HomeMy Public PortalAboutC-19-020 - John M. Cruikshank Consultants, Inc. Amendment No. 2, On-Call Engineering ServicesAMENDMENT NO.2
TO AGREEMENT FOR CONTRACT SERVICES
THIS AMENDMENT TO THE AGREEMENT FOR CONTRACT SERVICES
("Amendment No. 2") by and between the City of Carson, a California municipal corporation
("City") and John M. Cruikshank Consultants, Inc., a California corporation. dba JMC2
("Consultant") is effective as of the 61 day of October, 2020.
C� RECITALS
A. City and Consultant entered into that certain Agreement for Contractual Services
dated March 25, 2019 ("Agreement") whereby Consultant agreed to provide On -Call
Engineering Services.
B. City and Consultant amended the Agreement on April 26, 2019 ("Amendment
No. I-) to decrease the Contract Sum from Five Hundred Thousand Dollars ($500,000.00) to
Two Hundred Fifty Thousand Dollars ($250,000.00).
C. City and Consultant now desire to again amend the Agreement to increase the
Contract Sum from Two Hundred Fifty Thousand Dollars ($250,000.00) to Seven Hundred Fifty
Thousand Dollars (750,000.00), and to extend the term by one (1) additional year until June 30,
2022.
TERMS
1. Contract Changes. The Agreement is amended as provided herein (new text in
bold italics and deleted text in stFi1•�ugh).
A. Section 2.1. "Contract Sum," of the Agreement, is hereby amended to read
in its entirety as follows:
.'subject to any limitations set forth in this Agreement. City agrees to pay
Consultant the amounts specified in the "Schedule of Compensation" attached
hereto as Exhibit "C" and incorporated herein by this reference. The total
compensation, including reimbursement for actual expenses, shall not exceed
Seven Hrurdred Fifth
Thousand Dollars ($750,000.00) (the "Contract Sum"). unless additional
compensation is approved pursuant to Section 1.8."
B. Exhibit B, Section 11, amending Section 2.1. "Contract Sum," of the
Agreement. is hereby amended to read in its entirety as follows:
"Subject to any Iimitations set forth in this Agreement, City agrees to pay
Consultant the amounts specified in the "Schedule of Compensation" attached
hereto as Exhibit -C- and incorporated herein by this reference. The total
01007 00061672013 1
compensation, including reimbursement for actual expenses, shall not exceed
Two e y T o„4 s- (S Seven Hundred Fifty
Tlrurrsand Dollars ($750,000} (the "Contract Sum"), unless additional
compensation is approved pursuant to Section 1.8 or subsequently approved by
the City Council."
C. Exhibit C, Section IX, of the Agreement. is hereby amended to read in its
entirety as follows:
"The total compensation for the Services shall not exceed $250,00T$750,000 for
the term of this Agreement, as provided in Section 2.1 of this Agreement, and as
amended in Exhibit B."
D. Exhibit D, Section I, of the Agreement is hereby amended to read in its
entirety as follows:
"From April 2, 2019 through0, 2021+ June 30, 2022, Consultant shall
provide Services on an on-call basis as set forth in Exhibit A.-
2. Continuing Effect of Agreement. Except as amended by this Amendment No. 2,
all provisions of the Agreement and Amendment No. I shall remain unchanged and in full force
and effect. From and after the date of this Amendment No. 2. whenever the term "Agreement'
appears in the Agreement. it shall mean the Agreement. as amended by this Amendment No. 2
and Amendment No. 1.
3. Affirmation of Agreement; Warranty Re Absence of Defaults. City and
Consultant each ratify and reaffirm each and every one of the respective rights and obligations
arising under the Agreement and Amendment No. 1. Each party represents and warrants to the
other that there have been no written or oral modifications to the Agreement other than as
provided herein and Amendment No. 1. Each party represents and warrants to the other that the
Agreement. as amended by Amendment No. I and this Amendment No. 2, is currently an
effective, valid, and binding obligation.
Consultant represents and warrants to City that, as of the date of this Amendment No. 2,
City is not in default of any material term of the Agreement and that there have been no events
that, with the passing of time or the giving of notice, or both, would constitute a material default
under the Agreement.
City represents and warrants to Consultant that, as of the date of this Amendment No. 2,
Consultant is not in default of any material term of the Agreement and that there have been no
events that, with the passing of time or the giving of notice, or both, would constitute a material
default under the Agreement.
4. Adequate Consideration. The parties hereto irrevocably stipulate and agree that
they have each received adequate and independent consideration for the performance of the
obligations they have undertaken pursuant to this Amendment No. 2.
q l M M6167'_013 I
5. Authority. The persons executing this Amendment No. 2 on behalf of the parties
hereto warrant that (i) such party is duly organized and existing, (ii) they are duly authorized to
execute and deliver this Amendment No. 2 on behalf of said party, (iii) by so executing this
Amendment No. 2, such party is formally bound to the provisions of this Amendment No. 2, and
(iv) the entering into this Amendment No. 2 does not violate any provision of any other
agreement to which said party is bound.
[SIGNATURES ON FOLLOWING PAGE]
.3-
01007(X)06/672013 I
IN 14ITNESS MMREOF, the pm- ies hereto have �cmecuted this Amend Mt No. ? ,Qn
the date and Yar first -above vnitten,
CARSON
ATTEST;
Donesia use Aidan, CIN Clerk
V
APPROVED AS TO FORM:
ALESHIRE & WYNDER. LLP
&I <�_' I �
474- 4-
Sunnv K. Sol.tani. City !'nornev
FQ IM
,CITY OF CARSON?. a munkipal corporation
Al Robles. lay.
CONSULTANT:
JOHN M. CRUIKSHANK CONSULTANTS,'INC.
By. ()� &E.
Name. o n M. Cruikshank:
Title: President & CEO
By. A f7AAAA I A I I U11
N e: Jennif ruikshank
Title: Chief Fi nce Officer
Address: 4] k N..Harbor Blvd., Suite?Etl
San Pedro, CA 90731
Two corporate officer signatures .required m.hen Consultant is a corporation, with one .signature regriired
from each of the following groups: I) Chairman of .the Board, President or any Vice President; .and Ly
Secretary, .am Assistant Secretary, Chief "Financial Officer ur anir Assistant Treasurer. CO`S MTANT'S
SIGNATURES SHALL BE fDULI'NOTARIZED, AND APPROPRIATE ATTESTATIONS 'SH,4:LL BE
INCLUDED AS MAY BE REQUIRED B3' TETE BYLMVS, ARTICLES OF INCORPORATION, OR
OTHER RULES UR REGGIAMONS APPLICABLE TO CONSULTANTS BUSI;\ESS ENTITY_
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity of the individual who signed
the document to which this certificate is attached, and not the truthfulness, accuracy or validity of that doCument.
STATE OF CALIFORNIA
COUNTY OF LOS ANGELES [}� }}�� l�l
On l� , 2020 before mt Y��� �l�ii+�l��pel wt ny appea-- �� • edit me on
the basis f satisfactory evidence to be the person(s) whose names(s) islare subscribed to the within instrument and
acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted,
executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is
true and correct.
WITNESS my had and officials I.
SARA COTTINGHI.M
�` " Notary Public
Signature: Ca.ilania =
* Los Angeles County b
Commission n 2238354
.• My Comm. Expires May 9. 2022
OPTIONAL
Though the data below is not required by law, it may prove valuable to persons relying on lite document and could
prevent fraudulent reattachment of this form.
CAPACITY CLAIMED BV SIGNER
❑
INDIVIDUAL
❑
CORPORATE OFFICER
TITLE(S)
❑
PARTNER(S) ❑ LIMITED
❑ GENERAL
❑
ATTORNEY-IN-FACT
❑
TRUSTEE(S)
❑
GUARDIAN/CONSERVATOR
❑
OTHER
SIGNER
IS REPRESENTING:
(NAME OF PERSON(S) OR ENTITY(IES))
OI(X)70006/672011 t
DESCRIPTION OF ATTACHED DOCUMENT
TITLE OR TYPE OF DOCUMENT
NUMBER OF PAGES
DATE OF DOCUMENT
SIGNER(S) OTHER THAN NAMED ABOVE
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity of the individual who signed 1
the document to which this certificate is attached, and not the truthfulness, accuracy or validity of that document.
STATE OF CALIFORNIA
COUNTY (OAF LOS ANGELES ,,� I �/
On Kl -1 , _ Yui 1 1� �� ���i �ppeare
Y Ct 1,� )t` 9
X020 before m , pe onall , proved to me on
the basis Xfsatisfactory evidence to be the person(s) whose names(s) is/are subscribed to the within instrument and
acknowledged to me that he;'she.4hey executed the same in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrumem the person(s), or the entity upon behalf of which the person(s) acted,
executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the Stale of California that the foregoing paragraph is
true and correct.
WITNESS my hand and official seal.
O'k
5ARAC07INGHAµSignature= Notary Public • California
3Los Angeles CountyCommissIon R2238354
My Comm. Expires May 9, 2022
OPTIONAL
Though the data below is not required by law, it may prove valuable to persons relying on the document and could
prevent fraudulent reattachment of this form.
❑
❑
CAPACITY CLAIMED BY SIGNER
INDIVIDUAL
CORPORATE OFFICER
TITLE(S)
❑
PARTNER(S) ❑ LIMITED
❑ GENERAL
❑
ATTORNEY-IN-FACT
❑
TRUSTEE(S)
❑
GUARDIAN+CONSERVATOR
❑
OTHER_
SIGNER IS REPRESENTING:
(NAME OF PERSON(S) OR ENTITY(IES))
0111(17 (906/072013 1
DESCRIPTION OF ATTACHED DOCUMENT
TITLE OR TYPE OF DOCUMENT
NUMBER OF PAGES
DATE OF DOCUMENT
OTHER THAN NAMED ABOVE
CERTIFICATE OF LIABILITY INSURANCE
DATE (MWDDNVM
6116/2020
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
SUNZ Insurance Solutions, LLC ID: (Optimum)
c/o Optimum Employer Solutions, LLC
2530 -Red Hill Ave. Suite 200
Santa Ana, CA 9005
CONPRODUCER
NAME Raquel Bada os
PHONE 949-s5o-7eoo x 221 c Ne
EMAIL
ADD ESS: ra uelb D timumhnnet
INSURER AFFORDING COVERAGE NAICI
INSURER A: United Wisconsin Insurance Company 29157
INSURED
Optimum Employer Solutions, LLC
LCF John M Cruikshank Consultants Inc dba JMC2
2530 Red Hili Ave.
Suite 200
Santa Ana CA 92705
INSURER B:
INSURER C:
INSURER D :
INSURER E:
INSURER F
COVERAGES CERTIFICATE NUMBER: 56009643 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT 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.
ILTRR
TYPE OF INSURANCE
City of Carson
Carson CA 90745 E Carson St
C
i
POLICY NUMBER
MIOWD�O EF;
POLICY
m2n EXP
LIMITS
COMMERCIAL GENERAL LIABILITYEACH
CLAIMS -MADE 17 OCCUR
Rick Leonard
OCCURRENCE $
PREMISESEa occurrence S
MED EXP ft Oneperson) S
PERSONALS ADV INJURY S
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY F-1JEGT LOC
OTHER:
GENERAL AGGREGATE 5
PRODUCTS - COMP/OP AGG $
$
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTO$ ONLY AUTOS ONLY
COMBINED SINGLE LIMIT $
Es accident
BODILY INJURY (Par person) $
BODILY INJURY (Per accident) S
PROPERTY DAMAGE $
Per eWdM,
S
UMBRELLALIAD
EXCESS UAB
OCCUR
CLAIMS MADE
EACH OCCURRENCE $
AGGREGATE $
DED I I RETENTION S
S
A
WORKERS COMPENSATION
S• L
AND EMPLOYERIABILITY Y / N
ANYPROPRIETOR/MARTNERIEXECUTIVE ❑
OFFICER/MEMSER EXCLUDED?
(Mandatory In NH)
IT yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
WC527-00135-020-SZ
WC527-00135-019-SZ
7/1/2020
9/16/2019
7/1/2021
7/1/2024
PER ERH
E.L EACH ACC'DENT $1,000,000
E.L. DISEASE - EA EMPLOYE S1 00,000
E.L. DISEASE POLICY LIMIT $ 1 000 ()00
DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEFMCLES (ACORD 101, Additional Remarks Schedule, may be attached N mora space Is required)
Coverage Provided for all leased employees but not subcontractors of: John M Cruikshank Consultants Inc dba JMC2 Effective: 911 612 01 9
Waiver of Subrogation in favor of certificate holder, as per written contract, while work is performed at or fn:
CA
CERTIFICATE HOLDER CANCELLATION
454 (CA)
City of Carson
Carson CA 90745 E Carson St
C
i
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
f7 Z rZ 0
AUTHORIZED REPRESENTATIVE
/
Rick Leonard
0 1 986-201 5 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered ;narks of ACORD
5&CC9613 I John M Cruikshank Consultants (CA) MCP )1!35 Was Rosemary Young 1 4/16/2020 11:54:57 AM (EDT? I Fag? J cf 2
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY
WC 99 0313
_ (Ed. 7-09)
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT -CALIFORNIA
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will
not enforce our right against the person or organization named in the Schedule. (This agreement applies
only to the extent that you perform work under a written contract that requires you to obtain this
agreement from us.)
You must maintain payroll records accurately segregating the remuneration of your employees while
engaged in the work described in the Schedule.
The additional premium for this endorsement shall be $ 100
Schedule
Person or Organization Job Description
City of Carson
Coverage Provided for all lensed employees but not subcontractors of: John M Cruikshank Consultants Inc dba JMC2
ive:
Effect9/16/2019 Waiver of Subrogation in favor of certificate bolder, as per written contract. while work is performed
or in: CA
701 E Carson St
Carson CA 90745
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated_
(The Information below is required only when this endorsement is issued subsequent to preparation of the policy.)
Endorsement Effective 07101/2020
Insured Optimum Employer Solutions, LLC
2530 Red Hill Ave,
Insurance Company
United Wisconsin Insurance Company
WC 99 03 13
(Ed. 7-09)
Policy No. WC527-00135-020-SZ Endorsement No. 56009643
LCF John M Cruikshank Consultants Inc dba JMC
y
Countersigned by
56009643 1 John M Crulkshank Consultants (CA) MCP DOM W05 I Rosemary Young 6/16/2020 11:54:57 AM (EDT) I Page 2 of 2
ACORO® CERTIFICATE OF LIABILITY INSURANCE
`�
DATE(MMIDDN"Y)
1 10/3/2020
THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder In lieu of such endorsement(s).
PRODUCER
Hall 0 Company
19660 10th Ave NE
ACT
NAME: Jim Ledbetter, CA License #OH74270
PHONE 360-626-2019 F No : 36D- 526-2019
�Ita.F.aU•
E ADDRLEss:JedbetteE@hallandcompany.com
Poulsbo WA 98370
INSURER(S) AFFORDING COVERAGE MAIC E
INSURER A: QBE Insurance Co ration 39217
PSBOODS537
INSURED JOHNMCRAI
Jahn M Cruikshank Consultants Inc DBA JMC2
INSURER B.- RLI INSURANCE COMPANY 13056
INSURER C,.
411 N Harbor Blvd, Ste 201
San Pedro CA 90731
INSURER D:
-
INSURER E:
INSURER F :
INSURER
I
COVERAGES CERTIFICATE NUMBER: 1033149210 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY HE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR
LTR
TYPE OF INSURANCE
ADpL
S Sit
POLICY NUMBER
POLICY EFF
MMfODlYYYY
POLICY EXP
POLI YYYY
LIMITS
B
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE F71 OCCUR
PSBOODS537
10115!2020
1011SQ021
EACH OCCURRENCE 52,000,000
PREMISES Ea occurrence $ 1,000 000
MED EXP Any oneperson), $ 10,000
--
PERSONAL 8 ADV INJURY $ 2,000, 000
GENERAL AGGREGATE $4,000.000
GEN•LAGGREGATE LIMIT APPLIES PER-
POLICY � JECT C LOC
PRODUCTS - COMPIOP AGG $ 4,000,000
$
OTHER:
8
AUTOMOBILE
LIABILITY
PSA0002796
10115/2020
10115/2021
SINGLE LIMIT $1,000,000
�a accident).MBINED
X
BODILY INJURY (Per person) $
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per aecidonl I $
X
HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DA MAGE $
Per accident
S
a
UMBRELLA LIAR
X
OCCUR
PSE0004233
10115/2020
1011512021
EACH OCCURRENCE $1,C90,000
X
EXCESS I"
CLAIMS -MADE
AGGREGATE S1.000.000
DED I I RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y! N
ANYPROPRIETORIPARTNERtEXECUTIVE
OFFICEPJMEMBERFXCLUDED7 ❑
N!A
SER 02 H-
I TATUTE I ER
E.L EACH ACCIDENT $
(Mandatory in NH)
II yep, describe under
DESCRIPTION OF OPERATIONS below
E.L, DISEASE= EA EMPLOYEE $
----- —
E.L. DISEASE - POLICY LIMIT $
A
Professional Liability
ANE4154DOI
1011SQ020
10/15/2021
Per Claim $2,000,000
Aggregate $4,000,000
DESCRIPTION OF OPERATIONS! LOCATIONS I VEHICLES (ACORD 101, Additional Ramarks Schedule, may Ire attached N more apace to required)
Certificate holder is, when agreed in a contract or agreement, afforded Additional insured and waiver of subrogation Coverage under General Liability Additional
Insured form PPB 304G 04 13, products completed PPB 304G 04 13, and is primary and non-contributory. Auto additional insured form PPA 300WA 03 13 and
waiver of subrogalion PPA 300WA 03 13.
City of Carson, Its elected and appointed officers, employees, volunteers and agents
I tun
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
(pv fi= THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Carson ACCORDANCE WITH THE POLICY PROVISTONS.
701 E Carson St
Caron, CA 90745 AUTHORIZED REPRESENTATIVE
Carson CA 90745 1 L —z -0
G} 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
Policy Number: PSA10027R6
Named Insured: ln"^ M crulksh.k
A.
B.
C.
D.
E.
F.
G.
H.
I.
J.
K.
L.
M.
N.
O.
P.
Q.
R.
S.
T.
RLI Insurance Company
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
RLIPack® BUSINESS AUTO ENHANCEMENT
SCHEDULE OF COVERAGES ADDRESSED BY THIS ENDORSEMENT
Broad Form Named Insures!
Employees As Insureds
Blanket Additional Insured
Blanket Waiver Of Subrogation
Employee Hired Autos
Fellow Employee Coverage
Auto Loan Lease Gap Coverage
Glass Repair— Waiver Of Deductible
Personal Effects Coverage
Hired Auto Physical Damage Coverage
Hired Auto Physical Damage -- Loss Of Use
Hired Car — Worldwide Coverage
Temporary Transportation Expenses
Amended Bodily Injury Definition — Mental Anguish
Airbag Coverage
Amended Insured Contract Definition — Railroad Easement
Coverage Extensions — Audio, Visual And Data Electronic Equipment Not Designed Solely For The
Production Of Sound
Notice Of And Knowledge Of Occurrence
Unintentional Errors Or Omissions
Towing Coverage
PPA 300WA 03 13 Page 1 of 5
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
A. Broad Form Named Insured
The following is added to the SECTION II -
COVERED AUTOS LIABILITY COVERAGE, Para-
graph A.1. Who Is An Insured Provision:
Any business entity newly acquired or formed by you
during the policy period, provided you own fifty
percent (50%) or more of the business entity and the
business entity is not separately insured for
Business Auto Coverage. Coverage is extended up
to a maximum of one hundred eighty (180) days
following the acquisition or formation of the business
entity.
This provision does not apply to any person or
organization for which coverage is excluded by
endorsement.
B. Employees As Insureds
The following is added to the SECTION Il -
COVERED AUTOS LIABILITY COVERAGE, Para-
graph A.I. Who Is An Insured Provision:
Any "employee" of yours is an "insured" while using
a covered "auto" you don't own, hire or borrow in
your business or your personal affairs.
C. Blanket Additional Insured
The following is added to the SECTION II -
COVERED AUTOS LIABILITY COVERAGE, Para-
graph A.I. Who Is An Insured Provision:
Any person or organization that you are required to
include as an additional insured on this coverage
form in a contract or agreement that is executed by
you before the "bodily injury" or "property damage"
occurs is an "insured" for liability coverage, but only
for damages to which this insurance applies and
only to the extent that person or organization
qualifies as an "insured" under the Who Is An
Insured provision contained in SECTION II -
COVERED AUTOS LIABILITY COVERAGE,
The insurance provided to the additional insured will
be on a primary and non-contributory basis to the
additional insured's own business auto coverage if
you are required to do so in a contract or agreement
that is executed by you before the "bodily injury" or
"property damage" occurs.
D. Blanket Waiver Of Subrogation
The following is added to the SECTION IV -
BUSINESS AUTO CONDITIONS, A. Loss
Conditions, 5. Transfer Of Rights Of Recovery
Against Others To Us:
We waive any right of recovery we may have against
any person or organization to the extent required of
you by a contract executed prior to any "accident" or
"loss", provided that the "accident" or "loss" arises
out of the operations contemplated by such contract.
The waiver applies only to the person or
organization designated in such contract.
E. Employee Hired Autos
1. The following is added to the SECTION II -
COVERED AUTOS LIABILITY COVERAGE,
Paragraph A.I. Who Is An Insured Provision:
An "employee" of yours is an "insured" while
operating an "auto" hired or rented under a
contract or agreement in that "employee's"
name, with your permission, while performing
duties related to the conduct of your business.
2. Changes In General Conditions:
Paragraph 5.b. of the Other Insurance
Condition in the BUSINESS AUTO
CONDITIONS is deleted and replaced with the
following:
b. For Hired Auto Physical Damage Coverage,
the following are deemed to be covered
"autos" you own:
(1) Any covered "auto" you lease, hire, rent
or borrow; and
(2) Any covered "auto" hired or rented by
your "employee" under a contract in that
individual "employee's" name, with your
permission, while performing duties
related to the conduct of your business.
However, any "auto" that is leased,
hired, rented or borrowed with a driver is
not a covered "auto".
F. Fellow Employee Coverage
SECTION II - COVERED AUTOS LIABILITY
COVERAGE, Exclusion B.S. does not apply if you
have workers compensation insurance in -force
covering all of your employees.
G. Auto Loan Lease Gap Coverage
SECTION III - PHYSICAL DAMAGE COVERAGE,
C. Limit Of Insurance, is amended by the addition
of the following:
In the event of a total "loss" to a covered "auto"
shown in the Schedule of Declarations, we will pay
any unpaid amount due on the lease or loan for a
covered "auto", less:
PPA 300WA 03 13 Page 2 of 5
1- The amount paid under the PHYSICAL
DAMAGE COVERAGE section of the policy;
and
2. Any:
a. Overdue leaselloan payments at the time of
the "loss";
b. Financial penalties imposed under a lease
for excessive use, abnormal wear and tear
or high mileage.
c. Security deposits not returned by the lessor;
d. Costs for extended warranties, Credit Life
Insurance, Health, Accident or Disability
Insurance purchased with the loan or lease;
and
e. Carry-over balances from previous loans or
leases.
H. Glass Repair— Waiver Of Deductible
SECTION III — PHYSICAL DAMAGE COVERAGE,
D. Deductible is amended by adding the following:
No deductible for a covered "auto" will apply to glass
damage if the glass is repaired rather than replaced.
I. Personal Effects Coverage
The following is added to SECTION III — PHYSICAL
DAMAGE COVERAGE, A. Coverage, 4. Coverage
Extensions:
c. Personal Effects Coverage
In the event of a total theft loss of your covered
"auto we will pay up to $400 for "loss" to wearing
apparel and other personal effects which are:
(1) Owned by an "insured"; and
(2) In or on your covered "auto";
No deductible applies to Personal Effects
Coverage.
J. Hired Auto Physical Damage Coverage
The following is added to SECTION III — PHYSICAL
DAMAGE COVERAGE, A. Coverage, 4. Coverage
Extensions:
d. Hired Auto Physical Damage Coverage
If hired "autos" are covered "autos" for Liability
Coverage and this policy also provides Physical
Damage Coverage for an owned "auto", then the
Physical Damage Coverage is extended to
"autos" that you hire, rent or borrow subject to
the following:
(1) The most we will pay for "loss" in any one
"accident" to a hired, rented or borrowed
"auto" is the lesser Of:
(a) $60,000
(b) The actual cash value of the damaged
or stolen property as of the time of the
"loss"; or
(c) The cost of repairing or replacing the
damaged or stolen property with other
property of like kind and quality.
(2) An adjustment for depreciation and physical
condition will be made in the event of a total
"loss".
(3) We may deduct for betterment for parts
normally subject to repair and replacement
during the useful life of the "auto". In this
event, deductions shall be limited to the
lesser of:
(a) An amount equal to the proportion that
the expired life of the part to be repaired
or replaced bears to the normal useful
life of the part; or
(b) The amount which the resale value of
the "auto" is increased from the repair or
replacement.
(4) A deductible equal to the highest Physical
Damage deductible applicable to any owned
auto will apply.
(5) This Coverage Extension will not apply to:
(a) Any "auto" that is hired, rented or
borrowed with a driver; or
(b) Any "auto" that is hired, rented or
borrowed from your "employee".
K. Hired Auto Physical Damage — Loss Of Use
The following is added to SECTION 11 — COVERED
AUTOS LIABILITY COVERAGE, A.2. Coverage
Extensions:
e. We will pay sums which you legally must pay to
the lessor of a covered "auto" which you have
leased without a driver for thirty (30) days or less
for the lessor's loss of use of the covered "auto",
provided:
(1) This insurance provides comprehensive,
specified causes of loss or collision covered
on the covered "auto";
(2) The loss of use results from the covered
"auto" being damaged in an "accident" while
you are leasing it.
We will pay up to a maximum limit of $1,500 for
this covered extension.
L. Hired Car —Worldwide Coverage
The following is added to SECTION II — COVERED
AUTOS LIABILITY COVERAGE, A.2. Coverage
Extensions:
PPA 300WA 03 13 Page 3 of 5
f. Hired Car — Worldwide Coverage
(1) We will pay all sums an "insured" legally
must pay as damages because of "bodily
injury" or "property damage" to which this
insurance applies, caused by an "accident"
which occurs outside of the United States of
America, the territories and possessions of
the United States of America, Puerto Rico
and Canada resulting from the maintenance,
or use of any covered "auto" of the private
passenger type you lease, hire, rent or
borrow without a driver for thirty (30) days or
less.
(2) With respect to any claim made or "suit"
instituted outside the United States of
America, the territories and possessions of
the United States of America, Puerto Rico,
and Canada:
(a) You shall undertake the investigation,
settlement and defense of such claims
and "suits" and keep us advised of all
proceedings and actions.
(b) You will not make any settlement
without our consent.
(c) We will reimburse you:
(i) For the amount of damages be-
cause of liability imposed upon you
by law on account of "bodily" injury"
or "property damage" to which this
insurance applies, and
(ii) For all reasonable expenses incur-
red with our consent in connection
with the investigation, settlement or
defense of such claims or "suits".
Reimbursement for expenses will be
part of the Limit of Insurance for
liability coverage shown in the Busi-
ness Auto Coverage Declarations,
and not in addition to such limits_
(3) The limit of Insurance for Liability Coverage
shown in the Business Auto Coverage
Declarations is the most we will reimburse
you for the sum of all damages imposed on
you, as set forth in paragraph 2.c. above,
and all expenses incurred by you arising out
of any single "accident or "loss".
(4) You must maintain the greater of the
following primary auto liability insurance
limits:
(a) Compulsory admitted insurance with
limits required to be in force to satisfy
the legal requirements of the jurisdiction
where the accident occurs; or
(b) Insurance limits required by law and
issued by a government entity or by an
insurer licensed or permitted by law to
do business in the jurisdiction where the
"accident" occurs; or
(c) Auto liability insurance limits of at least
$300,000 combined single limit or
$100,000 per personl$300,000 per acci-
dent Bodily Injury, $100,000 Property
Damage.
If you fail to comply with the above, this
insurance is not invalidated. However, in the
event of a "loss", we will pay only to the
extent that we would have been liable had
you so complied.
(5) The insurance provided by this coverage
extension is excess over any other
collectible insurance available to you
whether on a primary, excess contingent or
any other basis.
M. Temporary Transportation Expenses
SECTION III — PHYSICAL DAMAGE COVERAGE,
A.4. Coverage Extensions, subparagraph a.
Transportation Expenses is deleted and replaced
by the following:
a. Transportation Expenses
(1) We will pay up to a maximum of $1,500 for
temporary transportation expense incurred
by you because of Physical Damage to a
coverage "auto".
(2) We will pay only for those covered "autos"
for which you carry Comprehensive,
Collision or Specified Case of Loss
Coverage.
(3) We will pay only for those expenses incurred
by you during the period of time that begins
twenty-four (24) hours after the covered
"loss" and ends at the time when the
covered "auto" can be reasonable repaired
or replaced.
(4) This coverage does not apply while there
are spare or reserve "autos" available to you
for your operations.
N. Amended Bodily Injury Definition — Mental
Anguish
The following is added to SECTION V —
DEFINITIONS, Definition C.:
"Bodily injury" also includes mental anguish, but only
when the mental anguish arises from other bodily
injury, sickness or disease.
PPA 300WA 03 13 Page 4 of 5
O. Airbag Coverage
The following is added to SECTION III — PHYSICAL
DAMAGE COVERAGE B. Exclusions 3.a.:
However, this exclusion will not apply to accidental
discharge of an airbag due to mechanical or
electrical breakdown.
P. Amended Insured Contract Definition — Railroad
Easement
SECTION V — DEFINITIONS paragraph H. "Insured
contact" is modified as follows:
1. Paragraph H.3. is replaced by the following:
3. Any easement or license agreement.
2. Paragraph H.6.a. is deleted.
Q. Coverage Extensions — Audio, Visual And Data
Electronic Equipment Not Designed Solely For
The Production Of Sound
SECTION III — PHYSICAL DAMAGE COVERAGE
B. Exclusions, exception paragraph a. to exclusion
4.c. and 4.d. is deleted and replaced with the
following:
a. Equipment and accessories used with such
equipment, except for tapes, records, discs or
other electronic media device, provided such
equipment is permanently installed in the
covered "auto" at the time of the "loss" or is
removable from the housing unit which is
permanently installed in the covered "auto" at
the time of the "loss", and such equipment is
designed to be solely operated by use of the
power from the "autos" electrical system, in or
upon the covered "autos"; or
R. Notice Of An Knowledge Of Occurrence
SECTION IV — BUSINESS AUTO CONDITIONS,
A.2. Duties In The Event Of Accident, Claim Suit
Or Loss, subparagraph a. is deleted and replaced
with the following:
a. In the event of "accident", claim, "suit" or "loss",
you must give us or our authorized
representative prompt notice of the "accident" or
"loss" including:
(1) How, when and where the "accident" or
"loss" occurred;
(2) The "insured's" name and address; and
(3) To the extent possible, the names and
addresses of any injured person and
witnesses.
Your duty to give us or our authorized
representative prompt notice of the "accident" or
"loss" applies only when the "accident" or "loss"
is known to:
(1) You, if you are an individual;
(2) A partner if you are a partnership; or
(3) An executive officer or insurance manager, if
you are a corporation.
S. Unintentional Errors Or Omissions
SECTION IV — BUSINESS AUTO CONDITIONS, B.
General Conditions; 2. Concealment Misrepre-
sentation Or Fraud is amended by adding the
following:
The unintentional omission of, or unintentional error
in, any information given by you shall not prejudice
your rights under this insurance. However this pro-
vision does not affect our right to collect additional
premium or exercise our right of cancellation or
nonrenewal.
T. Towing Coverage
SECTION III — PHYSICAL DAMAGE COVERAGE,
A.2. Towing, is deleted and replaced by the
following:
2. We will pay up to $750 for towing and labor
costs incurred each time a covered "auto" is
disabled due to a covered cause of loss.
However:
a. All labor must be performed at the place of
disablement; and
b. If the covered auto is a private passenger
type no deductible applies; and
C. If the covered auto is not of the private
passenger type our obligation to pay will be
reduced by a $250 deductible per
disablement.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED.
PPA 300WA 03 13 Page 5 of 5
Policy Number: PSBW08537 RLI Insurance Company
Named Insured: John M Cruikshank
THiS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
RLIPack® FOR PROFESSIONALS
BLANKET ADDITIONAL INSURED ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS COVERAGE FORM - SECTION II — LIABILITY
1. C. WHO IS AN INSURED is amended to include as
an additional insured any person or organization that
you agree in a contract or agreement requiring
insurance to include as an additional insured on this
policy, but only with respect to liability for "bodily
injury", "property damage" or "personal and
advertising injury" caused in whole or in part by you
or those acting on your behalf:
a. In the performance of your ongoing operations;
b. In connection with premises owned by or rented
to you; or
c. in connection with "your work" and included
within the "product -completed operations
hazard".
2. The insurance provided to the additional insured by
this endorsement is limited as follows:
a. This insurance does not apply on any basis to
any person or organization for which coverage
as an additional insured specifically is added by
another endorsement to this policy.
b. This insurance does not apply to the rendering
of or failure to render any professional services.
c. This endorsement does not increase any of the
limits of insurance stated in D. Liability And
Medical Expenses Limits of Insurance.
3. The following is added to SECTION III H.2. Other
Insurance — COMMON POLICY CONDITIONS
(BUT APPLICABLE ONLY TO SECTION II —
LiABILITY)
However, if you specifically agree in a contract or
agreement that the insurance provided to an
additional insured under this policy must apply on a
primary basis, or a primary and non-contributory
basis, this insurance is primary to other insurance
that is available to such additional insured which
covers such additional insured as a named insured,
and we will not share with that other insurance,
provided that:
a. The "bodily injury" or "property damage" for
which coverage is sought occurs after you have
entered into that contract or agreement; or
b. The "personal and advertising injury" for which
coverage is sought arises out of an offense
committed after you have entered into that
contract or agreement.
4. The following is added to SECTION III K. 2.
Transfer of Rights of Recovery Against Others to
Us — COMMON POLICY CONDITIONS (BUT
APPLICABLE TO ONLY TO SECTION iI —
LIABILITY)
We waive any rights of recovery we may have
against any person or organization because of
payments we make for "bodily injury", "property
damage" or "personal and advertising injury" arising
out of "your work" performed by you, or on your
behalf, under a contract or agreement with that
person or organization. We waive these rights only
where you have agreed to do so as part of a
contract or agreement with such person or
organization entered into by you before the "bodily
injury" or "property damage" occurs, or the "personal
and advertising injury" offense is committed.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED.
PPB 304G 04 13 Page 1 of 1
Policy Number: PSED004233 RLI Insurance Company
John M Cruikshank
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
RLIPack® FOR DESIGN PROFESSIONALS
EXCESS LIABILITY ENHANCEMENT
SCHEDULE OF COVERAGES ADDRESSED BY THIS ENDORSEMENT
A. General Aggregate Limit — Per Project Or Per Location
B. Additional Insured — Primary/Non-contributory
C. Waiver Of Transfer Of Rights Of Recovery Against Others To Us
This endorsement modifies insurance provided under the following:
COMMERCIAL EXCESS LIABILITY COVERAGE FORM
A. General Aggregate Limit — Per Project Or Per
Location
Paragraph 2.a. of C. Limits of Liability of SECTION
I — INSURING AGREEMENT is deleted and
replaced by the following:
a. The limit of liability stated in the Declarations as
general aggregate is the most we will pay during
each policy period for all ultimate net loss,
except ultimate net loss because of:
(1) injury and damage included in the products -
completed operations hazard or;
(2) any coverage included in underlying
insurance to which no underlying aggregate
applies.
The general aggregate applies separately to
each of your "projects" away from premises
owned by or occupied by you or to each of your
locations owned by or occupied by you.
"Projects" mean an area away from premises
owned by or rented to you at which you are
performing operations pursuant to a contract or
agreement. For the purposes of determining the
applicable aggregate limit of insurance, each
"project" at the same "location" shall be
considered a single "project".
For the purposes of this provision, "location"
means
(1) premises involving the same or connecting
lots;
(2) premises where connection is interrupted
only by a street, roadway, waterway or right-
of-way of a railroad; or
(3) premises where operations are performed in
sections, stages or phases as a continuation
of the same contract or agreement, even if
the premises do not involve connecting lots.
B. Additional Insured — Primary/Non-contributory
Paragraph K. Other Insurance of SECTION IV —
CONDITIONS is deleted and replaced by the
following:
K. Other Insurance
If other insurance, whether collectible or not, is
available to the insured covering a loss also
covered by this policy, the insurance afforded by
this policy shall be in excess of, and shall not
contribute with, such other insurance. However,
if the underlying insurance provides coverage
to an additional insured on a primary basis, or a
primary and non-contributory basis, this insur-
ance shall be available to such additional
insured on an excess basis over the underlying
insurance. We will not share with other
insurance which covers such additional insured
as a named insured.
C. Waiver Of Transfer Of Rights Of Recovery
Against Others To Us
Paragraph L. Subrogation of SECTION IV —
CONDITIONS is deleted and replaced by the
following:
PPU 304 06 10 Page 1 of 2
L. Subrogation
In the event of any payment under this policy, the
insured must notify us of any of the insured's rights
of recovery against any person or organization. We
shall be subrogated to all such rights. The
insured shall execute and deliver instruments
and papers and do whatever else is necessary to
secure such rights. The insured shall do nothing
after loss to prejudice such rights. However we
waive any rights of recovery we may have
against any person or organization if the
underlying insurance also waives such rights.
Any amount recovered through subrogation or
otherwise shall be apportioned in the inverse order
of payment of the claim or claims involved to the
extent of actual payment thereof by all interests. The
expenses of all such recoveries and proceedings in
connection therewith shall be apportioned in the
ratio of respective recoveries. With respect to
proceedings conducted solely by us, if there is no
recovery, we will bear the expense thereof. If there
is a recovery, we shall be reimbursed in full from
such recovery for the amount of all expenses
incurred by us before apportionment of such
recovery as herein provided.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED.
PPU 304 06 10 Page 2 of 2