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BILL NO. 90-42
}; SPONSORED BY COUNCILMAN HALSEY
ORDINANCE N0.
AN ORDINANCE OF THE CITY OF JEFFERSON, MISSOURI, AUTHORIZING THE
} MAYOR AND CITY CLERK TO EXECUTE AN AGREEMENT WITH DJI CONSTRUCTION
t �. COMPANY, INC. , FOR 1990 CURB & GUTTER PROJECT, PHASE I.
BE IT ENACTED BY THE COUNCIL OF THE CITY OF JEFFERSON, MISSOURI,
AS FOLLOWS:
R
rye.:
Section 1. The Mayor and City Clerk are hereby authorized and
directed to execute an agreement with DJI Construction Company,
Inc. , for 1990 Curb & Gutter Project, Phase I. The amount of the
7
contract shall not exceed $98,887 .94 .
Section 2 . The agreement shall be substantially the same in
form and content as that agreement attached hereto as Exhibit A.
Section 3 . This Ordinance shall be in full force and effect
from and after the date of its passage and approval.
Passed �`� Sd ApprovedSO
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esid' Officer or
Pv,. ATTEST:
City. Clerk
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CONSTRUCTION CONTRACT
THI CONT CT, made and entered into this /Y day of
-x: c.< 1990, by and between Davijean, Inc. , D/B/A DJI "t
Constkuction hereinafter called "Contractor" , and the City cf
Jefferson, Missouri, a municipal corporation, hereinafter called
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WITNESSETH: That Whereas, the Contractor has become the lowest
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responsible bidder for furnishing the supervision, labor, tools, '
equipment, materials and supplies and for constructing the
following City improvements: 1990 Curb and Gutter Project, Phase
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NOW THEREFORE, the parties to this contract agree to the following.
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. 1. Manner and time for Completion. The Contractor agrees )�+�}�YY��;�•�p
with the City to furnish all supervision, labor, tools equipment,
materials and supplies necessary to perform, and to perform, said '�i° '�: t;
work at Contractor's own expense in accordance with the contract
documents and an applicable City ordinances and state and federal ' ft• .
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laws, within fifty-five (55) working days from the date Contractor
is ordered to proceed, which order shall be issued by the Director
of Public Works within ten (10) days after the date this
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contract. r
` 2 . Prevailing rages. All labor utilized in the construction y:
' of the aforementioned improvements shall be paid a wage of no less
than the "prevailing hourly rate of wages" for work of a similar
character in this locality, as established by Department of Labor
and Industrial Relations of the State of Missouri, and as
established by the Federal Employment Standards of the Department
of Labor. Contractor acknowledges that Contractor knows the
prevailing hourly rate of wages for this project because Contractor
has obtained the prevailing hourly rate of wages from the contents
of Special Wage Determination No. 90-026-0058 in which the rate of
R wages is set forth. The Contractor further agrees that Contractor
will keep an accurate record showing the names and occupations of
' all workmen employed in connection with the work to be performed
under the terms of this contract. The record shall show the actual .
wages paid to the workmen in connection with the work to be <.
performed under the terms of this contract. A copy of the record
` shall be delivered to the Director of Public Works each week. In
' accordance with Section 290. 250 RSMo, Contractor shall forfeit to '
the City Ten Dollars ($10. 00) for each workman employed, for each
calendar day or portion thereof that the workman is paid less than
the stipulated rates for any work done under this contract, by the
Contractor or any subcontractor under the Contractor.
3. Insurance. Contractor shall procure and maintain at its
own expense during the life of this contract:
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(a) Workmen's Compensation Insurance for all of its employees
to be engaged in work under this contract.
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(b) Contractor' s Public Liability Insurance in an amount not
less than $1,000, 000 for all claims arising out of a single '
occurrence and $100, 000 for any one person in a single accident or
occurrence, except for those claims governed by the provisions of
the Missouri Workmen' s Compensation Law, Chapter 287 , RSMo. , and
Contractor 's Property Damage Insurance in an amount not less than !
$1,000, 000 for all claims arising out of a single accident or
occurrence and $100, 000 for any one person in a single accident or k.:r t
occurrence.
(c) Automobile Liability Insurance in an amount not less than
$1,000, 000 for all claims arising out of a single accident or iY
occurrence and $100, 000 for any one person in a single accident or
r�.:. occurrence. , ",'
d Owner's Protective Liability Insurance - The Contractor
shall also obtain at its own expense and deliver to the City an
Owner's Protective Liability Insurance Policy naming the City of urx� ii¢a,.
Jefferson as the insured in an amount not less than $1, 000 000 for
all claims arising out of a single accident or occurrence and !
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$100,000 for any one person in a single accident or occurrence,
except for those claims governed by the provisions of the Missouri
Workmen 's Compensation Law, Chapter 287, RSMo. No policy will be t ,
<< accepted which excludes liability for damage to underground »x '
structures or by reason of blasting, explosion or collapse. `
(e) Subcontracts -- In case any or all of this work is sublet, k y`
the Contractor shall require the Subcontractor to procure and `
maintain all insurance required in Subparagraphs (a) , (b) , and (c)
hereof and in like amounts.
(f) Scope of Insurance and Special Hazard. The insurance
required under Sub-paragraphs (b) and (c) hereof shall provide
adequate protection for the Contractor and its subcontractors,
respectively, against damage claims which ma y arise from operations
under this contract, whether such operations be by the insured or
by anyone directly or indirectly employed by it, and also against
'-` any special hazards which may be encountered in the performance of '
;`.. this contract. r
: '. NOTE: Paragraph (f) is construed to require the procurement of
Contractor's protective insurance (or contingent public liability
and contingent property damage policies) by a general contractor
y+ whose subcontractor has employees working on the project, unless
the general public liability and property damage policy (or rider
'{ attached thereto) of the general contractor provides adequate
protection against claims arising from operations by anyone
directly or indirectly employed by the Contractor.
4 . Contractor's Responsibility for Subcontractors. It is
' further agreed that Contractor shall be as fully responsible to
+4 the City for the acts and omissions of its subcontractors, and of
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either directly or indirectly employed by them, as
Contractor is for the acts and omissions of persons it directly
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?!' employs. Contractor shall cause appropriate provisions to be
inserted in all subcontracts relating to this work, to bind all
subcontractors to Contractor by all the terms herein setforth, +'{
insofar as applicable to the work of subcontractors and to give
Contractor the same power regarding termination of any subcontract
as the City may exercise over Contractor under any provisions of s ,
this contract. Nothing contained in this contract shall create any
contractual relations between any subcontractor and the City or
' between any subcontractors.
5. Liquidated Damages. The Director of Public Works may,
at his discretion deduct $100. 00 from any amount otherwise due "
under this contract for every day Contractor fails or refuses to
' P rosecute the work or any separable part thereof, with such
diligence as will insure the completion by the time above r' Cis
specified, or any extension thereof, or fails to complete the work '::'°sue;
by such time, as long as the City does not terminate the right of
Contractor to proceed. It is further provided that Contractor `'`"` `'^
shall not be charged with liquidated damages because of delays in
the completion of the work due to unforeseeable causes beyond
Contractors control and without fault or negligence on
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Contractor's part or the part of its agents.
A 6. Termination. The City reserves the right to terminate ;fD ,;
this contract by giving at least five (5) days prior written notice
to the Contractor, without re prejudice to an other rights or
P 7 Y g F r4{
remedies of the City should the Contractor be adjudged a bankrupt,
or if Contractor should make a general assignment for the benefit
' of its creditors, or if a receiver should be appointed for
Contractor or for any of its property, or if Contractor should
persistently or repeatedly refuse or fail to supply enough properly
skilled workmen or proper material , or if Contractor should refuse
or fail to make prompt payment to any person supplying labor or tK �
Yr is i`.
materials for the work under the contract, or persistently
�• , disregard instructions of the City or fail to observe or perform
any provisions of the contract. *
4 `s 7. City' s Right to Proceed. In the event this contract is Y
terminated pursuant to Paragraph 6, then the City may take over
the work and prosecute the same to completion, by contract or
otherwise, and Contractor and its sureties shall be liable to the
:t City for any costs over the amount of this contract thereby
occasioned by the City. In any such case the City may take
._, possession of, and utilize in completing the work, such materials,
.'; appliances and structures as may be on the work site and are
necessary for completion of the work. The foregoing p
. ,. rovisions are
in addition to, and not in limitation of, the rights of the City
under any other provisions of the contract, city ordinances, and
rl °! state and federal, laws.
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8. Indemnity. The Contractor agrees to defend, indemnify,
and save the City harmless from and against all claims, suits and
actions of every description, brought against the City and from
all damage and costs by reason or on account of any injuries or
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damages received or sustained by any person or persons, or their
property, by Contractor, its servants, agents or subcontractors in
the construction of said work, or by any negligence or carelessness
in the performance of the same, or on account of any act or
omission of Contractor, its servants, agents, or subcontractors,
or arising out of the award of this contract to Contractor.
9. Pent for Labor and Materials. The Contractor agrees
and binds itself to pay for all labor done, and for all the
materials used in the construction of the work to be completed
pursuant to this contract. Contractor shall furnish to the City
a bond to insure the payment of all materials and labor used in
the performance of this contract.
10. Payment. The City hereby agrees to pay the Contractor
the work done pursuant to this contract according to the payment
schedule setforth in the Contract Documents upon acceptance of said
work by the Director of Public Works and in accordance with the
rates and/or amounts stated in the bid of Contractor dated June 22,
1990 which are by reference made a part hereof. No partial payment
to the Contractor shall operate as approval or acceptance of work
done or materials furnished hereunder. The total amount of this
contract shall not exceed Ninety-eight Thousand Eight Hundred
Eighty-seven Dollars and Ninety-four cents ($98, 887. 94) .
11. Contract Documents. The contract documents shall consist
of the following:
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a. This Contract f. General Provisions
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b. Addenda g. Special Provisions
C. Information for Bidders h. Technical Specifications ys
d. Notice to Bidders i. Drawings and/or sketches
e. Signed Copy of Bid
This contract and the other documents enumerated in this
paragraph, form the Contract between the parties. These documents
are as fully a part of the contract as if attached hereto or
repeated herein.
12 . Nondiscrimination. The Contractor agrees in the
performance of this contract not to discriminate on the ground or
because of race, creed, color, national origin or ancestry, sex,
religion, handicap, age, or political
opinion or affiliation,
against any employee of Contractor or applicant for employment,and
shall include a similar provision in all subcontracts let or
J awarded hereunder.
3.
13 . Notices. All notices required to be in writing may be
given by first class mail addressed to the City of Jefferson, 320
V1.
East McCarty, Jefferson City, Missouri 65101, and Contractor at
18007 Panarama Drive, Glencoe, MO 63038.
The date of delivery
"T of any notice shall be the second full day after the day of its
mailing.
4MM VOIA
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CE
RTIFICATE O NCB �
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS ? i z
PRODUCER s "?
NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AMEND,
CORRQON & BLACK OF MISSOURI, INC. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW pFf 4'
`''
I 8112 Maryland Avenue : GG :.
1 St. Louis, Missouri 63105-3721 COMPANIES AFFORDING COVERAGE
COMPANY A Ohio Casualty Insurance Company
Contact: Jo Czerni.awski LETTER
SUB-CODE (314) 854-0235
CODE
COMPANY Safeco Insurance Company
LETTER
INSURED
COMPANY Wausau Insurance Company
Davijean, Inc. D/B/A LETTER C' '
DJI Constructions+.
18007 Panorama Drive COMPANY D5 ' ',
LETTER (
yf•f� b•'v,:, i
Glencoe Missouri 63038
•'�ik' ekl• �:3
Glencoe, COMPANY E
LETTER
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD '6�`"IA
INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSA
CO
TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DDIYY) NDS
LTR 1,000,
6' GENERAL AGGREGATE $
GENERAL LIABILITY
PRODUCTS•COMPIOPS AGGREGATE S 1,000,
A X COMMERCIAL GENERAL LIABILITY 1 000
50342704 08/07/90 08/07/91 PERSONAL&ADVERTISING INJURY $ s f
CLAIMS MADE X OCCUR.
yr OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ 1>000>
;> FIRE DAMAGE(Any one fire) $
MEDICAL EXPENSE(Any one person) $ ,
COMBINED
AUTOMOBILE LIABILITYM
SINGLE $ 1,000,
a..��� •;
LIMIT n,er`
rl ANY AUTO L
k
X ALL OWNED AUTOS BA 2081682A 08/03/90 05/26/91 NJUIRY $
SCHEDULED AUTOS (Per person) tury .�
BODILYP`
HIRED AUTOS INJURY $ •,`'
i (Per occident) n
NON•OWNED AUTOS
a..df� ..
PROPERTY }
GARAGE LIABILITY $
EACH AGGREGATE �•
EXCESS LIABILITY OCCURRENCE +
$ $ .d +
OTHER THAN UMBRELLA FORM 'Y
_
WORKER'S COMPENSATION S STATUTORY (EACH ACCIDENT) { b
�s*.
AND S , (DISEASE—POLICY LIMIT) *i
0710-00-054758 07/31/90 07/31/91 500,
C' EMPLOYERS'LIABILITY $ 100, (DISEASE—EACH EMPLOYE
OTHER $40,000 - 1986 Case BSckho
A Contractors 50342704 08/07/90 08/07/91 $ 250 - Deductible
�t
Equipment
a=;3; DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS "
4 ' ra;i 1990 Curb & Gutter, Phase I - Chestnut Street, Elm Street, Tower Drive & County Club Drive in
Jefferson City, Missouri
GIRT tr�I.Dee>►,::; :. CANCELLATION �r
City of Jefferson City SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
i 4 320 East McCarty Street EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
Jefferson City, Missouri 65101 MAIL-3-Q_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
,t
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
rG" Attn: Brenda Cirtin, City Clerk LIABILITY OF NY KIND UP E COMPANY,ITS AGENTS OR REPRESENTATIVES. „(
•�. -- mo y _ an s
"t R PAPRESE TIV
ACORD 25-S 3/881
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"• ISSUE DATE(MM/DD/YY)
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�4����mo®e .1N � C FINDER 7/12/90 f15
THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE '
SIDE OF THIS FORM
::.
UCER COMPANY BINDER NO.
Corroon and Black of Missouri, Inc. Ohio Casualty Company 193 0 020780
8112 Maryland Avenue EFFECTIVE EXPIRATION tiig:
DATE TIME r DATE TIME
St. Louis, Missouri 63105 X AM X 12:01 AM :iy. {
Producer: Ms. Jo Czerniawski 07-16-90 12:01 07-16-91
PM NOON
Phone: (314) 721-8400 . ..
....:,,;
>: THIS BINDER IS ISSUED TO EMEND COVERAGE IN THE ABOVE NAMED
f,.. COMPANY PER EXPIRING POLICY NO:
n
CODE SUB-CODE DESCRIPTION OF OPERATIONS/VEHICLES/PROPERTY(Including Location)
;r.
Concrete construction (1990 Curb and Gutter, '
INSURED Phase I) located: y
:l"y
{' City of Jefferson City Chestnut Street, Elm St. ,Tower Dr. ,
��• 320 East • `�`
t McCarty Coantry Club Dr. in Jefferson City, Mo.
r:rS'• W''��w
Jefferson City, Missouri 65101 '' 7t'
n ATTN: Brenda Cirtin City Clerk
�t•1�=��::.�,± sir'
,. COVERAGES . ALL LIABILITY LIMITS IN THOUSANDS ;:zs ,<" ,; •„a;
TYPE OF INSURANCE COVERAGE/FORMS AMOUNT DEDUCTIBLE COINSUR.
PROPERTY CAUSES OF LOSS
BASIC BROAD -SPEC. r, `f
• i 4 '� ��'((Frv'
GENERAL LIABILITY GENERAL AGGREGATE $ `tf''1` "`y” '•:<i
1,000
,
COMMERCIAL GENERAL LIABILITY PROD.—COMP/OPS AGGREGATE $
r' CLAIMS MADE OCCUR PERSONAL&ADVTSNG.INJURY $ Ika 1I'
s' OWNER'S&CONTRACTOR'S PROT. . EACH OCCURRENCE $ 11000,
� ` f
FIRE DAMAGE(Any one fire) $ µy <'
RETRO DATE FOR CLAIMS MADE: MED.EXPENSE(Any one person) $ 4 a
AUTOMOBILE ALL VEHICLES SCHEDULED VEHICLES CSL $ Q`
LIABILITY BI PERS/ACCID $ " f;
r
NON/OWNED PD $ 1
f• HIRED MED.PAY $
GARAGE PIP $ +� k
UM $ . .. .. ,
r..
AUTO PHYSICAL DAMAGE ALL VEHICLES SCHEDULED VEHICLES ACV )
COLLISION DED. STATED AMOUNT $
OTC DED: OTHER
EXCESS LIABILITY EACH AGGREGATE SELF-INSURED
OCCURRENCE RETENTION .
UMBRELLA FORM
OTHER THAN UMBRELLA FORM PETRO DATE FOR CLAIMS MADE:
" STATUTORY
WORKER'S COMPENSATION $ (EACH ACCIDENT)
AND
EMPLOYER'S LIABILITY $ (DISEASE-POLICY LIMIT)
%sr
$ (DISEASE-EACH EMPLOYEE)
SPECIAL CONDITIONS/RESTRICTIONS/OTHER COVERAGES
{. „ Name of Contractor: Davijean Inc. dba DJI Construction 18007 Panorama Dr. Glencoe, M. 63068
Subject to 2glicy terms condition~ and exclUa* S,
ADQIiE$S'
MORTGAGEE ADDITIONAL INSURED )
r.
LOSS PAYEE
Yr.+ LOAN#
AUTHORIZED REPRESENTATIVE
•iss I�'�,,,�!
Mr. Timothy J. Danis .. . y�
ACORD•yi4 2/88 ACORD CORPORATION:1988
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CONDITIONS
This Company binds the kind(s) of insurance stipulated on the reverse side. The Insurance is.
{ subject to the terms, conditions and limitations of the policy(les) in current use by the Company: .
This binder may be cancelled by the Insured by surrender of this binder or by written notice to
the Company stating when cancellation will be effective. This binder may be cancelled by the
Company by notice to the Insured in accordance with the policy conditions.This binder is cancelled
when replaced by a.policy. If this binder is not replaced by a policy, the Company is entitled
to charge a premium for the binder according to the Rules and Rates in use by the Company.
AP'P'LICABLE IN NEVADA ;y
`. Any person who refuses to accept a binder which provides coverage of less than
t� $1,000,000.00 when proof is required: (A) Shall be fined not more than $500.00, and (B)
tr. is liable to the' party presenting the binder as proof of insurance"for actual damages `sus- `''
tained therefrom.
ACORD 75s(2M8)`
4 I sst ,
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w,'Ys
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®�®'��� ISSUE DATE MM/DD/YY
®
CERTIFICATE OF INSURANCE Revised o7/D/90 ,
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS ., '4?;
NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, 1' '1��k '
CORROON & BLACK OF MISSOURI., INC. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOWfk
8112 Maryland Avenue
St. Louis, Missouri 63105-3721 COMPANIES AFFORDING COVERAGE
COMPANY Ohio Casual
Contact: Jo Czerniawski LETTER A Casualty Insurance Company
i CODE SUB-CODE (314) 854-0235
COMPAN
INSURED LETTER Y B Safeco Insurance Company
§fir=r`;"z•
Davijean Inc. D/B/A COMPANY C Wausau Insurance Company �ra4r,t� ;', i ,.
LETTER4v
DJI Construction
COMPAN
18007 Panorama Drive Y LETTER D
Glencoe Missouri. 63038
COMPAN UL Q B 1 a ,19
Y tF
LETTER
COVERAGES I
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE OR THE POLICY PERIOD
INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, >
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS
LTR DATE(MMIDD/YY) DATE(MM/DD/YY) ry.
09NERAL LIABILITY GENERAL AGGREGATE $ 1,000,
A 1C COMMERCIAL GENERAL LIABILITY
PROD UCTS•COMP/OPS AGGREGATE $ 1,000,
CLAIMS MADE X OCCUR, BHO(90)50 32 27 04 08/07/89 08/07/90 PERSONAL&ADVERTISING INJURY $ 1,000, '
{i OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ 1,000
FIRE DAMAGE(Any one fire) $ 50, =•;c.; ,{,',i'"'
.`� MEDICAL EXPENSE(Any one person) $ 5, n
AUTOMOBILE LIABILITY COMBINED
A SINGLE $
ANY AUTO 5OO
LIMIT ,
X ALL OWNED AUTOS BA 2081682A 05/26/90 05/26/91 BODILY
INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY s�J:••rt"= �{,:
to
NON•OW14ED AUTOS (Per NJURY $ i 4, 'N t z
GARAGE LIABILITY
PROPERTY
DAMAGE $
EXCESS LIABILITY EACH AGGREGATE
OCCURRENCE `'r�w)'" � s;•
OTHER THAN UMBRELLA FORM N ''
WORKER'S COMPENSATION STATUTORY
AND $ (EACH ACCIDENT)
100, trr1
C EMPLOYERS'LIABILITY 0710-00-054758 07/31/89 07/31/90 $ 500, (DISEASE—POLICY LIMIT)
$ (DISEASE—EACH EMPLOYE
OTHER lOO,
$40,000 000 - 1986 Case Backho
A Contractors BMO(90)50 34 27 04 08/07/89 08/07/90 $ 250 - Deductible i"sNY
Equipment P,
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESMYIPECIAL ITEMS
1990 Curb & Gutter, Phase I - Chestnut Street, Elm Street, Tourer Drive & County Club Drive in
Jefferson City, Missouri w
r;
CERTIFICATE HOLDER CANCELLATION
a�
City of Jefferson City SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
320 East McCarty Street EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
Jefferson City, Missouri 65101 MAIL_30-DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 3.
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
'Attn: Brenda Cirtin, City Clerk LIABILITY N KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
FAX: (314) 634-6329 AUTtW D REPRESENT TI r Timothy J. Danis
=0 10 CORPIDIRATION I GROW)
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mn
JOSUE OATS(MMt1/Q7D/IY�Y is90•Revised ACKDRID. CERTIFICATE F INSURANCE
. ,
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMENR,
CORROON & BLACK OF MISSOURI, TNC, CxTEND OFi ALA CA THE COVERAGE.AFFORDED BY THE POLICIES BELOW n -
8112 Maryl.aad Avenue
5.
St. Louis, 111,,3souri 63105-3721 COMPANIES AFFORDING COVERAGE 14 .'
1 COMPANY Ota.io Casualty Insurance COiApan ^
Contact : JO Czti'rtZ_tiW9lti LETTER y y <
caaE GUD-COOK (314) 854--0235
COMPANY Safeco insurance Company
s-•. LETTER '.
` Davi.jean, Inc. D/B/A LE MPANY G Wausau Tnaurance Company �>
DJ1 Construction
18007 Panorama Drive COMPANY
LETTER
Glenrne, Ki.asouri. 63038 Wit„
COMPANY '
LETTER"'
r
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOA ;y
INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
EXCLUSIONS AND CONDITIONS OR ucPEPOUC EsH�IMlrs INSURANCE MAY HAVE BEEN
THE POLICIIES HEGUCED BY PS�IGICEAIMSREIN IS SUBJECT TO ALL THE TERMS, 4iii�(£' iL?s i
c L �4p�/p� Y, p
OLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THQ})13A 03 ti] •� ; "
CO L O TYPE'Of INSURANCE POLICY NUMBER —�—
PATE(M(dIDD1YY) DATE(61M#ODIYY)
. •. i t .�4
s..> 0CNERAL AOGREGA.TE 4 1,000, t/„wr'"
OIiNt3RAL LIABILITY .. p,
PRODUCTS
AOGtiEOATE 11 1,000 '' ° t
A $ COMMERCIAL 06NERAL LIABILITY f .,' .. s�..
PL•RSONAL%ADVERT,SINO INJURY S 1,000
cLAIMSMA�E X occuR, BHO(90)50 32 27 04 08/07/89 O8/G7/90
OWNER'$&CONTRACTOR'S PROT.
EACH OCCURRENCE a 1,000
FIRE DAMAGE(Any ono Lro) $ 50,
;.,. MEDICAL EXPENSE(Any,)nn Dotson) S 5, '.i• > ��
^F AUTOMOBILE LIABILITY CQM$INED
ANYALITO
LIMIT S 500,
AIL OWNED AUTOS BA 20816824 05/26/90 05/26/91 Bormy
INJURY $ ;
SCHEDULED AUTOS (P6r pe/BOA)
Ii HIRED AUTOS BODILY E
INJURY r )i
NON,OWNEO AUTOS (Per accident)
is '
GAAAOE LIABILITY PROPERTY b
DAMAGE
E%CC88 LIABILITY EACH AGGREGATE OCCtJh1P.[nICE i
i
{s% ' OTiiL-Jt THAN UM9REL!,A FORM
STATUTORY
x, 4 WORK4A
S (EACH ACCIDENT)
AND 100,
(DI SEASE•-POLICY LIMIT) t
C EMPLOYERS'LIABILITY 0710-00-054758 07/31/89 07/31/90 500,
t lUO, (DISEASC—EACH EMPLOYE
OTHER
$40,000 - 1986 Case Bac&ho '
'. A Contractors BMO(90)50 34 27 04 08/07/89 08/07/90 $ 250 - Deductible
Equipment
J OEBCRIPYION OF OFE RATIO NSILOQATION4/V CHI CLE6)Mr1%�' b 1PECIAL 17EMF
1990 Curl) Gutter, Phalle T - Chestnut Street , � �:treet Tower D�:ive� & County Club Drive in
Jefferson City, Vdssouri
CERTIFICATE HOLORR CANCELLATION.
u SIIOUL(> OF THE ABOVE PESCRIBEQ POLICIES HE CANCELLED BEFORE THE
City of .Jefferson City
F/<-I'-:;.TION DATE THEREOF, T ISSUING COMPANY WILL ENDEAVOR TO
320 Fast McCarty Street r
, r+ ++- �.,r 6_1101 LI%• ;!4;. DAYS WRITTFN NOTICE TO THE CERTIFICATE HOLDER NAtvTE[)TO THE
:'. Jefferson City, ,11,L. sauv-t -
e._ _t (, OUT FAILURP TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
' W KIND UPON rTH.-,E
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���• ••�j—,r:a� POLICY NUMBER
IA stock Insurance company,herein called the company)
BLO 91 50 41 84 95 :>"f
)EcTHE OHIO CASUALTY INSURANCE COMPANY OWNERS AND CONTRACTORS
AMERICAN FIRE AND CASUALTY COMPANYw
PROTECTIVE LIABILITY
❑ WEST AMERICAN INSURANCE COMPANY
POLICY
w� nce Companies POLICY DECLARATIONS ; ';
The Ohio Casualty Group of Insura p t j
136 Wrth Third Stroat,Hamilton,Ohio 45025
NAMED INSURED&MAILING ADDRESS AGENT'S NAME&MAILING ADDRESS 24 03 0112ri� '4^
City of Jefferson City In Care Of Corroon & Black
Davi jean, Inc. dba DJI Construction 8112 Maryland Avenue
Attn: Brenda Cirtin, City Clerk St Louis, MO 63105 F..� .•,
r: 320 East McCarty St. FtL
ty PREVIOUS POLICY NO. New .. .�„
INSURED'S BUSINESS Goverment work tY ;is
INSURED IS
POLICY PERIOD:This policy is in force from to at 12:01 A.M.standard time at your mailing address shown above.
07-16-90 07-16-91 �' ,,,,
In return for the payment of the premium,and subject to all the terms of this policy,we agree with you to provide the insurance as stated in this policy.
These Declarations,together with the Common Policy Conditions,and the General Liability Coverage Part(which consists of Coverage Forms and other Ott f
a licable forms and endorsements if an issued to forma art of it)complete this policy.
s
Schedule of Operations '
,nr�ti
Name and Address of Contractor: City of Jefferson City in care of Davijean, Inc. dbaLt, f
DJI Construction
320 E. McCarty St. Jefferson City, MO 65101 f fjt ji''
Description of Work to be performed: 4
curbs, gutters, .sidewalks and retaining walls
��L�:�•=lac,,.:
r-, Covered.lob Location: . Chestnut Street, Elm Street, Tower Drive Country Club,
v,
Jefferson City, MO 65101 �
N.
Limits of Insurance i ' '2nd
$ 1 ,000,000. ,' r
General Aggregate Limit ... ... .. . .. . .. .. . .. ... . .. ... . . . . . .. . .. . . . . . .. .. . .. .. .. ... ... . . . 1 ,000,000.
Each Occurrence Limit .. ... .. . .. . .. ... ... .. . .. ... . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .
Total Provisional Policy Premium $` 128:MP t
•Premium Payable Now $ _ 128:MP
This Policy will be audited at expiration ry{
Forms and endorsements attached to this policy at time of issue:
IL00171185, IL 00 21 11 85, CG 80 01 01 86, CG 21 38 11 85, CG 21 39 11 88,
CG 00 41 05 86, CG 21 45 11 85, CG 21 04 11 85, CG 21 47 09 89 fix`
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�';,,.f�• Issue Date 07 19 At Mo By
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CO.R.A .R/ION POLICY CONDITIONS
All Coverage Parts included in this policy are subject to the following conditions.
A. CANCELLATION D. INSPECTIONS AND SURVEYS
1• The first Named Insured shown in the Declarations We have the right but are not obligated to: '
may cancel thus policy b mailing or delivering to us
��. P Y Y 9 9 1. Make inspections and surveys at anytime; •�� ;��' >;;
advance written notice of cancellation.
2. Give you reports on the conditions we find; and :rt+
2. We may cancel this policy by mailing or delivering 3. Recommend changes.
to the first Named Insured written notice of
cancellation at least: Any inspections,surveys, reports or recommendations '
a. 10 days before the effective date of cancellation relate only to insurability and the premiums to be
charged. We do not make safe p �'
if we cancel for nonpayment of premium; or safety inspections. We do ,,;:.',
not undertake to perform the duty of any person or
b. 30 days before the effective date of cancellation organization to provide for the health or safety of
if we cancel for any other reason. workers or the public. And we do not warrant that
3. We will mail or deliver our notice to the first Named conditions:
Insured's last mailing address known to us.
g 1. Are safe or healthful; or
4. Notice of cancellation will state the effective date
2. Comply with laws,regulations,codes or standards.
of cancellation.The policy This condition applies not only to us but also to an
p y period will end on that
date. PP Y Y
rating, advisory, rate service or similar organization ;' t
5. If this policy is cancelled, we will send the first which makes insurance inspections, surveys, reports
Named Insured any premium refund due. If we or
recommendations.
;. cancel, the refund will be pro rata. If the first
Named Insured cancels,the refund maybe less than E. PREMIUMSx':.,;
"¢
The first Named Insured shown in the Declarations:
pro rata.The cancellation will be effective even ff we
have not made or offered a refund. 1. isres responsible payment premiums;and
.a P P Y P
6. If notice is t, 43r1�
mailed,proof of sufficient mailing will be sucient 2. Will be the payee for any return premiums we pay=
proof of notice. F. TR
U ANSFER OF YOUR RIGHTS AND DUTIES
B. CHANGES UNDER THIS POLICY ,
This policy contains all the agreements between you Your rights and duties under this policy may not be °
and us concerning the insurance afforded. The first transferred without our written consent except in the
Named Insured shown in the Declarations is authorized case of death of an individual named insured. '
' to make changes in the terms of this policy with our `
consent.This policy's terms can be amended or waived
If you die,your rights and duties under this policy will
be transferred to your legal representative but only
only by endorsement issued by us and made a part of while acting within the scope of duties as your legal
this policy.' representative. Until your legal representative is ap-
C. EXAMINATION OF YOUR BOOKS AND RE- pointed,anyone having proper temporary custody of CORDS your property will have your rights and duties but
�u.
". We may examine and audit your books and records as only with respect to that property.
r; they relate to this policy at any time during the policy
period and up to three years afterward. Ft
CC
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IL 00 17 1185 Copyright, Insurance Services Office, Inc., 1982, ,1983 .
As witness to this policy,the president and secretary of the Company issuing the policy have signed it. However,
the policy is not valid unless the company's authorized representative signs the Declarations page.
Secretary �th�cc s�i
President
wy
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e The oh io .Cas'uait
y G ro u of Insurance Companies
NAME OF COMPANY Qh10 Casualty POLICY NO,
BLO(91 ) 50 41 84 95
NAMED INSURED dba DJI Construction
!; N
y.
T n;
Page }
COMMERCIAL LIABILITY DECLARATIONS SCHEDULE 1
_ COVERED LOCATIONS ".
1 ) Chestnut Street, Elm Street, Tower Drive Country Club
Jefferson City, Mo 65101 ''
11?! c
}f. HAZARDS
t ;
' Classification Loc. Premium if
I D Code Rate Premium
Basis
INSURED: dba DJI Construction Ia.)Area (a.) Per 1,00o sq.ft.
't5
RISK STATE: Ic.)cost (c.) Per 01,000
Missouri (e.)Each
5> (a.)Per Each
.,ra.�, IP•1 Payroll 1P•)Per$1,000
t Is.)Sales Is.) Per$1.000 r
i
Construction operations - owner t`
(not railroads) including
operations on board ships 1 16292
Premises operations c) 98,888 ) .622 * 62.
*minimum premium adjustments 66.
r
1
total 128.MP
h
CIS 80 01 01 86
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GENERAL LIABILITY NOTICE TO POLICYHOLDER. s
The Ohio Casualty Group of Insurance Companies JkSN t "
136 North Third Street Hamilton,Ohio 45025
...'' l, mport&% n
No t 'l
i'a71 tk''•
® .� •� `t
- ar
„ '.;.y;_li.:.'• ..': , :. .. ..
Phis ex lanation is not a part of our insurance olic and it does not
alteran of its provisions or conditions. Y
.-The .following information only' gives a general explanation of f ;.
' changes in coverage which may have occurred from your prior for
"old") policy.- Some-of the changes have reduced coverage while r}
others have broadened coverage. Your business may involve•special. ,
, t
-factors which may require you to obtain specific interpretations of the
ull * to dete:new olic wordin g `Read our policy. carefv rmine rights, `
dunes, anal what is and.is not covered Only the provisions of your poli
cy determine the-scope of.yo'ur-insurance protection:
, ® t .Z '. :.;•......:.:..:..:..• ... _. .. .� .... .. — .t .. ... ... .- .. _ .._e•.r•f.,,r... .. .... .. ../:. t• .a•r.o--1 C ._ ytJ 4s i�fa
.
-to'your. a gent.Please refer.an y.q uestoons y ou ma y have
-:: I. . Reductions of Coverage ', r: r -' 2. .If your prior policy was a comprehensive gener- ,:;,ffi
A. Contractual Liability Coverage - Y.,al liability policy with noadditionaf coverage for
'}',
-�..:r:... ._... ,.; contractual liability, the coverage you have in •. t .°Xt+� -•
•If your prior policy was a comprehensive gener e -this policy is not reduced. Coverage may be
1W'}
- �al liability policy with contractual liability cower- = ` broader than you had before.
d � — 4t"`
• ::;-'age':`attached;"your�':contractual..liability' �` � � "'' � '- • "� • -�- ' � �,•'•�'°�
B Pollution Liability.Coverage : 1,
+_. :-•coven a has been reduced as follows: f:::'' .,.:+r;;�. .;:;:;:, � �
Coverage is no longer provided for the sudden and
a Contractual liability coverage is restrictedy+
..
accidental emissions or release of'pollutants:
?': (11;,To certain specific contracts defined in
the policy; and _•- 1. At or from your insured premises,
2. At or from a site you used for handling, stor
(2)'•T6 tort liability assumed by you from an ".
-'
•ing, disposing; processing or treating waste
_ other person or organization in any oth :.._..
er contractor agreement pertaining to ' materials;
".your business; and 3. If you handle,transport,etc.the pollutants as- . ^
" waste; i i
b...Coverage for liability you assume in regard ;. , . .. - .. -....
to the ownership,maintenance or use of an 4. if the polluta n s are brought to a job site in con- r I$
: auto owned or operated o�rented or loaned nection with operations being performed at
to you or any other insured in your policy is that site; or
no longer provided.
OC 431 (Rev. 12-86). Page 1 of 4 ,
i Y
' OCD•X27
.J� + .�` 4 Ya i•i.•
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i � ..rt.4.< t. j ; J� lti • _ , .51, � i 4,r�} Yqi i o4' r�Y �p�
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f r}r ,, 5 �.t'• � .i .1 tie t{= r Yr .;s �. 5 25 2 �y � geG.xkx 1' �` r
r '! Fk, r :il .. 7.: 'I' r•1�. ( tit,�A� �j.i +!�i�'r•'a tf}!' ���tx
.M1rl. }.11s y;n r:. .=,Jb .t '�� .. .^1.•. , �; 11..1�` tk l�I. .) .r i''k��'�,7�!��•tl�fJ;' ��'„•t`i��i�ht''.� ''
..•�,} 1, � Y 'r t1 { rl t.l�t'Sjyl�a}cg���t,���yrt.{, 7•ty4�=�JJY rt�. . L.
•-.v.....,.p�...s...-.T...,1<. ....,.,:.-..-._.-.�.w,...-.-....v--.-•.--o'er-----�'--•-r---- °�v.•.--'�`.-^'w+as'vr'..—•-^' ----- .
t {.
' Si•.•)i'i.re. t i,: " „�,.,:-1 S („k }f-rA; , tF.Je i ,ry,'� rµi,� ��,'�,.�wiR< .1 } 'r }!;*'�:' v, i. i
6. If the operations involve the cleaning up,con- • 2. All insureds are now excluded from receiving
taining,etc. of the pollutants. medical payments.The old style policy only ex-
cluded payments to-the named insured, part
C. . Loading or Unloading of an Aircraft or ners and employees. ;J
Watercraft 3. Medical payments to employees of non-
Coverage applying to loading or unloading an air- residents has been removed. ” f
craft or watercraft may now be restricted.Wheth-
These restrictions of coverage are new only if your
er or not coverage is restricted will depend on how r
the term "loading or unloading"was previously prior policy had premises medical payments
interpreted compared to how it is defined in this coverage. Otherwise, the including of medical
policy. payments coverage in this policy would be a
broadening of your coverago.
�L t D."Mobile Equipment Coverage
G. First Aid Coverage .;<z
- -The road hazard is no longer covered for the fol- : First aid coverage is now a part of medical pay-
h' es of self-propelled vehicles: "
- :lowing typ•
ri T 5 •~:i. • ments coverage. It will be subject to the policy -n
`.`1. Cherry pickers and similar devices mounted on limits that apply. Before,first aid coverage was a
�4 an auto or truck chassis and used to raise or supplementary payment and,not subject to poll-
lower'workers; and cy limits.
2. 'Air compressors, pumps and generators, in- H. .Who Is An Ir'sured
luding spraying,welding, building cleaning,
1. Automatic coverage for newly acquired organi-
c
geophysical exploration,lighting and vWl sell
. ..
t zations:
�- vicing equipment.. r
- a., Coverage is limited to liability for bodily in- -
_, Coverage for the above types of equipment while ;,
�:.. jury or property damage that occurs after
in motion on the road should be provided by your i
;4:+c, ,„r,�i,.;••, a new
acquired organization becomes an i•`
commercial automobile liability policy. "_
:csY _ ;',
t o••Lt• rii ?:• :7: - i�. 1r.�•,::.:.ry.: ;:;::,; insured; •-�-=
+ '''” ;"E Pro e~ ^Damage Liability Coverage - advertising
I
P .: ;a ,r_...•..,;;:_.j:r;.1.... :_. :. b. Coverage for personal injury or a 9
Property in your car®;custod or control injury liability is limited to offenses commit-
f 1 ' t `'3!�E. ''�:• _" " `� "C` - tad after a newly acquired organization be
r>z} *Lx
The•exception for elevators`'with 'respe'ct to
3 comes an insured;
property in your-care,
custody or.control has j ; f
been removed. Property on elevators.is now c. Coverage is not afforded automatically on
other property in and
treated.the same as any newly formed partnerships'
35 .care, custody or control.-...
* ->�,. a applies foil days or
d. Cov2reg until policy = t•+.;ez<;
2:..Broad Form Property Damage Liability pens first.
4h r -` expiration,whichever hap
�� Coverage the existence ofJ'erjsr' t.
{��ti'�a,�r "t 4,..: <, .,lr.+ • i,;,'_ .}
.. 2. Coverage for liability due to th
` `` -To the extent that the exclusion of property in pasf,partnerships or joint ventures which are
±r i: .,3jyour care,custody or control applies,coverage :'.. ;:: not shown as named insureds in the declare- u. � f
`no longer a lies away from your premises for: ;:,. 1 ;.,:;:;. .;.' a policy tions of th licy has been removed.
Tools or equipment loaned to you while not -. The'ae restrictions of/coverage apply only if your
r+ actually being used; and G prior policy had automatic coverage for newly ac- ` _ t
b..Any,portion of.personal'property upon quired organizations.•Otherwise,'tho including of
."._. . +:'the automatic coverage for.newly acquired organi ' 3
M tw' ' which operations are not being performed
�:,•.• of our olic
-�^y?►• r zations would be a broadening Y policy.
4L
• `�'
of coverage�e is'new only if Your r ,
This restriction 9 • surance
e i. " Limits of In . .. :l
"°'prior liability policy'he
broad form prop rtY'. �
'�';t'�'dama a liability coverage. " 1. A general aggregate limit has been established
_ g h.
This is a restriction in coverage for losses which
F� ;,Medical Payments Coverage
t ,•.
were not subject to the,aggregate limit concept
„v
} `The medical payments coverage limit is now before.
�� �•.
subject to the Bodily Injury Liability Limit and i
.tale policy occurrence limit.Medical payments
2. Fire Damage Legal Liability Coverage • r
' y The Fire Damage Legal Liability Limit is subject
;r►. ;;coverage is also subject to the newt eatab-
r,
lished policy general aggregate limit. to the general aggregate limit that applies. ,
;.,r• r p�:�t..A.x'»f�:ii�Jf .r ''�,f'�=��tt '•
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hj�1 �Ii f1. ;4 r ' .?t.;._.ti;u•.sv• •f•i.• 'r'�`'t '+fir,
:a,_ ...`?C•:M� ,.r}1. t• tlfl f(•1f. '�.�'.� �Z�4�4 X7 M`
Page 2 of 4
:' n Rev. 12-86) oco zn
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SIMON— 111 11 111! li�lgpil 11 MKG
MANi
' ��F. '4 'f CS', lr..r 1 5... t� f •.� , ' � , ..'+ ..i'1���r.'fi .��'�.iC.. 4�4 � },•i.��..4^,h,;.•{•
T.'� i�!IY4M.,.«,...-.- ..�.......+•r*+,sua`+Sry t:U.... n_�.1�. ... . �4'�'+s��f��`1`f
The restriction of coverage for fire damage legal b (Operations do not involve the cleahln up* J ..
liability coverage applies only if you had the cover= '- containing, etc., of pollutants, .� 9
age on your prior policy.Otherwise,the inclusion .'' k''``
E Non-owned Watercraft Coverage
of fire damage legal liability coverage in this poll- ' >'{k'Non!owne watercraft less than 26 feat In to
cy would be a broadening of your coverage.; length
n: are'covered.This broadening of coverage appli®s
J. Commercial General Liability Conditions -onlyifyourpriorpolicydidnothavesimilarcover-
.. age.If your prior policy provided coverage for non-
Other Insurance Condition owned watercraft more than 26 feet Ion
' g, this � ' � •
The excess provision in this policy states that the :. ; coverage is not as broad as you had before, i
limited coverage for aircraft,watercraft and autos F. F Mobile Equipment Coverage
is excess insurance aver,any other coverage you .+
Tha use or operation of snowmobiles Is no Ion
might have available to you. gor�
specifically excluded. This broadening of
II..
Broadening f Coverage.- ; r age applies only if your prior policy had a s e
g g r ,' a exclusion applying to snowm '.j ,. p clfic,
'A. Bodily Injury Liability Coverage obiles.;,}}fi�e;((
'G', Property Damage Liability Coverage }
Bodily injury due to the use of reasonable force to
protect persons or property is now covered. 1, The exclusion of coverage for property in your
AK ,. care, custody or control no longer applies to }
This broadening applies only if your prior policy • '� real property.-.• : mss
did not have this type of coverage.
ed� p '
^y..; : 2V;The exclusion for 'alienate
{®mlaes; or .
I
.i. B.- Contractual. Liability Coverage premises for which you are no longer respon-
�•r sible,does not apply to premises built and hold:-,
1. Tort liability for bodily injury and property ,
_ vacant for sale by you. +� >�
con-
damage you assume under an "insured
z � .;
` H. Personal and Advertising' 1 "
tract is now covered. g nju LTablli
,,...�.x: ty ! k.
2. The"third parry beneficiary"and"operations Coverage n.i.
within 50 feet of railroad"exclusions are delet- Coverage for personal and adirertisi g6jury lia-A
ed for this coverage. bility is now provided in the policy,,,However this : =
broadening of coverage'applies only I , our prior ;
This broadening of coverage for contractual liabil- °�»-+� F 'I:
policy did not have similar coverage,IDt ierwlaet
ity applies if your prior policy only covered the lia- i .
- bility of others you assumed in an "incidental the coverage.in this area may be:restricted:.
�- contract"as defined.Otherwise,the coverage in I. Fire Damage LiabrUty,,:;; •. • .. `' 1
g �•
T. this area might be restricted. Refer to Section I, Fire damage legal liability covera
in
o is,
9 9 tY 9.. .
"Reductions of Coverage"for details. , }"'-,"z''
ed..-This broadening'of cov®ragA,a `pl only
if
C. Liquor Liability Coverage yourpriorpolicydidnothavetire'damago _- ,•�. ,
bill coverage'. If our rior_ oli 998
11-The statutory liability of an owner or lessor g y p pp � `
_-- type of coverage,the 4 s'
who leases premises to.a person in the liquor ' be a restriction.Refer toSectron. rf
' business but who is not in the liquor business - x
otso#
Coverage,'Item L,Limits of frisuran
himself is now covered. - •:._-.... :_:�, ?r#,
, . w
J. • Medical.Payments.Coverage
_- 2. Liquor law liability assumed by any insured
who is not engaged in the liquor business is Medical payments coverage
_= now covered. policy.The limitof(iabilitya llab
son is.$5,000.„;;!.- I ;
D. Pollution Liability Coverage
The broadening,of�coverag
Coverage with respect to the following situations payments coverage applies
=� is now provided: �. T:
did not have medical payme
prior policy had medical
Non-sudden or gradual emissions of pollutants • ...• ._�
x • may be a restriction in Coverag
(other than waste): �,4r, ......
I "Reductions of Coverag , t
;,. :• 1. Due to the products-completed operations the per person'limiVV`of
hazard; and broadening of coverage ` • ' �i,+"
'`' %t}3,,;+ ._ ... . ., ^e:• 3.�rile*P
2. Occurring away from insured premises in con- K. Supplemell ry
nection with operations in progress if: `
P p 9 The amount of,actua�
ble"expe s J a `
a, The pollutants were not brought on the site reasona .;:• �;t=;'�.:., ,
in connection with operations; and creased from'825 ' `` "
„.
431
-.00 (Rev. 12.86)
¢ v � ., s}st. r..,l C r �' r] .}r s �•rr• ��x��'i� .a 5:� r of I t�.
� {�( +•„�,t,r +, aY,. .},:.f 1
f . �+x ' t r �� '•'\ .. .+j... � f,�t?.tt +..,,•yrp� �.'t''r'�' °'+ .t+�fi..�.�wu'V. (•C�''yyy�Y�:' )4
Y '- f.Z F J I ' c Y' l Il Y 'C 1�2 ( '' $ii •�� .'.
+
ii i } rr
a t
et .tw, .i'i:c, v'{•+•rt .4+t::.x�+4;�i9F1rl ° ? { _ _,stsxs�r,iri $t1Y�•k�'t`'3�.y `v'`3'`'t .'If`'•`�^{}k $ '!u' iw° .ati° x,i.•� G'..
#Ott #r t' ..4,1
.. •. .
r
L.':Who is An Insured
• some persons may feel it is a restriction. This
�. clarification applies only if your prior policy had :.rt:t •`
1. Your employees are now covered as insureds. advertising injury liability coverage. '"'
ii�CgSr E;:.
2. New organizations acquired by you are covered
D. Limits of Insurance
automatically. ♦;:7, ':.
1. A now provision has been added to clarify how - ;
These two broadenings of coverage apply only if
your prior policy did not have similar coverages.
the limits of insurance apply when the last poll-
cy period has reached its anniversary and is ex-
As far as newly acquired organizations are con-
tended for an additional period of Tess than 12 ,;;' ;<t ,,'
carned, there may be a restriction of coverage if
months.Although this provision is a clarifica-
your prior policy lied similar coverage. Refer to :ru
Section I Reductions of Coverage" tion, it may be viewed as a restriction in cover-
- " for details
i age in some cases. ,:{
`M." T
Definitions - "Coverage Territory"
2. The limits for. bodily injury and property '�t":,���•;•"
-ii As long as your legal obligation to pay damages damage have been combined into a single t
is determined or based on a lawsuitor merits in the limit. This may present a different coverage 3•;;a;,,;, ;.,
United States (including territories and posses- result for you depending: ''�� t
x,
q < sions), Puerto Rico or Canada:
a. On the extent of the limit purchased under �ti��• .
{ 1. Products liability coverage applies worldwide. this policy; and
It is no longer limited to goods or products sold
b. If an incident causes bodily injury only,
for consumption within the described territo- ro arty damage only or a combination of
g r
ry; and . . .
both. y
�.2. Worldwide coverage now applies to liability �t k
E. Inspection and Survey Condition
' s due to activities of insureds temporarily on bus-
'' loess trips outside the policy territory. For clarification purposes,a new provision indicat-
''�
ing this condition also applies to any rating,advi-
r rhisamended definition presentsa broadening of
.�w sory rate service or similar organization has been t
r' ?44iy.L..�Tcoverage only if your prior policy did not have a
added. Some individuals may view this as a res-
s� ibroadening liability endorsement attached to it. ^^^
.. triction coverage., ... _ . . _..
•,;a- it . r
niNCommon Policy Conditions- Cancellations
'�••;E ;,.,, , _ F -Duties in the Event of Occurrence,.Claim or;
,....aKiLr .. 1 , r9 14 t9SF•
;,,�
Notice of,cancellation to you is extended to 30 Suit Condition
ays if the policy is cancelled for any reason ex-
This condition now specifically requires that the ..! ;.
f
non-payment o remi .
um
p name
d insured be responsible for notifying the
ill`Clmrifications and Procedural Changes company of an occurrence. It also states the '>f ;
s� named insured is responsible to see that the com- «' 'yi.
`,'J`��A:§Entrustment of Automobiles, Aircraft or f
' pany receives prompt written notice of all claims , . t
t ` P Watercraft
'._' or suits. r
'For purposes of clarification,your liability due to
�. is a change ge in procedure from prior.policy9
the entrustment to others of any automobile,air- s: ar
; fy...,. .. ::forms.
y r Ncraft or watercraft is explicitly excluded.This is ay '
jµ �%'clarification of'intent under prior policy forms.- . : G. Premium Audit Condition ` `
may be viewed b some as a restriction of -
Y his condition has been rewritten to specify that
y -T z
a: :aSW!yslycioverage.::. -.
the first named insured is responsible for the pay-
t` ` B:�,'Personal In u Liabilit mart of premium due and for keeping the records �rf
._; � j rY Y ;s. :
i s or information for premium computation pur . r„
Coverage for."wrongful entry or eviction or other
poses. In addition'only the first named insured in
invasion of the right of private occupancy has - k
;.,:�t-�_:•�•r the policy declarations will receive excess premi- ;
s;'? .: r, 7rbeen clarified in this policy form.This clarification.. .. um, if any, returned by us. F
` ,k may be viewed by some as a restriction of cover- :
The clarification described in this paragraph This is•a change in procedure from prior policy.
editions.
applies only if your prior policy also provided per
Y:A, 1;r.=r� sonal injury liability coverage. +► * +► ;
-"C:��Advertising Injury Liability Coverage Additional Notice
41n order to clarify coverage,anew exclusion has
' fr Y 9 If you have any questions concerning your policy or
j. been added.This exclusion deals with the failure this explanation,refer them to your agent.A side-
of goods,products or services to conform with the b side com arison ofi the riot olic forms with
?�advertised-quality or performance.Although the the now ones is available from your agent. Ask for'
w,`4';?.°++•"new exclusion is intended to clarify coverage, Form OC 432. The comparison provides greater de- s.
i r
--,�� tail and may be additional help to you.
OC 43�(Rev. 12-86) Page 4 of 4 >''r
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11!1!17777777777,7�1
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,.�}�;,.�,,"�;{s� .j�tp �.�,t'?..h1C � .},;�1 ,( '.i: `t ,•i:. .;r r'y'a '}4��j�S � s�� j'^� �" ,� fir,:
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• tr r •' . ' t t•t, rl lit.:"1?t jt't�J}bsiz�� ti ,F �."p�.,`�St}t',�5,
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�'.?'� r r r r s i 4t f �� .A. ,t t 't i,t t•_ t'e�Jw�'�:y�„},Q t1,tar ,.r,.+,e`'>., s ,t i�, .�++t J K 1 8��r J�'fif+
t�$►txtitiva:2;..M,..t,,...urawxit>�'*�'u+k?�, ►1:?i��„,�,�.b#a_..,,>.::3..eb1.,.?..�c�trq�r:?.`d.._.5 1.,.':..,....:.�, .....,,. . ..� '';•, ,��,'.reit: fi�`�,r ,1�\ Y�' �. ;7� ,S�{ 3'�
THUS ENDORSEMENT-CHANCES THE POLICY: PLEASE READ IT CAREFULLY.
NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSIVIENT .��... {
(Broad F®rm) M,
This endorsement modifies insurance provided under the following; , {>s < s;•
BUSINESSOWa:' "'" '
NERS POLICY;
COMMERCIAL_AUTO COVERAGE PART
' COMMERCIAL GENERAL LIABILITY COVERAGE PART `
FARM COVERAGE PART " ` `
vl /
PRODUCTS/COMPLETED-OPERATIONS LIABILITY COVERAGE PART,., , *r
LIQUOR LIABILITY COVERAGE PART
-..,„POLLUTION LIABILITY COVERAGE,PART
,.:';•. :'� . ,,;.Ic-^'1t'E; �;: nr.• �rt1+ tir�rl���'.�s�:,:'"�',.;
OWNERS AND CO NTRACTORS.PROTECT)VE LIABILITY,COVERAGEPART
RAILROAD PROTECTIVE.LIABILITY.COVERAGE PART
SPECIAL.PROTECTjYEAND HIGHWAY.LiABILITYPOLICY NEW YORK DEPARTMENT OF TRANSPORTATION
1. ;•The insurance does not apply::r; : ,; , -„.�:: (1) The "nuclear material”(a) is at any "nuclear
" r A. Under any�'Liability Coverage, to��itiodily facility" owned by, or operated by or on s,`;r
►nlurji or—pro, damage: • behalf of, an "insured" or (b) has been dis-
%JJ'r.. b �', { , !-1 if ;rr•,..'l,r Q v 17
charged or dispersed therefrom; , r
(1) With respect to which an 'insured„under
` the policy is also an insured under a (2) The nuclear material is contained in
nuclear energy liability "spent fuel'' or "waste” at an time
gY Y Policy issued by Y �?;' ,:,>,-.:};,�`.,,�:.•
Nuclear Energy Liability Insurance Asso- possessed, handled, used, processed,
ciation, Mutual Atomic Energy Liability stored, transported or disposed of by or
Underwriters,Nuclear Insurance Associa- on behalf of an insured; or
tion of Canada or any of their successors, (3) The "bodily injur or "property dam-
or
- y ' 1 y pro ert
would be an insured under any such age arises out of the furnishing by an . ;Grits
policy but for its termination upon ex- "insured"of services,materials, parts or ;`^ 4' Rf�`
,+i
haustion of its limit of liability; or equipment in connection with the plan- ,'
t'I�
(2) Resulting from the "hazardous proper- ning, construction, maintenance, opera-
ties" of "nuclear material" and with tion or use of any";nuclear facility," but if
respect a an such facility is located within the United
P O y person or organi- Y �•�, 1 ',�L, h;..
zation is required to maintain financial States of America, its territories or pos-
sessions or Canada, this exclusion
protection pursuant to the Atomic Energy (3) ,�• �.��4J•
Act of 1954, or any law amendatory applies only to "property damage" to ,f ,.
thereof, or (b) the "insured" is, or had such "nuclear facility" and any property
this policy not been issued would be, thereat. '
entitled to indemnity from the United 2. As used in this endorsement:
States of America,or any agency thereof, "Hazardous properties"
include radioactive,
under any agreement entered into b the
y toxic or explosive properties;
United States of America, or any agency "Nuclear material" means "source mate-
thereof, with any person or organization. rial," "Special nuclear material" or "by-pro-
B.
Under any Medical Payments coverage,to ex- duct material;"
penses incurred with respect to "bodily in- "Source material," "special nuclear mate-'
jury" resulting from the "hazardous proper- rial," and "by-product material" have the
ties" of"nuclear material" and arising out of meanings given them in the Atomic Energy 'f
the operation of a "nuclear facility" by any Act of 1954 or in any law amendatory thereof;
person or organization.
Spent fuel means any fuel element or fuel
C. Under any Liability Coverage, to "bodily component, solid or liquid, which has been
injury" or"property damage" resulting from used or exposed to radiation in a "nuclear
the "hazardous properties" of "nuclear ma-
reactor;
i terial," if:
LL;00,21 11185. t,,-'Copyright;:lnsurance Services Office;rinc.;l1983,1984
_ c• .,Page 1 of 2 0 a.r
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COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. f
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EMPLOYMENT-RELATED PRACTICES EXCLUSION,
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This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART c
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The following exclusion is added to COVER-
1. The following exclusion is added to COVER- 2. AGE B (Section 1):
AGE A (Section 1): '.
o. "Bodily injury" arising out of any: C. "Personal injury" arising out of any:
(1) Refusal to employ; (1 ) Refusal to employ;
(2) Termination of employment; (2)
Termination of employment;
(3) Coercion, demotion, evaluation, reas- (3) Coercion, demotion, evaluation, reas-
signment, discipline, defamation, signment, discipline, defamation, g j
harassment, humiliation, discrimination harassment, humiliation, discrimination
or other employment-related practices, or other employment-related practices,
policies, acts or omissions; or policies, acts or omissions; or
(4) Consequential "bodily injury" as a re- (4) Consequential "personal injury" as a
sult of (1) through (3) above. result of (1) through (3) above.
This exclusion applies whether the insured y`"f
may be hold liable as an employer or in any {isr
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
EXCLUSION -FIRE DAMAGE LEGAL i�
2= LIABILITY
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART.
1. The last paragraph of 2. EXCLUSIONS under Coverage A. (Section 1) does not apply.
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3. Any reference In the Declarations to "Fire Damage Legal Liability” does not apply.
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f, THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
AMENDMENT OF POLLUTION EXCLUSION
This endorsement modifies insurance provided under the following.
COMMERCIAL GENERAL LIABILITY COVERAGE PART
The following is added to exclusion f. of COVERAGE A (Section 1);
Subparagraphs (a) and (d)(i) of paragraph (1) of this exclusion do not apply to "bodily injury" or "property
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COMMERCIAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
EXCLUSION -PERSONAL AND ADVERTISING INJURY
Thisr.dal
endorsement modifies provided • • •
COMMERCIAL COVERAGE PART.
COVERAGE B (Section 1) does not apply and none of the references to it in the Coverage Part apply.
CG 2138 1185 Copyright, Insurance Services Office, Inc., 1984
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COMMERCIAL GENERAL LIABILITY
A THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY.
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CONTRACTUAL LIABILITY LIMITATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
The definition of "insured contract" in the DEFT- 4. Sidetrack agreement or any easement or license
NITIONS section is replaced by the following: agreement in connection with vehicle or pedes-
"Insured Contract" means any written: trian private railroad crossings at grade; or
1. Lease of premises; 5. Elevator maintenance agreement.
2. Easement agreement, except in connection with An "insured contract" does not include that part of
construction or demolition operations on or ad- any contract or agreement that indemnifies any per-
jacent to a railroad; son or organization for damage by fire to premises
3. Indemnification of a municipality as required by
rented or loaned to you.
ordinance,except in connection with work for the
municipality;
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CG 21 39 11 88 Copyright, Insurance Services Office, Inc., 1984 0
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