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HomeMy WebLinkAboutPPC Solutions, Inc. (ins ex 4.1.23)- 102521 *ci t(\3. i'Acy Cc Professional Services Agreement Extension Jefferson County Courthouse Private Security Screening Services The Professional Services Agreement, entered into on December 11, 2017, by and between Jefferson County, Washington, located at 1820 Jefferson Street, Port Townsend, WA 98368, and PPC Solutions, Inc., located at 18303 E. Appleway Ave., Spokane Valley, WA 99016, for the provision of private security screening services at the Jefferson County Courthouse is hereby extended for a period of one year until December 11, 2022,per the terms specified in Section IV. of the original agreement and as modified by the attached Exhibit C—Rate/cost Schedule. IN WITNESS THEREOF, County and PPC Solutions, have executed this Agreement on 0C ) r 2.s , 2021. 1,1 PPC Solutions, Inc. JEFFERSON COUNTY, WASHINGTON y Sheila Leslie By ate Dean, Chair PPC Solutions Principal Representative Board of County Commissioners ATTEST: Approved as to form only: 041., Cc October 20, 2021 Carolyn llaway U Philip C. Hunsucker Clerk of the Board Chief Civil Deputy Prosecuting Attorney Exhibit C— Rate/cost Schedule Labor rate-estimated hours Annual Hours Hourly Rate Total Three officers working 40 hrs/week(less 10 holidays) 5800 hrs x $23.25 = $134,850 Hours worked in excess of a standard 40-hour work week, at the request of the County, shall be billed at$32.93/hour Total annual cost shall not exceed $135,000 JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS CONSENT AGENDA REQUEST TO: Board of County Commissioners FROM: Mark McCauley,Interim County Administrator DATE: October 25,2021 SUBJECT: Request for Board of County Commissioners approval of a one-year Professional Services Agreement extension for Jefferson County Private Security Screening Services provided by PPC Solutions,Inc. STATEMENT OF ISSUE: The original Professional Services Agreement with PPC Solutions, Inc. approved by the Board on December 11, 2017 was for two years with three potential one-year extensions. Last year, the BOCC approved the first of these potential three one-year extensions. We are now asking the Board to approve the third of the three potential one- year extensions. ANALYSIS: Courthouse security is mandated by the Washington State Administrative Office of the Courts(AOC). The County secured the services of PPC Solutions, Inc. to be compliant with AOC rules regarding courthouse security. This contract extension will keep the County compliant with those rules. FISCAL IMPACT: The annual cost of the contract established in 2017 is$135,000,which is the proposal price plus $3,300 for potential overtime hours. The contract amount has been flat at$135,000 for four years. This amount is included in the County's baseline budget. Experience has shown that we typically underspend against this contract. This extension includes an increase in the hourly rate paid to the security staff(from$21.95 to$23.25) as indicated in the updated RFP Exhibit C—Rate/cost Schedule,which is attached to the original contract and to this contract extension. However,this will not change the$135,000 contract amount. Depending on events an increase in the contract amount could be necessary at some point. RECOMMENDATION: That the Board approve the third of three one-year extensions contemplated in the original Professional Services Agreement with PPC Solutions, Inc. REVIE BY: / z-0 t, McCauley, Int County Administr.0 Date CONTRACT REVIEW FORM CONTRACT WITH: PPC Solutions, Inc. - 3rd Yearly Extension TRACKING NO.: PPC 2022 3rd Ext. (Contractor/Consultant) CONTRACT FOR: Courthouse Security Screening Services TERM: Until Dec 11, 2022 COUNTY DEPARTMENT: Central Services For More Information Contact: Mark McCauley Contact Phone #: 360-385-9130 RETURN TO: Mark McCauley RETURN BY: ASAP (Person in Department) (Date) AMOUNT: $135,000 PROCESS: ❑ Exempt from Bid Process ❑ Consultant Selection Process Revenue General Fund ❑ Cooperative Purchase Expenditure $135,000 ❑ Competitive Sealed Bid Matching funds Required ❑ Small Works Roster Source(s)of Matching Funds ❑ Vendor List Bid RFP or RFQ ❑ Other Step 1: REVIEW BY RISK MANAGEMENT Review by: Date Reviewed: In APPROVED FORM n Return (See Comments) CommQ,„�Ig�ctronicany approved by Risk Manager -ent on iu/f uiu�i. Wb rly rate increase. One year extension. Same contract amount. Step 2: REVIEW BY PROSECUTING ATTORNEY Review by: Philip C. Hunsucker Date Reviewed: Chief Civil Deputy Prosecuting Attorney ❑ APPROVED AS TO FORM ❑ Returned for revision(See Comments) Comments t=ie on1c�ity approvea.as to form, Dp rH4 on 10202021. Cotff& nendi ibF f Pfort ii rN CIAKES REVISIONS & RESUBMITS TO RISK MANAGEMENT AND PROSECUTING ATTORNEY Step 4: CONTRACTOR/CONSULTANT SIGNS APPROPRIATE NUMBER OF ORIGINALS Step 5: SUBMIT TO BOCC FOR APPROVAL Submit original Contract(s),Agenda Request,and Contract Review form. Also,please send 2 copies of just the Contract(s)(with the originals)to the BOCC Office. Place"Sign Here"markers on all places the BOCC needs to sign. MUST be in BOCC Office by 4:30 p.m.TUESDAY for the following Monday's agenda. (This form to stay with contract throughout the contract review process.) 7ON s Board of County Commissioners co Jefferson Street 1820 T 4, a tr., Box 1220 O w ID Port Townsend WA 98368 tiIt . IS�II NG'S. Kate Dean,District 1 Heidi Eisenhour,District 2 Greg Brotherton,District 3 October 25,2021 PPC Solutions Attn: Sheila Leslie 18303 E.Appleway Av. Spokane Valley,WA 99016 Re: AGREEMENT,Extension No.3 re:Jefferson County Private Security Screening Services;In the Amount of$135,000;Jefferson County Central Services;PPC Solutions,Inc. Dear Ms. Leslie, Enclosed are two(2)Original Agreements re:AGREEMENT,Extension No.3 re:Jefferson County Private Security Screening Services;In the Amount of$135,000;Jefferson County Central Services; PPC Solutions,Inc. Please sign both(2)Originals. Keep one(1)Original for your own records and please return the other signed Original to the following address: Jefferson County Commissioners Office Attn:Julie Shannon PO Box 1220 Port Townsend,WA.98368 When returning the signed Original, please send a copy of your Proof of Insurance as stated in the Agreement. Please contact our office if you have any questions. Than you, • J -\(304 u Ah.nYion` ��r Executive Secretary II Jefferson County Commissioners Office 36o 385 9100 jshannon@co.jefferson.wa.us Enclosure /', PPCSOLU-01 KPHILLIPSI A�ORO RECEIVED DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 3/30/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPAINRI*I ERTJS1CATE 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 ThEFT ,INSS)I FR(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. ( c1MrtuCSIONFBc IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Debbie Johnston,CRM,CPCU,CIWCS,CPIW,ARM,AMIM,AINS NAME: Alliant Insurance Services,Inc. PHONE FA 818 W Riverside Ave Ste 800 (NC,No,Ext):_(208)770-3844 1(A/CX,No):(509)325-1803 Spokane,WA 99201 n* SS:debbie.johnston@alliant.com INSURER(S)AFFORDING COVERAGE NAIC S. INSURER A:Everest Indemnity Insurance Company 10851 INSURED INSURER B:Everest Denali Insurance Company 16044 PPC Solutions,Inc. INSURERC: 18303 E Appleway INSURER D: Spokane Valley,WA 99016 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LTR INSD wVD 1MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 1 CLAIMS-MADE X OCCUR X X 51GL016177221 K. .;4/112093 DAMAGE TO RENTED 500,000 PREMISES(Ea occurrence) S X $5,000 Ded Per Occur 10,000 MED EXP(My one person) $ X Includes E840 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY[xi j � LOC PRODUCTS-COMP/OP AGG 5 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ _ X ANY AUTO X X 51CAD00797221 4/1/2022 4/1/2023 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ DAMAGE AUTOS ONLY AUTOS ONEYY PROPERTY acciident) $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE X x 51CC006300221 4/1/2022 4/1/2023 AGGREGATE $ 10,000,000 DED X RETENTION$ 10,000 $ A WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE 51GL016177221 4/1/2022 4/1/2023 1,000,000 OFFICER/MEMBER EXCLUDED? .J N/A E.L.EACH ACCIDENT E (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Employers Liability is WA Stop Gap only. Workers Compensation coverage is not provided. RE:Jefferson County Courthouse Private Security Screening Services Jefferson County is additional insured as respects general liability per forms attached.General Liability coverage is primary non-contributory per forms attached.Additional insured status applies to automobile liability per forms attached.Waiver of Subrogation applies to the General Liability and Autoliability per forms attached.Umbrella follows form. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Jefferson CountyTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Director,Central Services P.O.Box 1220 1820 Jefferson Street AUTHORIZED REPRESENTATIVE Port Townsend,WA 98368 l Q: ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY Policy 51GL016177221 ECG 24 522 04 02 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: BLANKET WHERE REQUIRED BY CONTRACT (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV — COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your operations or "your work" done under a written agreement that requires you to waive your rights of recovery. The written agreement must be made prior to the date of the `occurrence". This waiver applies only to the person or organization shown in the Schedule above. ECG 24 522 04 02 Includes copyrighted material of Insurance Services Office, Page 1 of 1 Inc., with its permission. Policy 51GL016177221 COMMERCIAL GENERAL LIABILITY ECG 20 596 04 12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to D. With respect to the insurance afforded to an addi- include as an additional insured any person or or- tional insured, the following additional exclusions ganization for whom you are performing operations apply: when you and such person or organization have This insurance does not apply to: agreed in writing in a contract or agreement that such person or organization be added as an addi- 1. "Bodily injury", "property damage" or "personal tional insured on your policy. Such person or or- and advertising injury" arising out of any act or ganization is an additional insured only with re- omission of an additional insured or any of its spect to liability for "bodily injury", "property employees. damage" or "personal and advertising injury" but 2. "Bodily injury", "property damage" or "personal only to the extent caused, in whole or in part, by: and advertising injury" arising out of the render- 1. Your acts or omissions; or ing of, or the failure to render, any professional 2. The acts or omissions of those acting on your architectural, engineering or surveying ser- behalf; vices, including: in the performance of your ongoing operations for (a) The preparing, approving, or failing to pre- an additional insured. pare or approve, maps, shop drawings, opinions, reports, surveys, field orders, A person's or organization's status as an additional change orders or drawings and specifica- insured under this endorsement ends when your tions; or operations for that additional insured are corn- (b) Supervisory, inspection, architectural or pleted. engineering activities. B. The insurance afforded to an additional insured 2. "Bodily injury" or "property damage" occurring shall only include the insurance required by the after: terms of the written agreement and shall not be broader than the coverage provided within the (a) All work, including materials, parts or terms of the Coverage Part. equipment furnished in connection with C. The Limits of Insurance afforded to an additional such work, on the project (other than ser- vice, per- insured shall be the lesser of the following: maintenance or repairs) to be formed by or on behalf of an additional in- 1. The Limits of Insurance required by the written sured(s) at the location of the covered agreement between the parties; or operations has been completed; or 2. The Limits of Insurance provided by this Coy- (b) That portion of "your work" out of which the erage Part. injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontrac- tor engaged in performing operations for a principal as a part of the same project. ECG 20 596 04 12 Copyright, Everest Reinsurance Company 2009 Page 1 of 1 0 Includes copyrighted material of Insurance Services Office, Inc., used with its permission. COMMERCIAL AUTO ECA 04 506 02 14 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTO ENHANCEMENT ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM The following is a summary of the Limits of Insurance and additional coverage provided by this endorse- ment. For complete details on specific coverage, please refer to policy language in this endorsement and the underlying Business Auto Coverage Form. Coverage Applicable Enhancement Subsidiaries As Insureds Broadened Newly Acquired Organizations As Insureds Broadened Blanket Additional Insureds Broadened Employees As Insureds (Non-Ownership) Broadened Supplementary Payments—Bail Bonds $3,000 Limit Supplementary Payments —Loss Of Earnings $1,000 per day Fellow Employee Bodily Injury Broadened Towing Coverage—All Covered Autos Broadened Glass Breakage Coverage—Waiver of Deductible Broadened Loss of Use Expenses $50 per day $1,000 Limit Stolen Vehicle Extra Expense Broadened Airbag Discharge Broadened Electronic Equipment (Permanently Installed) Broadened Single Deductible Provision Broadened Notice To Company Broadened Blanket Waiver Of Subrogation Broadened Unintentional Failure To Disclose Hazards Broadened Bodily Injury Includes Mental Anguish Broadened Coverage Territory Extension - Mexico Broadened ECA 04 506 02 14 Copyright, Everest Reinsurance Company, 2014 Page 1 of 4 0 Includes copyrighted material of Insurance Services Office, Inc. used with its permission. A. Who Is An Insured (2) Is executed after the date of loss. The following is added to Paragraph A.1. of Sec- Paragraph e.(2) does not apply if: tion II—Covered Autos Liability Coverage: (1) The terms and conditions of the written d. Any: "insured contract" had been agreed upon (1) Subsidiary which is a legally incorporated prior to the "accident"or"loss"; and entity of which you own greater than 50% (2) You can definitively establish that the terms interest in the voting stock on the effective and conditions of the written "insured con- date of this Coverage Form. However, the tract" ultimately executed are the same as insurance afforded by this provision does those which had been agreed upon prior to not apply to any subsidiary that is an "in- the "accident" or"loss". sured" under any other automobile liability f. Any of your"employees"while using a covered policy, or would be an "insured" under such "auto" in your business or your personal affairs, policy but for the termination of such policy provided you do not own, hire or borrow that or the exhaustion of such policy's limits of "auto". insurance. B. Coverage Extensions -Supplementary (2) Organization you newly acquire or form, Payments and over which you maintain majority inter- est. Paragraphs A.2.a.(2) and A.2.a.(4) of Section II — Covered Autos Liability Coverage are replaced The coverage afforded by this provision: by the following: (a) Is effective on the acquisition date, and (2) Up to $3,000 for cost of bail bonds (including is afforded only until the 180th day after bonds for related traffic law violations) required you acquire or form the organization or because of an "accident" we cover. We do not the end of the policy period, whichever have to furnish these bonds. is earlier; (4) All reasonable expenses incurred by the "in- (b) Does not apply to "bodily injury" or sured" at our request, including actual loss of "property damage" resulting from an earnings up to $1,000 a day because of time "accident" that occurred before you ac- off from work. quired or formed the organization; and (c) Does not include any newly acquired or C. Fellow Employee formed organization that is: The following exception is added to exclusion 5. Fellow Employee under paragraph B. Exclu- (i) A joint venture or partnership; or sions of Section II — Covered Autos Liability (ii) An "insured" under any other auto- Coverage: mobile liability policy or would be an This exclusion does not apply if the "bodily injury" "insured" under such policy but for results from the use of a "covered auto" you own the termination of such policy or the or hire. The coverage provided under this excep- exhaustion of such policy's limits of tion is excess over any other collectible insurance. insurance. D. Towing e. Any person, organization or governmental entity with respect to the operation, mainte- Paragraph A.2. of Section III — Physical Damage nance, or use of a covered "auto" if you are re- Coverage is replaced by the following: quired to add such person, organization or 2. We will pay for towing and labor costs each governmental entity to this policy as an addi- time that a covered "auto" is disabled. All labor tional insured in order to comply with the terms must be performed at the place of disablement of a written "insured contract" or written of the covered "auto". If the auto is not a pri- agreement. This does not apply when such vate passenger type, a $250 deductible will contract or agreement: apply to this coverage but it will not reduce the (1) Involves the owner or anyone else from available limit of insurance. For all types of"au- whom you hire or borrow a covered "auto" to", the most we will pay under this coverage is unless it is a "trailer" connected to a coy- $1,000 per disablement. "Autos" which are dis- ered "auto" you own; or abled do not include stolen vehicles. Page 2 of 4 Copyright, Everest Reinsurance Company, 2014 ECA 04 506 02 14 0 Includes copyrighted material of Insurance Services Office, Inc. used with its permission. E. Glass Breakage—Hitting A Bird Or Animal — I. Electronic Equipment Coverage Falling Objects or Missiles Section III — Physical Damage Coverage is The following is added to Paragraph A.3. of Sec- amended as follows: tion III— Physical Damage Coverage: 1. The sublimit in Paragraph C.1.b. of the Limit Of Any deductible shown in the Declarations will not Insurance Provision is increased to$3,000. apply to glass breakage if such glass is repaired, 2. No Physical Damage Coverage deductible ap- in a manner acceptable to us, rather than re- plies to the first $3,000 of "loss" to electronic placed. If the glass must be replaced and there is equipment described in Paragraph C.1.b. of no other damage associated with the "loss", the the Limit Of Insurance Provision. deductible will be $100 unless a lower deductible J. Single Deductible Provision is shown in the Declarations applicable to this coverage. The following is added to Paragraph D. of Section Ill—Physical Damage Coverage: F. Loss Of Use Expenses If a Comprehensive or Specified Causes of Loss Paragraph A.4.b. of Section III — Physical Dam- Coverage "loss" from "accident" involves two or age Coverage is replaced by the following: more covered "autos", only the highest deductible b. Loss Of Use Expenses applicable to those coverages will be applied to For Hired Auto Physical Damage, we will pay the "accident", if the cause of the loss is covered expenses for which an "insured" becomes le- for those vehicles. gally responsible to pay for loss of use of a ve- This provision only applies if you carry Compre- hicle rented or hired without a driver, under a hensive or Specified Causes of Loss Coverage for written rental contract or agreement. We will those vehicles, and does not extend coverage to pay for loss of use expenses if caused by: any covered "autos" for which you do not carry (1) Other than collision only if the Declarations such coverage. indicate that Comprehensive Coverage is If a "loss" covered under this Coverage Part also provided for any covered "auto"; involves a "loss" to other property from the same (2) Specified Causes Of Loss only if the Decla- "accident", which is covered under a Commercial rations indicate that Specified Causes Of Property or Inland Marine Coverage Part issued Loss Coverage is provided for any covered by us to you, only the highest deductible applica "auto"; or ble to those coverages will be applied to the "acci- dent". (3) Collision only if the Declarations indicate that Collision Coverage is provided for any K. Notice To Company covered "auto". Paragraph A.2. of Section IV — Business Auto However, the most we will pay for any expens- Conditions is amended as follows: es for loss of use is$50 per day, to a maximum 1. With respect to notification requirements, your of$1,000. obligation under Paragraph A.2.a. applies only when the "accident" or"loss" is known to: G. Extra Expense—Stolen Vehicle The following is added to Paragraph A.4. of Sec- a. You, if you are an individual; tion III—Physical Damage Coverage: b. A partner, if you are a partnership; c. Stolen Vehicle c. A member, if you are a joint venture or We will pay for all reasonable and necessary limited liability company; or expenses to return a stolen covered "auto" to d. An executive officer or insurance manager, you. if you are an organization other than a part- H. Airbag Coverage nership, joint venture or limited liability The following exception is added to Paragraph company. B.3.a. of Section III — Physical Damage Cover- 2. With respect to the requirements pertaining to age: you providing us with document concerning a claim or"suit", your obligation under Paragraph The accidental discharge of an airbag shall not be A.2.b. will not be considered breached unless considered mechanical breakdown if it occurs in a the breach occurs after such claim or "suit" is covered "auto"for which Comprehensive coverage known to: is purchased. This provision does not apply to "au- tos" you hire with a driver and is excess over any a. You, if you are an individual; warranty specifically designed to provide this coy- b. A partner, if you are a partnership; erage. ECA 04 506 02 14 Copyright, Everest Reinsurance Company, 2014 Page 3 of 4 0 Includes copyrighted material of Insurance Services Office, Inc. used with its permission. c. A member, if you are a joint venture or N. Bodily Injury Includes Mental Anguish limited liability company; or Paragraph C. of Section V — Definitions is re- d. An executive officer or insurance manager, placed by the following: if you are an organization other than a part- nership, joint venture or limited liability C. "Bodily injury" means bodily injury, sickness or company. disease sustained by a person, including "men- tal anguish" or death resulting from any of L. Blanket Waiver Of Subrogation these at any time. The following is added to Paragraph A.S. of Sec- For the purpose of this provision, the term tion IV—Business Auto Conditions: "mental anguish" shall mean any type of men- a. However, we waive any right of recovery we tal or emotional illness or distress. may have against a person, organization or O. Mexico Coverage government entity when you have waived such right of recovery under a written "insured con- The coverage provided by this policy for covered tract"that is: "autos" you own or lease on a long term basis without drivers are extended to "accidents" or (1) Currently in effect or becoming effective "losses" occurring in Mexico if: during the term of this policy; and 1. The covered "auto" is in Mexico for a period not (2) Executed prior to the "accident" or"loss", or exceeding 10 days; and executed after the"accident" or"loss" if: 2. The covered "auto" is principally garaged and (a) The terms and conditions of the written used in the United States; and "insured contract" had been agreed up- on prior to the"accident" or"loss"; and 3. The driver of the covered "auto" does not re- (b) You can definitively establish that the side in Mexico; terms and conditions of the written "in- For Liability Coverage to apply to "accidents" oc- sured contract" ultimately executed are curring in Mexico, the following must also apply: the same as those which had been 1. Valid and collectible auto liability insurance for agreed upon prior to the "accident" or the covered "auto" has been purchased from a "loss". licensed Mexican Insurance Company and is in b. We hereby waive any right of subrogation force at the time of the"accident"; and against any of your officers, directors or em- 2. The original "suit" for damages is brought with- ployees which might arise by reason of any in the United States. payment under the insurance afforded by the For "losses" payable under Physical Damage policy for the operation, maintenance, use, Coverage this additional restriction applies: loading or unloading of a non-owned "auto". This waiver extends only to payments in ex- We will pay "losses" under Physical Damage Cov- cess of other valid and collectible insurance erage in the United States, not in Mexico. If the available to the officer, director or employee. covered "auto" must be repaired in Mexico in order M. Unintentional Failure To Disclose Hazards to be driven, then the most we will pay for"loss" is the lesser of the following: The following is added to Paragraph B.2. of Sec- 1. The cost of repairing the "auto" or replacing its tion IV—Business Auto Conditions: parts in Mexico; or If you unintentionally fail to disclose any hazards 2. The cost of repair or replacement at the near- existing on the effective date of this Coverage est point in the United States where the repairs Form, we will not deny coverage under this Coy- or replacement could be made. erage Form because of such failure. However, this provision does not affect our right to collect addi- Other Insurance: tional premium due to us as a result of these un- The insurance provided by this section will be ex- disclosed hazards in accordance with our filed rat- cess over any other collectible insurance. ing plans. Page 4 of 4 Copyright, Everest Reinsurance Company, 2014 ECA 04 506 02 14 0 Includes copyrighted material of Insurance Services Office, Inc. used with its permission. COMMERCIAL GENERAL LIABILITY Policy 51GL016177221 ECG 20 599 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS -AUTOMATIC STATUS WHEN REQUIRED IN WRITTEN CONTRACT OR AGREEMENT WITH YOU - INCLUDING COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to D. With respect to the insurance afforded to an include as an additional insured any person or additional insured, the following additional exclu- organization for whom you are performing opera- sions apply: tions, but only when you and such person or or- This insurance does not apply to: ganization have agreed in writing in a contract or agreement prior to the commencement of such 1. "Bodily injury", "property damage" or"personal operations that such person or organization be and advertising injury" arising out of any act or added as an additional insured on your policy. omission of an additional insured or any of its Such person or organization is an additional in- employees. sured only with respect to liability for "bodily in- 2. "Bodily injury", "property damage" or"personal jury", "property damage" or "personal and adver- and advertising injury" arising out of the ren- tising injury" but only to the extent caused, in dering of, or the failure to render, any archi- whole or in part, by: tectural, engineering or surveying services, 1. Your acts or omissions; or including: 2. The acts or omissions of those acting on your (a) The preparing, approving, or failing to behalf; prepare or approve, maps, shop drawings, he performance of "your work" for an addi opinions, reports, surveys, field orders, in the insured. change orders or drawings and specifica- tions; or B. The insurance afforded to an additional insured (b) Supervisory, inspection, architectural or shall only include the insurance required by the engineering activities. terms of the written agreement and shall not be broader than the coverage provided within the 3. "Bodily injury", "property damage" or"personal terms of the Coverage Part. and advertising injury" arising out of any con- struction projects that are part of a consoli- C. The Limits of Insurance afforded to an additional dated (wrap-up) insurance program. This ex- insured shall be the lesser of the following: clusion also applies to any: 1. The Limits of Insurance required by the writ- (a) Work or operations performed; or ten agreement between the parties; or 2. The Limits of Insurance provided by this (b) Materials, parts or equipment furnished; Cov- erage Part. in connection with such wrap-up construction projects, regardless of whether they are per- formed or furnished at the location of the wrap-up construction project or anywhere else. ECG 20 599 05 09 Copyright, Everest Reinsurance Company 2009 Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., used with its permission.