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Badger Laboratories & Eng. and Oshkosh
CITY OF OSHKOSH DEPARTMENT OF PUBLIC WORKS 215 CHURCH AVENUE,P.O.BOX 1130,OSHKOSH,WI 54903-1130 PHONE: (920)236-5065 FAX(920)236-5068 LETTER OF TRANSMITTAL To: Mr.Jahn H. Larson Date: December 20, 2016 Badger Laboratories&Engineering Subject: Executed Agreement for Pre- 501 West Bell Street Treatment Program Local Limits Neenah, WI 54956-4868 Sampling Program Please find: ® Attached ❑ Under Separate Cover ❑ Copy of Letter ® Contracts ❑ Amendment ❑ Report ❑ Agenda ❑ Meeting Notes ❑ Photos ❑ Mylars ❑ Change Order ❑ Plans ❑ Specifications ❑ Estimates ❑ Diskette ❑ Zip Disk ❑ Other Quantity Description 1 Executed A—greement These are being transmitted as indicated below: ❑ For Approval ® For Your Use ❑ As Requested ❑ For Review&Comment Remarks: Enclosed is a copy of the executed agreement for the pre-treatment program local limits sampling program. A City of Oshkosh Purchase Order will follow shortly. Please reference this Purchase Order number on all of your invoices. If you have any questions, please contact us. Steve Brand-Copy City Clerk's Office-Original cc: _File--Original Signed:_�] *Tr . Tay I.,\Engineering\Tracy Taylor\Steve Brand Agreements)Badger Lab LOT-Pre-Treat Prog Local Limits Samg Prog Executed Agreement_12-20.16.docx t AGREEMENT This AGREEMENT, made on the day of 2016, by and between the CITY OF OSHKOSH, party of the first part, hereinafter referred to as CITY, and BADGER LABORATORIES & ENGINEERING, INC., 501 West Bell Street, Neenah, WI 54956-4868, party of the second part,hereinafter referred to as the CONSULTANT, WITNESSETH: The CITY and the CONSULTANT, for the consideration hereinafter named, enter into the following AGREEMENT for PRE-TREATMENT PROGRAM LOCAL LIMITS SAMPLING PROGRAM. ARTICLE I. PROJECT MANAGER A. Assignment of Project Manager. The CONSULTANT shall assign the following individual to manage the PROJECT described in this AGREEMENT; John H. Larson—General Manager B. Changes in Project Manager. The CITY shall have the right to approve or disapprove of any proposed change from the individual named above as Project Manager. The CITY shall be provided with a resume or other information for any proposed substitute and shall be given the opportunity to interview that person prior to any proposed change. ARTICLE 11. CITY REPRESENTATIVE The CITY shall assign the following individual to manage the PROJECT described in this AGREEMENT: Stephan M.Brand--Public Works Utility Bureau Manager ARTICLE III. SCOPE OF WORK The CONSULTANT shall provide the services described in the CONSULTANT's Proposal. CITY may make or approve changes within the general Scope of Services in this AGREEMENT. If such changes affect CONSULTANT's cost of or time required for performance of the services, an equitable adjustment will be made through an amendment to this AGREEMENT. 1:\Engineering%,TracyTaylor\Sieve Brand Agreements%Badger Labs Agreement-Pre-Treat Prog local Page 1 of 5 Limits Samp 10-14-16.docx 1 All reports, drawings, specifications, computer files, field data, notes, and other documents and instruments prepared by the CONSULTANT as instruments of service shall remain the property of the CITY. ARTICLE IV. STANDARD OF CARE The standard of care applicable to CONSULTANT's services will be the degree of skill and diligence normally employed by professional consultants or consultants performing the same or similar services at the time said services are performed. CONSULTANT will re-perform any services not meeting this standard without additional compensation. ARTICLE V. CITY RESPO SIBILITIES The CITY shall furnish, at the CONSULTANT's request, such information as is needed by the CONSULTANT to aid in the progress of the PROJECT, providing it is reasonably obtainable from City records. To prevent any unreasonable delay in the CONSULTANT's work, the CITY will examine all reports and other documents and will make any authorizations necessary to proceed with work within a reasonable time period, ARTICLE VI. TIME OF COMPLETIO The work to be performed under this AGREEMENT shall be commenced and the work completed within the time limits as agreed upon in the CONSULTANT's Proposal. The CONSULTANT shall perform the services under this AGREEMENT with reasonable diligence and expediency consistent with sound professional practices. The CITY agrees the CONSULTANT is not responsible for damages arising directly or indirectly from any delays for causes beyond the CONSULTANT's control. For the purposes of this AGREEMENT, such causes include, but are not limited to, strikes or other labor disputes, severe weather disruptions or other natural disasters, failure of performance by the CITY, or discovery of any hazardous substances or differing site conditions. If the delays resulting from any such causes increase the time required by the CONSULTANT to perform its services in an orderly and efficient manner,the CONSULTANT shall be entitled to an equitable adjustment in schedule. ARTICLE VII. COMPONENT PARTS OF THE AGREEMENT This AGREEMENT consists of the following component parts, all of which are as fully a part of this AGREEMENT as if herein set out verbatim,or if not attached,as if hereto attached; 1. This Instrument 2. CONSULTANT's Proposal dated March 14,2016 and attached hereto lA ftlneering\Tracy Taylur\Slkw Brand Agmements�Badger Tabs Agreement-Pre-Tzeat Ping Local Page 2 of rJ Limits Samp_10-19-16.do" In the event any provision in any of the above component parts of this AGREEMENT conflicts with any provision in any other of the component parts, the provision in the component part first enumerated above shall govern over any other component part which follows it numerically except as may be otherwise specifically stated. ARTICLE VIII. PAYMENT A. The Agreement Sum. The CITY shall pay to the CONSULTANT for the performance of the AGREEMENT the total sum as set forth below, adjusted by any changes hereafter mutually agreed upon in writing by the parties hereto: Time and Materials Not to Exceed $48,103 (Forty Eight Thousand One Hundred Three DoIlars). o Attached fee schedule(s)shall be firm for the duration of this AGREEMENT. B. Method of Payment. The CONSULTANT shall submit itemized monthly statements for services. The CITY shall pay the CONSULTANT within thirty(30)calendar days after receipt of such statement. If any statement amount is disputed, the CITY may withhold payment of such amount and shall provide to CONSULTANT a statement as to the reason(s) for withholding payment. C. Additional Costs. Costs for additional services shall be negotiated and set forth in a written amendment to this AGREEMENT executed by both parties prior to proceeding with the work covered under the subject amendment. D. Indirect Costs. Indirect costs such as computer time, printing, copying, cell phone charges, telephone charges,and equipment rental shall be considered overhead and shall not be invoiced separately to the PROJECT. E. Expenses. Expenses may be billed with up to a maximum of 10% mark-up, All invoices with expenses shall include supporting documentation of the expense. Failure to include the supporting documentation will result in the reduction of payments by the amount of those expense(s)not including documentation. ARTICLE IX. HOLD HARMLESS The CONSULTANT covenants and agrees to protect and hold the City of Oshkosh harmless against all actions, claims, and demands which may be to the proportionate extent caused by or result from the intentional or negligent acts of the CONSULTANT, his/her agents or assigns, his/her employees, or his/her subcontractors related however remotely to the performance of this AGREEMENT or be caused or result from any violation of any law or administrative regulation, and shall indemnify or refund to the CITY all sums including court costs, attorney fees, and punitive damages which the CITY may be obliged or adjudged to pay 1:�finglneering\TracyTaylor\SteivBrand AgreementsWadgerLabs Agnrment-PfeT"tProgLocal Page 3 of Limits Samp_10.14-16.4oex on any such claims or demands within thirty(30)days of the date of the CITY's written demand for indemnification or refund for those actions, claim,and demands caused by or resulting from intentional or negligent acts as specified in this paragraph. Subject to any limitations contained in Sec, 893,80 and any similar statute of the Wisconsin Statutes, the CITY further agrees to hold CONSULTANT harmless from any and all liability, including claims, demands, losses, costs, damages, and expenses of every kind and description (including death), or damages to person or property arising out of re-use of the documents without consent where such liability is founded upon or grows out of the acts or omission of any of the officers, employees or agents of the City of Oshkosh while acting within the scope of their employment. ARTICLE X. INSURANCE The CONSULTANT agrees to abide by the attached City of Oshkosh Insurance Requirements. ARTICLE XI. TERMINATION A. For Cause. If the CONSULTANT shall fail to fulfill in timely and proper manner any of the obligations under this AGREEMENT, the CITY shall have the right to terminate this AGREEMENT by written notice to the CONSULTANT. In this event, the CONSULTANT shall be entitled to compensation for any satisfactory,usable work completed. B. For Convenience. The CITY may terminate this AGREEMENT at any time by giving written notice to the CONSULTANT no later than ten (10) calendar days before the termination date. If the CITY terminates under this paragraph,then the CONSULTANT shall be entitled to compensation for any satisfactory work performed to the date of termination. This document and any specified attachments contain all terms and conditions of the AGREEMENT and any alteration thereto shall be invalid unless made in writing, signed by both parties and incorporated as an amendment to this AGREEMENT. ARTICLE XII. RE-USE OF PROJECT DOCUMENTS All reports, drawings, specifications, documents, and other deliverables of CONSULTANT, whether in hard copy or in electronic form, are instruments of service for this PROJECT, whether the PROJECT is completed or not. CITY agrees to indemnify CONSULTANT and CONSULTANT's officers, employees, subcontractors, and affiliated corporations from all claims, damages, losses, and costs, including, but not limited to, litigation expenses and attorney's fees arising out of or related to the unauthorized re-use, change, or alteration of these project documents. I:N Engineering,Tracy Taylor\Stew Brand Agwcmenls\Badger Labs Agxwment-Pre Treat Prog Local Page 4 of 5 Limits Sam} 16-i9-[6Ao" ARTICLE XIII. SUSPENSION DELAY OR TERRUPTION OF WORK CITY may suspend, delay, or interrupt the services of CONSULTANT for the convenience of CITY. In such event, CONSULTANT's contract price and schedule shall be equitably adjusted. ARTICLE XIV. NO THIRD-PARTY BENEFICIARIES This AGREEMENT gives no rights or benefits to anyone other than CITY and CONSULTANT and has no third-party beneficiaries. In the Presence of: CONSULTANT By: (Seal of Consultant if a Corporation) (Specify Title) By: (Specify Title) CITY OF OSHKOSH By: m �0 -ear (Witness) Mar<A. Rohloff,City Manager ----oAnd: 2,=- (Witness) Pamela R.Ubrig,City Clerk APPROVED: I hereby certify that the necessary provisions have been made to pay the liability which will accrue under this AGREEMENT. Atyyttorney - d CLLZM City Comptroller hkErngtmWng\Ttacy Tay1orXSW%e Brand AgreementslBadger Labs Agmement-Pm Treat Prog].Deal Page 5 of 5 Limits Samp_10-19-16.dooc BADGER LABORATORIES & ENGINEERING INC. EiVGINEEAS 509 WEST BELL STREET • NEENAH,WISCONSIN 54956-4666 • EST.1666 (920)7 '1'1001 • FAX(020)729-4645 • 9-8100-776-71 816 CCIV 3/14/2016 �EE� NA Linda Mohr, PE CH2M ,.f 0l k)�' 1�IC NV©R.KS 135 S. 84th Street,Suite 400 3�It[�(151i 1V15COyS1N Milwaukee,WI 53214 Re. Phase 2 Sampling and Analysis Linda, Per your request for Phase 2 sampling and testing pricing, please see Below. Pricing is based on the scope of the sampling plan provided by CH2M. Any additional sampling or testing will be billed at our standard rates. Sampling&Maintenance $ 6,179.00 Equipment $ 1,855.00 Analytical $40,069.00 Total $48,103.00 *This sample will require a 2-3 week turnaround time. Badger Labs will provide all pollutant sampling equipment and sample bottles. Please contact me with any questions. Best Regards, Badger Laboratories& Engineering Co., Inc. WDNR Lab#445023150 John H. Larson Genera!Manager Members WI DNR Certified Lab#445023160 WI Environmental Labs;Am-Chemical Soc.; WI Reg.Engineers(Corp.)OCE00601 T.A.P.P.I.;WI Food Processors Assn.; W1©ATCP Certified#206(Bacteria-Water) Wisc.Paper Council N a � � y u 2F O Yi O O O N ? 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PLEASE READ IT CAREFULLY. CONTRACTORS ' COMMERCIAL GENERAL LIABILITY BROADENED ENDORSEMENT_ RECEIVED f This endorsement mod€fles Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART DEC 15 2016 A, Endorsement-Table of Contents: DEPT OF PUBLIC WORKS Coverage: USl[KOSIIB&f 6W�A& i. Employee Benefit Liability Coverage..................................................................................................2 2. Unintentional Failure to Disclose Hazards..........................................................................................7 3. Damage to Premises Rented to You...................................................................................................8 4. Supplementary Payments...................................................................................................................9 5. Medical Payments................................................................................................................................9 6. Voluntary Property Damage(Coverage a.)and Care,Custody or Control Liability Coverage(Coverage b.).........................................................................................................9 7. 180 Day Coverage for Newly Formed or Acquired Organizations..................................................10 8. Waiver of Subrogatlon....................................................................................................................... 10 9. Automatic Additional Insured-Specified Relationships: ................................................................ 10 • Managers or Lessors of Premises; • Lessor of Leased Equipment; • Vendors; • State or Political Subdivisions-Permits Relating to Premises; • State or Political Subdivisions-Permits;and • Contractors'Operations 10. Broadened Contractual Liability_Work Within 50'of Railroad Property......................................... 14 11, Property Damage to Borrowed Equipment....................................................................................... 14 12. Employees as Insureds-Specified Health Care Services: ............................................................ 14 • Nurses; • Emergency Medical Technicians;and • Paramedics 13. Broadened Notice of Occurrence...................................................................................................... 14 B. Limits of Insurance: The Commercial General Liability Limits of Insurance apply to the insurance provided by this endorse- ment, except as provided below: 1. Employee Benefit Liability Coverage Each Employee Limit: $ 1,000,000 Aggregate Limit: $ 3,000,000 Deductible: $ 1,000 3. Damage to Premises Rented to You The lesser of: a. The Each Occurrence Limit shown In the Declarations;or b. $500,000 unless otherwise stated$ 1,000,000 4. Supplementary Payments a. Bail bonds: $ 1,000 b. Loss of earnings: $ 350 S. Medical Payments Medical Expense Limit: $ 10,000 Includes copyrighted material of Insurance GA 233 02 07 Services Office, Inc.,with its permission. Page 1 of 15 6. Voluntary Property Damage(Coverage a.) and Care, Custody or Control Liability Coverage (Coverage b.) Limits of Insurance(Each Occurrence) Coverage a'$1,000 Coverage b.$5,000 unless otherwise stated $ Deductibles(Each Occurrence) Coverage a.$250 Coverage b.$250 unless otherwise stated $ COVERAGE PREMIUM BASIS RATE ADVANCE PREMIUM (a) Area (For Limits in Excess of (For Limits in Excess of (b) Payroll $5,000) $5,000) (c) Gross Sales (d) Units e Other b. Care, Custody or Control TOTAL ANNUAL PREMIUM 11. Property Damage to Borrowed Equipment Each Occurrence Limit: $ 10,000 Deductible: $ 250 C. Coverages: have used up the ap- plicablelimit of in t. Employee Benefit Liability Coverage ante In the payment of a. The following Is added to SECTION I judgments or settle- -COVERAGES. Employee Benefit ments. Liability Coverage. No other obligation or liabil- (1) Insuring Agreement ity to pay suras or perform acts or services is covered (a) We will pay those sums that unless explicitly provided for the Insured becomes legally under Supplementary Pay- obligated to pay as dam- ments. ages caused by an act, er- Y the in- (b) This insurance applies to ror or omission of damages only if sured, or of any other per- gently , I act,s ne the Li- or omission, son for whose acts the in- h sured is legally liable, to gently committed in e which this Insurance ap- administration of your plies. We will have the right employee benefit pro- and duty to defend the in- sured against any "suit" 1) Occurs during the pol- seeking those damages. icy period;or However, we will have no duty to defend against any 2) Occurred prior to the "suit" seeking damages to effective date of this which this insurance does endorsement provided: not apply. We may, at our discretion, investigate any a) You did not have report of an act, error or knowledge of a omission and settle any claim or "suit' on claim or "suit' that may re- or before the ef- sult. But: fective date of this endorsement. 1) The amount we will pay for damages Is limited You will be as described in SEC- deemed to have TION III - LIMITS OF knowledge of a INSURANCE;and claim or "suit" when any 2) Our right and duty to "authorized repre- defend ends when we sentative"; Includes copyrighted material of Insurance GA 233 02 07 Services Office, Inc.,with its permission. Page 2 of 15 1) Reports all, or formance of Investment any part,of the vehicles;or act, error or omission to us 3) Advice given to any or any other person with respect to insurer; that person's decision to participate or not to ii) Receives a participate in any pian written or ver- included in the "em- bal demand or ployee benefit pro- claim for dam- gram". ages because of the act, er- (f) Workers' Compensation ror or omis- and Similar Laws sion; and Any claim arising out of b) There is no other your failure to comply with applicable Insur- the mandatory provisions of ante. any workers'compensation, unemployment compensa- (2) Exclusions tion insurance, social secu- rity or disability benefits law This Insurance does not apply or any similar law. to: (a) Bodily Injury, Property (9) ERISA Damage or Personal and Damages for which any in- Advertising Injury sured Is liable because of "Bodily Injury", "property liability Imposed on a fiduci- ary by the Employee Re- damage" or "personal and tirement Income Security advertising injury". Act of 1974) as now or (b) Dishonest, Fraudulent, hereafter amended, or by Criminal or Malicious Act any similar federal, state or local laws. Damages arising out of any Intentional, dishonest, (h) Available Benefits fraudulent, criminal or mail- Any claim for benefits to the dous act, error or omission, extent that such benefits committed by any insured, are available, with reason- Including the willful or reck- able effort and cooperation less violation of any statute. of the insured, from the ap- (c) Failure to Perform a Con- pllcable funds accrued or tract other collectible insurance. Damages arising out of fall- (1) Taxes,Fines or Penalties ure of performance of con- Taxes fines or tract b an insurer. penalties, y y including chose imposed (d) Insufficiency of Funds under the Internal Revenue Code or any similar state or Damages arising out of an local law. Insufficiency of funds to meet any obligations under (iJ Employment-Related any plan Included In the Practices "employee benefit pro- Any liability arising out of gram any: (e) Inadequacy of Perform- ance of Investment / Ad- vice Given With Respect (2) Termination of em- to Participation ployment; Any claim based upon: (3) Coercion, demotion, evaluation, reassign- 1) Failure of any Invest- ment, discipline, defa- ment to perform; mailon, harassment, 2) Errors in providing in- humiliation, dlscrimina- formation on past per- tion or other employ- Includes copyrighted material of Insurance GA 233 02 07 Services Office, Inc.,with its permission. Page 3 of 16 ment-related practices, (e) A trust, you are an Insured. acts or omissions;or Your trustees are also In- o Consequential liability In- sureds, but only with re- (4) q y spect to their duties as as a result of(1), (2) or trustees. (3)above. (2) Each of the following Is also an This exclusion applies insured: whether the Insured may be held liable as an employer (a) Each of your "employees" or in any other capacity and who Is or was authorized to to any obligation to share administer your "employee damages with or repay benefit program". someone else who must pay damages because of (b) Any persons, organizations the injury. or "employees" having proper temporary authod- (3) Supplementary Payments zation to administer your "employee benefit program" SECTION I - COVERAGES, If you die, but only until your SUPPLEME=NTARY PAY- legal representative is ap- MENTS - COVERAGES A AND pointed. B also apply to this Coverage. b, Who is an Insured (c) Your legal representative if you die, but only with re- As respects Employee Benefit Llabil- spect to duties as such. Ity Coverage, SECTION II - WHO IS That representative will AN INSURED is deleted in its en- have all your rights and du- tirety and replaced by the following: ties under this Coverage Part. (1) If you are designated in the (3) Any organization you newly ac- quire or form, other than a part- (a) An Individual, you and your nership, Joint venture or limited spouse are insureds, but liability company, and over only with respect to the which you maintain ownership conduct of a business of or majority Interest, will qualify which you are the sole as a Named Insured if no other owner. similar insurance applies to that organization. However, cover- (b) A partnership or Joint van- age under this provision: lure, you are an insured. Your members, your part- (a) Is afforded only until the ners, and their spouses are 180th day after you acquire also insureds but only with or form the organization or respect to the conduct of the end of the policy period, your business. whichever is earlier;and (c) A limited liability company, (b) Does not apply to any act, you are an insured. Your error or omission that was members are also Insureds, committed before you ac- but only with respect to the quired or formed the or- conduct of your business. ganization. Your managers are in- c. Limits of Insurance sureds, but only with re- speet to their duties as your As respects Employee Benefit Llab€I- managers. ity Coverage, SECTION 111 - LIMITS (d) An organization other than OF INSURANCE Is deleted In Its en- a partnership, joint venture tirety and replaced by the following: or limited liability company, (1) The Limits of Insurance shown you are an Insured. Your in Sectlon B. Limits of insur- "executive officers" and di- ance, 1. Employee Benefit Li- rectors are insureds, but ability Coverage and the rules only with respect to their below fix the most we will pay duties as your officers or di- regardless of the number of: rectors. Your stockholders are also insureds, but only (a) Insureds; with respect to their liability as stockholders. Includes copyrighted material of Insurance GA 233 02 07 Services Office, Inc.,with its permisslon. Page 4 of 16 (b) Claims made or "suits" (b) The deductible amount brought; stated in the Declarations applies to all damages (c) Persons or organizations sustained by any one "em- making claims or bringing ployee", including such suits ; "employee's" dependents (d) Acts, errors or omissions;or and beneficiaries, because of all acts, errors or om€s- (e) Benefits included In your slons to which this insur- "employee benefit pro- ance applies. gam . (c) The terms of this insurance, (2) The Aggregate Limit shown in Including those with respect Section B. Limits of Insurance, to: 1. Employee Benefit Liability 1) Our right and duty to Coverage of this endorsement defend the insured is the most we will pay for all against any "suits" damages because of acts, er- seeking those dam- rors or omissions negligently committed In the "administra- tion" of your 'employee benefit 2) Your duties, and the program". duties of any other In- (3) Subject to the limit described In volved insured, in the (2) above, the Each Employee event of an act, error or Limit shown in Section B. Limits omisslon, or claim, of Insurance, 1. Employee apply irrespective of the Benefit Liability Coverage of application of the deductible this endorsement Is the most we amount. will pay for all damages sus- talned by any one "employee', (d) We may pay any part or all including damages sustained by of the deductible amount to such "employee's" dependents effect settlement of any and beneficiaries,as a result of: claim or "suit" and, upon notification of the action (a) An act,error or omission; or taken, you shall promptly (b) A series of related acts, er- reimburse us for such part rors or omissions, regard- of the deductible amount as less of the amount of time we have paid. that lapses between such d. Additional Conditions acts, errors or omissions, ne li entl committed in the As respects Employee Benefit Li- negligently i- t3 9 y ability Coverage, SECTION IV - a ministratlon of your em- COMMERCIAL GENERAL LIABIL- ployee benefit program". fTY CONDITIONS Is amended as However, the amount paid un- follows: der this endorsement shall not (1) Item 2. Duties in the Event of exceed, and will be subject to Occurrence, Offense, Claim or the limits and restrictions that Suit Is deleted In Its entirety and apply to the payment of benefits replaced by the following: in any plan included in the "em- ployee benefit program". 2. Duties in the Event of an Act, Error or (4) Deductible Amount Omission,or Claim or Suit a. You must see to it that we are notl- (a) Our obligation to pay dam- fled as soon as practicable of an act, ages on behalf of the in- error or omission which may result In sured applies only to the a claim. To the extent possible, no- amount of damages In ex- tice should Include: cess of the deductible amount stated In the Decla- (1) What the act, error or omission rations as applicable to was and when It occurred; and Each Employee. The limits of Insurance shall not be (2) The names and addresses of reduced by the amount of anyone who may suffer dam- this deductible. ages as a result of the act, error or omission. Includes copyrighted material of Insurance GA 233 02 07 Services Office, Inc.,with its permission. Page 5 of 16 b. If a claim is made or "suit' is brought b. Method of Sharing against any insured,you must: If all of the other insur- (1) Immediately record the specifics ance permits contrlbu- of the claim or "suit" and the tion by equal shares, date received; and we will follow this method also. Under (2) Notify us as soon as practicable. this approach each In- You must see to it that we receive surer contributes equal written notice of the claim or "suit" as amounts until it has soon as practicable. paid its applicable limit of insurance or none of c. You and any other involved Insured the loss remains, must: whichever comes first. (1) Immediately send us copies of If any of the other in- any demands, notices, sum- surance does not per- monses or legal papers re- mit contribution by celved In connection with the equal shares, we will claim or"suit"; contribute by limits. Under this method, (2) Authorize us to obtain records each insurer's share is and other Information; based on the ratio of Its applicable limit of in- (3) Cooperate with us in the investi- surance to the total ap- gatlon or settlement of the claim pllcable limits of Insur- or defense against the "suit"; ance of all Insurers. and (4) Assist us, upon our request, in c. No Coverage the enforcement of any right This insurance shall not against any person or organiza- cover any loss for tion which may be liable to the which the Insured is Insured because of an act, error entitled to recovery un- or omission to which this insur- der any other insur- ance may also apply. ance In force previous d. No insured will, except at that in- to the effective date of sured's own cost, voluntarily make a #his Coverage Part. payment, assume any obligation, or e. Additional Definitions incur any expense without our con- sent. As respects Employee Benefit Li- ability Coverage, SECTION V - (2) Item 5. Other Insurance is de- DEFINITIONS is amended as fol- leted In Its entirety and replaced lows: by the following: (1) The following definitions are 5. Other Insurance added: If other valid and collectible 1. "Administration"means: insurance is available to the Insured for a loss we cover a. Providing information to under this Coverage Part, "employees", Including our obligations are limited their dependents and as follows: beneficiaries, with re- spect to eligibility for or a. Primary Insurance scope of "employee This Insurance is prl- benefit programs"; mary except when c. b. Interpreting the "em- below applies. If this ployee benefit pro- insurance is primary, grams"; our obligations are not affected unless any of c. Handling records in the other Insurance Is connection with the also primary. Then, we "employee benefit pro- will share with all that grams';or other insurance by the d, Effecting, continuing or method described In b. terminating any "em- below. ployee's" participatlon Includes copyrighted material of Insurance GA 233 02 07 Services Office, Inc.,with its permission. Page 6 of 15 In any benefit included benefits, workers' com- in the "employee bene- pensation and disability fit program". benefits; and However, 'administration" d. Vacation plans, Includ- does not include: ing buy and sell pro- grams; leave of ab- s. Handling payroll sence programs, in- ductions;or cluding military, mater- b. The failure to effect or nity, family, and civil maintain any Insurance leave; tuition assis- or adequate limits of tante plans; transpor- coverage of Insurance, tation and health club including but not limited subsidies. to unemployment In- (2) The following definitions are surance, social security deleted in their entirety and re- benefits, workers' com- placed by the following: pensation and disabiiity benefits. 21. "Suit" means a civil pro- ceeding in which money 2. "Cafeteria P damages because of an plan authorized by applica- act, error or omission to ble law to allow "employ- which this insurance applies ees" to elect to pay for cer- are alleged. "Suit" includes: tain benefits with pre-tax dollars. a. An arbitration pro- ceeding In which such 3. Employee benefit pro- damages are claimed grams" means a program and to which the In- providing some or all of the sured must submit or following benefits to "em- does submit with our ployees', whether provided consent; through a"cafeteria plan"or otherwise: b. Any other alternative dispute resolution pro- a. Group life Insurance; ceeding in which such group accident or damages are claimed health insurance; den- and to which the In- tal, vision and hearing sured submits with our plans; and flexible consent;or spending accounts; provided that no one c. An appeal of a civil other than an "em- proceeding. ployee" may subscribe g, "Employee" means a per- to such benefits and son actively employed, for- such benefits are made merly employed, on leave generally available to of absence or disabled, or those employees who satisfy the plan's eligi- retired. n Employee', In- satisfy requirements; dudes a "leased worker". Employee does not in- b. Profit sharing plans, clude a"temporary worker". employee savings 2. Unintentional Failure to Disclose Haz- plans, employee stock ards ownership plans, pen- slon plans and stock SECTION IV-COMMERCIAL GENERAL subscription plans, LIABILITY CONDITIONS, 7. Represen- provided that no one tations is hereby amended by the addi- other than an "em- tion of the following: ployee" may subscribe to such benefits and Based on our dependence upon your such benefits are made representations as to existing hazards, If generally available to unintentionally you should fall to disclose all "employees' who all such hazards at the inception date of are eligible under the your policy, we will not reject coverage plan for such benefits; under this Coverage Part based solely on o. Unemployment Insur- such failure. ante, social security Includes copyrighted material of Insurance GA 233 02 07 Services Office, Inc.,with Its permission. Page 7 of 15 3. Damage to Premises Rented to You e) Settling, cracking, shrinking or ex- a. The last Subparagraph of Paragraph panslon;or 2. SECTION I - COVERAGES, COVERAGE A. - BODILY INJURY f) Nesting or infesta- AND PROPERTY DAMAGE, 2. Ll- tion, or discharge ABILITY Exclusions Is hereby de- or release of leted and replaced by the following: waste products or secreIn- Exclusions c.through q,do not apply sects, birds,y birds, ro- to damage by fire, explosion, light- dents or other ning, smoke or soot to premises animals. while rented to you or temporarily occupied by you with permission of (b) Loss caused directly or indi- the owner. rectly by any of the follow- b. The Insurance provided under SEC- Ing. TION I - COVERAGES, COVERAGE 1) Earthquake, volcanic A. BODILY INJURY AND PROP- eruption, landslide or ERTY DAMAGE LIABILITY applies any other earth move- to "property damage" arising out of ment; water damage to premises that are 2) Water that backs up or both rented to and occupied by you. overflows from a (1) As respects Water Damage Le- sewer,drain or sump; gal Liability, as provided in 3) Water under the Paragraph 3.b.above: ground surface press- The exclusions under SECTION Ing on, or flowing or I - COVERAGES, COVERAGE seeping through: A. BODILY INJURY AND a) Foundations, PROPERTY DAMAGE LIABIL- walls, floors or ITY, 2.Exclusions, other than f. paved surfaces; War and the Nuclear Energy Liability Exclusion, are deleted b) Basements, and the following are added: whether paved or This insurance does not apply not;or to: c) Doors,windows or (a) "Property damage": other openings. 1) Assumed In any con- (c) Loss caused by or resulting tract;or from water that leaks or flows from plumbing, heat- 2) Loss caused by or re- ing, air conditioning, or fire sulting from any of the protection systems caused following: by or resulting from freez- a) Wear and tear; Ing,unless: 1) You did your best to b) Rust, corrosion, maintain heat in the fungus, decay, building or structure;or deterioration, hid- den or latent de- 2) You drained the fect or any quality equipment and shut off In property that the water supply if the causes it to dam- heat was not main- age or destroy It- tained. self; (d) Loss to or damage to: C) Smog; 1) Plumbing, heating, air d) Mechanical conditioning, fire pro- breakdown In- tection systems, or cluding rupture or other equipment or ap- bursting caused pllances; or by centrifugal 2) The Interior of any force; building or structure, or to personal property In the building or structure Includes copyrighted material of Insurance GA 233 02 07 Services Office, Inc.,with its permission. Page 8 of 15 caused by or resulting 5. Medical Payments from rain, snow, sleet or Ica, whether driven The Medical Expense Limit of Any One by wind or not. Person as stated in the Declarations is amended to the limit shown in Section B. c. Limit of Insurance Limits of Insurance, 5. Medical Pay- The Damage to Premises Rented to ments of this endorsement. You Limit as shown In the Declara- 6. Voluntary Property Damage and Care, tions is amended as follows: Custody or Control Liability Coverage (2) Paragraph 6. of SECTION III - a. Voluntary Property Damage Cow LIMITS OF INSURANCE is erage hereby deleted and replaced by the following: We will pay for "property damage" to property of others arising out of op- 6. Subject to 6. above, the erations Incidental to the insured's Damage to Premises business when: Rented to You Limit is the most we will pay under (1) Damage Is caused by the In- COVERAGE A. BODILY sured;or INJURY AND PROPERTY (2) Damage occurs while In the In- DAMAGE LIABILITY, for sured's possession. damages because of "property damage" to With your consent, we will make premises while rented to these payments regardless of fault. you or temporarily occupied by you with permission of b. Care, Custody or Control Liability the owner, arising out of Coverage any one "occurrence" to SECTION I - COVERAGES, COV- which this Insurance ap- ERAGE A. BODILY INJURY AND plies. PROPERTY DAMAGE LIABILITY, 2. (3) The amount we will pay Is Ilm- Exclusions, J. Damage to Property, ited as described In Section B. Subparagraphs (3), (4) and (5) do Limits of Insurance, 3. Dam- not apply to "property damage" to age to Premises Rented to the property of others described You of this endorsement. therein. 4. Supplementary Payments With respect to the Insurance provided by this section of the endorsement, the fol- Under SECTION I - COVERAGE, SUP- lowing additional provisions apply: PLEMENTARY PAYMENTS - COVER- AGES A AND B: a. The Limits of Insurance shown in the Declarations are replaced by the Jim- a. Paragraph 2. is replaced by the fol- its designated in Section B.Limits of lowing: Insurance, 6. Voluntary Property U to the limit shown In Section B. Damage and Care, Custody or Up Control Liability Coverage of this Limits of Insurance, 4.a,Ball Bonds endorsement with respect to cover- of this endorsement for cost of bail age provided by this endorsement. bonds required because of accidents These limits are inclusive of and not or traffic law violations arising out of In addition to the limits being re- the use of any vehicle to which the placed. The Limits of Insurance Bodily Injury Liability Coverage ap- shown In Section B. Limits of Insur- plies. We do not have to furnish ance, 6. Voluntary Property Dam- these bonds. age and Care, Custody or Control b. Paragraph 4. is replaced by the fol- Liability Coverage of this endorse- ment fix the most we will pay in any lowing: one "occurrence" regardless of the All reasonable expenses incurred by number of: the Insured at our request to assist us in the investigation or defense of (1) Insureds; the claim or "suit", including actual (2) Claims made or "suits" brought; loss of earnings up to the limit shown or in Section B. Limits of Insurance, 4.b. Loss of Earnings of this en- (3) Persons or organizations mak- dorsement per day because of time Ing claims or bringing 'suits". off from work. Includes copyrighted material of Insurance GA 233 02 07 Servfces Office, Inc.,with its permission. Page 9 of 16 b. Deductible Clause 9. Automatic Additional Insured - Speci- (1) Our obligation to pay damages fied Relationships on your behalf applies only to a. The following is hereby added to the amount of damages for each SECTION li-WHO IS AN INSURED: "occurrence" which are in ex- cess of the deductible amount (1) Any person or organization de- stated in Section B. Limits of scribed In Paragraph 9.a.(2) Insurance, G. Voluntary Prop- below (hereinafter referred to as erty Damage and Care, Cus- additional Insured) whom you tody or Control Liability Cov- are required to add as an add- erage of this endorsement. The tional insured under this Cover- limits of Insurance will not be re- age Part by reason of: ducod by the application of such (a) A written contract or deductible amount. agreement;or (2) Condition 2. Duties in the Event (b) An oral agreement or con- of Occurrence, Offense, Claim tract where a certificate of or Suit, applies to each claim or insurance showing that per- suit irrespective of the amount. son or organization as an (3) We may pay any part or all of additional insured has been the deductible amount to effect Issued, settlement of any claim or "suit" is an insured,provided: and, upon notification of the ac- tion taken, you shall promptly (a) The written or oral contract reimburse us for such part of the or agreement is: deductible amount as has been paid by us. 1) Currently In effect or becomes effective 7. 180 Day Coverage for Newly Formed or during the policy pe- Acquired Organizations clod; and SECTION II - WHO IS AN INSURED Is 2) Executed prior to an amended as follows: "occurrence"or offense a. of Paragraph 4. is to which this Insurance Subparagraph 9 p would apply;and hereby deleted and replaced by the fol- lowing: (b) They are not specifically a. Insurance under this provision is af- named as an additional in- forded onlyuntil the 80th da after voted under any other pro- forded }' vision of, or endorsement you acquire or form the organization added to, this Coverage or the end of the policy period, part. whichever is earlier; $. Waiver of Subrogation (2) Only the following persons or organizations are additional in- SECTION IV-COMMERCIAL GENERAL sureds under this endorsement, LIABILITY CONDITIONS, 9. Transfer of and Insurance coverage pro- Rights of Recovery Against Others to vlded to such additional In- Us is hereby amended by the addition of sureds Is limited as provided the following: herein: We waive any right of recovery we may (a) The manager or lessor of a have because of payments we make for premises leased to you with Injury or damage arising out of your on- whom you have agreed per going operations or"your work" done un- Paragraph 9.a.(1) above to der a written contract requiring such provide insurance, but only waiver with that person or organization with respect to liability aris- and included In the "products-completed ing out of the ownership, operations hazard". However, our rights maintenance or use of that may only be waived prior to the "occur- part of a premises leased to rence"giving rise to the Injury or damage you, subject to the following for which we make payment under this additional exclusions: Coverage Part. The insured must do This insurance does not nothing after a loss to Impair our rlphts. apply to: At our request,the Insured will bring 'suit" or transfer those rights to us and help us 1) Any "occurrence" enforce those rights. which takes place after Includes copyrighted material of Insurance GA 233 02 07 Services Office, Inc.,with its permission. Page 10 of 16 you cease to be a ten- c) Any physical or ant in that premises. chemical change in the product 2) Structural alterations, made intensionally new construction or by the vendor; demolition operations performed by or on be- d) Repackaging, un- half of such additional less unpacked insured. solely for the pur- pose of Inspection, (b) Any person or organization demonstration, from which you lease testing, or the equipment with whom you substltutlon of have agreed per Paragraph parts under In- 9.a.(1) above to provide In- structions from the surance. Such person(s) or manufacturer, and organization(s) are insureds then repackaged solely with respect to their in the original liability arising out of the container; maintenance, operation or use by you of equipment e) Any failure to leased to you by such per- make such €n- son(s) or organizailons(s), spectlons, adjust- However, this Insurance ments, tests or does not apply to any "oc- servicing as the currence"which takes place vendor has after the equipment lease agreed to make or expires. normally under- takes 10 make In (c) Any p g the usual course (referred to below as ven- of business, In dor) with whom you have connection with agreed per Paragraph the distribution or 9.a.(1) above to provide in- sale of the prod- surance, but only with re- ucts; spect to "bodily Injury" or "property damage" arising f) Demonstration, in- out of"your products"whlch stallation, sery€c- are distributed or sold in the Ing or repair op- regular course of the ven- erations, except dor's business, subject to such operations the following additional ex- performed at the elusions; vendor's premises 1) The Insurance afforded in connection with the sale of the the vendor does not product; apply to: g) Products which, a) "Bodily Injury" or after distribution or "property damage" sale by you, have for which the ven- been labeled or dor Is obligated to relabeled or used pay damages by as a container, reason of the as- part or Ingredient sumption of liabil- of any other thing ity in a contract or or substance by or agreement. This for the vendor. exclusion does not apply to liability for 2) This Insurance does damages that the not apply to any In- vendor would sured person or or- have In the ab- ganization: sence of the con- tract or agree- a) From whom you ment; have acquired such products, or b) Any express war- any ingredient, ranty unauthorized part or container, by you; entering Into, ac- Includes copyrighted material of Insurance GA 233 02 07 Services Office, Inc.,with its permission. Page 11 of 15 companying or 2) This Insurance does containing such not apply to "bodily in- products;or jury", "property dam- age" or "personal and b) When liability In- advertising injury" aris- cluded within the Ing out of operations "products- performed for the state completed opera- or political subdivision, tions hazard" has been excluded (f) Any person or organization under this Cover- with which you have agreed age Part with re- per Paragraph 9.a.(1) spect to such above to provide Insurance, products. but only with respect to li- d) Any state or political subdi- ability arising out of "your work" performed for that vision with which you have additional insured by you or agreed per Paragraph on your behalf. A person or 9.a.(1) above to provide in- organization's status as an surance, subject to the fol- Insured under this provision lowing additional provision: of this endorsement contin- This insurance applies only ues for only the period of with respect to the following time required by the written hazards for which the state contract or agreement, but or political subdivision has in no event beyond the ex- issued a permit in connec- piration date of this Cover- tton with premises you own, age Part. If there Is no rent or control and to which written contract or agree- this Insurance applies: ment, or if no period of time Is required by the written 1) The existence, mainte- contract or agreement, a nance, repair, con- person or organization's struction, erection, or status as an Insured under removal of advertising this endorsement ends signs, awnings, cano- when your operations for pies, cellar entrances, that insured are completed. coal holes, driveways, manholes, marquees, (3} Any insurance provided to an hoist away openings, additional insured designated sidewalk vaults, street under Paragraph 9.a.(2): banners, or decora- (a) Subparagraphs (e) and (f) tions and similar expo- does not apply to 'bodily sures;or Injury"or"property damage" 2) The construction, erec- Included within the "prod- tion, or removal of ele- ucts-completed operations vators;or hazard'; 3) The ownership, main- (b) Subparagraphs (a), (b), (d), tenance, or use of any (e)and (f) does not apply to elevators covered by bodily injury', property this insurance. damage" or "personal and advertising Injuryn arising (e) Any state or political subdi- out of the sole negligence vision with which you have or willful misconduct of the agreed per Paragraph additional insured or their 9.a.(1) above to provide in- agents, "employees" or any surance, subject to the fol- other representative of the lowing provisions: additional insured;or i) This insurance applies (c) Subparagraph (f) does not only with respect to op- apply to "bodily injury", erations performed by "property damage" or "per- you or on your behalf sonal and advertising Injury" for which the state' or arising out of: political subdivision has 1) Defects In design fur- issued a permit. nlshed by or on behalf Includes copyrighted material of Insurance GA 233 02 07 Services Office, Inc.,with its permission. Page 12 of 16 of the additional In- spects any other Insurance sured;or policy issued to the addi- tional Insured, and such 2) The rendering of, or other insurance policy shall failure to render, any be excess and/or noncon- professional architec- trlbuting, whichever applies, tural, engineering or with this insurance, surveying services, in- cluding: (b) Any insurance provided by a) The preparing, this endorsement shall be approving or fall, primary to other insurance available to the additional Ing to prepare or Insured except: approve maps, shop drawings, 1) As otherwise provided opinions, reports, In SECTION IV - surveys, field or- COMMERCIAL GEN- ders, change or- ERAL LIABILITY ders or drawings CONDITIONS,5. Other and specifications; Insurance, b. Excess and Insurance;or b) Supervisory, in- 2) For any other valid and spection, archl- collectible insurance tectural or engi- available to the addi- neering activities. tonal Insured as an 3} "Your work" for which a additional insured by attachment of an en- consolidated (wrap-up) dorsement to another Insurance program has Insurance policy that Is been provided by the written on an excess prlmecontractor-project basis. In such case, manager or owner of the coverage provided the construction project under this endorse- in which you are in- ment shall also be ex- volved. cess. b. Only with regard to insurance pro- (2) Condition 11. Conformance to vided to an additional insured desig- Specific Written Contract or nated under Paragraph 9.a.(2) Sub- Agreement Is hereby added: paragraph (f) above, SECTION III - LIMITS OF INSURANCE is amended 11. Conformance to Specific to include: Written Contract or The limits applicable to the additional Agreement Insured are those specified in the With respect to additional written contract or agreement or in insureds described In Para- the Declarations of this Coverage graph 9.a.(2)(f)above only: Part, whichever are less. If no limits are specified In the written contract If a written contract or or agreement,or if there is no written agreement between you contract or agreement, the limits ap- and the additional insured plicable to the additional insured are specifies that coverage for those specified in the Declarations of the additional Insured: this Coverage Part. The limits of in- a. Be provided by the In- surance are Inclusive of and not in surance Services Of- addition to the limits of insurance fice additional insured shown in the Declarations. form number CG 20 10 c. SECTION 1V - COMMERCIAL GEN- or CG 20 37 (where ERAL LIABILITY CONDITIONS Is edition specified);or hereby amended as follows: b. Include coverage for (1) Condition 5. Other Insurance is completed operations; amended to include: or (a) Where required by a written c. Include coverage for contract or agreement, this . "your work"; insurance is primary and / and where the limits or cov- or noncontributory as re- erage provided to the addl- Includes copyrighted material of Insurance GA 233 02 07 Services Office, Inc.,with Its permission. Page 13 of 16 r tonal Insured Is more re- 11. of this endorsement fix the strictive than was speclfl- most we will pay in any one "oc- cally required in that written currence" regardless of the contract or agreement, the number of: terms of Paragraphs 9.a.(3)(a), 9.a.(3)(b) or 8,b. (a) Insureds; above, or any combination (b) Claims made or "suits" thereof, shall be interpreted as providing the limits or brought;or coverage required by the (c) Persons or organizations terms of the written contract making claims or bring or agreement, but only to "suits". the extent that such limits or coverage Is Included within (2) Deductible Clause the terms of the Coverage (a) Our obligation to pay dam- Part to which this endorse- ages on your behalf applies meat h attached. If, how- only to the amount of dam- ever, the t s en contract or ages for each "occurrence" agreement specifies thele which are In excess of the additional Services Office Deductible amount stated in additional insured form Section B. Limits of insur- number CO 20 10 but does ante, 11. of this endorse- not specify which edition, or ance, The limits of €orse- specifies an edition that ment.ance will not be reduced b does not exist, Paragraphs the application of such De 9,a,(3)(a) and 9.a.(3)(b) of ductible amount. De- this endorsement shall not apply and Paragraph 9.b.of (b) Condition 2. Duties in the this endorsement shall ap- Event of Occurrence, Of- Ply- fense, Claim or Suit, ap- 10. Broadened Contractual Liability -Work plies to each claim or "suit" Within 50'of Railroad Property Irrespective of the amount. It Is hereby agreed that Paragraph f,(1)of (c) We may pay any part or all Definition 12. "Insured contract" (SEC- f fect settlement of any the deductible amount to o TION V-DEFINITIONS)is deleted, effect claim or "suit" and, upon 11. Property Damage to Borrowed Equip- notification of the action ment taken, you shall promptly reimburse us for such part a. The following is hereby added to Ex- of the deductible amount as clusion j. Damage to Property of has been paid by us. Paragraph 2., Exclusions of SEC- TION I - COVERAGES, COVERAGE 12. Employees as Insureds - Specified A, BODILY INJURY AND PROP- Health Care Services ERTY DAMAGE LIABILITY: It Is hereby agreed that Paragraph Paragraphs (3) and (4) of this exclu- 2.a.(1)(d) of SECTION II - WHO IS AN sion do not apply to tools or equip- INSURED, does not apply to your "em- ment loaned to you, provided they ployees"who provide professional health are not being used to perform opera- care services on your behalf as duly II- tions at the time of loss. censed: b. With respect to the Insurance pro- a. Nurses; vlded by this section of the en- b. Emergency Medical Technicians; or dorsement, the following additional provisions apply: c. Paramedics, (1) The Limits of insurance shown in the jurisdiction where an "occurrence" In the Declarations are replaced or offense to which this Insurance applies by the limits designated In Soc- takes place. tion B. Limits of Insurance, 11. of this endorsement with respect 13. Broadened Notice of Occurrence to coverage provided by this ra para h a. of Condition 2. buttes in endorsement. These limits are Paragraph inclusive of and not in addition to the Event of Occurrence, Offense, the limits being replaced. The Claim or Suit (SECTION IV- COMMER- Limits of Insurance shown in CIAL GENERAL LIABILITY CONDI- Section B. Limits of Insurance, Includes copyrighted material of Insurance GA 233 02 07 Services Office, Inc.,with its permission. Page 14 of 16 TIONS) is hereby deleted and replaced (2) The names and addresses of by the following: any Injured persons and wit- a. You must see to it that we are notl- nesses;and Pied as soon as practicable of an (3) The nature and location of any "occurrence" or an offense which injury or damage arising out of may result in a claim. To the extent the"occurrence'or offense. possible, notice should Include: This requirement applies only when (1) How, when and where the "oc- the "occurrence" or offense is known currence"or offense took place; to an "authorized representative'. Includes copyrighted material of Insurance GA 233 02 07 Services Office, Inc.,with Its permission. Page 16 of 15