. Up to 5500 each ttme, a covered 'auto' other
(2) My aganfzedan yqu ecquire w form will than the private passenger type Is disaMed. .
not be wnsWered an 9nsured'iF. However, the labor must be performed at the place
A. The orgBrilzaUon Is a partnership or a of disablement.
jointventure;or F. .PHYSICAL DAMAGE — TRANSPORTAtIQN,
8. That organlz.�tlon fs covered under E7(PENSES '
other simllar Insurance. SECTION 111—PHYSICAL DAMAGE COYERAGE,
(3) Cwerege under th(s provisfon does nof A.4. Coverage Extensions subparegraph e.
. apply to arry clalm for 'bodly InJury" or Transportation Expenses Is repfaced by the
' "property 'damage" resul6ng from an foilowing:
'accidenY lhat occurred befwe you fortned t1) We wi(1 pay,up to$75 per day to a mauimum of
or acquired'the wganization. $1,000 fdr fempo2ry .Iransportation expense
C. SUBSI�IARIES AS INSUREDS incurred by you because of the total theft of a �
SECTION.II —LIABILI'fY COVERAGE, A.1. Who covered °euto' of the private pssse�ger type.
Is An Insured.is amended by adding the following: We will pay onty for those covered eutos' for. .
f. An le all In orated subsidia in whlch Which .you carty .either Comprehensive or
Y 9 Y �P �Y Spacifted Cause of L4ss Coverage. We wlll
yoy oHm more than 50%of the voting stock on pay for temporary. transportation exp�nses
fhe effective date of Uis policy. Flowever, incurced during the period beginNng.48 hours
'Insured'does not include arry subsidiary that is "aRar the theft and ending, regardless oi the .
an'insured'under any other automobile Iiability . policys.explradons,when the covered 'auto" is
policy or was an "insured' under such a policy �q�med to use or we pay for ks'loss.'
but (or tertnination of that policy or the
e�chaustion oi the policy's limlls of lie6�ity.
CA72�0(3-0� Includes copyrlghled marerial ol ISO Propenies,Inc,with i�s permissian. Px�e 1 d 2 �
(2) ff the tempwary transportation expenses you If a Comprehensive, Specified Causes of Loss or
incur adse fro.iYi your rental of an "auto" of Ihe Collislon Coverage "loss" hom one "accfdent"
private passenger type, the mos[we will pay is involves Iwo or mora covered "autas', anly the
the amount it costs to rent an "auto" of the highest deductible applioable to those coverages
private passenger type v�hich is of the same will be applied ta the"accident".
like kfnd and qualiry as the stolen covered This provision ony appGes: If you carry
"auto' Compreheqsive, Colllsion or Speclfled Causes of
G. HIRED AUTO PHYSICAL DAMAGE Loss Coverege for thase vehicles, and does rrot
SECTION il(—PHYSICAL DAMAGE COVERAGE, extend crnerege to any covered "autos' for which
A.4. Coverage Extensions is amended by adding you do not carry such covarage.
the following: K. WAIVER OF DEDUCTIBI:E—OLASS REPAIR OR
c. If hired °autos" are covered "autos" for l.iability REPLACEMENT
Coverege, and if Comprehensive, Specified SEC770N III—PHYSICAL DAMAGE COVERAGE,
Causes of Loss, or Coliision coverage is D. Deducfible is amended by edding the following:
provided for any "auto" you own, then the If a Compretiensive Coverage deductlble Is shown
Physical Damage coverages provided are (n ihe Declarations it does not apply to the cost of
extended to "autos" you hire, subject to the repairing or replacing damaged glass.
following limit and deductible:
(1) The mast we will pay for loss to any hire,d L. DUTIES IN THE EVENT OP;ACqDENT, CLAIM,
'auto' Is the lesser of $50,000 or Actual SU17,OR LOSS
Cash Vatue or Cost of Repal,i, minus the SECTION'IV — 9USINESS AUTO CONDITIONS,
deductibie. A.2. Duties in the Event of Accldent,Claim,Suit
(2) The deductible will be equa! to the larc�est or Lass is amended by adding the following:
deductible appflcable to any owned "auto" d. Your obligation to notNy us promplly of an
� for that coverage. No deductible applies to "accident," daim, "suil" or "loss° is satisfted if
"loss"caused 6y flre or IigMning. you,.send us the reqWred notice as soan as
3 Subect lo the above limit, deductible and practicable after your Insurance Admihistretar
( 1 1 or anyone else desfgnated by you to be
excess provisions, we , will provide responsible far fnsusance mattees.is notffied, or
caverage equal ro the broadest coverage in any manner made aware,:of an "accident;
applicatile to any covered"auto"you cwn. claim,'suit°or°loss."
The insurance provided under this proyision Is M. UNINTENTIONAL FAILURE TO DISCLOSf
ezcess over any other collectible insurance. �ppSURES
H. PERSONAL PROPERTY OF OTHERS SECTION IY — BU5INESS AUTO CONDITIONS,
SECTIQN III—RHYSICAL.DAMAGE COVERAGE, 8.2. Canceaiment, Misrepresentation, or Fraud
A.4. Cqverege Eztensions is amended by adding Is amended by adding the following:
the following: If you unintenfionally fail to disclose any e�cposures
d. We wlll gay up to $50D (ar loss to personaf existing at the inceptlon date of this policy, we will
property oF others In or on your covered"auto' not deny coverage under this Coverege Parl solely
This coverage applies only in the event of"(oss" 6ecause of such faiture to disclose. However, this
to your coverad"auto"caused by flre, lightning, provfsion does not .affect our right to colied
explosion, theft, mischief or vandalism, the additional premium or exercise our right of
covered°auto's"coflision with anothar o6ject,or cancellation or non-renewa�.
the covered"auto's"overtum. N. LNENTAL ANGUISH
No deducN6les�pPly ro this coverage. SECTION V—DEFINITIONS, C. is replaced by the
I. AIRBAG COVERAGE following:
S�CTiON Itl—PHYSICAL DAMA6E COVERAGE, "Bodily fnJury" means bodily InJury, s(ckness or
B.3.a. Exclusions Is amended by adding the disease sustained by a person, Includfng mental
following: anguish or death resulting (rom bodlly injury,
sickness or disease.
If you have purchased Comprehensive or Coliision O. LIBERALIZATION.
Coverage under this policy, the exciusion relating to
mechanical b[eakdown does not apply to tne If we revise this endorsement to provide greater
accidental dlscharge of an airbag. coverage without additional premium charge, we
J. LOSS TO TWO OR MORE COVERED AUTOS will automatically provide lhe addlUonal coverage to
FROM ONE ACCIDENT all endorsement ho(ders as ot the day the revision
SECTION Jp—PHYS. ICAL DAMAGE CtlVERAGE, is effective in your state.
b.Dedu.cfi6le is amended by adding the following:
CA7270(3-07) Includes capyrighted ma�erial of ISO Properties.Ina x�i�h ils petm(ssfan. ' page 2 of 2
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oernn,co eoz3o-�aos
Plqne:(703)761�0001(BOOJ 873-721t
ASSURANCE Fa[:(30J)3fi1•SODO/(BBB)729-7251
xv.w.Dinnecol.cqn"
ENDORSEMENT: Blanket Walver o(Subrogation
We have lhe right to recover our paymenls from anyone Ilable for any injury cavered by lhis pacy.We wi�nol
enforce our rfght against lAe p�son or organizaUon named In lhe schedule.This.agreement appHes o�ily to the
extent lhal you peAwm wmk under a writlen conuac�thal requires you to obtain lhis agreement from us.
This egreement shap nol operate diredly ar Indirectly to benefit anyone not named in the schedule.
SCHEDULE
ITo erry person or organizauon when agreed to under a written corriract or agreement,as defirred
above and with Ihe insured,which fs fn eftect and executed prior ro any loss.
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