HomeMy WebLinkAboutAGMT - Koff and Associates (Financial Analysis of Compensation Study) PROFESSIONAL SERVICES AGREEMENT
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City of Seal Beach
211 8th Street
Seal Beach, CA 90740
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Koff and Associates
2835 Seventh Street
Berkeley, CA 94710
This Professional Service Agreement ("the Agreement") is made as of June 1, 2019 (the
"Effective Date"), by and between Koff and Associates ("Consultant"), a Corporation,
and the City of Seal Beach ("City"), a California charter city, (collectively, "the Parties").
RECITALS
A. City desires certain professional services.
B. Consultant represents that it is qualified and able to provide City with such
services.
NOW THEREFORE, in consideration of the Parties' performance of the
promises, covenants, and conditions stated herein, the Parties hereto agree as
follows.
AGREEMENT
1.0 Scope of Services
1.1. Consultant shall provide those services identified in Option 1 as set
forth in the attached Exhibit A ("Services"), which is hereby incorporated by this
reference. To the extent that there is any conflict between Exhibit A and this
Agreement, this Agreement shall control.
1.2. Consultant shall perform all Services under this Agreement in
accordance with the standard of care generally exercised by like professionals
under similar circumstances and in a manner reasonably satisfactory to City.
1.3. In performing this Agreement, Consultant shall comply with all
applicable provisions of federal, state, and local law.
1.4. Consultant will not be compensated for any work performed not
specified in the Scope of Services unless the City authorizes such work in
advance and in writing. The City Manger may authorize, in writing, extra work to
fund unforeseen conditions up to the amount approved at the time of award by
the City Council. Payment for additional work in excess of this amount shall
require prior City Council authorization.
2.0 Term
This term of this Agreement shall commence as of June 1, 2019 and shall
continue through August 31, 2019 or until project completion and acceptance by
the City, whichever is earlier, unless previously terminated as provided by this
Agreement.
3.0 Consultant's Compensation
City will pay Consultant in accordance with the hourly rates shown on the fee
schedule set forth in Exhibit A for Services but in no event will the City pay more
than $9,869. Consultant agrees that the time and fees quoted in Exhibit A are
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sufficient to complete the Services in a manner consistent with reasonable
professional standards in Consultant's industry. Any additional work authorized
in writing by the City pursuant to Section 1.4 will be compensated in accordance
with the hourly rate set forth in Exhibit A.
4.0 Method of Payment
4.1. Consultant shall submit to City monthly invoices for all services
rendered pursuant to this Agreement. Such invoices shall be submitted within 15
days of the end of the month during which the services were rendered and shall
describe in detail the services rendered during the period, the days worked,
number of hours worked, the hourly rates charged, and the services performed
for each day in the period. City will pay Consultant within 30 days of receiving
Consultant's invoice. City will not withhold any applicable federal or state payroll
and other required taxes, or other authorized deductions from payments made to
Consultant.
4.2. Upon 24-hour notice from City, Consultant shall allow City or City's
agents or representatives to inspect at Consultant's offices during reasonable
business hours all records, invoices, time cards, cost control sheets and other
records maintained by Consultant in connection with this Agreement. City's
rights under this Section 4.2 shall survive for two years following the termination
of this Agreement.
5.0 Termination
5.1. This Agreement may be terminated by City, without cause, or by
Consultant based on reasonable cause, upon giving the other party written notice
thereof not less than 30 days prior to the date of termination.
5.2. This Agreement may be terminated by City upon 10 days' notice to
Consultant if Consultant fails to provide satisfactory evidence of renewal or
replacement of comprehensive general liability insurance as required by this
Agreement at least 20 days before the expiration date of the previous policy.
6.0 Party Representatives
6.1. The City Manager is the City's representative for purposes of this
Agreement.
6.2. Georg Kramer is the Consultant's primary representative for
purposes of this Agreement.
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7.0 Notices
7.1. All notices permitted or required under this Agreement shall be
deemed made when personally delivered or when mailed 48 hours after deposit
in the United States Mail, first class postage prepaid and addressed to the party
at the following addresses:
To City: City of Seal Beach
211 8th Street
Seal Beach, California 90740
Attn: City Manager
To Consultant: Koff and Associates
2835 7th Street
Berkeley, California 94710
Attn: President
7.2. Actual notice shall be deemed adequate notice on the date actual
notice occurred, regardless of the method of service.
8.0 Independent Contractor
8.1. Consultant is an independent contractor and not an employee of
the City. All services provided pursuant to this Agreement shall be performed by
Consultant or under its supervision. Consultant will determine the means,
methods, and details of performing the services. Any additional personnel
performing services under this Agreement on behalf of Consultant shall also not
be employees of City and shall at all times be under Consultant's exclusive
direction and control. Consultant shall pay all wages, salaries, and other
amounts due such personnel in connection with their performance of services
under this Agreement and as required by law. Consultant shall be responsible
for all reports and obligations respecting such additional personnel, including, but
not limited to: social security taxes, income tax withholding, unemployment
insurance, disability insurance, and workers' compensation insurance.
8.2. Consultant shall indemnify and hold harmless City and its elected
officials, officers, employees, servants, designated volunteers, and agents
serving as independent contractors in the role of City officials, from any and all
liability, damages, claims, costs and expenses of any nature to the extent arising
from Consultant's personnel practices. City shall have the right to offset against
the amount of any fees due to Consultant under this Agreement any amount due
to City from Consultant as a result of Consultant's failure to promptly pay to City
any reimbursement or indemnification arising under this Section.
9.0 Subcontractors
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No portion of this Agreement shall be subcontracted without the prior written
approval of the City. Consultant is fully responsible to City for the performance of
any and all subcontractors.
10.0 Assignment
Consultant shall not assign or transfer any interest in this Agreement whether by
assignment or novation, without the prior written consent of City. Any purported
assignment without such consent shall be void and without effect.
11.0 Insurance
11.1. Consultant shall not commence work under this Agreement until it
has provided evidence satisfactory to the City that Consultant has secured all
insurance required under this Section. Consultant shall furnish City with original
certificates of insurance and endorsements effecting coverage required by this
Agreement on forms satisfactory to the City. The certificates and endorsements
for each insurance policy shall be signed by a person authorized by that insurer
to bind coverage on its behalf, and shall be on forms provided by the City if
requested. All certificates and endorsements shall be received and approved by
the City before work commences. The City reserves the right to require
complete, certified copies of all required insurance policies, at any time.
11.2. Consultant shall, at its expense, procure and maintain for the
duration of the Agreement, insurance against claims for injuries to persons or
damages to property that may arise from or in connection with the performance
of this Agreement. Insurance is to be placed with insurers with a current A.M.
Best's rating no less than A:VIII, licensed to do business in California, and
satisfactory to the City. Coverage shall be at least as broad as the latest version
of the following: (1) General Liability: Insurance Services Office Commercial
General Liability coverage (occurrence form CG 0001); (2) Automobile Liability:
Insurance Services Office Business Auto Coverage form number CA 0001, code
1 (any auto); and, if required by the City, (3) Professional Liability. Consultant
shall maintain limits no less than: (1) General Liability: $2,000,000 per
occurrence for bodily injury, personal injury and property damage and if
Commercial General Liability Insurance or other form with a general aggregate
limit is used, either the general aggregate limit shall apply separately to this
Agreement/location or the general aggregate limit shall be twice the required
occurrence limit; (2) Automobile Liability: $1,000,000 per accident for bodily injury
and property damage; and (3) Professional Liability: $1,000,000 per
claim/aggregate.
11.3. The insurance policies shall contain the following provisions, or
Consultant shall provide endorsements on forms supplied or approved by the
City to state: (1) coverage shall not be suspended, voided, reduced or canceled
except after 30 days prior written notice by certified mail, return receipt
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requested, has been given to the City; (2) any failure to comply with reporting or
other provisions of the policies, including breaches of warranties, shall not affect
coverage provided to the City, its directors, officials, officers, (3) coverage shall
be primary insurance as respects the City, its directors, officials, officers,
employees, agents and volunteers, or if excess, shall stand in an unbroken chain
of coverage excess of the Consultant's scheduled underlying coverage and that
any insurance or self-insurance maintained by the City, its directors, officials,
officers, employees, agents and volunteers shall be excess of the Consultant's
insurance and shall not be called upon to contribute with it; (4)for general liability
insurance, that the City, its directors, officials, officers, employees, agents and
volunteers shall be covered as additional insureds with respect to the services or
operations performed by or on behalf of the Consultant, including materials, parts
or equipment furnished in connection with such work; and (5)for automobile
liability, that the City, its directors, officials, officers, employees, agents and
volunteers shall be covered as additional insureds with respect to the ownership,
operation, maintenance, use, loading or unloading of any auto owned, leased,
hired or borrowed by the Consultant or for which the Consultant is responsible.
11.4. All insurance required by this Section shall contain standard
separation of insureds provisions and shall not contain any special limitations on
the scope of protection afforded to the City, its directors, officials, officers,
employees, agents, and volunteers.
11.5. Any deductibles or self-insured retentions shall be declared to and
approved by the City. Consultant guarantees that, at the option of the City,
either: (1)the insurer shall reduce or eliminate such deductibles or self-insured
retentions as respects the City, its directors, officials, officers, employees,
agents, and volunteers; or (2) the Consultant shall procure a bond guaranteeing
payment of losses and related investigation costs, claims and administrative and
defense expenses.
12.0 indemnification, Hold Harmless, and Duty to Defend
Consultant shall defend, indemnify, and hold the City, its officials, officers,
employees, volunteers and agents serving as independent contractors in the role
of city officials (collectively "Indemnitees") free and harmless from any and all
claims, demands, causes of action, costs, expenses, liability, loss, damage or
injury, in law or equity, to property or persons, including wrongful death, in any
manner arising out of or incident to any acts or omissions of Consultant, its
employees, or its agents in connection with the performance of this Agreement,
including without limitation the payment of all consequential damages and
attorneys' fees and other related costs and expenses, except for such loss or
damage arising from the sole negligence or willful misconduct of the City. With
respect to any and all such aforesaid suits, actions, or other legal proceedings of
every kind that may be brought or instituted against Indemnitees, Consultant
shall defend Indemnitees, at Consultant's own cost, expense, and risk, and shall
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pay and satisfy any judgment, award, or decree that may be rendered against
Indemnitees. Consultant shall reimburse City and its directors, officials, officers,
employees, agents and/or volunteers, for any and all legal expenses and costs
incurred by each of them in connection therewith or in enforcing the indemnity
herein provided. Consultant's obligation to indemnify shall not be restricted to
insurance proceeds, if any, received by Consultant, the City, its directors,
officials, officers, employees, agents or volunteers. All duties of Consultant
under this Section shall survive termination of this Agreement.
13.0 Equal Opportunity
Consultant affirmatively represents that it is an equal opportunity employer.
Consultant shall not discriminate against any subcontractor, employee, or
applicant for employment because of race, religion, color, national origin,
handicap, ancestry, sex, sexual orientation, or age. Such non-discrimination
includes, but is not limited to, all activities related to initial employment,
upgrading, demotion, transfer, recruitment or recruitment advertising, layoff, or
termination.
14.0 Labor Certification
By its signature hereunder, Consultant certifies that it is aware of the provisions
of Section 3700 of the California Labor Code that require every employer to be
insured against liability for Workers' Compensation or to undertake self-insurance
in accordance with the provisions of that Code, and agrees to comply with such
provisions before commencing the performance of the Services.
15.0 Entire Agreement
This Agreement contains the entire agreement of the parties with respect to the
subject matter hereof, and supersedes all prior negotiations, understandings, or
agreements. This Agreement may only be modified by a writing signed by both
parties.
16.0 Severability
The invalidity in whole or in part of any provisions of this Agreement shall not
void or affect the validity of the other provisions of this Agreement.
17.0 Governing Law
This Agreement shall be governed by and construed in accordance with the laws
of the State of California.
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18.0 No Third Party Rights
No third party shall be deemed to have any rights hereunder against either party
as a result of this Agreement.
19.0 Waiver
No waiver of any default shall constitute a waiver of any other default or breach,
whether of the same or other covenant or condition. No waiver, benefit, privilege,
or service voluntarily given or performed by a party shall give the other party any
contractual rights by custom, estoppel, or otherwise.
20.0 Prohibited Interests; Conflict of Interest
20.1. Consultant covenants that it presently has no interest and shall not
acquire any interest, direct or indirect, which may be affected by the Services, or
which would conflict in any manner with the performance of the Services.
Consultant further covenants that, in performance of this Agreement, no person
having any such interest shall be employed by it. Furthermore, Consultant shall
avoid the appearance of having any interest, which would conflict in any manner
with the performance of the Services. Consultant shall not accept any
employment or representation during the term of this Agreement which is or may
likely make Consultant "financially interested" (as provided in California
Government Code §§1090 and 87100) in any decision made by City on any
matter in connection with which Consultant has been retained.
20.2. Consultant further warrants and maintains that it has not employed
or retained any person or entity, other than a bona fide employee working
exclusively for Consultant, to solicit or obtain this Agreement. Nor has
Consultant paid or agreed to pay any person or entity, other than a bona fide
employee working exclusively for Consultant, any fee, commission, gift,
percentage, or any other consideration contingent upon the execution of this
Agreement. Upon any breach or violation of this warranty, City shall have the
right, at its sole and absolute discretion, to terminate this Agreement without
further liability, or to deduct from any sums payable to Consultant hereunder the
full amount or value of any such fee, commission, percentage or gift.
20.3. Consultant warrants and maintains that it has no knowledge that
any officer or employee of City has any interest, whether contractual, non-
contractual, financial, proprietary, or otherwise, in this transaction or in the
business of Consultant, and that if any such interest comes to the knowledge of
Consultant at any time during the term of this Agreement, Consultant shall
immediately make a complete, written disclosure of such interest to City, even if
such interest would not be deemed a prohibited "conflict of interest" under
applicable laws as described in this subsection.
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21.0 Attorneys' Fees
If either party commences an action against the other party, either legal,
administrative or otherwise, arising out of or in connection with this Agreement,
the prevailing party in such litigation shall be entitled to have and recover from
the losing party all of its attorneys' fees and other costs incurred in connection
therewith.
22.0 Exhibits
All exhibits referenced in this Agreement are hereby incorporated into the
Agreement as if set forth in full herein. In the event of any material discrepancy
between the terms of any exhibit so incorporated and the terms of this
Agreement, the terms of this Agreement shall control.
23.0 Corporate Authority
The person executing this Agreement on behalf of Consultant warrants that he or
she is duly authorized to execute this Agreement on behalf of said Party and that
by his or her execution, the Consultant is formally bound to the provisions of this
Agreement.
IN WITNESS WHEREOF, the Parties hereto, through their respective authorized
representatives have executed this Agreement as of the date and year first
above written.
CITY OF SEAL BEACH CONSULTANT
By: A ! L J 116.1i / By:
. Ingram, City Ma qui
Name: deorg ' Krammer
c,EAL 8E4
Attest: ;;0=-QpOAATfp,,Cy 1'+i Its: CEO
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Gloria Ha tv- IMIPPrr
21 i'.-t Name: Catherine •
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Approved as to For.:11 ....... Its: President
ey.
Craig A. Steele, City Attorney
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EXHIBIT A
Submittal date: April 13, 2019
Compensation Study
Implementation COST
Proposal
City of Seal Beach
Submitted by:
Koff & Associates
GEORG S. KRAMMER
Chief Executive Officer
2835 Seventh Street
Berkeley, CA 94710
www.KoffAssociates.com
gkrammer@koffassociates.com
Tel: 510.658.5633
Fax: 510.652.5633
KEI City of Seal Beach
Cost Proposals 1
Signature Page
2835 Seventh Street, Berkeley, California 94710 1510.658.5633 I www.KoffAssociates.com
Ke5
City of Seal Beach
COST PROPOSAL
Deliverables Compensation Study Implementation Hours:
A Initial Documentation Review, Meetings with Study Project Team 2
and Management Staff(this assumes a conference call)
Review Comparator Agencies' Compensation Practices since June
2017 and Research whether Any Implemented Cost of Living
B. Adjustments 20
- If so, update survey data with COLAs and recalculate survey
numbers and rerun survey spreadsheets
C Revisit Salary Range Recommendations per Survey Update, Update 10
Proposed Salary Schedule, Recalculate Salary Range Placements
Develop Implementation Plan, i.e., Calculate Actual Salary
Adjustments per Each of the City's Approximately 105-110
D. Positions: 20
- Develop One-Year Implementation Plan
- Develop Three-Year Implementation Plan
Present Draft Implementation Plan to and Schedule Meeting with
E. Project Team (this assumes a conference call); Update 4
Implementation Plan per the City's Feedback
F. Preparation of Draft Final and Final Report and Deliverables 5
G. Final Presentation to the City Council (if desired) 10
Total Professional Hours 71
Combined professional and clerical composite rate: $139/Hour $9,869
Expenses are included in the composite hourly rate: N/A
Expenses include but are not limited to duplicating documents,binding
reports,phone,supplies,postage,parking,meals, travel time,etc.
TOTAL PROJECT COST NOT TO EXCEED: $9,869
*Additional consulting will be honored at composite rate($139)
TIM ELINE
Deliverables Compensation StudyImplementation Time of
p p Completion
Initial Documentation Review, Meetings with Study Project Team
A. and Management Staff(this assumes a conference call) Week 1
Review Comparator Agencies'Compensation Practices since June
2017 and Research whether Any Implemented Cost of Living
B. Adjustments Week 2
- If so, update survey data with COLAs and recalculate survey
numbers and rerun survey spreadsheets
C Revisit Salary Range Recommendations per Survey Update, Update Week 3
Proposed Salary Schedule, Recalculate Salary Range Placements
2835 Seventh Street, Berkeley, California 94710 J 510.658.5633 www.KoffAssociates.com
1
K5S
City of Seal Beach
Develop Implementation Plan, i.e., Calculate Actual Salary
Adjustments per Each of the City's Approximately 105-110
D. Positions: Week 4
- Develop One-Year Implementation Plan
- Develop Three-Year Implementation Plan
Present Draft Implementation Plan to and Schedule Meeting with
E. Project Team (this assumes a conference call); Update Week 5
Implementation Plan per the City's Feedback
F. Preparation of Draft Final and Final Report and Deliverables Week 6
G. Final Presentation to the City Council (if desired) As Scheduled
2835 Seventh Street, Berkeley, California 94710 1510.658.5633 I www.KoffAssociates.com
.‘
City of Seal Beach
Proposal Signature Page
Koff&Associates intends to adhere to all of the provisions described above.
This proposal is valid for ninety(90)days.
Respectfully submitted,
By: KOFF&ASSOCIATES
State of California
Georg S.Krammer April 13,2019
Chief Executive Officer
By: City of Seal Beach
Jill R.Ingram
City Manager
Craig A.Steele
City Attorney
Kt, ■ /Koff Associates
S Human Resources and Recruiting since 1984
2835 Seventh Street, Berkeley, California 94710 1510.658.5633 I www.KoffAssociates.com
ACORE) CERTIFICATE OF LIABILITY INSURANCE os4iZY)ii
THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY.
BUSINESSOWNERS LIABILITY SPECIAL BROADENING ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS COVERAGE FORM
SUMMARY OF COVERAGES Limits Page
1. Additional Insured by Contract,Agreement or Permit Included 1
2. Additional Insured-Broad Form Vendors Included 2
3. Alienated Premises Included 3
4. Broad Form Property Damage-Borrowed Equipment,Customers Included 3
Goods and Use of Elevators
5. Incidental Malpractice(Employed Nurses, EMTs and Paramedics) Included 3
6. Personal and Advertising Injury- Broad Form Included 4
T. Product Recall Expense Included 4
Product Recall Expense Each Occurrence Limit $25,000 5
Occurrence
Product Recall Expense Aggregate Limit $50,000 5
Aggregate
Product Recall Deductible $O 5
8. Unintentional Failure to Disclose Hazards , Included 6
9. Unintentional Failure to Notify Included 6
This endorsement amends coverages provided under the Businessowners Coverage Form through new
coverages and broader coverage grants. This coverage is subject to the provisions applicable to the
Businessowners Coverage Form,except as provided below.
The following changes are made to SECTION II - (2) Premises you own, rent, lease or
UABILITY: occupy; or
1. Additional Insured by Contract, Agreement or (3) Your maintenance, operation or use of
Permit equipment leased to you.
The following is added to SECTION II - b. The insurance afforded to such additional
LIABILITY,C.Who Is An Insured: insured described above:
Additional Insured by Contract, Agreement or (1) Only applies to the extent permitted by
Permit law;and
a. Any person or organization with whom you (2) Will not be broader than the insurance
agreed in a written contract, written which you are required by the contract,
agreement or permit to add such person or agreement or permit to provide for such
organization as an additional insured on additional insured.
your policy is an additional insured only with (3) Applies on a primary basis if that is
respect to liability for "bodily injury", required by the written contract, written
"property damage", or "personal and agreement or permit.
advertising injury" caused, in whole or in Will not be broader than coverage
part, by your acts or omissions, or the acts (4) Will ed to any other insured.
or omissions of those acting on your behalf,
but only with respect to: (5) Does not apply if the "bodily injury",
(1) "Your work" for the additional insured(s) "property damage" or 'personal and
designated in the contract, agreement or advertising injury"is otherwise excluded
permit; from coverage under this Coverage Part,
including any endorsements thereto.
391-1006 0816 includes copyrighted materials of Insurance Services Offices.Inc..with its permission. Page 1 of 6
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c. This provision does not apply: The most we will pay on behalf of the
(1) Unless the written contract or written additional insured for a covered claim is the
agreement was executed or permit was lesser of the amount of insurance:
issued prior to the °bodily injury", 1. Required by the contract, agreement or
°property damage", or "personal injury permit described in Paragraph a.;or
and advertising injury". 2. Available under the applicable Limits of
(2) To any person or organization included Insurance shown in the Declarations.
as an insured by another endorsement This endorsement shall not increase the
issued by us and made part of this applicable Limits of Insurance shown in the
Coverage Part. Declarations
(3) To any lessor of equipment: e. All other insuring agreements, exclusions,
(a) After the equipment lease expires; or and conditions of the policy apply.
(b) If the "bodily injury", "property 2. Additional Insured-Broad Form Vendors
damage", "personal and advertising The following is added to SECTION II -
injury" arises out of sole negligence LIABILITY,C.Who Is An Insured:
of the lessor.
(4) To any: Additional Insured-Broad Form Vendors
(a) Owners or other interests from whom a. Any person or organization that is a vendor
with whom you agreed in a written contract
has been leased if the
landurrhse" takes place the or written agreement to include as an
offense is committed after the lease additional insured under this Coverage Part
for the land expires; or is aninsured, but only with respect to liability
for "bodily injury" or "property damage
(b) Managers or lessors of premises if: arising out of "your products" which are
(I) The "occurrence" takes place or distributed or sold in the regular course of
the offense is committed after the vendor's business.
you cease to be a tenant in that b. The insurance afforded to such vendor
premises; or described above:
(ii) The "bodily injury", °property (1) Only applies to the extent permitted by
damage", personal injuryor law;
"advertising injury" arises out of (2) Will not be broader than the insurance
structural alterations, new which you are required by the contract or
construction or demolition agreement to provide for such vendor;
operations performed by or on
behalf of the manager or lessor. (3) Will not be broader than coverage
(5) To "bodily injury", "property damage" or provided to any other insured; and
"personal and advertising injury" arising (4) Does not apply if the "bodily injury",
out of the rendering of or the failure to "property damage" or "personal and
render any professional services. advertising injury" is otherwise excluded
This exclusion applies even if the claims from coverage under this Coverage Part,
including any endorsements thereto
against any insured allege negligence or
other wrongdoing in the supervision, c. With respect to insurance afforded to such
hiring, employment, training or vendors, the following additional exclusions
monitoring of others by that insured, if apply:
the "occurrence" which caused the The insurance afforded to the vendor does
"bodily injury" or "property damage" or not apply to:
the offense which caused the "personal "Bodilyinjury" damage"
and advertising injury" involved the (1) or "property for
rendering of or failure to render any which the vendor is obligated to pay
professional services by or for you. damages by reasons of the assumption of
liability in a contract or agreement. This
d. With respect to the insurance afforded to exclusion does not apply to liability for
these additional insureds, the following is damages that the insured would have in
added to SECTION II - LIABILITY, D. Liability the absence of the contract or
and Medical Expense Limits of Insurance: agreement;
(2) Any express warranty unauthorized by
you;
391-1006 08 16 Includes copyrighted materials of Insurance Services Offices,Inc.,with its permission. Page 2 of 6
(3) Any physical or chemical change in the The most we will pay on behalf of the vendor
product made intentionally by the for a covered claim is the lesser of the
vendor; amount of insurance:
(4) Repackaging, unless unpacked solely for 1. Required by the contract or agreement
the purpose of inspection, described in Paragraph a.;or
demonstration, testing, or the 2. Available under the applicable Limits of
substitution of parts under instruction Insurance shown in the Declarations;
from the manufacturer, and then
repackaged in the original container; This endorsement shall not increase the
Anyfailure to make such inspection, applicable Limits of Insurance shown in the
(5) p Declarations.
adjustments, tests or servicing as the 3. Alienated Premises
vendor has agreed to make or normally
undertakes to make in the usual course SECTION II - LIABILITY, B. Exclusions, 1.
of business in connection with the sale Applicable To Business Liability Coverage k.
of the product; Damage to Property,paragraph (2)is replaced by
(6) Demonstration, installation, servicing or the following:
repair operations, except such (2) Premises you sell, give away or abandon, if
operations performed at the vendor's the "property damage" arises out of any part
premises in connection with the sale of of those premises and occurred from hazards
the product; that were known by you, or should have
(7) Products which, after distribution or sale reasonably been known by you, at the time
by you, have been labeled or relabeled the property was transferred or abandoned.
or used as a container, part or 4. Broad Form Property Damage - Borrowed
ingredient of any other thing or Equipment,Customers Goods,Use of Elevators
substance by or for the vendor, a. The following is added to SECTION II -
(8) "Bodily injury" or "property damage" LIABILITY, B. Exclusions, 1. Applicable To
arising out of the sole negligence of the Business Liability Coverage, k. Damage to
vendor for its own acts or omissions or Property:
those of its employees or anyone else
to "property
actingcluon its behalf.lHowever, this
Paragraph (4) does not apply damage" to borrowed equipment while at a
exclusion does not apply to: jobsite and not being used to perform
(a) The exceptions contained within the operations.
exclusion in subparagraphs (4) or (6) Paragraph (3), (4) and (6) do not apply to
above; or " d " goods"
property damage" to "customers
(b) Such inspections, adjustments, tests while on your premises nor to the use of
or servicing as the vendor has elevators.
agreed to make or normally b. For the purposes of this endorsement, the
undertakes to make in the usual following definition is added to SECTION II -
with the of business, or saleof connection LIABILITY, F. Liability and Medical Expenses
with distribution of the Definitions:
products.
(9) "Bodily Injury" or "property damage" 1. "Customers goods" means property of
your customer on your premises for the
arising out of an "occurrence" that took purpose of being:
place before you have signed the
contract or agreement with the vendor. a. Worked on;or
(10)To any person or organization included b. Used in your manufacturing process.
as an insured by another endorsement c. The insurance afforded under this provision is
issued by us and made part of this excess over any other valid and collectible
Coverage Part. property insurance (including deductible)
(11)Any insured person or organization, available to the insured whether primary,
from whom you have acquired such excess, contingent or on any other basis.
products, or any ingredient, part or
container, entering into, accompanying 5. Incidental Malpractice - Employed Nurses, EMT's
or containing such products. and Paramedics
d. With respect to the insurance afforded to SECTION II- LIABILITY,C.Who Is An Insured,
these vendors, the following is added to paragraph 2.a.(1)(d) does not apply to a nurse,
SECTION II - LIABILITY, D. Liability and
Medical Expense Limits of Insurance:
391-1006 0816 Includes copyrighted materials of Insurance Services Offices,Inc.,with its permission. Page 3 of 6
4 H novler
Insurance Croup_
OBF D709934 5701660
1. SECTION I - PROPERTY, if two or more of However, if you agree in a written
this coverage part's coverages apply to contract, written agreement, or
the same loss or damage, we will not pay written permit that the insurance
more than the actual amount of the loss or provided to any person or
damage. organization included as an
2. SECTION II - LIABIUTY, it is our stated Additional Insured under this
intent that the various Coverage Parts, Coverage Part is primary and
forms, endorsements or policies issued to non-contributory, we will not seek
the named insured by us, or any company contribution from any other
affiliated with us, do not provide any insurance available to that Additional
duplication or overla"occurrence",
of coverage for the Insured which covers the Additional
same claim, suit", occurrence , offense, Insured as a Named Insured except:
accident, "wrongful act" or loss. We will (1) For the sole negligence of the
not pay more than the actual amount of Additional Insured;or
the loss or damage. (2) When the Additional Insured is
If this Coverage Part and any other an Additional Insured under
Coverage Part, form, endorsement or another liability policy.
policy issued to the named insured by us, b. Excess Insurance
or any company affiliated with us, apply to
the same claim, "suit", occurrence, This insurance is excess over:
offense, accident, "wrongful act" or loss, (1) Any of the other insurance,
the maximum Limit of Insurance under all whether primary, excess,
such Coverage Parts, forms, contingent or on any other basis:
endorsements or policies combined shall (a) That is Fire, Extended
not exceed the highest applicable Limit of Covera e, Builder's Risk,
Insurance under any one Coverage Part, Installation Risk or similar
form, endorsement or policy. coverage for"your work";
This condition does not apply to any
Excess or Umbrella Policy issued by us (b) That is Property Insurance for
specifically to apply as excess insurance premises rented to you or
over this policy. wi h perrmission o the owner;
G. Liberalization
(c) That is insurance purchased
If we adopt any revision that would broaden by you to cover your liability
the coverage under this policy without as a tenant for "property
additional premium within 45 days prior to or damage" to premises rented
during the policy period, the broadened to you or temporarily
coverage will immediately apply to this policy, occupied by you with
H. Other Insurance permission of the owner;or
1. SECTION I -PROPERTY (d) If the loss arises out of the
If there is other insurance covering the maintenance or use of
ft
same loss or damage, we will pay only for toaircraft, tent or subjecteto
the amount of covered loss or damage in SECTION the enot to
excess of the amount due from that other II - LIABILITY,or
insurance, whether you can collect on it or Exclusion g. Aircraft, Auto or
Watercraft;and
not. But, we will not pay more than the
applicable Limit of Insurance of SECTION I (2) Any other primary insurance
-PROPERTY. available to you covering liability
2. SECTION II -LIABILITY for damages arising out of the
premises or operations, or the
If other valid and collectible insurance is products and completed
available to the insured for a loss we operations, for which you have
cover under SECTION II - LIABILITY, our been added as an additional
obligations are limited as follows: insured by attachment of an
a. Primary Insurance endorsement.
This insurance is primary except when When this insurance is excess, we
aragnauh b. below applies. If this will have no duty under SECTION II -
insurance is primary, our obligations againstLIABILtTY to "suit"
if the insuredother
insurance
are not affected unless any of the any any e
other insurance is also primary. Then, insured has a duty to defend the
we will share with all that other insured against that"suit". If no other
insurance by the method described in insurer defends, we will undertake to
paragraph c.below. do so, but we will be entitled to the
391-1003 08 16 Includes copyrighted matenai of Insurance Services Office. Inc..with its permission Page 79 of 81
insured's rights against all those other premium in accordance with our rates and
insurers. rules then in effect.
c. When this insurance is excess over other 3. With our consent, you may continue this policy
insurance, we will pay only our share of in force by paying a continuation premium for
the amount of the loss, if any, that each successive one-year period. The
exceeds the sum of: premium must be:
(1) The total amount that all such other a. Paid to us prior to the anniversary date;
insurance would pay for the loss in the and
absence of this insurance; and b. Determined in accordance with paragraph
(2) The total of all deductible and self- 2. above.
insured amounts under all that other Our forms then in effect will apply. If you do
insurance. not pay the continuation premium, this policy
d. We will share the remaining loss, if any, will expire on the first anniversary date that we
with any other insurance that is not have not received the premium.
described in this provision and was not 4. Undeclared exposures or change in your
bought specifically to apply in excess of business operation, acquisition or use of
the Limits of Insurance shown in the locations may occur during the policy period
Declarations for this Coverage. that is not shown in the Declarations. If so, we
e. Method of Sharing may require an additional premium. That
If all of the other insurance permits premium will be determined in accordance
contribution by equal shares, we will follow with our rates and rules then in effect.
this method also. Under this approach J. Premium Audit
each insurer contributes equal amounts 1. This policy is subject to audit if a premium
until it has paid its applicable Limit of designated as an advance premium is shown
Insurance or none of the loss remains, in the Declarations. We will compute the final
whichever comes first. premium due when we determine your actual
If any of the other insurance does not exposures.
permit contribution by equal shares, we 2. Premium shown in this policy as advance
will contribute by limits. Under this premium is a deposit premium only. At the
method, each insurer's share is based on close of each audit period, we will compute the
the ratio of its applicable Limit of earned premium for that period and send
Insurance to the total applicable limits of notice to the first Named Insured. The due
insurance of all insurers. date for audit premiums is the date shown as
f. When this insurance is excess, we will the due date on the bill. If the sum of the
have no duty under Business Liability advance and audit premiums paid for the
Coverage to defend any claim or "suit" policy period is greater than the earned
that any other insurer has a duty to premium, we will return the excess to the first
defend. If no other insurer defends, we will Named Insured.
undertake to do so; but we will be entitled 3. The first Named Insured must keep records of
to the insured's rights against all those the information we need for premium
other insurers. computation and send us copies at such times
I. Premiums as we may request. '/
1. The first Named Insured shown in the K. Transfer of Rights of Recovery Against Others ,
Declarations: to Us
a. Is responsible for the payment of all 1. Applicable to SECTION I — PROPERTY
premiums; and Coverage:
b. Will be the payee for any return premiums If any person or organization to or for whom
we pay. we make payment under this policy has rights
2. The premium shown in the Declarations was to recover damages from another, those rights
computed based on rates in effect at the time are transferred to us to the extent of our
the policy was issued. On each renewal, payment. That person or organization must do
continuation or anniversary of the effective everything necessary to secure our rights and
date of this policy, we will compute the must do nothing after loss to impair them. But
you may waive your rights against another
party in writing:
391-1003 08 16 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 80 of 81
a. Prior to a loss to your Covered Property. We waive any right of recovery we may have
b. After a loss to your Covered Property only against any person or organization with whom
if, at time of loss, that party is one of the you have a written contract, permit or
following: agreement to waive any rights of recovery
against such person or organization because
(1) Someone insured by this insurance; of payments we make for injury or damage
(2) A business firm: arising out of your ongoing operations or"your
(a) Owned or controlled by you; or work" done under a contract with that person
or organization and included in the "products-
(b) That owns or controls you; or completed operations hazard".
(3) Your tenant. This condition does not apply to Medical
You may also accept the usual bills of lading Expenses Coverage.
or shipping receipts limiting the liability of L. Transfer of Your Rights and Duties Under This
carriers. Policy
This will not restrict your insurance. Your rights and duties under this policy may not be
�) 2. Applicable to SECTION II — LIABILITY transferred without our written consent except in
Coverage: the case of death of an individual Named Insured.
If the insured has rights to recover all or part of If you die, your rights and duties will be transferred
any payment we have made under this to your legal representative but only while that
Coverage Part, those rights are transferred to legal representative is acting within the scope of
us. The insured must do nothing after loss to their duties as your legal representative. Until your
impair such rights. At our request, the insured legal representative is appointed, anyone with
will bring "suit" or transfer those rights to us proper temporary custody of your property will
and help us enforce them. have your rights and duties but only with respect
to that property.
391-1003 08 16 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 81 of 81
4Hanover
Insurance Group_
OBF D709934 5701660
THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY.
OTHER INSURANCE-NON-CONTRIBUTORY
BLANKET ADDITIONAL INSURED
This endorsement modifies insurance provided under the following:
COMMERCIAL LIABILITY UMBRELLA COVERAGE PART
The following is added to SECTION IV - (2) When the Additional Insured is an Additional
CONDITIONS, 5.Other Insurance: Insured under another liability policy.
Other Insurance-Non-Contributory This insurance is excess over any other insurance
If you agree in a written contract, written available to the Additional Insured under which the
agreement, or written permit that a person or Additional Insured on our policy is also covered as
organization be included as an Additional Insured an Additional Insured. This condition does not apply
under "underlying insurance" for a loss we cover, to any policy under which the Additional Insured is
we will not seek contribution from any other a Named Insured where our policy and the policy
insurance available to that Additional Insured listed in the schedule of "underlying insurance"are
which covers the Additional Insured as a Named required by written contract, written agreement or
Insured except: written permit to provide coverage to the Additional
Insured on a primary and non-contributory basis.
(1) For the sole negligence of the Additional
Insured;or
ALL OTHER TERMS,CONDITIONS,AND EXCLUSIONS REMAIN UNCHANGED.
473-2106 10 16 Includes copyrighted material of Insurance Services Office,Inc.with its permission. Page 1 of 1
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NOTICE OF CANCELLATION TO DESIGNATED ENTITY(S)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
HANOVER COMMERCIAL FOLLOW FORM EXCESS AND UMBRELLA POLICY
COMMERCIAL PROPERTY COVERAGE PART
BUSINESS AUTO COVERAGE FORM
BUSINESSOWNERS COVERAGE FORM
SCHEDULE
Name of Designated Entity Mailing Address or Email Address Number Days Notice
On file with Company as per 30 Days
written contract
(Information required to complete this Schedule, if not shown above, will be shown in the Declarations.)
If we cancel this policy for any reason other than nonpayment of premium, we will give written notice of such
cancellation to the Designated Entity(s) shown in the Schedule. Such notice may be delivered or sent by any
means of our choosing. The notice to the Designated Entity(s)will state the effective date of cancellation.
Unless otherwise noted in the Schedule above, such notice will be provided to the Designated Entity(s) no more
than the number of days in advance of the effective date of cancellation that we are required to provide to the
Named Insured for such cancellation.
Such notice of cancellation is solely for the purpose of informing the Designated Entity(s) of the effective date of
cancellation and does not grant, alter, or extend any rights or obligations under this policy.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED.
Page 1 of 1
401-1235 12 14 Includes copyrighted material of Insurance Services Office,Inc.,with its permission.
Hander
Insurance roup_
AWFD709922 5701660
THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED-PRIMARY AND NON-CONTRIBUTORY
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE PART
A. The following is added to SECTION II - Primary and Non-Contributory
LIABILITY COVERAGE, Paragraph A.1. Who Is If you agree in a written contract, written
An Insured: agreement or written permit that the insurance
Additional Insured if Required by Contract provided to a person or organization who
If you agree in a written contract, written qualifies as an additional "insured" under
agreement or written permit that a person or SECTION II - LIABILITY COVERAGE, Paragraph
organization be added as an additional Al. Who Is An Insured, subparagraph
"insured" under this Coverage Part, such Additional Insured if Required by Contract is
person or organization is an "insured"; but only primary and non-contributory, the following
to the extent that such person or organization applies:
qualifies as an "insured" under paragraph A.1.c. The liability coverage provided by this Coverage
of this Section. Part is primary to any other insurance available
if you agree in a written contract, written to the additional "insured" as a Named Insured.
We will not seek contribution from any other
agreement or written permit that a person or insurance available to the additional "insured"
organization be added as an additional
"insured" under this Coverage Part, the most except:
we will pay on behalf of such additional (1) For the sole negligence of the additional
"insured"is the lesser of: "insured"; or
(1) The Limits of Insurance for liability coverage (2) For negligence arising out of the ownership,
specified in the written contract, written maintenance or use of any "auto" not owned
agreement or written permit; or by the additional"insured or by you, unless
(2) The Limits of Insurance for Liability that "auto" is a "trailer" connected to an
Coverage shown in the Declarations "auto" owned by the additional "insured" or
applicable to this Coverage Part. by you; or
(3) When the additional "insured" is also an
Such amount shall be part of and not in addition additional "insured" under another liability
to the Limits of Insurance shown in the policy.
Declarations applicable to this Coverage Part.
Regardless of the number of covered autos", C. This endorsement will apply only if the
"insureds", premiums paid, claims made or "accident"occurs:
vehicles involved in the accident", the most we 1. During the policy period;
will pay for the total of all damages and 2. Subs uent to the execution of the written
"covered pollution cost or expense" combined eq
resulting from any one "accident" is the Limit of contract or written agreement or the
Insurance for Liability Coverage shown in the issuance of the written permit; and
Declarations. 3. Prior to the expiration of the period of time
B. The following is added to SECTION IV - that the written contract, written agreement
BUSINESS AUTO CONDITIONS, Paragraph B. or written permit requires such insurance to
General Conditions, subparagraph 5. Other be provided to the additional"insured".
Insurance: D. Coverage provided to an additional "insured"
will not be broader than coverage provided to
any other"insured" under this Coverage Part.
ALL OTHER TERMS,CONDITIONS,AND EXCLUSIONS REMAIN UNCHANGED.
461-0478 12 12 Includes copyrighted material of ISO Insurance Services Office,Inc.,with its permission Page 1 of 1
Hnover
Insurance Group-
AWFD709922 5701660
THIS ENDORSEMENT CHANGES THE POUCY. PLEASE READ IT CAREFULLY.
BUSINESS AUTO COVERAGE
BROADENING ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form
apply unless modified by the endorsement.
1. CANCELLATION EXTENSION
d. Any business entity for which you
Paragraph A.CANCELLATION 2.b. of the have a financial interest greater
COMMON POLICY CONDITIONS is than 50% of the voting stock or
replaced with the following: otherwise have a controlling
b. 60 days before the effective date interest after the effective date of
of cancellation if we cancel for this policy or that is newly
any other reason. acquired or formed by you during
the term of this policy.
SECTION I -COVERED AUTOS
The coverage provided by this
2. EMPLOYEE HIRED"AUTOS" provision is afforded until
Description Of Covered Auto expiration or termination of
Designation Symbols;Symbol 8 is this policy, whichever occurs
replaced by the following: earlier.
8= Hired "Autos"Only - Only those The coverage provided by this
"autos"you lease, hire, rent or borrow; provision does not apply to
including "autos"your employee hires at any business entity described
your direction, for the purpose of in d. above that qualifies as an
conducting your business. This does not insured under any other
include any "auto"you lease, hire, rent, or automobile liability policy
borrow from any of your"employees" or issued to that business entity
partners or members of their households. as a named insured or would
have been an insured except
SECTION II -LIABILITY COVERAGE for the exhaustion of the
policy limits or the insolvency
3. BROADENED NAMED INSURED of the insurer.
The following is added to the SECTION II - The coverage provided by this
UABIUTY COVERAGE, Paragraph 1.Who provision does not apply to
Is An Insured provision: "bodily injury" nor"property
damage"arising from an
accident that occurred prior to
your acquiring or forming the
business entity described in d.
above.
Includes copyrighted material of Insurance Services Office, Inc. with its permission,
Copyright, Insurance Services Office, Inc., 1996
461-0155(9-97) Page 1 of 7
4. EMPLOYEES AS INSUREDS SECTION III -PHYSICAL DAMAGE
COVERAGE.
The following is added to the SECTION II -
UABILITY COVERAGE, Paragraph 1.Who 7. EXPENSE OF RETURNING A STOLEN
Is An Insured provision: "AUTO"and SIGN COVERAGE
e. Any employee of yours is an The following is added to SECTION III -
"insured"while using a covered PHYSICAL DAMAGE COVERAGE,A.1.
"auto" you do not own, hire or COVERAGE:
borrow in your business or your
personal affairs. d. Expense Of Returning A Stolen
"Auto"
5. SUPPLEMENTARY PAYMENTS
We will pay for the expense of
The following amends SECTION 11 - returning a covered "auto" to you.
LIABILITY COVERAGE, Paragraph 2.
Coverage Extensions provision: e. Sign Coverage
Paragraph (2)is replaced by the following: We will pay for loss to signs,
(2) Up to$2500 for cost of bail bonds murals, paintings or graphics,
(including bonds for related traffic as part of equipment, which are
law violations) required because displayed on a covered "auto".
of an "accident"we cover. We do
not have to furnish these bonds. The most we will pay for"loss" in
any one"accident" is the lesser
Paragraph (4)is replaced by the following: of:
(4) All reasonable expenses incurred
by the "insured" at our request, 1. The actual cash value of
including actual loss of earnings the property as of the
up to$500 a day because of time time of the"loss"; or
off from work. 2. The cost of repairing or
replacing the damaged or
6. AMENDED FELLOW EMPLOYEE stolen property with other
EXCLUSION property of like kind and
quality; or
The following is added to the SECTION II - 3. $2,000.
LIABILITY COVERAGE, B. Exclusions
Paragraph 5. Fellow Employee exclusion: 8. GLASS BREAKAGE DEDUCTIBLE
This exclusion does not apply if the The following is added to SECTION III -
"bodily injury" arises from the use of a PHYSICAL DAMAGE COVERAGE,A.
covered "auto"you own or hire. This COVERAGE paragraph 3.Glass Breakage-
coverage is excess over any other Hitting a Bird or Animal-Falling Objects
collectible insurance or Missiles:
Any deductible shown in the
Declarations as applicable to the
Includes copyrighted material of Insurance Services Office, Inc.with its permission.
Copyright, Insurance Services Office, Inc., 1996
461-0155(9-97) Page 2 of 7
HAInsurance roup_1109@p.
AWFD709922 5701660
covered "auto"will not apply to glass direction, for the purpose of
breakage if such glass is repaired, conducting your business, for a
rather than replaced. period of 30 days or less, of like
kind and use as the "autos"you
9. TRANSPORTATION EXPENSE own, subject to the following:
Paragraph 4.Coverage Extension. of The most we will pay for any one
SECTION Ill -PHYSICAL DAMAGE loss is the lesser of the following:
COVERAGE,A. COVERAGE is replaced
with the following: a. $50,000 per accident, or
b. cash value, or
4. Coverage Extension c. the cost of repair,
We will pay up to $50 per day to a minus the deductible equal to the
maximum of$1500 for temporary lowest deductible applicable to
transportation expense incurred any owned "auto" for that
by you because of the total theft of coverage. Any deductible shown
a covered "auto" of the private in the Declarations does not apply
passenger type. We will pay only to"loss"caused by fire or
for those covered "autos"for lightning. Subject to the limit and
which you carry either deductible stated above, we will
Comprehensive or Specified provide coverage equal to the
Causes of Loss Coverage. We will broadest coverage provided to
pay for temporary transportation any covered "auto" you own, that
expenses incurred during the is applicable to the loss.
period beginning 24 hours after
the theft and ending, regardless of If the loss arises from an accident
the policy s expiration,when the for which you are legally liable
covered "auto" is returned to use and the lessor incurs an actual
or we pay for its "loss". financial loss from that accident,
we will cover the lessor s actual
10. HIRED AUTO PHYSICAL DAMAGE financial loss of use of the hired
"auto" for a period of up to seven
The following is added to SECTION III - consecutive days from the date of
PHYSICAL DAMAGE COVERAGE,A. the accident, subject to a limit of
COVERAGE: $1,000 per accident.
5. Hired Auto Physical Damage 11. AUDIO, VISUAL AND DATA
ELECTRONIC EQUIPMENT COVERAGE
If hired "autos"are covered
"autos"for Liability Coverage and The following is added to SECTION III -
if Physical Damage Coverage of PHYSICAL DAMAGE COVERAGE,A.
Comprehensive, Specified Causes COVERAGE:
of Loss, or Collision is provided
under this Coverage Form for any 6. Audio,Visual and Data Electronic
"auto" you own, then the Physical Equipment Coverage
Damage Coverage(s) provided is
extended to "autos"you hire We will pay for"loss" to any
without a driver or your employee electronic equipment that receives
hires, without a driver, at your
Includes copyrighted material of Insurance Services Office, Inc.with its permission.
Copyright, Insurance Services Office, Inc., 1996
461-0155(9-97) Page 3 of 7
•
or transmits audio, visual or data equipment is permanently
signals and that is not designed installed in the covered
solely for the reproduction of "auto", and
sound. This coverage applies b. Permanently installed
only if the equipment Is in the opening of the dash
permanently installed in the or console normally used
covered "auto" at the time of the by the manufacturer for
"loss" or the equipment is the installation of a radio.
removable from a housing unit
which is permanently installed in With respect to coverage herein,
the covered auto at the time of the LIMIT OF INSURANCE
the"loss", and such equipment is provision of PHYSICAL DAMAGE
designed to be solely operated by COVERAGE is replaced by the
use of the power from the"auto s" following:
electrical system, in or upon the
covered "auto", including its 1. The most we will pay for all
antennas and other accessories. "loss"to audio, visual or data
However,this does not include electronic equipment and any
tapes, records or discs. accessories used with this
equipment as a result of any
The exclusions that apply to one'"accident" is the lesser of
PHYSICAL DAMAGE COVERAGE,
except for the exclusion relating to a. The actual cash value of
Audio, Visual and Data Electronic the damaged or stolen
Equipment, also apply to coverage property as of the time of
provided herein. In addition, the the"loss"; or
following exclusions apply: b. The cost of repairing or
replacing the damaged or
We will not pay , under this stolen property with other
coverage, for either any electronic property of like kind and
equipment or accessories used quality; or
with such electronic equipment c. $500.
that is:
2. An adjustment for
1. Necessary for the normal depreciation and physical
operation of the covered condition will be made in
"auto" or the monitoring of determining actual cash value
the covered "auto s" at the time of the"loss".
operating system; or
3. Deductibles applicable to
2. Both: PHYSICAL DAMAGE
COVERAGE,do not apply
a. An integral part of the to this Audio, Visual and Data
same unit housing any Electronic Equipment
sound reproducing Coverage.
equipment designed
solely for the If there is other coverage provided
reproduction of sound if by this policy for audio, visual and
the sound reproducing data electronic equipment, the
coverage provided herein is
Includes copyrighted material of Insurance Services Office, Inc.with its permission.
Copyright, Insurance Services Office, Inc., 1996
461-0155(9-97) Page 4 of 7
AHTeinover
Insurance Croup-
- AWFD709922 5701660
•
excess. However, you may elect covered"auto". If loss is
to apply the limit or any portion caused by theft, this
thereof of coverage provided number of days is added
herein to pay any deductible that to the number of days it
is applicable under the provisions takes to locate the covered
of the other coverage. "auto" and transport it to a
repair shop.
12. RENTAL REIMBURSEMENT and
MATERIAL TRANSFER EXPENSE 2. 60 days.
The following is added to SECTION III - Our payment is limited to the
PHYSICAL DAMAGE COVERAGE,A. lesser of the following amounts:
COVERAGE:
1. Necessary and actual
7. Rental Reimbursement and expenses incurred,
Material Transfer Expense including loss of use.
This coverage provides only those 2. $3000.
Physical Damage Coverages
where a premium is shown in the This auto rental expense coverage
Declarations. It applies only to a does not apply while there are
covered "auto" described or spare or reserve "autos" available
designated to which the Physical to you for your operations.
Damage Coverages apply.
If"loss" results from the total theft
We will pay for auto rental of a covered "auto" of the private
expenses and the expenses, passenger type,we will pay under
incurred by you because of loss" this coverage only that amount of
to a covered "auto", to remove your rental reimbursement
and transfer your materials and expenses which is not already
equipment from the covered provided for under the SECTION
"auto" . Payment applies in III-PHYSICAL DAMAGE
addition to the otherwise COVERAGE,A. 4. Coverage
applicable amount of each Extension.
coverage you have on a covered
"auto". No deductibles apply to 13. AIRBAG COVERAGE
this coverage.
The following is added to SECTION III -
We will pay only for those auto PHYSICAL DAMAGE COVERAGE,B.
rental expenses incurred during Exclusions, paragraph 3.
the policy period beginning 24
hours after the "loss" and ending, The portion of this exclusion relating to
regardless of the policy s mechanical or electrical breakdown does
expiration, with the lesser of the not apply to the accidental discharge of an
following number of days: airbag. This coverage is excess of other
collectible insurance or warranty. No
1. The number of days deductible applies to this Airbag
reasonably required to Coverage.
repair or replace the
Includes copyrighted material of Insurance Services Office, Inc.with its permission.
Copyright, Insurance Services Office, Inc., 1996
461-0155(9-97) Page 5 of 7
14. AUTO LOAN PHYSICAL DAMAGE imposed under a lease for excessive use,
EXTENSION abnormal wear and tear or high mileage;
security deposits not refunded by the
The following is added to SECTION III - lessor; cost for extended warranties,
PHYSICAL DAMAGE COVERAGE,C. Limit Credit Life Insurance, Health, Accident or
Of Insurance provision: Disability Insurance purchased with the
loan; and carry over balances from
When a "loss" results in a total loss to a previous leases.
covered auto you own for which a Loss
Payee is designated in this policy, the This coverage applies only to the initial
most we will pay for"loss" in any one lease for the covered "auto" which has not
"accident" is the greater of: previously been leased. This coverage is
excess over all other collectible
1. The actual cash value of the insurance.
damaged or stolen property as of
the time of the "loss"; or SECTION IV-CONDITIONS
2. The outstanding balance of the 16. DUTIES IN THE EVENT OF ACCIDENT,
initial loan, less any amounts for CLAIM, SUIT OR LOSS
taxes, overdue payments, overdue
payment charges, penalties, The following is added to SECTION IV -
interest , any charges for early BUSINESS AUTO CONDITIONS,A. Loss
termination of the loan, costs for Conditions,2. Dudes In The Event Of
Credit Life Insurance, Health, Accident, Claim,Suit Or Loss:
Accident or Disability Insurance
purchased with the loan, and d. Knowledge of any "accident",
carry-over balances from previous claim, "suit" or "loss" will be
loans. deemed knowledge by you when
notice of such "accident",
15. AUTO LEASE PHYSICAL DAMAGE claim, "suit" or "loss" has been
EXTENSION received by:
The following is added to SECTION III - (1) You, if you are an individual;
PHYSICAL DAMAGE COVERAGE,C. Limit (2) Any partner or insurance
Of Insurance provision: manager if you are a
partnership; or
If, because of damage, destruction or theft (3) An executive officer or
of a covered "auto", which is a long-term insurance manager if you are
leased "auto", the lease agreement a corporation.
between you and the lessor is terminated,
'we" will pay the difference between the 17. BLANKET WAIVER OF SUBROGATION
amount paid under paragraph C. LIMIT OF
INSURANCE 1. or 2. and the amount due Paragraph 5.Transfer Of Rights Of
at the time of loss" under the terms of Recovery Against Others To Us, SECTION
the lease agreement applicable to the IV- BUSINESS AUTO CONDITIONS,A.
leased 'auto"which you are required to Loss Conditions is replaced by the
pay: less any fees to dispose of the auto; following:
any overdue payments; financial penalties
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
Copyright, Insurance Services Office, Inc., 1996
461-0155(9-97) Page 6 of 7
Hanover
Insurance roup_
AWFD709922 5701660
5. Transfer Of Rights Of Recovery 19. HIRED AUTO -WORLDWIDE
Against Others To Us COVERAGE
If any person or organization to or The following is added to SECTION IV-
for whom we make payment Business Auto Conditions, B. General
under this Coverage Form has Conditions, paragraph 7. Policy Period,
rights to recover damages from Coverage Territory provision:
another, which have not been
waived through the execution of e. Outside the coverage territory
an "insured contract", written described in a., b., c.,and d.
agreement, or permit, prior to the above for an "accident" or loss"
"accident" or'loss" giving rise to resulting from the use of a
the payment, those rights to covered "auto" you hire, without a
recover damages from another driver, or your employee hires
are transferred to us. That person without a driver, at your direction,
or organization must do for the purpose of conducting your
everything necessary to secure business, for a period of 30 days
our rights and must do nothing or less, provided the suit is
after the "accident"or loss" to brought within The United States
impair them. of America or its territories or
possessions.
18. UNINTENTIONAL FAILURE TO
DISCLOSE INFORMATION SECTION V-DEFINITIONS
The following is added to SECTION IV 20. MENTAL ANGUISH
BUSINESS AUTO CONDmONS. B.
General Conditions, paragraph 2. Paragraph C. "Bodily injury", SECTION V-
Concealment, Misrepresentation Or Fraud: DEFINITIONS is replaced by the following:
Your unintentional error in disclosing, C. "Bodily injury" means bodily injury,
or failure to disclose, any material fact sickness or disease sustained by a
existing after the effective date of this person including death or mental
Coverage Form shall not prejudice anguish resulting from any of these.
your rights under this Coverage Form.
However, this provision does not affect
our right to collect additional premium
or exercise our right of cancellation or
nonrenewal.
Includes copyrighted material of Insurance Services Office, Inc. with Its permission.
Copyright, Insurance Services Office, Inc., 1996
461-0155(9-97) Page 7 of 7
WAVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
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.)
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Schedule
APPLIES AS BLANKET WAIVER
FOR THOSE HAVING A WRITTEN
CONTRACT WITH THE POLICY-
HOLDER REQUIRING WOS FOR
WC POLICYHOLDER EMPLOYEES
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 Policy No. Endorsement No.
Insured Koff&Associates Inc W2F-D709926-00 Premium
Insurance Company Countersigned by
Allmerica Financial Benefit Insurance
WC 00 03 13
(Ed.4-84) Copyright 1983 National Council on Compensation Insurance.