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HomeMy WebLinkAbout5606 �o��a cf S(�� PROFESSIONAL SERVICES AGREEMENT 1VIcKenna Falls Airburst System SCADA The City of Bremerton ("City") and L2 Systems, LLC ("Consultant"), referred to collectively as the"Parties,"enter into the following Agreement for professional services: I. Scope: The Consultant agrees to perform the services more specifically described in the Scope of Work,dated July 27,2016,including any attachments thereto,attached hereto as Exhibit A,which is incorporated by reference herein. The Scope of Work may be modified only pursuant to Section VII.H of this Agreement. If the Scope of Work provides for unspecified additional services such services shall only be performed upon the express written request of the City. Consultant further represents that the services furnished under this Agreement will be performed in accordance with generally accepted professional practices in effect at the time such services are performed. II. Term: The City and the Consultant agree that work will begin on the tasks described in Exhibit A immediately upon execution of this Agreement. The parties agree that the work described in Exhibit A is to be completed within 90 days of execution of this agreement,provided however, that additional time shall be granted by the City for excusable delays or extra work as provided for in Section IX.A of this agreement. III. Compensation: In consideration of the services provided pursuant to this Agreement,the City shall pay Consultant in an amount not to exceed$14,960. Of this amount, $11,960 is the base amount and $3,000 is management reserve, which will only be used if directed in writing by the City. Consultant's charges and bills shall confortn to the rates and fees indicated in Exhibit A. The Consultant shall submit regular billing statements detailing work performed and amount charged on each task or portion thereo£ The descriptions shall conform to and fall within the categories set out in the Scope of Work and/or Fee Schedule. Upon receipt of a conforming billing statement, the City shall promptly process payment. PROVIDED, HOWEVER, the City reserves the right to prioritize scoped work and accelerate andlor delay work tasks under the time frame set forth in Section II herein. The Consultant's labor rates and billing fees shall be as � delineated in Exhibit A. Consultant shall not perform work beyond the Scope of Work, nor shall be compensated for such work, unless the Scope of Work or amount of compensation is modified pursuant to this Agreement. Consultant shall only be compensated for additional services if requested pursuant to Section I and, if not otherwise provided, such compensation shall be in accordance with the fees indicated in Exhibit A. If a billing statement does not conform to this Agreement, the City may withhold payment until the statement is brought into compliance. Such withholding does not relieve Consultant of its obligations under this Agreement, Bremerton/L2 Svstem.s, LLC 111cKenna Falls Airburst Systen:SCADA Rev oz-�6 Page 1 of 7 IV. ltelationship of Parties: Consultant represents that it is skilled in the matters addressed in the Scope of Work and is performing independent functions and responsibilities within its field of expertise. Consultant and its personnel are independent Consultants and not employees of the City. Consultant and its personnel have no authority to bind the City or to control the City's employees and other Consultants. None of the benefits provided by the City to its employees, including, but not limited to,compensation, insurance,and unemployment insurance are available from the City to the employees, agents, representatives, or sub-Consultants of the Consultant. Consultant will be solely and entirely responsible for its acts and for the acts of Consultant's agents, employees, representatives and sub-Consultants during the performance of this Agreement. The City may, during the term of this Agreement, engage other independent Consultants to perform the same or similar work. As an independent Consultant, Consultant is responsible for its own management. The City's administration and enforcement of this Agreement shall not be deemed an exercise of managerial control over Consultant or its personnel. As an independent Consultant, Consultant is responsible for payment of all taxes and licensing fees necessary to perform its obligations under this Agreement. These taxes and fees include but are not limited to State industrial insurance,Business&Occupation,State professional licensing, and City business licensing. If any taxes or fees due the City have been declared delinquent,the City may withhold the delinquent amount,plus any additional charges arising from the delinquency, from any payments due Consultant. V. Indemnification: A. Consultant shall defend, indemnify and hold the City, its officers, officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or suits, including all legal costs and attorney fees, arising out of or in connection with the performance of this Agreement except for that portion of the injuries and damages caused by the City's sole negligence,unless Consultant is conducting work pursuant to Subsection B below. The City's review or acceptance of any of the work when completed shall not be grounds to avoid any of these covenants of indenuiification. B. Architects, Engineers and Any Other Professional Listed In and Performing Services Defined in RCW 4.24.115. Should a court of competent jurisdiction determine that Consultant's services provided pursuant to this Agreement is subject to RCW 4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the Consultant and the City, its officers, officials, employees, agents and volunteers, the Consultant's liability hereunder shall be only to the extent of the Consultant's negligence. IT IS FURTHER SPECIFICALLY AND EXPRESSLY UNDERSTOOD THAT THE INDEMNIFICATION PROVIDED HEREIN CONSTITUTES THE CONSULTANT'S WAIVER OF IMMUNITY LJNDER INDUSTRIAL INSURANCE, TITLE 51 RCW, SOLELY FOR THE Brenierton/L2 Sv.ctem.s. LLC McKenna Falls Airburst System SCADA Rei�U?-16 Page 2 of 7 PURPOSES OF THIS INDEMNIFICATION. THE PARTIES FURTHER ACKNOWLEDGE THAT THEY HAVE MUTUALLY NEGOTIATED THIS WAIVER. The provisions of this section shall survive the expiration or termination of this Agreement. Vl. Insurance: The Consultant shall procure and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by the Consultant, its agents, representatives, employees, sub-consultants or sub-Consultants. Before beginning work on the project described in this Agreement, the Consultant shall provide a Certificate of Insurance evidencing: 1. Automobile Liabilitv insurance with limits no less than$1,000,000 combined single limit per accident for bodily injury and property damage; and 2. Commercial General Liability insurance written on an occurrence basis with limits no less than $1,000,000 combined single limit per occurrence and general aggregate for personal injury, bodily injury and property damage. Coverage shall include but not be limited to: blanket contractual; products/completed operations/broad forni property damage; explosion,collapse and underground(XCU) if applicable; and 3. Excess Liability insurance with limits not less than 1,000,000 limit per occurrence and aggregate. 4. Professional Liabilitv insurance with limits no less than $1,000,000 limit per occurrence/claim. 5. Workers Compensation insurance as statutorily required by the Industrial Insurance Act of the State of Washington,Title 51,Revised Code of Washington and employer's liability with limits not less than$1,000,000. Any payment of deductible or self insured retention shall be the sole responsibility of the Consultant. All required policies shall be provided on an "occurrence" basis except professional liabiliry insurance (if required), which may be provided on a"claims-made"basis. The City shall be nained as an additional insured on the Commercial General Liability insurance policy, as respects work performed by or on behalf of the Consultant and a copy of an endorsement that is acceptable to the City, which names the City as an additional insured shall be attached to the Certificate of lnsurance. The City reserves the right to receive a certified copy of all the required insurance policies and endorsements. The City further reserves the right to reject any unacceptable policies and/or endorsements. The Consultant's Commercial General Liability insurance shall contain a clause stating that coverage shall apply separately to each insured against whom claim is made or suit is brought, except with respects to the limits of the insurer's liability. The Consultant's insurance shall be primary and non-contributory insurance as respects the City and shall contain a waiver of subrogation against the City for claims arising out of any Bremerton/L2 Sv.ctems, LLC McKenna Falls Aif•hur•st System SCADA Re,�02-16 Page 3 of 7 operations, liabilities and obligations to which coverage applies. It shall be an affirmative obligation upon Consultant to advise the City's Risk Manager by fax at (360) 473-5161, or by certified mail,return receipt requested to City of Bremerton,attn:Risk Management,345 6`"Street, Suite 600, Bremerton, WA 98337 within two days of the cancellation, suspension or substantive change of any insurance policy set out herein,and failure to do so shall be construed to be a breach of this Agreement. The City also reserves its unqualified right to require at any time and for any reason,proof of coverage in the form of a duplicate of the insurance policy with all endorsements as evidence of coverage. VII. General Conditions: A. Reports and lnformation: When requested by the City, Consultant shall furnish periodic reports and documents on matters covered by this Agreement. The reports and documents shall be furnished in the time and form requested. Consultant shall maintain accounting records in accordance with Generally Accepted Accounting Principles (GAAP) to substantiate all billed amounts. B. Ownership and Use of Records and Documents: Original documents, drawings, designs and reports, including those in electronic format, developed under this Agreement are the property of the City. All written information submitted by the City to the Consultant in connection with the services perfornied by the Consultant under this Agreement will be safeguarded by the Consultant to at least the same extent as the Consultant safeguards like infortnation relating to its own business. If such information is publicly available or is already in Consultant's possession or known to it,or is rightfully obtained by the Consultant from third parties,Consultant shall bear no responsibility for its disclosure, inadvertent or otherwise. All data, documents and files created by Consultant under this Agreement may be stored at Consultant's office in Everett, Washington. Consultant shall make such data, documents, and files available to the City upon its request at all reasonable times for the purpose of editing, modifying and updating as necessary until such time as the City is capable of storing such inforniation in the City's offices. Duplicate copies of this information shall be provided to the City upon its request, and at reasonable cost. All documcnts, including all reports, drawings, specifications, computer software or other items prepared or furnished by Consultant pursuant to this Agreement, are instruments of service with respect to the project and are the property of the City. Any reuse by the City for other than the specific purpose intended will be at City's sole risk. C. Use of Photo�ra�hs and Images. Consultant shall not use or distribute photographs or images depicting City officials, personnel, property, or equipment whether prepared by Consultant or provided by City without prior written consent of the City. The City will not unreasonably withhold its consent. Brernerton/L2 Si�stems, LLC McKe�:na Falls Airbur•st Systeni SCADA /tev oz-/6 Page 4 of 7 D. Work Performed at Consultant's Risk: Consultant shall take all precautions necessary and shall be responsible for the safety of its etnployees, agents, and sub-consultants in the performance of the work hereunder and shall utilize all protection necessary for that purpose. All work shall be done at Consultant's own risk, and Consultant shall be responsible for any loss of or damage to materials,tools,or other articles used or held for use in connection with the work. E. Place of Work: The Consultant shall perform the work authorized under this Agreement at its offices in Everett, Washington. Meetings with the City staff as described in Exhibit A, Scope of Work, shall take place at the City's offices, or at locations mutually agreed upon by the parties. F. Entire A�reement:This Agreement and its Exhibits constitutes the entire agreement between the Parties, and the Parties acknowledge that there are no other agreements, written or oral, that have not been set forth in the text of this Agreement. G. Severability: Should any part of this Agreement be found void, the balance of the Agreement shall remain in full force and effect. H. Modification: This Agreement may only be modified by written instrument signed by both Parties. I. Written Notices: All communications regarding this Agreement shall be sent to the parties at the addresses listed below by registered or 1 st class mail, or by personal service, and shall be deemed sufficiently given if sent to the addressee at the address stated in this Agreement or such other address as may be hereafter specified in writing. City Address: Consultant Address: City of Bremerton Engineering L2 Systems, LLC 3027 Olympus Drive 3322 16th Street Bremerton, WA 98310 Everett,WA 98201 J. Waiver: Failure to enforce any provision of this Agreement shall not be deemed a waiver of that provision. Waiver of any right or power arising out of this Agreement shall not be deemed waiver of any other right or power. , K. Non-Waiver of Breach: The failure of the City to insist upon strict performance of any of the covenants and agreements contained herein, or to exercise any option herein conferred in one or more instances shall not be construed to be a waiver or relinquishment of said covenants, agreements or options, and the same shall be and remain in full force and effect. L. Compliance with Laws: Consultant shall comply with all applicable Federal, State, and local laws in performing its obligations under this Agreement. Bremerton,/I.2 Sti�stems, LLC McKenna Falls Airburst Systen:SCADA Rev 02-16 Page S of 7 M. Choice of Law and Venue: This Agreement shall be interpreted according to the laws of the State of Washington. Any judicial action to resolve disputes arising out of this Agreement shall be brought in Kitsap County Superior Court. N. Attorneys' Fees: In the event of litigation to enforce any of the terms or provisions herein,each party shall pay all its own costs and attorney's fees. O. Assignment: Any assignment of this agreement by the Contractor without the written consent of the City shall be void. VIII. Nondiscrimination: Consultant shall not discriminate in employment or services to the public on the basis of race, color, national origin, sex, religion, age, marital status, disability, or sexual orientation except for employment actions based on bona fide occupational qualification. IX. Termination: This Agreement shall remain in force until completion and acceptance of the services, terminated by written instrument upon mutual consent, or by the City of Bremerton for convenience. This Agreement may be immediately terminated for cause by a Party if the other Party substantially fails to perform through no fault of the terminating Party, and the non- performing Party does not commence correction of the failure of performance within thirty (30) days of the terminating Party's sending notice to the non-performing Party. Any Notice by Consultant shall include a report showing the status of all items listed in the Scope of Work current through the termination date. If the City receives reimbursement by any federal, state, or other source for work described in Section I herein, and that funding is withdrawn, reduced or limited in any way, or the project is cancelled or substantially reduced after the execution date of this Agreement and prior to the completion of the work, the City may summarily terminate this Agreement. A. Excusable Dela� The right of Consultant to proceed shall not be terminated nor shall Consultant be charged with liquidated damages for any delays in the completion of the work due to: 1)any acts of the federal government in controlling,restricting,or requisitioning materials, equipment,tools, or labor by reason of war, national defense, or other national emergency; 2)any acts of the City, its consultants, or other public agencies causing such delay; and 3) causes not reasonably foreseeable by the parties at the time of the execution of the Agreement that are beyond the control and without the fault or negligence of the Consultant, including, but not restricted to, acts of God, fires, floods, strikes, or weather of unusual severity. PROVIDED, HOWEVER, that the Consultant must promptly notify the City within ten(10) calendar days in writing of the cause of the delay. If, on the basis of the facts and the terms of this Agreement, the delay is properly excusable, the City shall, in writing, extend the time for completing the work for a period of time commensurate with the period of excusable delay. B. Ri h�s Upon Termination: In the event of termination,the City shall pay for all services performed by the Consultant to the effective date of termination, as described on a final invoice submitted to the City. After termination, the City may take possession of all records and data within the Consultant's possession pertaining to this project which may be used by the City Bremerton/L2 Si�.rtems, LLC McKei:na Falls Airburst System SCADA Re��oz-�6 Page 6 of 7 �vithout restriction. Any such use not related to the project which Consultant was contracte�l to perform shall be with�ut liahility or legal exposure tu tt�r Cunsultant. X. Suspension c�ic Debarment. ��r c�ntracts involving Fe�teral funding, Consultant hereby ce��tifies, by si�ning this agreement, that neither it nor its principals are presently dcbarrcd, suspended, proposed for debarment,declared incligible, or v�luntarily excli�ded frurr� participati�n in this trans�ctioii by aiiy Frcleral �Irpartment or agency. Consultant shall provide immediate written notice to the City if at any time it learns that it is or has hec�me ineligible for certifictttion. 5hould Consultant enter into a covered transar.tiun vvith another ftrm,Consultant agrees by si�ning this a�reement that it�4ill verify that the firm with whom it intcnds to do business is not debarred, suspended, �ncligiblc, cxcludcd or disqtialified. CI'['Y O�' BREMERTON C.E)NS1II,TAN'1' G��,�� __ � (Sibnature) —i (Si nat re 8 By; Chal Martin Bv; �J'� �,�e�� (Print Name) (Print Name) its: Director of Public Works&Utilities ItS:_�,��;L�N�G� Date: o � l Uatc: � 8 � < npproved As to form: st: 1 13remerton C ity � ttorney City lerk Bren�erroit/L2 Syslems. LLC �b/cKc>>inn Fnlls Airhtrrst System SC.ADA �z�,,�z.rh rage 7 of 7 EXHIBIT A City of Bremerton Water ResourCes By: Glen Lee 100 Oyster Bay 7127/2016 Bremerton, Washington 98312 Attn: Bill Davis Re:McKenna Falls Airburst System SCADA Bill, L2 Systems is pleased to provide the following scope and pricing. 1. Update McKenna Falls Control Building PLC to interface with new AirBurst Control System and two new water level transducers.10 Hours 2. Provide programming for McKenna Falls Control Building PLC, Master PLC, and HMI at Oyster bay to resemble attached screen.Add alarming and alarm configuration for items as shown on page 3 at McKenna and Oyster Bay.40 Hours 3. Provide a trend view with differential level, sump level,turbidity, and compressor runtimes. Log data to SQL database for historical view.4 Hours 4. Update L2 McKenna Falls Screen building drawings to reflect changes.4 Hours 5. Provide onsite assistance with Operational Readiness Test(ORT), conduct a Site Acceptance Test(SAT). 3 Days—1 for supplier, 1 for City, 1 for Trouble/Rescheduled 6. Save copies of PanelView programming and PLC programming to the provided USB drive at the completion of the project. Hourly Rate: $115.00 Estimated Hours:89 @$115.00+5x TraveVFerry$345 Total$11,960.00 Please call,if you have any questions on the above, Thank You, Glen Lee L2 Systems, LLC GIen.Lee�L2SystemsLLC.com Office:425-258-2402 Mobile:425-923-8317 Fax:425-258-2439 L2 Systems LLC, License#L2SYSSL942QC L2 Systems, LLC 3322 16�'Street Everett,WA 98201 Phone: (425)258-2402 Fax: (425)258-2439 ACTUATOR Ol open closed fault nANu�A °",,,,,o . ; . READY DELAY COMPRESSOR LOW AIR HIGH AIR HIGH SCREEN ACTUATOR02 open closed fault FAULT p51 PSI HEADLO55 IANI.iA� ,�°�„v,o . AIR BURST EVERY 1zo MINUTES NEXT AIR BURST IN 61 MINUTES ACfUATOR 03 open closed fault AT SCREEN # 2 wa��,a� °� � wro � Differential set point 6 inches � LCP AT INTAKE COMPRESSOR 01 COMPRESSOR 02 �---.._ . � MAIN CONTROL PANEL � �,,,,,� ' � ,�L,,,°FP,,,,,, � READY STATUS �VALVE FAIL STATUS _ _.. + -- ---I r � HOURS RUN LOW OIL HOURS RUN LOW OIL I :---- ...._---------...---- � �■�..��� 1 �,.�...._.� �..�.� _��wr. � ��r����r� �a�....__.. �_.--w --- SYSTEM ON -�=' • - - ' - - ---�-------._._........ � a�r.��r� 2 � �� , �..�:_i�_�r �� �.r—+..�`�.l;�i� OFF ON i �,�""„ �:.�. -- ---. .....__.._..._..._ _. . r'�.�..""':' 3 _ - � ..�.,--:-, � . SYSTEM ��- __ NOTE: SCREEN 3 IS FURTHEST DOWNSTREAM From the shop client we want to see what positon the following switches are in, in the field: Power, On/Off All three actuator switches, Manual/Off/Auto Both compressor switches,Test/Off/Auto Also want to trend the differential level/sump level/comp. run times SCADA-AIR BURST SYSTEM ACTION PANELVIEW OFFICE ALARM CALLOUT ALARM TERMINOLOGY Valve 01 open Yes Yes No No �-- .. -- - ----- _.. ... . ---- .. __. _.. Valve 01 closed Yes Yes No No - - -. .... _. ... -� - --- -------- _.. ------ ....... ..... . ... _ _.... .. ---......----------..._.... ......._ Valve 01 fauit Yes Yes Yes Yes Actuator 01 fault � -- - - - - --.....__ - --------...--- - -- - -----._....... --. .. . ... ----- -. - --�-�-----------..... . ---...-- _.._ ------ -- Valve 01 auto Yes Yes No No -- --- - ... . .- - -..._..---- ------ - ..... __.._. ._.._._... ._ ..---.. ._..... --- -------- - - - Valve 01 manual Yes Yes No No -- - - -- - . _.. . _ . ---- ....... ----- - ......--- -- ---...__.. .._.. ........._ . .. .._ __ ...._.. ._.... . ._. _ Valve 02 open Yes Yes No No _.... - - . . _... .-------- - - --- ---- -- _.._. .-- -------- . _ ._.............._ ...-- ---.. ._... ...----- --- -- - - - .... Valve 02 Closed Yes Yes No No - - - - � - - ---- _. _..-- ----..._...- ------- ------ --.... Valve 02 fault Yes Yes Yes Yes Actuator 02 fault ----._.. ._ . . _ _ . - - --....... _ ._.._...._. _ Valve 02 auto Yes Yes No No _.. - .._. ---- -�- ----- -- --- - ------ -- - --......- -- -- ----. .._ _...._...__._._.._. .-�-- ---- - --- ---. . Valve 02 manual Yes Yes No No ------ - . . ... .._ ---. _. ----._._. .. _ _.. . .----...._ _.... . _ . ..._ ..._. . _ Valve 03 open Yes Yes No No .. ........ ... .. . ..... - - ------ - -- - ..--- - - ----- ---- -- - _ _ .... . . _. .. . . - ... . Valve 03 closed Yes Yes No No _. ... __ _ _ - -....- ---.. ... - ... .. _.._ . .. .._ ........ .. - ---- - --- ---.._ . Valve 03 fault Yes Yes Yes Yes Actuator 03 fault _ .. . - - --- - -- - - -- -------- ---._,. ..-- --- --- -- ---- --- - --�--... --- -- -- --... -- -- - ---- Valve 03 auto Yes Yes No No .--- ----- - -- ..... . ... ... ....... --- - - -----...__ ._ . _..._..-- ----....- -- - - - Valve 03 manual Yes Yes No No - -. _. . .- -- - _..- -- _.. --.... _ . ._.. - - - ----- . ..- ----. .. _.._..... - -- _ .... .-- - Air receiver low pressure Yes Yes _ Yes No Air receiver low psi --- -- --. _.... -----�--...-- ._.._. . ---- -- --- -•--.._.. ..-- ---- -.....__.......... ......_... _ Air receiver high pressure Yes Yes Yes No Air receiver high psi ---� - - - - ----- ._-------- - ...------------ -.. __. ._.. _..__ .. ....._ .._ ----- --- - - - --._._................----- - -.. .... . . ... -- High screen headloss Yes Yes Yes Yes High screen differential psi -- -- --- --- -- .._ _._._. . _..- ----------- ------- ------- �------ ---._._._ . . .. _�-------.._...._..._.. ........ ... .. .._....---- -- - -.... Pressure ready Yes Yes * No - ------ --- - - - �-------....-- - - --------- - --- ----------- _ ..___.._... Compressor 01 in auto Yes Yes No No _........ ... .... ... . ...... -- - -- -- . _ . _... ---...__ . -- -- ... ------ ---- -- -- - Compressor 01 running __ __ _ Yes Yes No No - --- -- - _ __ ..._._ _....._......--- -- .._..- - Compressor 01 low oil Yes Yes Yes _ No __ Compressor 01 low oil --- - _. ---- -. ._._.. . ._ _..-------..__._ _.............-- -- --. ,-- - -. .. _ Compressor 01 fault Yes _ Yes Yes Yes _ Compressor 01 fault .. . _ ... _.. _.... .. ----------- - -..... --- ......_ .. .. ---------........ ..... .... ..-..... ... . ..... - ----�------------�-- - - - Compressor 02 in auto Yes Yes No No _..__ .. .. --._ -- --....-----._._.._--------- _.._... ---� ---._ ._....... ............. .- -- --�---- -----------�-- ... ..._.. .. ...__... .- - -.. . .--- Compressor 02 running Yes Yes No No ----- ---. .. .., ...._......- ----. ._..._ .. _._. . _........._._.. ..... _......... . .. . .. ..._..._. .-----._.._... ..-- --- ----- — _._.... .. Compressor 02 low oil ____ ____ _ _ Yes Yes Yes No Compressor 02 low oil --- - - -- - ---.... ---- ---- -- -- -.. --... __.... - --...-- Compressor 02 fault Yes Yes Yes __ Yes _Compressor 02 fault ---- .. ... ._..- -- _ . ..._ .. .----- - - .._. . _....... - ....---------.__ _.. .......-- - -._._ ._.. - ---...._...._ ._ Channellevel Yes Yes No No ---- - -..... . -- - ----- - - --.. ... _._. ...- --- ---.. ._.... .... . .---- --- — ------- --�--... —....__. . .-- -- Sump level Yes - --. . .__........Yes .......-- - ---._N°..__._. No • AC® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10/27/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 Nicole Remacle HUMBLE & DAVENPORT INS BROKERS INC PHONE E C E I V E D (A/C.No.EMI: (425)226-8221 NC,No):(425)255-9342 3500 Maple Valley Hwy ADDREni SS: cole@humbledavenport.com INSURER(S)AFFORDING COVERAGE NAIC# Renton WA 98058 •I 4 2oIrJ'CC V 1 INSURER Western National Assurance _ 24465 _ INSURED INSURER B:Lloyds of London15642 L 2 Systems, LLC City of Bremerton INSURER C: 3322 16th Street Risk Management INSURER D: !^ !� n /� C INSURER E: ' \,'NV,f11` `N l//1 1tf \V. ,, Everett WA 98201 INSURER F: ��� COVERAGES CERTIFICATE NUMBER:GLAUUMELPro 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. NOTVVITHSTANDING 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 / DAMAGE TO RENTED A CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 100,000 X CPP1032664-06 11/15/2016 11/15/2017 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X PRO- POLICY JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER. $ 1,000,000 AUTOMOBILE LIABILITY COaBI dEDtSINGLE LIMIT $ 1,000,000 t/ A X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED r—I SCHEDULED CPP1032260-06 11/15/2016 11/15/2017 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) $ Medical payments $ 5,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,0007 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED X RETENTION$ 10,000 UMB1005317-06 11/15/2016 11/15/2017 $ WORKERS COMPENSATION PEROTH- AND EMPLOYERS'LIABILITY Y/N STATUTE X ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 '�OFFICER/MEMBER EXCLUDED? N/A A (Mandatory in NH) - CPP1032664-06 11/15/2016 11/15/2017 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below WA STOP GAP E.L.DISEASE-POLICY LIMIT $ 1,000,000 B PROFESSIONAL LIABILITY HPL15-0337 5/30/2016 5/30/2017 LIMIT $1,000,000 I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The certificate holder is named as additional insured with respects to the operations of the named insured. Coverage is primary and non-contributory per form WNGL49. Waiver of subrogation applies per form WNGL39. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Bremerton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Bremerton Public Works & Utilities ACCORDANCE WITH THE POLICY PROVISIONS. 100 Oyster Bay Ave N Bremerton, WA 98312 AUTHORIZED REPRESENTATIVE Nicole Remacle/NICOLE —�2�-"C- �eY``-�e � ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD I NS025/2014nn COMMERCIAL GENERAL LIABILITY WN GL 49 07 15 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS -- AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU PRIMARY AND NONCONTRIBUTORY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II —Who Is An Insured is amended to in- B. With respect to the insurance afforded to these ad- clude as an additional insured any person or or- ditional insureds, the following additional exclusion ganization for whom you are performing opera- applies: tions when you and such person or organization This insurance does not apply to: have agreed in writing in a contract or agreement that such person or organization be added as an 1. "Bodily injury", "property damage" or "personal additional insured on your policy. Such person or and advertising injury" arising out of the ren- organization is an additional insured only with re- dering of, or the failure to render, any profes- spect to liability for "bodily injury", "property dam- sional architectural, engineering or surveying age" or "personal and advertising injury" caused, services, including: in whole or in part, by: a. The preparing, approving, or failing to pre- 1. Your acts or omissions; or pare or approve, maps, shop drawings, 2. The acts or omissions of those acting on your opinions, reports, surveys, field orders, behalf; change orders or drawings and specifica- tions;or in the performance of your ongoing operations for the additional insured. b. Supervisory, inspection, architectural or engineering activities. A person's or organization's status as an additional This exclusion applies even if the claims insured under this endorsement ends when your operations for that additional insured are corn- against an additional insured allege negligence pleted. or other wrongdoing in the supervision, hiring, employment, training or monitoring of others However: by that insured, if the "occurrence" which 1. The insurance afforded to such additional incaused the "bodily injury" or "property dam- -sured only applies to the extent permitted by age", or the offense which caused the "person- Law; and al and advertising injury", involved the render- ing of or failure to render any professional 2. If coverage provided to the additional insured services by you with respect to your providing is required by a contract or agreement, the in- engineering, architectural or surveying serv- surance afforded to such additional insured ices in your capacity as an engineer, architect will not be broader than that which you are re- or surveyor. quired by the contract or agreement to provide for such additional insured. WN GL 49 07 15 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 1 of 2 2. "Bodily injury" or "property damage" occurring D. The following is added to the Other Insurance after: Condition and supersedes any provision to the contrary: a. All work, including materials, parts or equipment furnished in connection with Primary And Noncontributory Insurance such work, on the project(other than serv- This insurance is primary to and will not seek ice, maintenance or repairs) to be per any contribution from any other insurance formed by or on behalf of the additional in available to an additional insured under your sured(s) at the location of the covered op policy provided that: erations has been completed; or b. That portion of your work" out of which (1) The additional insured is a Named Insured the injury or damage arises has been put under such other insurance; and to its intended use by any person or or- (2) You have agreed in writing in a contract or ganization other than another contractor or agreement that this insurance would be subcontractor engaged in performing oper- primary and would not seek contribution ations for a principal as a part of the same from any other insurance available to the project. additional insured. C. With respect to the insurance afforded to these ad- ditional insureds, the following is added to Section HI—Limits Of Insurance: If coverage provided to the additional insured is re- quired by a contract or agreement. the most we will pay on behalf of the additional insured is: 1. The minimum amount required by the contract or agreement; or 2. The Limits of Insurance shown in the Declara- tions; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. WN GL 49 07 15 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 2 of 2 WN GL 39 07 15 COMMERCIAL GENERAL LIABILITY ENHANCEMENT ENDORSEMENT The Commercial General Liability Enhancement Endorsement is an optional endorsement that provides coverage enhancements. The following is a summary of broadened coverages provided by this endorsement. No coverage is provided by this summary, refer to following endorsement for changes in your policy. SUMMARY OF COVERAGES PAGE Bodily Injury And Property Damage Liability Non Owned Watercraft Up To 50 Feet 2 Property Damage Liability Elevators 3 Fire, Lightning, Explosion Or Sprinkler Leakage Exception 3 Borrowed Equipment ($25,000 Per Occurrence, $50,000 Aggregate, $2,500 Deductible Per Occurrence 3 Supplementary Payments—Amended Bail Bonds Up To$5,000 4 Loss of Earnings Up To$500/Day 4 Who Is An Insured Amendments Employee Bodily Injury To A Co-Employee 4 Newly Formed Or Acquired Organizations For Up To 180 Days 4 Blanket Additional Insured—Vendors—As Required By Contract 4 Blanket Additional Insured— Lessor Of Leased Equipment 6 Blanket Additional Insured—Managers Or Lessors Of Premises 6 Blanket Additional Insured—State Or Governmental Agency Or Subdivision Or Political Subdivision--Permits Or Authorizations 7 Blanket Additional Insured—State Or Governmental Agency Or Subdivision Or Political Subdivision—Permits Or Authorizations Relating To Premises 8 Damage To Premises Rented To You — $300,000 9 Medical Payments Increased Limit — $10,000 Or Amount Shown on Declarations 9 Conditions Knowledge of Occurrence, Offense, Claim Or Suit Amended 9 Unintentional Failure To Disclose Hazards 9 Waiver of Subrogation 10 Insured Contract Amended 10 Personal And Advertising Injury Redefined Televised, Videotaped Or Electronic Publication 10 WN GL 39 07 15 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 10 WN GL 39 07 15 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY COMMERCIAL GENERAL LIABILITY ENHANCEMENT ENDORSEMENT This endorsement modifies the insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM With respect to the coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. The SECTIONS of the Commercial General Liability Coverage Form identified in this endorsement will be amended as shown below. SECTION I—COVERAGES AMENDMENTS (4) Liability assumed under any "insured contract"for the ownership, maintenance or COVERAGE A — BODILY INJURY AND PROPERTY use of aircraft or watercraft; or DAMAGE LIABILITY (5) "Bodily injury" or "property damage"arising A. Non Owned Aircraft Or Watercraft out of: Item 2. Exclusions, Paragraph g. is replaced by (a) The operation of machinery or the following: equipment that is attached to, or part g. Aircraft,Auto Or Watercraft of, a land vehicle that would qualify under the definition of "mobile "Bodily injury" or "property damage" arising out equipment" if it were not subject to a of the ownership, maintenance, use or compulsory or financial responsibility entrustment to others of any aircraft, "auto" or law or other motor vehicle insurance watercraft owned or operated by or rented or law where it is licensed or principally loaned to any insured. Use includes operation garaged; or and"loading or unloading". (b) The operation of any of the machinery This exclusion applies even if the claims or equipment listed in Paragraph f. (2) against any insured allege negligence or other or f. (3) of the definition of "mobile wrongdoing in the supervision, hiring, equipment". employment, training or monitoring of others by that insured, if the "occurrence" which caused B. Damage To Property Coverage Extensions the "bodily injury" or "property damage" Item 2. Exclusions, Paragraph j. is replaced by the involved in the ownership, maintenance, use or following: entrustment to others of any aircraft, "auto" or watercraft that is owned or operated by or j. Damage To Property rented or loaned to any insured. "Property damage"to: This exclusion does not apply to: (1) Property you own, rent, or occupy, (1) A watercraft while ashore on premises you including any costs or expenses incurred own or rent; by you, or any other person, organization or entity, for repair, replacement, (2) A watercraft you do not own that is: enhancement, restoration or maintenance (a) Less than 50 feet long; and of such property for any reason, including prevention of injury to a person or damage (b) Not being used to carry persons or to another's property; property for a charge; (2) Premises you sell, give away or abandon, if This Subparagraph (2) applies to any the "property damage" arises out of any person, who with your expressed or implied part of those premises; consent, either uses or is responsible for the use of the watercraft; (3) Property loaned to you; (3) Parking an "auto" on, or on the ways next (4) Personal property in the care, custody or to, premises you own or rent, provided the control of the insured; "auto" is not owned by or rented or loaned to you or the insured; WN GL 39 07 15 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 2 of 10 (5) That particular part of real property on Paragraph (6) of this exclusion does not apply to which you or any contractors or "property damage" included in the subcontractors working directly or indirectly "products-completed operations hazard". on your behalf are performing operations, if the "property damage" arises out of those The insurance provided for"property damage"from operations; or the use of elevators and for "property damage" to (6) That particular part of any property that borrowed equipment is excess over any other valid must be restored, repaired or replaced and collectible property insurance (including any because "your work" was incorrectly deductible portion thereof) available to the insured performed on it. whether primary, excess, contingent or on any other basis. Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by C. Damage To Premises Rented To You fire, lightning, explosion or sprinkler leakage) to Item 2. Exclusions, the last paragraph is replaced premises, including the contents of such premises, rented to you for a period of seven or fewer by the following: consecutive days. A separate limit of insurance applies to Damage To Premises Rented To You as Exclusions c. through n. do not apply to damage by described in SECTION III — LIMITS OF fire, lightning, explosion or sprinkler leakage to INSURANCE. However, the provisions of this premises while rented to you or temporarily paragraph do not apply if coverage for Damage To occupied by you with permission of the owner. A Premises Rented To You is excluded by separate limit of insurance applies to this coverage endorsement. as described in Paragraph 6. of SECTION III — LIMITS OF INSURANCE. Paragraph (2) of this exclusion does not apply if the premises are"your work"and were never occupied, COVERAGE B — PERSONAL AND ADVERTISING rented or held for rental by you. INJURY LIABILITY Paragraphs (3) and (4) of this exclusion do not D. Personal And Advertising Injury apply to the use of elevators. Item 2. Exclusions is amended by replacing Paragraphs (3), (4). (5) and (6) of this exclusion do Sub paragraphs b, and c.with the following: not apply to liability assumed under a sidetrack b. Material Published With Knowledge Of agreement. Falsity Paragraph (4) of this exclusion does not apply to "Personal and advertising injury" arising out of "property damage" to borrowed equipment while oral, written, televised, videotaped or electronic not being used to perform operations at the jobsite. publication, in any manner, of material, if done Subject to Paragraph 2. of SECTION III — LIMITS by or at the direction of the insured with OF INSURANCE, the rules below fix the most we knowledge of its falsity. will pay for"property damage"under this provision: c. Material Published Prior To Policy Period (1) $25,000 any one "occurrence", regardless of "Personal and advertisinginjury" of the number of persons or organizations who 1 ry arisingor lout is sustain damages because of that"occurrence"; oral, written, televised, videotaped or electronic publication, in any manner, of material whose first publication took place before the beginning (2) $50,000 annual aggregate; and of the policy period. (3) We will pay only for damages in excess of $2,500 as a result of any one "occurrence", regardless of the number of persons or organizations who sustain damages because of that "occurrence". We may, or if required by law, pay all or any part of any deductible amount, if applicable, to effect settlement of any claim or"suit". Upon notice of our payment of a deductible amount, you shall promptly reimburse us for the part of the deductible amount we paid. WN GL 39 07 15 Includes copyrighted material of Insurance Services Office,Inc., with its permission. Page 3 of 10 SUPPLEMENTARY PAYMENTS—COVERAGES A The following are added: AND B C. Blanket Additional Insured — Vendors — As Required By Contract E. Supplementary Payments—Coverages A and B 1. Section II —Who Is An Insured is amended to Item 1. is amended by replacing Subparagraphs b. include as an additional insured any person(s) and d. with the following: or organization(s) (referred to throughout this endorsement as vendor) with whom you have b. Up to $5,000 for cost of bail bonds required agreed in a written contract, executed prior to because of accidents or traffic law violations loss, to name as an additional insured, but only arising out of the use of any vehicle to which with respect to "bodily injury" or "property the Bodily Injury Liability Coverage applies. We damage" arising out of "your products" which do not have to furnish these bonds. are distributed or sold in the regular course of the vendor's business. d. All reasonable expenses incurred by the insured at our request to assist us in the However, investigation or defense of the claim or "suit", a. The insurance afforded to such vendor only including actual loss of earnings up to $500 a applies to the extent permitted by law; and day because of time off from work. b. If coverage provided to the vendor is required by a contract or agreement, the SECTION II—WHO IS AN INSURED AMENDMENTS insurance afforded to such vendor will not be broader than that which you are A. Employee Bodily Injury To A Co-Employee required by the contract or agreement to provide for such vendor. Paragraph 2. a. (1) is replaced by the following: 2. With respect to the insurance afforded to these (1) "Bodily injury" or "personal and advertising vendors, the following additional exclusions injury": apply: (a) To you, to your partners or members (if you a. The insurance afforded the vendor does are a partnership or joint venture), to your not apply to: members (if you are a limited liability company), or to your other "volunteer (1) "Bodily injury" or "property damage" for workers" while performing duties related to which the vendor is obligated to pay the conduct of your business; damages by reason of the assumption of liability in a contract or agreement. (b) For which there is any obligation to share This exclusion does not apply to liability damages with or repay someone else who for damages that the vendor would must pay damages because of the injury have in the absence of the contract or described in Paragraph (1) (a) above; or agreement; (c) Arising out of his or her providing or failing (2) Any express warranty unauthorized by to provide professional health care you; services. (3) Any physical or chemical change in the B. Newly Acquired Organizations product made intentionally by the vendor; Paragraph 3. a. is replaced by the following: (4) Repackaging, except when unpacked a. Coverage under this provision is afforded only until the 180in day after you acquire or form the solelyforthepurpose of inspection, organization or the end of the policy period, demonstration, testing, oor the he whichever is earlier; substitution of parts under instructions from the manufacturer, and then repackaged in the original container; WN GL 39 07 15 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 4 of 10 (5) Any failure to make such inspections, 4. With respect to the insurance afforded to these adjustments, tests or servicing as the vendors, the following is added to Section III — vendor has agreed to make or normally Limits Of Insurance: undertakes to make in the usual course of business, in connection with the If coverage provided to the vendor is required distribution or sale of the products; by a contract or agreement, the most we will (6) Demonstration, installation, servicing or pay on behalf of the vendor is: repair operations, except such a. The minimum amount required by the operations performed at the vendor's contract or agreement; or premises in connection with the sale of the product; b. The Limits of Insurance shown in the (7) Products which, after distribution or Declarations; sale by you, have been labeled or whichever is less. relabeled or used as a container, part or ingredient of any other thing or This endorsement shall not increase the substance by or for the vendor; or applicable Limits of Insurance shown in the Declarations. (8) "Bodily injury or "property damage" arising out of the sole negligence of the 5. With respect to the insurance afforded to these vendor for its own acts or omissions or additional insureds, the following additional those of its employees or anyone else exclusion applies: acting on its behalf. However, this exclusion does not apply to: This insurance does not apply to: (i) The exceptions contained in a. "Bodily injury", "property damage" or Subparagraphs (4)or(6); or "personal and advertising injury" arising out of the rendering of, or the failure to render, (ii) Such inspections, adjustments, any professional architectural, engineering tests or servicing as the vendor or surveying services, including: has agreed to make or normally undertakes to make in the usual (1) The preparing, approving, or failing to course of business, in connection prepare or approve, maps, shop with the distribution or sale of the drawings, opinions, reports, surveys, products. field orders, change orders or drawings and specifications; or 3. This Provision C. does not apply: (2) Supervisory, inspection, architectural or a. To any insured person or organization from engineering activities. whom you have acquired such products, or any ingredient, part or container, entering This exclusion applies even if the claims against an additional insured into, accompanying or containing such allege negligence or other wrongdoing products; in the supervision, hiring, employment, b. To any vendor for which coverage as an training or monitoring of others by that additional insured specifically is scheduled insured, if the "occurrence" which by endorsement; or caused the " bodily injury"or" property c. When liability included within the damage", or the offense which caused "products-completed operations hazard" the "personal and advertising injury has been excluded for such product either involved the rendering of or failure to by the provisions of the coverage part or by render any professional services by endorsement. you with respect to your providing engineering, architectural or surveying services in your capacity as an engineer, architect or surveyor. WN GL 39 07 15 Includes copyrighted material of Insurance Services Office,Inc., with its permission. Page 5 of 10 D. Blanket Additional Insured — Lessor Of Leased 4. With respect to the insurance afforded to these Equipment additional insureds, the following additional exclusion applies: 1. Section II—Who Is An Insured is amended to This insurance does not apply to: include as an additional insured any person(s) or organization(s) from whom you lease a. "Bodily injury", "property damage" or equipment when you and such person(s) or "personal and advertising injury" arising out organization(s) have agreed in writing in a of the rendering of, or the failure to render, contract or agreement, executed prior to loss, any professional architectural, engineering that such person(s) or organization(s) be added or surveying services, including: as an additional insured on your policy. Such person(s) or organization(s) is an insured only (1) The preparing, approving, or failing to with respect to liability for "bodily injury", prepare or approve, maps, shop "property damage" or "personal and advertising drawings, opinions, reports, surveys, injury" caused, in whole or in part, by your field orders, change orders or drawings maintenance, operation or use of equipment and specifications; or leased to you by such person(s) or (2) Supervisory, inspection, architectural or organization(s). engineering activities. However, the insurance afforded to such additional insured: This exclusion applies even if the claims against an additional insured allege a. Only applies to the extent permitted by law; negligence or other wrongdoing in the and supervision, hiring, employment, training or b. Will not be broader than that which you are monitoring of others by that insured, if the required by the contract or agreement to "occurrence" which caused the "bodily provide for such additional insured. injury"or"property damage", or the offense which caused the "personal and advertising A person's or organization's status as an injury", involved the rendering of or failure additional insured under this endorsement ends to render any professional services by you when their contract or agreement with you for with respect to your providing engineering, such leased equipment ends. architectural or surveying services in your 2. With respect to the insurance afforded to these capacity as an engineer, architect or additional insureds, this insurance does not surveyor. apply to any "occurrence" which takes place E. Blanket Additional Insured — Managers Or after the equipment lease expires. Lessors Of Premises 3. With respect to the insurance afforded to these 1. Section Il —Who Is An Insured is amended to additional insureds, the following is added to include as an additional insured any person(s) Section III—Limits Of Insurance: or organization(s) with whom you have agreed If coverage provided to the additional insured is in a written contract, executed prior to loss, to required by a contract or agreement, the most name as an additional insured, but only with we will pay on behalf of the additional insured respect to liability arising out of the ownership, is: maintenance or use of that part of the premises leased to you, subject to the following a. The minimum amount required by the additional exclusions: contract or agreement; or This insurance does not apply to: b. The Limits of Insurance shown in the Declarations; a. Any "occurrence" which takes place after you cease to be a tenant in that premises. whichever is less. b. Structural alterations, new construction or This endorsement shall not increase the demolition operations performed by or on applicable Limits of Insurance shown in the behalf of such additional insured. Declarations. WN GL 39 07 15 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 6 of 10 However: F. Blanket Additional Insured — State Or a. The insurance afforded to such additional Governmental Agency Or Subdivision Or insured only applies to the extent permitted Political Subdivision -- Permits Or by law;and Authorizations b. If coverage provided to the additional Section II — Who Is An Insured is amended to insured is required by a contract or include as an additional insured any state or agreement, the insurance afforded to such governmental agency or subdivision or political additional insured will not be broader than subdivision with whom you have agreed in a written that which you are required by the contract contract, executed prior to loss, to name as an or agreement to provide for such additional additional insured, subject to the following insured. provisions: 2. With respect to the insurance afforded to these 1. This insurance applies only with respect to additional insureds, the following is added to operations performed by you or on your behalf Section III—Limits Of Insurance: for which the state or governmental agency or If coverage provided to the additional insured is subdivision or political subdivision has issued a required by a contract or agreement, the most permit or authorization. we will pay on behalf of the additional insured However: is: a. The insurance afforded to such additional a. The minimum amount required by the insured only applies to the extent permitted contract or agreement; or by law: and b. The Limits of insurance shown in the b. If coverage provided to the additional Declarations; insured is required by a contract or whichever is less. agreement, the insurance afforded to such additional insured will not be broader than This endorsement shall not increase the that which you are required by the contract applicable Limits of Insurance shown in the or agreement to provide for such additional Declarations. insured. 3. With respect to the insurance afforded to these 2. This insurance does not apply to: additional insureds, the following additional exclusion applies: a. "Bodily injury", "property damage" or This insurance does nota ! to: "personal and advertising injury" arising out apply of operations performed for the federal a. "Bodily injury", "property damage" or government, state or municipality; or "personal and advertising injury" arising out b. "Bodily injury" or "property damage" of the rendering of, or the failure to render, included within the "products-completed any professional architectural, engineering operations hazard". or surveying services, including: 3. With respect to the insurance afforded to these (1) The preparing, approving, or failing to additional insureds, the following is added to prepare or approve, maps, shop Section III—Limits Of Insurance: drawings, opinions, reports, surveys, field orders, change orders or drawings If coverage provided to the additional insured is and specifications; or required by a contract or agreement, the most we will pay on behalf of the additional insured (2) Supervisory, inspection, architectural or is: engineering activities. a. The minimum amount required by the This exclusion applies even if the claims contract or agreement; or against an additional insured allege negligence or other wrongdoing in the b. The Limits of Insurance shown in the supervision, hiring, employment, training or Declarations; monitoring of others by that insured, if the whichever is less. "occurrence" which caused the "bodily injury" or"property damage", or the offense This endorsement shall not increase the which caused the"personal and advertising applicable Limits of Insurance shown in the injury", involved the rendering of or failure Declarations. to render any professional services by you with respect to your providing engineering, architectural or surveying services in your capacity as an engineer, architect or surveyor. WN GL 39 07 15 includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 7 of 10 4. With respect to the insurance afforded to these b. The construction, erection or removal of additional insureds, the following additional elevators: or exclusion applies: c. The ownership, maintenance or use of any This insurance does not apply to: elevators covered by this insurance. a. "Bodily injury", "property damage" or However, "personal and advertising injury" arising out a. The insurance afforded to such additional of the rendering of, or the failure to render, insured only applies to the extent permitted any professional architectural, engineering by law; and or surveying services, including: b. If coverage provided to the additional (1) The preparing, approving, or failing to insured is required by a contract or prepare or approve, maps, shop agreement, the insurance afforded to such drawings, opinions, reports, surveys, additional insured will not be broader than field orders, change orders or drawings that which you are required by the contract and specifications; or or agreement to provide for such additional (2) Supervisory, inspection, architectural or insured. engineering activities. 2. With respect to the insurance afforded to these This exclusion applies even if the claims additional insureds, the following is added to against an additional insured allege Section III —Limits Of Insurance: negligence or other wrongdoing in the If coverage provided to the additional insured is supervision, hiring, employment, training or required by a contract or agreement, the most monitoring of others by that insured, if the we will pay on behalf of the additional insured "occurrence" which caused the "bodily injury"or"property damage", or the offense is: which caused the "personal and advertising a. The minimum amount required by the injury", involved the rendering of or failure contract or agreement; or to render any professional services by you with respect to your providing engineering, b. The Limits of Insurance shown in the architectural or surveying services in your Declarations: capacity as an engineer, architect or surveyor. whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the G. Blanket Additional Insured — State Or Declarations. Governmental Agency Or Subdivision Or Political Subdivision — Permits Or 3. With respect to the insurance afforded to these Authorizations Relating To Premises additional insureds, the following additional exclusion applies: Section II — Who Is An Insured is amended to include as an additional insured any state or This insurance does not apply to: governmental agency or subdivision or political a. "Bodily injury", "property damage" or subdivision with whom you have agreed in a written "personal and advertising injury" arising out contract, executed prior to loss, to name as an of the rendering of, or the failure to render, additional insured, subject to the following any professional architectural, engineering provision: or surveying services, including: 1. This insurance applies only with respect to the (1) The preparing, approving, or failing to following hazards for which the state or prepare or approve, maps, shop governmental agency or subdivision or political drawings, opinions, reports, surveys, subdivision has issued a permit or authorization field orders, change orders or drawings in connection with premises you own, rent or and specifications; or control and to which this insurance applies: (2) Supervisory, inspection, architectural or a. The existence, maintenance, repair, engineering activities. construction, erection or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, street banners or decorations and similar exposures: or WN GL 39 07 15 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 8 of 10 This exclusion applies even if the claims against an additional insured allege SECTION IV — COMMERCIAL GENERAL LIABILITY negligence or other wrongdoing in the CONDITIONS AMENDMENTS supervision, hiring, employment, training or monitoring of others by that insured, if the A. Knowledge Of Occurrence "occurrence" which caused the "bodily Item 2. Duties In The Event Of Occurrence, injury"or"property damage", or the offense Offense, Claim or Suit is amended by adding the which caused the "personal and advertising following: injury", involved the rendering of or failure to render any professional services by you e. You must give us or our authorized with respect to your providing engineering, representative prompt notice of an architectural or surveying services in your "occurrence", claim or loss only when the capacity as an engineer, architect or "occurrence", claim or loss is known to: surveyor. (1) You, if you are an individual; SECTION III — LIMITS OF INSURANCE (2) A partner, if you are a partnership; AMENDMENTS (3) An executive officer or insurance manager, A. Damage To Premises Rented To You if you are a corporation; or Paragraph 6. is replaced by the following: (4) A member or manager, if you are a limited 6. Subject to Paragraph 5. above, the most we liability company. will pay under Coverage A for damages B. Other Insurance because of "property damage" to any one Item 4. Other Insurance, b. Excess Insurance (1) premises, while rented to you, or in the case of (a)(ii) is replaced by the following: damage by fire, lightning, explosion or sprinkler leakage, while rented to you or temporarily (ii) That is fire, lightning, explosion or sprinkler occupied by you with permission of the owner leakage insurance for premises rented to you is the greater of: or temporarily occupied by you with permission of the owner; a. $300,000; or C. Unintentional Failure To Disclose Hazards b. The amount shown next to the Damage To Item 6. Representations is replaced by the Premises Rented To You Limit in the following: Declarations. 6. Representations And Unintentional Failure However, the provisions of this paragraph do To Disclose Hazards not apply if Damage To Premises Rented To a. By accepting this policy, you agree: You Coverage is excluded by endorsement. B. Medical Expense Limit (1) The statements in the Declarations are accurate and complete; Paragraph 7. is replaced with the following: (2) Those statements are based upon 7. Subject to Paragraph 5. above, the most we representations you made to us; and will pay under Coverage C for all medical expenses because of "bodily injury" sustained (3) We have issued this policy in reliance by any one person is the greater of: upon your representations. a. $10,000; or b. If you unintentionally fail to disclose any hazards existing at the inception date of b. The amount shown next to the Medical your policy, we will not deny coverage Expense Limit in the Declarations. under this Coverage Part because of such This insurance does not apply if coverage for failure. However, this provision does not Medical Expenses is excluded either by the affect our right to collect additional provisions of the coverage part or by premium or exercise our right of endorsement. cancellation or non-renewal. WN 01 39 07 15 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 9 of 10 D. Waiver of Subrogation SECTION V—DEFINITIONS AMENDMENTS Item 8. Transfer of Rights of Recovery Against A. Insured Contract Amended Others to Us is hereby amended by the addition of the following: Paragraph 9. a. is replaced by the following: We waive any right of recovery we may have a. A contract for a lease of premises. However, because of payments we make for injury or that portion of the contract for a lease of damage arising out of your ongoing operations or premises that indemnifies any person or "your work" done under a written contract, organization for damage by fire, lightning, executed prior to loss, requiring such waiver with explosion or sprinkler leakage to premises that person or organization and included in the while rented to you or temporarily occupied by "products-completed operations hazard". However, you with permission of the owner is not an our rights may only be waived prior to the "insured contract": "occurrence" giving rise to the injury or damage for which we make payment under this Coverage Part. D Personal And Advertising Injury Redefined The insured must do nothing after a loss to impair Paragraph 14. d. and e. are replaced by the our rights. At our request, the insured will bring following: "suit" or transfer those rights to us and help us enforce those rights. d. Oral, written, televised, videotaped or electronic publication of material that slanders or libels a person or organization or disparages a person's or organization's goods, products or service; e. Oral, written, televised, videotaped or electronic publication of material that violates a person's right of privacy; WN GI. 39 07 15 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 10 of 10 A��® DATE(MM/DD/YYYY) ACo CERTIFICATE OF LIABILITY INSURANCE 10/27J2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 Nicole Remacle NAME: HUMBLE & DAVENPORT INS BROKERS INC A//�,Nr o,Ext): (425)226-8221 FAX No):(425)255-9342 3500 Maple Valley Hwy ADDARIESS:nicole@humbledavenport.com RECEIVEDINSURER(S)AFFORDING COVERAGE NAIC# Renton WA 98058 2016 INSURER Western National Assurance '4465 INSURED N O y'/ 0 2 INSURER B:L1OydS of London � , . 14 642 L 2 Systems, LLC INSURER C: J'1 3322 16th Street INSURERD: /kms City of Bremerton Risk Management INSURER E: Everett WA 98201 INSURER F: COVERAGES CERTIFICATE NUMBER:GLAUUMELPro 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES PREMISES(Ea occurrence) $ X CPP1032664-06 11/15/2016 11/15/2017 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) A X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED CPP1032260-06 11/15/2016 11/15/2017 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) Medical payments $ 5,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED X RETENTION$ 10,000 Ubm1005317-06 11/15/2016 11/15/2017 $ WORKERS COMPENSATION PERX OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE N A E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? A (Mandatory in NH) CPP1032664-06 11/15/2016 11/15/2017 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below WA STOP GAP E.L.DISEASE-POLICY LIMIT $ 1,000,000 B PROFESSIONAL LIABILITY HPL15-0337 5/30/2016 5/30/2017 LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The certificate holder is named as additional insured with respects to the operations of the named insured. Coverage is primary and non-contributory per form WNGL49. Waiver of subrogation applies per form WNGL39. Completed operations apply per form WNGL84. CERTIFICATE HOLDER CANCELLATION (360) 473-5161 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Bremerton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Risk Management ACCORDANCE WITH THE POLICY PROVISIONS. 345 6th Street Suite 600 AUTHORIZED REPRESENTATIVE Bremerton, WA 98337 Nicole Remacle/NICOLE 'C- - -te,--e ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(7m401i COMMERCIAL GENERAL LIABILITY WN GL 49 07 15 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS -- AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU PRIMARY AND NONCONTRIBUTORY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II —Who Is An Insured is amended to in- B. With respect to the insurance afforded to these ad- clude as an additional insured any person or or- ditional insureds, the following additional exclusion ganization for whom you are performing opera- applies: tions when you and such person or organization This insurance does not apply to: have agreed in writing in a contract or agreement that such person or organization be added as an 1. "Bodily injury", "property damage" or "personal additional insured on your policy. Such person or and advertising injury" arising out of the ren- organization is an additional insured only with re- dering of, or the failure to render, any profes- spect to liability for "bodily injury", "property dam- sional architectural, engineering or surveying age" or "personal and advertising injury" caused, services, including: in whole or in part, by: a. The preparing, approving, or failing to pre- 1. Your acts or omissions; or pare or approve, maps, shop drawings, 2. The acts or omissions of those acting on your opinions, reports, surveys, field orders, behalf; change orders or drawings and specifica- tions;or in the performance of your ongoing operations for the additional insured. b. Supervisory, inspection, architectural or engineering activities. A person's or organization's status as an additional This exclusion applies even if the claims insured under this endorsement ends when your against an additional insured allege negligence operations for that additional insured are cornor other wrongdoing in the supervision, hiring, pleted. employment, training or monitoring of others However: by that insured, if the "occurrence" which 1. The insurance afforded to such additional in caused the "bodily injury" or "property dam- - only applies to the extent permitted by age", or the offense which caused the "person and al and advertising injury", involved the render- law; ing of or failure to render any professional 2. If coverage provided to the additional insured services by you with respect to your providing is required by a contract or agreement, the in- engineering, architectural or surveying serv- surance afforded to such additional insured ices in your capacity as an engineer, architect will not be broader than that which you are re- or surveyor. quired by the contract or agreement to provide for such additional insured. WN GL 49 07 15 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 1 of 2 2. "Bodily injury" or "property damage" occurring D. The following is added to the Other Insurance after: Condition and supersedes any provision to the contrary: a. All work, including materials, parts or equipment furnished in connection with Primary And Noncontributory Insurance such work, on the project (other than serv- This insurance is primary to and will not seek ice, maintenance or repairs) to be per any contribution from any other insurance formed by or on behalf of the additional in available to an additional insured under your sured(s) at the location of the covered op- erations has been completed; or policy provided that: b. That portion of "your work" out of which (1) The additional insured is a Named Insured the injury or damage arises has been put under such other insurance; and to its intended use by any person or or- (2) You have agreed in writing in a contract or ganization other than another contractor or agreement that this insurance would be subcontractor engaged in performing oper- primary and would not seek contribution ations for a principal as a part of the same from any other insurance available to the project. additional insured. C. With respect to the insurance afforded to these ad- ditional insureds, the following is added to Section til—Limits Of Insurance: If coverage provided to the additional insured is re- quired by a contract or agreement, the most we will pay on behalf of the additional insured is: 1. The minimum amount required by the contract or agreement; or 2. The Limits of Insurance shown in the Declara- tions; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. WN GL 49 07 15 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 2 of 2 WN GL 39 07 15 COMMERCIAL GENERAL LIABILITY ENHANCEMENT ENDORSEMENT The Commercial General Liability Enhancement Endorsement is an optional endorsement that provides coverage enhancements. The following is a summary of broadened coverages provided by this endorsement. No coverage is provided by this summary, refer to following endorsement for changes in your policy. SUMMARY OF COVERAGES PAGE Bodily Injury And Property Damage Liability Non Owned Watercraft Up To 50 Feet 2 Property Damage Liability Elevators 3 Fire, Lightning, Explosion Or Sprinkler Leakage Exception 3 Borrowed Equipment ($25,000 Per Occurrence, $50,000 Aggregate, $2,500 Deductible Per Occurrence 3 Supplementary Payments—Amended Bail Bonds Up To$5,000 4 Loss of Earnings Up To$500/Day 4 Who Is An Insured Amendments Employee Bodily Injury To A Co-Employee 4 Newly Formed Or Acquired Organizations For Up To 180 Days 4 Blanket Additional Insured—Vendors—As Required By Contract 4 Blanket Additional Insured—Lessor Of Leased Equipment 6 Blanket Additional Insured—Managers Or Lessors Of Premises. 6 Blanket Additional Insured—State Or Governmental Agency Or Subdivision Or Political Subdivision—Permits Or Authorizations 7 Blanket Additional Insured—State Or Governmental Agency Or Subdivision Or Political Subdivision—Permits Or Authorizations Relating To Premises 8 Damage To Premises Rented To You — $300,000 9 Medical Payments Increased Limit — $10,000 Or Amount Shown on Declarations 9 Conditions Knowledge of Occurrence, Offense, Claim Or Suit Amended 9 Unintentional Failure To Disclose Hazards 9 Waiver of Subrogation 10 Insured Contract Amended 10 Personal And Advertising Injury Redefined Televised. Videotaped Or Electronic Publication 10 WN GL 39 07 15 Includes copyrighted material of insurance Services Office, Inc.,with its permission. Page 1 of 10 WN GL 39 07 15 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY COMMERCIAL GENERAL LIABILITY ENHANCEMENT ENDORSEMENT This endorsement modifies the insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM With respect to the coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. The SECTIONS of the Commercial General Liability Coverage Form identified in this endorsement will be amended as shown below. SECTION I—COVERAGES AMENDMENTS (4) Liability assumed under any "insured contract"for the ownership, maintenance or COVERAGE A — BODILY INJURY AND PROPERTY use of aircraft or watercraft; or DAMAGE LIABILITY (5) "Bodily injury" or "property damage" arising A. Non Owned Aircraft Or Watercraft out of: Item 2. Exclusions, Paragraph g. is replaced by (a) The operation of machinery or the following: equipment that is attached to, or part g. Aircraft, Auto Or Watercraft of, a land vehicle that would qualify under the definition of "mobile "Bodily injury" or "property damage" arising out equipment" if it were not subject to a of the ownership, maintenance, use or compulsory or financial responsibility entrustment to others of any aircraft, "auto" or law or other motor vehicle insurance watercraft owned or operated by or rented or law where it is licensed or principally loaned to any insured. Use includes operation garaged; or and"loading or unloading". (b) The operation of any of the machinery This exclusion applies even if the claims or equipment listed in Paragraph f. (2) against any insured allege negligence or other or f. (3) of the definition of "mobile wrongdoing in the supervision, hiring, equipment". employment, training or monitoring of others by that insured, if the "occurrence" which caused B. Damage To Property Coverage Extensions the "bodily injury" or "property damage" Item 2. Exclusions, Paragraph j. is replaced by the involved in the ownership, maintenance, use or following: entrustment to others of any aircraft, "auto" or watercraft that is owned or operated by or j. Damage To Property rented or loaned to any insured. "Property damage"to: This exclusion does not apply to: (1) Property you own, rent, or occupy, (1) A watercraft while ashore on premises you including any costs or expenses incurred own or rent; by you, or any other person, organization or entity, for repair, replacement, (2) A watercraft you do not own that is: enhancement, restoration or maintenance (a) Less than 50 feet long; and of such property for any reason, including prevention of injury to a person or damage (b) Not being used to carry persons or to another's property; property for a charge; (2) Premises you sell, give away or abandon, if This Subparagraph (2) applies to any the "property damage" arises out of any person, who with your expressed or implied part of those premises; consent, either uses or is responsible for the use of the watercraft; (3) Property loaned to you; (3) Parking an "auto" on, or on the ways next (4) Personal property in the care, custody or to, premises you own or rent, provided the control of the insured; "auto" is not owned by or rented or loaned to you or the insured; WN GL 39 07 15 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 2 of 10 (5) That particular part of real property on Paragraph (6) of this exclusion does not apply to which you or any contractors or "property damage" included in the subcontractors working directly or indirectly "products-completed operations hazard". on your behalf are performing operations, if the "property damage" arises out of those The insurance provided for"property damage"from operations; or the use of elevators and for "property damage" to (6) That particular part of any property that borrowed equipment is excess over any other valid must be restored, repaired or replaced and collectible property insurance (including any because "your work" was incorrectly deductible portion thereof) available to the insured performed on it. whether primary, excess, contingent or on any other basis. Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by C. Damage To Premises Rented To You fire, lightning, explosion or sprinkler leakage) to Item 2. Exclusions, the last paragraph is replaced premises, including the contents of such premises, by the following: rented to you for a period of seven or fewer consecutive days. A separate limit of insurance applies to Damage To Premises Rented To You as Exclusions c. through n. do not apply to damage by described in SECTION III — LIMITS OF fire, lightning, explosion or sprinkler leakage to INSURANCE. However, the provisions of this premises while rented to you or temporarily paragraph do not apply if coverage for Damage To occupied by you with permission of the owner. A Premises Rented To You is excluded by separate limit of insurance applies to this coverage endorsement. as described in Paragraph 6. of SECTION III — LIMITS OF INSURANCE. Paragraph (2) of this exclusion does not apply if the premises are "your work"and were never occupied, COVERAGE B — PERSONAL AND ADVERTISING rented or held for rental by you, INJURY LIABILITY Paragraphs (3) and (4) of this exclusion do not D. Personal And Advertising Injury apply to the use of elevators. Item 2. Exclusions is amended by replacing Paragraphs (3), (4), (5) and (6) of this exclusion do Sub paragraphs b, and c.with the following: not apply to liability assumed under a sidetrack b. Material Published With Knowledge Of agreement. Falsity Paragraph (4) of this exclusion does not apply to "Personal and advertising injury" arising out of "property damage" to borrowed equipment while oral, written, televised, videotaped or electronic not being used to perform operations at the jobsite. publication, in any manner, of material, if done Subject to Paragraph 2. of SECTION III — LIMITS by or at the direction of the insured with OF INSURANCE, the rules below fix the most we knowledge of its falsity. will pay for"property damage"under this provision: c. Material Published Prior To Policy Period (1) $25,000 any one "occurrence", regardless of "Personal and advertising injury" arising out of the number of persons or organizations who oral, written, televised, videotaped or electronic sustain damages because of that"occurrence"; publication, in any manner, of material whose first publication took place before the beginning (2) $50,000 annual aggregate; and of the policy period. (3) We will pay only for damages in excess of $2,500 as a result of any one "occurrence", regardless of the number of persons or organizations who sustain damages because of that `occurrence". We may, or if required by law, pay all or any part of any deductible amount, if applicable, to effect settlement of any claim or"suit". Upon notice of our payment of a deductible amount, you shall promptly reimburse us for the part of the deductible amount we paid. WN GL 39 07 15 Includes copyrighted material of Insurance Services Office,Inc., with its permission. Page 3 of 10 SUPPLEMENTARY PAYMENTS—COVERAGES A The following are added: AND B C. Blanket Additional Insured — Vendors — As E. Supplementary Payments—Coverages A and B Required By Contract 1. Section 11—Who Is An Insured is amended to Item 1. is amended by replacing Subparagraphs b. include as an additional insured any person(s) and d.with the following: or organization(s) (referred to throughout this endorsement as vendor) with whom you have b. Up to $5,000 for cost of bail bonds required agreed in a written contract, executed prior to because of accidents or traffic law violations loss, to name as an additional insured, but only arising out of the use of any vehicle to which with respect to "bodily injury" or "property the Bodily Injury Liability Coverage applies. We damage" arising out of 'your products" which do not have to furnish these bonds. are distributed or sold in the regular course of the vendor's business. d. All reasonable expenses incurred by the insured at our request to assist us in the However, investigation or defense of the claim or "suit", a. The insurance afforded to such vendor only including actual loss of earnings up to $500 a applies to the extent permitted by law;and day because of time off from work. b. If coverage provided to the vendor is required by a contract or agreement, the SECTION II—WHO IS AN INSURED AMENDMENTS insurance afforded to such vendor will not be broader than that which you are A. Employee Bodily Injury To A Co-Employee required by the contract or agreement to provide for such vendor. Paragraph 2. a. (1)is replaced by the following: 2. With respect to the insurance afforded to these (1) "Bodily injury" or "personal and advertising vendors, the following additional exclusions injury": apply: (a) To you, to your partners or members (if you a. The insurance afforded the vendor does are a partnership or joint venture), to your not apply to: members (if you are a limited liability company), or to your other "volunteer (1) "Bodily injury" or"property damage" for workers" while performing duties related to which the vendor is obligated to pay the conduct of your business; damages by reason of the assumption of liability in a contract or agreement. (b) For which there is any obligation to share This exclusion does not apply to liability damages with or repay someone else who for damages that the vendor would must pay damages because of the injury have in the absence of the contract or described in Paragraph(1) (a)above; or agreement; (c) Arising out of his or her providing or failing (2) Any express warranty unauthorized by to provide professional health care you; services. (3) Any physical or chemical change in the B. Newly Acquired Organizations product made intentionally by the Paragraph 3. a. is replaced by the following: vendor; a. Coverage under thisprovision is afforded only (4) Repackaging, except when unpacked 9 solely for the purpose of inspection, until the 180m day after you acquire or form the demonstration, testing, or the organization or the end of the policy period, substitution of parts under instructions whichever is earlier; from the manufacturer, and then repackaged in the original container; WN GL 39 07 15 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 4 of 10 (5) Any failure to make such inspections, 4. With respect to the insurance afforded to these adjustments, tests or servicing as the vendors, the following is added to Section III — vendor has agreed to make or normally Limits Of Insurance: undertakes to make in the usual course of business, in connection with the If coverage provided to the vendor is required distribution or sale of the products; by a contract or agreement, the most we will pay on behalf of the vendor is: (6) Demonstration, installation, servicing or repair operations, except such a. The minimum amount required by the operations performed at the vendor's contract or agreement;or premises in connection with the sale of the product; b. The Limits of Insurance shown in the (7) Products which, after distribution or Declarations: sale by you, have been labeled or whichever is less. relabeled or used as a container, part or ingredient of any other thing or This endorsement shall not increase the substance by or for the vendor; or applicable Limits of Insurance shown in the Declarations. (8) "Bodily injury or "property damage" arising out of the sole negligence of the 5. With respect to the insurance afforded to these vendor for its own acts or omissions or additional insureds, the following additional those of its employees or anyone else exclusion applies: acting on its behalf. However, this exclusion does not apply to: This insurance does not apply to: (1) The exceptions contained in a. "Bodily injury", "property damage" or Subparagraphs (4)or(6); or "personal and advertising injury" arising out of the rendering of, or the failure to render, (ii) Such inspections, adjustments, any professional architectural, engineering tests or servicing as the vendor or surveying services, including: has agreed to make or normally (1) The preparing, approving, or failing to undertakes to make in the usual course of business, in connection prepare or approve, maps, shop with the distribution or sale of the drawings, opinions, reports, surveys, products. field orders, change orders or drawings and specifications; or 3. This Provision C. does not apply: (2) Supervisory,inspection, architectural or a. To any insured person or organization from engineering activities. whom you have acquired such products, or any ingredient, part or container, entering This exclusion applies even if the into, accompanying or containing such claims against an additional insured products; allege negligence or other wrongdoing in the supervision, hiring, employment, b. To any vendor for which coverage as an training or monitoring of others by that additional insured specifically is scheduled insured, if the "occurrence" which by endorsement; or caused the " bodily injury"or" property c. When liability included within the damage", or the offense which caused "products-completed operations hazard" the "personal and advertising injury", has been excluded for such product either involved the rendering of or failure to by the provisions of the coverage part or by render any professional services by endorsement. you with respect to your providing engineering, architectural or surveying services in your capacity as an engineer, architect or surveyor. WN GL 39 07 15 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 5 of 10 D. Blanket Additional Insured — Lessor Of Leased 4. With respect to the insurance afforded to these Equipment additional insureds, the following additional exclusion applies: 1. Section II—Who Is An Insured is amended to This insurance does not apply to: include as an additional insured any person(s) or organization(s) from whom you lease a. "Bodily injury", "property damage" or equipment when you and such person(s) or "personal and advertising injury" arising out organization(s) have agreed in writing in a of the rendering of, or the failure to render. contract or agreement, executed prior to loss, any professional architectural, engineering that such person(s)or organization(s) be added or surveying services, including: as an additional insured on your policy. Such person(s) or organization(s) is an insured only (1) The preparing, approving, or failing to with respect to liability for "bodily injury", prepare or approve, maps, shop "property damage" or "personal and advertising drawings, opinions, reports, surveys, injury" caused, in whole or in part, by your field orders, change orders or drawings maintenance, operation or use of equipment and specifications; or leased to you by such person(s) or (2) Supervisory, inspection, architectural or organization(s). engineering activities. However, the insurance afforded to such additional insured: This exclusion applies even if the claims against an additional insured allege a. Only applies to the extent permitted by law; negligence or other wrongdoing in the and supervision, hiring, employment, training or b. Will not be broader than that which you are monitoring of others by that insured, if the required by the contract or agreement to "occurrence" which caused the "bodily provide for such additional insured_ injury"or"property damage", or the offense which caused the"personal and advertising A person's or organization's status as an injury", involved the rendering of or failure additional insured under this endorsement ends to render any professional services by you when their contract or agreement with you for with respect to your providing engineering, such leased equipment ends. architectural or surveying services in your capacity as an engineer, architect or 2. With respect to the insurance afforded to these surveyor. additional insureds, this insurance does not apply to any "occurrence" which takes place E. Blanket Additional Insured — Managers Or after the equipment lease expires. Lessors Of Premises 3. With respect to the insurance afforded to these 1. Section II —Who Is An Insured is amended to additional insureds, the following is added to include as an additional insured any person(s) Section III—Limits Of insurance: or organization(s) with whom you have agreed If coverage provided to the additional insured is in a written contract, executed prior to loss, to required by a contract or agreement, the most name as an additional insured, but only with we will pay on behalf of the additional insured respect to liability arising out of the ownership, is: maintenance or use of that part of the premises leased to you, subject to the following a. The minimum amount required by the additional exclusions: contract or agreement; or This insurance does not apply to: b. The Limits of Insurance shown in the Declarations; a. Any "occurrence" which takes place after you cease to be a tenant in that premises. whichever is less. b. Structural alterations, new construction or This endorsement shall not increase the demolition operations performed by or on applicable Limits of Insurance shown in the behalf of such additional insured. Declarations. WN GL 39 07 15 includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 6 of 10 However: F. Blanket Additional Insured — State Or a. The insurance afforded to such additional Governmental Agency Or Subdivision Or insured only applies to the extent permitted Political Subdivision -- Permits Or by law; and Authorizations b. If coverage provided to the additional Section II — Who Is An Insured is amended to insured is required by a contract or include as an additional insured any state or agreement, the insurance afforded to such governmental agency or subdivision or political additional insured will not be broader than subdivision with whom you have agreed in a written that which you are required by the contract contract, executed prior to loss, to name as an or agreement to provide for such additional additional insured, subject to the following insured. provisions: 2. With respect to the insurance afforded to these 1. This insurance applies only with respect to additional insureds, the following is added to operations performed by you or on your behalf Section Ill —Limits Of Insurance: for which the state or governmental agency or If coverage provided to the additional insured is subdivision or political subdivision has issued a required by a contract or agreement, the most permit or authorization. we will pay on behalf of the additional insured However: is: a. The insurance afforded to such additional a. The minimum amount required by the insured only applies to the extent permitted contract or agreement; or by law; and b. The Limits of Insurance shown in the b. If coverage provided to the additional Declarations; insured is required by a contract or whichever is less. agreement, the insurance afforded to such additional insured will not be broader than This endorsement shall not increase the that which you are required by the contract applicable Limits of Insurance shown in the or agreement to provide for such additional Declarations. insured. 3. With respect to the insurance afforded to these 2. This insurance does not apply to: additional insureds, the following additional exclusion applies: a. "Bodily injury", "property damage" or This insurance does nota ( to: "personal and advertising injury" arising out apply of operations performed for the federal a. "Bodily injury", "property damage" or government, state or municipality; or "personal and advertising injury"arising out b. "Bodily injury" or "property damage" of the rendering of, or the failure to render, included within the "products-completed any professional architectural, engineering operations hazard". or surveying services, including: 3. With respect to the insurance afforded to these (1) The preparing, approving, or failing to additional insureds, the following is added to prepare or approve, maps, shop Section III—Limits Of insurance: drawings, opinions, reports, surveys, field orders, change orders or drawings If coverage provided to the additional insured is and specifications; or required by a contract or agreement, the most we will pay on behalf of the additional insured (2) Supervisory, inspection, architectural or is: engineering activities. a. The minimum amount required by the This exclusion applies even if the claims contract or agreement;or against an additional insured allege negligence or other wrongdoing in the b. The Limits of Insurance shown in the supervision, hiring, employment, training or Declarations; monitoring of others by that insured, if the whichever is less. "occurrence" which caused the "bodily injury" or"property damage", or the offense This endorsement shall not increase the which caused the"personal and advertising applicable Limits of Insurance shown in the injury", involved the rendering of or failure Declarations. to render any professional services by you with respect to your providing engineering, architectural or surveying services in your capacity as an engineer, architect or surveyor. WN GL 39 07 15 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 7 of 10 4. With respect to the insurance afforded to these b. The construction, erection or removal of additional insureds, the following additional elevators; or exclusion applies: c. The ownership, maintenance or use of any This insurance does not apply to: elevators covered by this insurance. a. "Bodily injury", "property damage" or However, "personal and advertising injury' arising out a. The insurance afforded to such additional of the rendering of, or the failure to render, insured only applies to the extent permitted any professional architectural, engineering by law; and or surveying services, including: b. If coverage provided to the additional (1) The preparing, approving, or failing to insured is required by a contract or prepare or approve, maps, shop agreement, the insurance afforded to such drawings, opinions, reports, surveys, additional insured will not be broader than field orders, change orders or drawings that which you are required by the contract and specifications; or or agreement to provide for such additional (2) Supervisory, inspection, architectural or insured. engineering activities. 2. With respect to the insurance afforded to these This exclusion applies even if the claims additional insureds, the following is added to against an additional insured allege Section III —Limits Of Insurance: negligence or other wrongdoing in the If coverage provided to the additional insured is supervision, hiring, employment, training or required by a contract or agreement, the most monitoring of others by that insured, if the we will pay on behalf of the additional insured "occurrence" which caused the "bodily is: injury"or"property damage", or the offense which caused the "personal and advertising a. The minimum amount required by the injury", involved the rendering of or failure contract or agreement; or to render any professional services by you with respect to your providing engineering, b. The Limits of Insurance shown in the architectural or surveying services in your Declarations; capacity as an engineer, architect or surveyor. whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the G. Blanket Additional Insured — State Or Declarations. Governmental Agency Or Subdivision Or Political Subdivision — Permits Or 3. With respect to the insurance afforded to these Authorizations Relating To Premises additional insureds, the following additional exclusion applies: Section H — Who Is An Insured is amended to include as an additional insured any state or This insurance does not apply to: governmental agency or subdivision or political a. "Bodily injury". "property damage" or subdivision with whom you have agreed in a written "personal and advertising injury" arising out contract, executed prior to loss, to name as an of the rendering of, or the failure to render, additional insured, subject to the following any professional architectural, engineering provision: or surveying services, including: 1. This insurance applies only with respect to the (1) The preparing, approving, or failing to following hazards for which the state or prepare or approve, maps, shop governmental agency or subdivision or political drawings, opinions, reports, surveys, subdivision has issued a permit or authorization field orders, change orders or drawings in connection with premises you own, rent or and specifications; or control and to which this insurance applies: (2) Supervisory, inspection, architectural or a. The existence, maintenance, repair, engineering activities. construction, erection or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, street banners or decorations and similar exposures: or WN GL 39 07 15 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 8 of 10 This exclusion applies even if the claims against an additional insured allege SECTION IV — COMMERCIAL GENERAL LIABILITY negligence or other wrongdoing in the CONDITIONS AMENDMENTS supervision, hiring, employment, training or monitoring of others by that insured, if the A. Knowledge Of Occurrence "occurrence" which caused the "bodily Item 2. Duties In The Event Of Occurrence, injury"or"property damage", or the offense Offense, Claim or Suit is amended by adding the which caused the "personal and advertising following: injury", involved the rendering of or failure to render arty professional services by you e. You must give us or our authorized with respect to your providing engineering, representative prompt notice of an architectural or surveying services in your "occurrence", claim or loss only when the capacity as an engineer, architect or "occurrence", claim or loss is known to: surveyor. (1) You, if you are an individual; SECTION III — LIMITS OF INSURANCE (2) A partner, if you are a partnership; AMENDMENTS A. Damage To Premises Rented To You (3) An executive officer or insurance manager, 9if you are a corporation; or Paragraph 5. is replaced by the following: (4) A member or manager, if you are a limited 6. Subject to Paragraph 5. above, the most we liability company. will pay under Coverage A for damages B. Other Insurance because of "property damage" to any one Item 4. Other Insurance, b. Excess Insurance (1) premises, while rented to you, or in the case of (a) (ii) is replaced by the following: damage by fire, lightning, explosion or sprinkler leakage, while rented to you or temporarily (ii) That is fire, lightning, explosion or sprinkler occupied by you with permission of the owner leakage insurance for premises rented to you is the greater of: or temporarily occupied by you with permission of the owner; a. $300,000; or C. Unintentional Failure To Disclose Hazards b. The amount shown next to the Damage To Item 6. Representations is replaced by the Premises Rented To You Limit in the following: Declarations. 6. Representations And Unintentional Failure However, the provisions of this paragraph do To Disclose Hazards not apply if Damage To Premises Rented To a. By accepting this policy, you agree: You Coverage is excluded by endorsement. B. Medical Expense Limit (1) The statements in the Declarations are accurate and complete; Paragraph 7. is replaced with the following: (2) Those statements are based upon 7. Subject to Paragraph 5. above, the most we representations you made to us; and will pay under Coverage C for all medical expenses because of "bodily injury" sustained (3) We have issued this policy in reliance by any one person is the greater of: upon your representations. a. $10,000; or b. If you unintentionally fail to disclose any hazards existing at the inception date of b. The amount shown next to the Medical your policy, we will not deny coverage Expense Limit in the Declarations. under this Coverage Part because of such This insurance does not apply if coverage for failure. However, this provision does not Medical Expenses is excluded either by the affect our right to collect additional provisions of the coverage part or by premium or exercise our right of endorsement. cancellation or non-renewal. WN GL 39 07 15 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 9 of 10 D. Waiver of Subrogation SECTION V—DEFINITIONS AMENDMENTS Item 8. Transfer of Rights of Recovery Against A. Insured Contract Amended Others to Us is hereby amended by the addition of the following: Paragraph 9. a. is replaced by the following: We waive any right of recovery we may have a. A contract for a lease of premises. However, because of payments we make for injury or that portion of the contract for a lease of damage arising out of your ongoing operations or premises that indemnifies any person or "your work" done under a written contract, organization for damage by fire, lightning, executed prior to loss, requiring such waiver with explosion or sprinkler leakage to premises that person or organization and included in the while rented to you or temporarily occupied by "products-completed operations hazard". However, you with permission of the owner is not an our rights may only be waived prior to the "insured contract": "occurrence" giving rise to the injury or damage for B. Personal And Advertising Injury Redefined which we make payment under this Coverage Part. The insured must do nothing after a loss to impair Paragraph 14. d. and e. are replaced by the our rights. At our request, the insured will bring following: "suit" or transfer those rights to us and help us enforce those rights. d. Oral, written, televised, videotaped or electronic publication of material that slanders or libels a person or organization or disparages a person's or organization's goods, products or service; e. Oral, written, televised, videotaped or electronic publication of material that violates a person's right of privacy; WN GL 39 07 16 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 10 of 10 COMMERCIAL GENERAL LIABILITY WN GL 84 07 15 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION 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 a. The preparing, approving, or failing to pre- include the following: pare or approve, maps, shop drawings, Any person(s) or organizations(s) for whom you• opinions, reports, surveys, field orders, have performed operations is also an additional change orders or drawings and specifics insured, if you and such person(s) or organiza- tions; or tion(s) have agreed in writing in a contract or b. Supervisory, inspection, architectural or agreement that such person(s) or organization(s) engineering activities. be added as an additional insured on your policy This exclusion applies even if the claims for completed operations. Such person(s) or or against an additional insured allege negli ganization(s) is an additional insured only with re gence or other wrongdoing in the supervision, spect to liability for "bodily injury" or "property hiring, employment, training or monitoring of damage" caused, in whole or part, by "your work" others by that insured, if the "occurrence" at the location specified in the written contract or which caused the "bodily injury" or "property agreement and included in the "products damage", or the offense which caused the completed operations hazard". "personal and advertising injury", involved the However, the insurance afforded to such additional rendering of or failure to render any profes- insured: sional services by you with respect to your 1. Only applies to the extent permitted by law; providing engineering, architectural or survey- and ing services in your capacity as an engineer, architect or surveyor. 2. Will not be broader than that which you are re- 2. "Bodily injury" or "property damage" that oc- quired by the contract or agreement to provide curs prior to the execution of, or subsequent to for such additional insured. the expiration of, the contract or agreement in B. With respect to the insurance afforded to these which you agreed that such person(s) or or- additional insureds, the following additional exclu- ganization(s) be added as an additional in- sions apply: sured. This insurance does not apply to: 1. "Bodily injury", "property damage" or"personal and advertising injury" arising out of the ren- dering of, or the failure to render, any profes- sional architectural, engineering or surveying services, including: WN GL 84 07 15 Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. C. With respect to the insurance afforded to these 1. The minimum amount required by the contract additional insureds, the following is added to Sec- or agreement; or tion III—Limits Of Insurance: 2. The Limits of Insurance shown in the Declara- If coverage provided to the additional insured is tions, required by a contract or agreement, the most we whichever is less. will pay on behalf of the additional insured is: This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. WN GL 84 07 15 Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc.,with its permission.