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HomeMy WebLinkAboutCertificate of Insurance 2015 (2)JENSCOR-01 H13CT13 Ate'®R'"° CERTIFICATE OF LIABILITY INSURANCE �"'"""'�� DAT D/YYYY) 111/6/2 /6/2015 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 License # 0564249 Heffernan Insurance Brokers 1460B O'Brien Drive Menlo Park, CA 94025 CONTACT NAME: _ PHONE FAX -- -_(A/C,, No EXt):1 (650) 842-5200 (AIC No): 1 (650) 842-5201 E -MIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY _J CLAIMS -MADE � OCCUR INSURER A: Golden Eagle Insurance Corporation* 10836 ! INSURED Jensen Corporate Holdings, Inc. INSURER B: Cypress Insurance Company 10855 — INSURER c : Jensen Landscape Services, Inc. INSURER D: Jensen Corporation Landscape Contractors 1983 Concourse Drive San Jose, CA 95131 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLISUBR� INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP— MMIDD/YYYY ' LIMITS A X COMMERCIAL GENERAL LIABILITY _J CLAIMS -MADE � OCCUR XIX ! CBP8988702 05/01/2015 05/01/2016 i EACH OCCURRENCE $ 1,000,000 DAMAGE To RENTb — PREMISES (Ea occurrence) $ B00,000 MED EXP (Any one person) I $ 10,000 ! _ AGGREGATE LIMIT APPLIES PER: POLICY JEC LOC PERSONAL &ADV INJURY $ 1,000,000 GEN'L j GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: A AUTOMOBILE X _ LIABILITYCOMBINED ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS X j X CBP8988702 05/01/2015 05/01/2016 SINGLE LIMIT Ea accident $ 1,000,000 _ BODILY INJURY (Per person) $ BODILY INJURY Per accident $ ( ) PROPERTY DAMAGE Per accident) $ i$ A X UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE X:.CU8989002 j 1 05/01/2015 05/01/2016 j EACH OCCURRENCE $ 5,000,000 i AGGREGATE $ 5,000,000 DED X RETENTION$ 0� $ B AND EMPLO ERSEL NSATION ABILIITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N OFFICER/MEMBER EXCLUDED? � (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A ( X JEWC601769 05!01/2015 ! 05/01/2016 PER X STATUTE OERH - - E.L. EACH ACCIDENT $ 1,000,000 — _ _ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 — E.L. DISEASE - POLICY LIMIT $ 1,000,000 I DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Re: Purissima Park, 27554 Purissima Rd., Los Altos Hills, CA 94022. Town of Los Altos Hills, its officers, officials, employees,and volunteers are included as an additional Insured (and primary) on General Liability policy and additional insured on Automobile Liability policy per the attached endorsements, if required. Waivers of Subrogation are included on General Liability, Automobile Liability and Workers Compensation policies per the attached endorsements, if required. The Excess policy follows the General Liability and Automobile Liability coverages, as per the policy forms on file. Cancellation notice for General Liability policy is attached, if required. This certificate replaces and supersedes all previously issued certificates. -1- L.. --1 1 Town of Los Altos Hills Park and Recreation Department 26379 Fremont Road Los Altos Hills, CA 94022 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE /W — - (0 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD , Forming a part of Policy Number: CBP8988702 Coverage Is Provided In GOLDEN EAGLE INSURANCE CORPORATION Named Insured: Agent: Jensen Corporate Holdings, Inc. Heffernan Insurance Brokers Jensen Landscape & Construction Company Jensen Landscape Services, Inc. Jensen Corporation Landscape Contractor Agent Code: - 4295146 Agent Phone: 650-842-5200 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Location(s) Of Covered Operations Or Organization(s): ANY PERSON OR ORGANIZATION WHEN YOU AND SUCH PERSON OR ORGANIZATION HAVE AGREED IN WRITING IN A CONTRACT, AGREEMENT OR PERMIT THAT SUCH PERSON OR ORGANIZATION BE ADDED AS AN ADDITIONAL INSURED ON YOUR POLICY TO PROVIDE INSURANCE SUCH AS IS AFFORDED UNDER THIS COVERAGE PART. SCHEDULED LOCATION OF COVERED OPERATIONS: ANY LOCATION AT WHICH YOU PERFORM WORK DESCRIBED IN WRITING IN THE CONTRACT, AGREEMENT OR PERMIT FOR A PERSON OR ORGANIZATION THAT HAS BEEN QUALIFIED AS AN ADDITIONAL INSURED UNDER THE TERMS OF THIS ENDORSEMENT Genentech, Inc., Owner, Skanska USA Building Inc., Skanska USA Inc., Indemnified Parties, Genentech Parties, any other parties as required by the Owner Contract, and their respective directors, officers, employees and affiliates, and Dome Construction Corporation and the Owner Related Parties Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. © ISO Properties, Inc., 2004 CG 20 10 07 04 Page 1 of 1 Forming a part of Policy Number: CBP 8988702 Coverage Is Provided In GOLDEN EAGLE INSURANCE CORPORATION Named Insured: Agent: Jensen Corporate Holdings, Inc. Heffernan Insurance Brokers Jensen Landscape & Construction Company Jensen Landscape Services, Inc. __ ______ _ Jensen Corporation Landscape Contractor Agent Code: 4295146 Agent Phone: 650-842-5200 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". SCHEDULE Name Of Additional Insured Person(s) Or Organization (s): ANY PERSON OR ORGANIZATION WHEN YOU AND SUCH PERSON OR ORGANIZATION HAVE AGREED IN WRITING IN A CONTRACT, AGREEMENT OR PERMIT THAT SUCH PERSON OR ORGANIZATION BE ADDED AS AN ADD'L INSURED ON YOUR POLICY TO PROVIDE INSURANCE SUCH AS IS AFFORDED UNDER THIS COVERAGE PART Location And Description Of Completed Operations: ANY LOCATION AT WHICH YOU PERFORMED WORK DESCRIBED IN WRITING IN THE CONTRACT, AGREEMENT OR PERMIT FOR A PERSON OR ORGANIZATION THAT HAS BEEN QUALIFIED AS AN ADDITIONAL INSURED IN THIS ENDORSEMENT. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Genentech, Inc., Owner, Skanska USA Building Inc., Skanska USA Inc., Indemnified Parties, Genentech Parties, any other parties as required by the Owner Contract, and their respective directors, officers, employees and affiliates, and Dome Construction Corporation and the Owner Related Parties © ISO Properties, Inc., 2004 CG 20 37 (07/04) INSURED COPY POLICY NO, CBP8988702 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SECTION I — COVERAGES COVERAGE A� BODILY INJURY AND PROPERTY DAMAGE LIABILITY 2. Exclusions ltem2.g, �) is replaced with the following: 2.g, 2) a watercraft you do not own that is: a) less than 50 feet long, and b) Not being used to carry persons or property for a charge. Item 2.g, 6) is added: 6) An aircraft in which you have no ownership interest and that you have chartered with crew. The last paragraph of 2. Exclusions is replaced with the following: Exclusions c, through n. do not apply to damage by fire, explosion, sprinkler leakage, or lightning to promises while rented to you, temporarily occupied by you with the permission of, the owner, or managed by you under a written agreement with the owner. A separate limit of insurance applies to this coverage as described in Section III — Limits of Insumnw. SECTION I — COVERAGES COVERAGE C. MEDICAL PAYMENTS If Medical Payments Coverage Is provided under this policy, the following Is changed, 3. Limits The medical expense limit provided by this policy shall be the greater of: a, $10,000; or b. The amount shown In the declarations, Coverage C. Medical Payments is primary and not contributing with any other insurance, even if that other insurance is also primary. The following is added: COVERAGE D. PRODUCT RECALL NOTIFICATION EXPENSES Insuring Agreement We will pay "product recall notification expenses' incurred by you for the withdrawal of your products, provided that: a. Such withdrawal is required because of a determination by you during the policy period, that the use or consumption of your products could result in "bodily injury" or "property damage"; and b. The "product recall notification expenses" are incurred and reported to us during the policy period. The most we will pay for "product recall notification expenses" during the policy period is $100,000, SUPPLEMENTARY PAYMENTS — COVERAGES A AND B Item b, and d. are replaced with: b. The cost of ball bonds required because of accidents or traffic law violations arising Out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not, have to furnish these bonds. d, All reasonable expenses incurred by the insured at Our request to assist us in the investigation or defense of the claim or 'suit' including actual loss of earnings up to $500 a day because of time off from work. GECG 970 (01111) Includes copyrighted material of Insurance Services Offices Inc., with its permission. Page 1 of 4 POLICY NO. CBP8988702 SECTION 11 —111 HO IS AN INSURED Item 4. Is replaced with: 4. Any subsidiaries, companies, corporations, firms, or organizations you acquire or form during the policy period over which you maintain a controlling Interest of greater than 50% of the stock or assets, will qualify as a Named Insured if: a) you have the responsibility of placing insurance for such entity; and b) coverage for the entity is not otherwise more specifically provided; and c) the entity is incorporated or organized under the laws of the United States of America. However; coverage under this provision does not apply to "bodily injury" or 'property damage" that occurred before you acquired or formed the entity, or 'personal Injury" or 'advertising injury" arising out of an offense committed before you acquired or formed the entity. Coverage under this provision is afforded only until the end of the policy period, or the twelve (12) month anniversary of the policy inception date whichever is earlier. SECTION III — LIMITS OF INSURANCE Paragraph 2. is amended to include, The General Aggregate Limit of insurance applies separately to each "location" owned by you, rented to you, or occupied by you with the permission of the owner. Paragraph 6, is replaced with the following: 6. Subject to 5. above, the Fire Damage Limit is the most we will pay under Coverage A for damages because of "property damage" to premises while rented to you, temporarily occupied by you with permission of the owner, or managed by you under a written agreement with the owner, arising out of any one fire, explosion or sprinkler leakage incident, The Fire Damage Limit provided by this policy shall be the greater of: a. $500,000 or b, The amount shown in the Declarations. SECTION IV —COMMERCIAL GENERAL LIABILITY CONDITIONS Item 2, a, is replaced with: 2. Duties In The Event of Occurrence, Offense, Claim or Suit a. You must promptly notify us. Your duty to promptly notify us is effective when any of your executive officers, partners, members, or legal representatives is aware of the 'occurrence", offense, claim, or "suit". Knowledge of an 'occurrence", offense, claim or "suit" by other employee(s) does not imply You also have such knowledge. To the extent possible, notice to us should include. 1) How, when and where the "occurrence" or offense took place; 2) The names and addresses of any injured persons and witnesses; and 3) The nature and location of any injury or damage arising out of the "occurrence", offense, claim or `suit", Item 4. b, 1) b) is replaced with: b. Excess Insurance 1) b) That is Fire, Explosion or Sprinkler Leakage insurance for premises while rented to you, temporarily Occupied by you with permission of the owner, or managed by you under a written agreement with the owner; or Item 6, is amended to include: 6. Representations d, If you unintentionally fall to disclose any hazards existing at the inception date of your policy, we will not deny coverage under this Coverage Part because of such failure. However, this provision does not affect our right to collect additional premium or exercise our right of cancellation or non -renewal, GECG 970 (01/11) Includes copyrighted material of Insurance Services Offices Inc., with its permission. Page 2 of 4 POLICY NO. CBP8988702 Itern 8. is replaced with: 8.. Transfer of Rights Of Recovery Against Others To Us a. If the insured has rights to recover all or part of any payment we have made under this Coverage Part, those rights are transferred to us, The insured must do nothing after loss to impair them, At our request, the insured will bring suit or transfer those rights to us and help us enforce them. b. If required by a written "insured contract", we waive any right of recovery we may have against any person or organization because of payments we make for injury or damage arising out of your ongoing operations or 'your work" done under that written "insured contract" for that person or organization and included in the "products -completed operations hazard". Item 10. and Item 11. are added: 10. Cancellation Condition If we cancel this policy for any reason other than nonpayment of premium we will mail or deliver written notice of cancellation to the first Named Insured at least 60 days prior to the effective date of cancellation. 11. Liboralization If we adopt a change in our forms or rules which would broaden your coverage without an extra charge, the broader coverage will apply to this policy, This extension is effective upon the approval of such broader coverage in your state. SECTION 11— DEFINITIONS The following definitions are added or changed; 9. 'Insured contract" a. Is changed to: A contract for a lease of premises, However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire, explosion or sprinkler leakage to premises while rented to you, or temporarily occupied by you with permission of the owner, or managed by you under a written agreement with the owner Is not an "insured contract". 23, and 24, are added, 23, "Location" means premises involving the same or connecting lots, or premises whose connection is interrupted only by a street. roadway, waterway or right-of-way of a railroad, 24, "Product recall notification expenses" means the reasonable additional expenses (including, but not limited to, cost of correspondence, newspaper and magazine advertising, radio or television announcements and transportation cost), necessarily incurred in arranging for the return of products, but excluding costs of the replacement products and the cash value of the damaged products. The following Provisions are also added to this Coverage Part - A. ADDITIONAL INSUREDS —BY CONTRACT, AGREEMENT OR PERMIT I.. Paragraph 2. under SECTION If — WHO IS AN INSURED is amended to Include as an insured any person or organization when you and such person or organization have agreed in writing in a contract, agreement or permit that such person or organization be added as an additional Insured on your policy to provide Insurance such as is afforded Linder this Coverage Part, Such person or organization is not entitled to any notices that we are required to send to the Named Insured and is an additional insured only with respect to liability arising out of, a. Your ongoing operations performed for that person or organization; or b.. Promises or facilities owned or used by you, With respect to provision l.a. above, a person's or organization's status as an insured under this endorsement ends when your operations for that person or organization are completed, With respect to provision 1-b. above, a person's or organization's status as an insured under this endorsement ends when their contract or agreement with you for such premises or facilities ends. GECG 970 (01/11) Includes copyrighted material of Insurance Services Offices Inc., will} its permission. Page 3 of 4 POLICY NO. CBP8988702 2, This endorsement provision A. does not apply: a, Unless the written contract or agreement has been executed, or permit has been issued, prior to the 'bodily Injury", "property damage" or "personal and advertising Injury", b. To 'bodily injury" or 'property damage" occurring after. (1) All work, including materials, parts or equipment furnished In connection with such work, in the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of the covered operations has been completed; or (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged In performing operations for a principal as a part of the same project; o. To the rendering of or failure to render any professional services including, but not limited to, any professional architectural, engineering or surveying services such as: (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and (2) Supervisory, Inspection, architectural or engineering activities; d, To "bodily Injury", "property damage" or 'personal and advertising Injury" arising out of any act, error or omission that results from the additional insured's sole negligence or wrongdoing; a,. To any person or organization specifically designated an additional insured for ongoing operations by a separate ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS endorsement issued by us and made a part of this policy B. PRIMARY NON-CONTRIBUTORY ADDITIONAL INSURED EXTENSION Condition 4. Other. Insurance of SECTION IV — COMMERCIAL. GENERAL LIABILITY CONDITIONS is amended as follows: a. The following Is added to paragraph a. Primary Insurance: If an additional insured's policy has an Other Insurance provision making its policy excess, and you have agreed in a written "construction contract' to provide the additional insured coverage on a primary and noncontributory basis, this policy shall be primary and we will not seek contribution from the additional insured's policy for damages we cover, For the purposes of this endorsement, "construction contract' means a written contract or written agreement other than a promises lease, facilities rental contract, or agreement, an equipment rental or lease agreement, or a permit Issued by a state, County, municipality or other governmental authority, b. The following is added to paragraph b. Excess Insurance: (3) Except as specified in paragraph a,, above, any other insurance in which a party who is an additional insured hereunder is designated as a Named Insured, Regardless of the terms of any written agreement between you and an additional Insured, this insurance is excess over any other insurance whether primary, excess, contingent or on any other basis for which the additional insured has been added as an additional insured, GECG 970 (0111 1) Includes copyrighted material of Insurance Semites Offices Inc., witli its permission. Page 4 of 4 COMMERCIAL AUTO GOLD ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SECTION II - LIABILITY COVERAGE A. COVERAGE WHO IS AN INSURED The following is added: d. Any organization, other than a partnership or joint venture, over which you maintain ownership or a majority interest on the effective date of this Coverage Form, if there is no similar insurance available to that organization. e. Any organization you newly acquire or form other than a partnership or joint venture, and over which you maintain ownership of a majority interest. However, coverage under this provision does not apply: (1) If there is similar insurance or a self-insured retention plan available to that organization; or (2) To "bodily injury" or "property darnage" that occurred before you acquired or formed the organization. f. Any volunteer or employee of yours while using a covered "auto" you do not own, hire or borrow in your business or your personal affairs. Insurance provided by this endorsement is excess over any other insurance available to any volunteer or employee. g. Any person, organization, trustee, estate or governmental entity with respect to the operation, maintenance or use of a covered "auto' by an insured, if: (1) You are obligated to add that person, organization, trustee, estate or governmental entity as an additional insured to this policy by: (a) an expressed provision of an "insured contract", or written agreement; or (b) an expressed condition of a written permit issued to you by a governmental or public authority. (2) The "bodily injury" or "property damage" is caused by an "accident" which takes place after: (a) You executed the "insured contract' or written agreement; or (b) the permit has been issued to you. GGCA 701 (01/07) Includes copyrighted material of Lisurance Services offices, Inc. with its permission Page 1 of 4 2. COVERAGE EXTENSIONS a. Supplementary Payments. Subparagraphs (2) and (4) are amended as follows: (2) Up to $2500 for cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the "Insured" at our request, including actual loss of earning up to $500 a day because of time off from work. SECTION III - PHYSICAL DAMAGE COVERAGE A. COVERAGE The following is added: 5. Hired Auto Physical Damage a. Any "auto' you lease, hire, rent or borrow from someone other than your employees or partners or members of their household is a covered "auto' for each of your physical damage coverages. b. The most we will pay for "loss" in any one "accident" is the smallest of: (1) $50,000 (2) The actual cash value of the damaged or stolen property as of the time of the 'loss"; or (3) The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality. If you are liable for the "accident", we will also pay up to $500 per "accident" for the actual loss of use to the owner of the covered "auto'. c. Our obligation to pay for, repair, return or replace damaged or stolen property will be reduced by an amount that is equal to the amount of the largest deductible shown for any owned "auto' for that coverage. However, any Comprehensive Coverage deductible shown in the Declarations does not apply to 'loss" caused by fire or lightning. d. For this coverage, the insurance provided is primary for any covered "auto' you hire without a driver and excess over any other collectible insurance for any covered "auto' that you hire with a driver. 6. Rental Reimbursement Coverage We will pay up to $75 per day for up to 30 days, for rental reimbursement expenses incurred by you for the rental of an "auto' because of 'loss" to a covered "auto'. Rental Reimbursement will be based on the rental of a comparable vehicle, which in many cases may be substantially less than $75 per day, and will only be allowed for a period of time it should take to repair or replace the vehicle with reasonable speed and similar quality, up to a maximum of 30 days. We will also pay up to $500 for reasonable and necessary expenses incurred by you to remove and replace your materials and equipment from the covered "auto'. GE, CA 701 (01/07) Includes copyrighted material of Insurance Services offices, Inc. with its permission Page 2 of 4 If "loss" results from the total theft of a covered "auto" of the private passenger type, we will pay under this coverage only that amount of your rental reimbursement expenses which is not already provided under paragraph 4. Coverage Extension. 7. Lease Gap Coverage If a long-term leased "auto" is a covered "auto" and the lessor is named as an Additional Insured - Lessor, In the event of a total loss, we will pay your additional legal obligation to the lessor for any difference between the actual cash value of the "auto" at the time of the loss and the "outstanding balance" of the lease. "Outstanding balance" means the amount you owe on the lease at the time of loss less any amounts representing taxes; overdue payments; penalties, interest or charges resulting from overdue payments; additional mileage charges; excess wear and tear charges; and lease termination fees. B. EXCLUSIONS The following is added to Paragraph 3 The exclusion for "loss" caused by or resulting from mechanical or electrical breakdown does not apply to the accidental discharge of an airbag. Paragraph 4 is replaced with the following: 4. We will not pay for "loss" to any of the following: a. Tapes, records, disks or other similar audio, visual or data electronic devices designed for use with audio, visual or data electronic equipment. b. Equipment designed or used for the detection or location of radar. c. Any electronic equipment that receives or transmits audio, visual or data signals. Exclusion 4.c does not apply to: (1) Electronic equipment that receives or transmits audio, visual or data signals, whether or not designed solely for the reproduction of sound, if the equipment is permanently installed in the covered "auto" at the time of the "loss" and such equipment is designed to be solely operated by use of the power from the "auto's" electrical system, in or upon the covered "auto"; or (2) Any other electronic equipment that is: (a) Necessary for the normal operation of the covered "auto" or the monitoring of the covered "auto's"operating system; or (b) An integral part of the same unit housing any sound reproducing equipment described in (1) above and permanently installed in the opening of the dash or console of the covered "auto" normally used by the manufacturer for installation of a radio. D. DEDUCTIBLE The following is added: No deductible applies to glass damage if the glass is repaired rather than replaced. CE, CA 701 (01/07) Includes copyrighted material of Insurance Services Offices, Lie. with its permission Page 3 of 4 SECTION IV. BUSINESS AUTO CONDITIONS A. LOSS CONDITIONS Item 2.a. and b. are replaced with: 2. Duties In The Event of Accident, Claim, Suit, or Loss a. You must promptly notify us. Your duty to promptly notify us is effective when any of your executive officers, partners, members, or legal representatives is aware of the accident, claim, "suit", or loss. Knowledge of an accident, claim, "suit", or loss, by other employee(s) does not imply you also have such knowledge. b. To the extent possible, notice to us should include: (1) How, when and where the accident or loss took place; (2) The names and addresses of any injured persons and witnesses; and (3) The nature and location of any injury or damage arising out of the accident or loss. The following is added to 5. B. GENERAL CONDITIONS 9. is added 9. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS Your unintentional failure to disclose any hazards existing at the effective date of your policy will not prejudice the coverage afforded. However, we have the right to collect additional premium for any such hazard. COMMON POLICY CONDITIONS 2.b. is replaced by the following: b. 60 days before the effective date of cancellation if we cancel for any other reason. GECA 701 (01/07) Includes copyrighted material of Insurance Services Offices, Inc. with its permission Page 4 of 4 Form.oing a part of Policy Number: CBP8968702 Coverage Is Provided In GOLDEN EAGLE iNSURANCE CORPORATION Named Insured. Jensen Corporate Holdings, Inc. l Heffernan Insurance Brokers Jensen Landscape & Construction Company Jensen Landscape Services, Inc. Jensen Corporation Landscape Contractor I Agent Code. 42o5w Agent Phone650-B42-5200 THIS ENDORSEMENT CHANCES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement rnodifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV — COMMERCIAL GENERAL LIABILITY` CONDITIONS) is amended by the addition of the following: We Waive any right of recovery we may have against the Person Or organization shown in the SQhedule belovy because of payments we make for, ipjury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard." This waiver -applies only to the person or organization shown in the Schedule below. SCHEDULE Name of Person or Organization; 'BLANKET WHERE REQUIRED BY WRITTEN CONTRACT' (if no entry appears above, information required to e,ornpleteh this aridamenient will be shown in the Declarations as applicable to this endorsement), CG 24 04 (10193) copyright, Insueanco cervico,, Office, ffio,, '[992 INSURED COPY WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 04 10B (Ed. 9-14) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT -CALIFORNIA BLANKET BASIS We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) The additional premium for this endorsement shall be 2% of the total manual premium otherwise due on such remuneration. The minimum premium for this endorsement is $350. This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. SCHEDULE BLANKET WAIVER Person/Organization Blanket Waiver — Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. Job Description Waiver Premium All CA Operations This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 05/01/2015 Insured Jensen Corporate Holdings, Inc. Insurance Company Cypress Insurance Company WC 99 04 10B (Ed. 9-14) Policy No. JEWC601769 Countersigned by Endorsement No. Premium $