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HomeMy WebLinkAboutJ. Johnson & Company, Inc.IOHNC01 np in. rr: CERTIFICATE OF LIABILITY INSURANCE COVERAGES CFRTIFIrATF NI IMRFR• - - - --" "' '-"' � ""•`•""-" `• RG V IOIVIY IY VIYI r3C1[: 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. DATE Y) TYPE OF INSURANCE 08/10/2020 08/10/2020 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(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER 831-475-4314 UVIS Donald R Hardy Agency P.O. Box 308 COME CT Charmane Phillips, CSR _NAPHONE 831-475-4314 FAx (A/c, No, Ext): (A/C. No):831-475-9524 Capitola, CA 95010 Donald R. Hardy ADDRIEss: charmanep@hardyins.com y INSURERS AFFORDING COVERAGE NAIC # INSURER A: Kinsale Insurance Company 38920 INSURED J. Johnson & Company, Inc. 600 Calabasas Road Watsonville, CA 95076 INSURER B: Ohio Casualty Ins Co 24074 INSURER C: Kinsale Insurance Company 38920 INSURER D: State Compensation Ins. Fund 35076 INSURER E: INSURER F: COVERAGES CFRTIFIrATF NI IMRFR• - - - --" "' '-"' � ""•`•""-" `• RG V IOIVIY IY VIYI r3C1[: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL INsn SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITSILITY EACH OCCURRENCE 1,000,000 A X COMMERCIAL GENERAL LIAB CLAIMS -MADE F -v] OCCUR y 01000355984 02/05/2020 02/05/2021 DAEAGETOREcTED a $ 100,000 MED EXP (Any one arson $ EXCLUDED PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: X POLICY ❑ JECO- D LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGG $ 2,000,000 OTHER: B AUTOMOBILE X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOSW D AUTOS ONLY ATOS ONLY y BASS6694868 09/28/2019 09/28/2020 COMBINED SINGLE LIMIT oda $ 1,000,000 BODILY INJURY Perperson) $ BODILY INJURY Per accident $ Pe0accRdenl AMAGE $ C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 01001011901 02/05/2020 02/05/2021 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 DED RETENTION $ D B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBE� EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTJQN OF, OPERAYJOJQ1iaVw, Tools & Equipment N / A 9067956 _ _ BM066694968 08/09/2020 09/28/2019 08/09/2021 09/28/2020 X PER OTH- E E.L. EACH ACCIDENT 1,000,000 1,000,000 E.L. DISEASE - EA EMPLOYEE $ I.L. DIS EASC,; P 1 y;,'JMI, 1,000,000 . , i.. lr � 4:... ..�.,..,......,.,.,,.._....1 , Tools & Equipment 91,660 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule; may be attached if more space is required) Town of Los Altos Hills is named as Additional Insured per attached CG20100704 and CG20370704 as regard to General Liability and per attached CA88100113 as regard to Commercial Auto. TOWNLG2 Town of Los Altos Hills 26379 Fremont Road Los Altos Hills, CA 94002 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 Donald R. Hardy ,7' rwvlw �v t�v Iv/v. / W 1VOO-LU i0 AUUKU CUKI'UKAI ION. All rights reserved. The ACORD name and logo are registered marks of ACORD THIS ENDORSEMEIVT C84NQ&$ THE: P011M KEW RM IT CAReFULLY, ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATI 1\1 Attaehr d ro ane porjI rilngpart of po TW)" Add1t1onafA'rem1Utn,, eylaTtwe —Date 02/05/2019 address thAIA I I 2'01A i M at the Nurned Insurcid Returl) This endorsement modifies Insurance Provided underthe following: COMMERCIAL GENEIIAL LIABILITY Covph A Name.rj lr;surod - J Johnson & company Inc, A. Se(tlO" 11 — Who Is An Insured Is Ornended to Include as tern additional insured the person (s) or Organization(s) shown In the Schedule, but only withrespact to Ilability for "bodily InjurV'. `'property damage"or "personal and advertising 1 In Whole or In part, key; WuW' caused, 1, Your acts or bmissiOns; or 2, The anis or Omissions of those acting on your behalf; .In the performance of.younpiliggIn& Operations for the additional Insured(s) at the loco' ' ' above, d'on(s) designated B. With respect to the Insurance afforded to these additional Insureds, the following additional apply: exclusions This Insurance does not apply to "bodily injury,, Property damag e,, occurring , after: o All work, Including Materials, Parts or equipment furnished In Connection With such work; on the project (other than service, maintenance or repairs) to be perforrned by or on behalf or the additional Insured(s) at the.location of the Operations has been completed; or covered 2. That portion of "your work" out of which the injury or dbrnap arises, has: been put to Its Intended use by -any person or OrgafflUtton other than another contractor or subcontractor engaged in Oerformij,jp operations for a principal as a part of the same, project. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED, GG 20 10,07,04 0 ISO Properties, Inc., 2004, pase 1. of i THIS ENDORSeMeNT CHANGES THE po . LiCy. 111A1.9 REAr) IT CAREFULLY, AL)DIT[ONAL INSURED - OWNERS, L8SSEES OR CONTRACTORS,, Attached i-, --, d ana For.rn1t)o part of pb) 44 :NOMe.d Insured - 777777-'" J Johnson 6Compa ' nylnjc._ This enclorselljoilt MOdiflel Insurance Provided under the foji0wing: COMM9RCIAL GENERAL LIABILITY COVERAGE PART ,qCWrn1 fre " — vvJJU 15 An Ingured IS Aftlended to includeas 411 additional Insured' the p6r$011(5) or orgaftlzation . (s) shown In the.,Schedule) but on:ly with respect to ljabjljty for "bodily Injury"or , - p.roperty damage,, caused, In whole or in Part, by "Your work" at the location desig- nated and described in tile schedule of tljjs endorse- ment Pefformed for that a6ftfollal Insured and In. eluded In the "products -completed operations fiazard?', ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED, CG 20-37.07xQ4-i 0 ISO PrOpertl4s, Inc., 2004 Page 1 of 1 COMMERCIAL. AUTO CA 88 10 01 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 01W SINESS, AUTO OVERAGE ENHANCEMENT ENDORSEMENT This endorsement modifies Insurance provided: under the following, BUSINESS. AUTO COVERAGE FORM With respect to: coverage afforded by this endorsement, the provisions of the policy apply unless modified by the: endorsement, COVERAGE INDEX SUBJECI ADDITIONAL.INSURED: BY CONTRACT, AGREEMENT OR PERMIT ACCIDENTAL AIRSAG DEPLOYMENT AMENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS AMENDED FELLOW :EMPLOYEE EXCLUSION AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE BROAD FORM INSURED BODILY INJURY REDEFINED EMPLOYEESAS INSUREDS (including employee hired auto) EXTENDED CANCELLATION CONDITION EXTRA EXPENSE - BROAbENED COVERAGE GLASS REPAIR - WAIVER OF DEDUCTIBLE HIRED AUTO PHYSICAL DAMAGE (including employee hired auto and lose of use) HIRED AUTO -COVERAGE TERRITORY LOAN I LEASE GAP PARKED AUTO COLLISION COVERAGE (WAIVER OF DEDUCTIBLE) PERSONAL EFFECTS COVERAGE PHYSICAL DAMAGE - ADDITIONAL TRANSPORTATION EXPENSE COVERAGE RENTAL REIMBURSEMENT SUPPLEMENTARY PAYMENTS TOWING AND LABOR TWO OR MORE DEDUCTIBLES UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS WAIVER OF TRANSFER OF RIGHTS OF RECOVERYAGAIN$T OTHERS TO -US EROYISION NUM PER SECTION It - LIABILITY COVERAGE Is amended as follows,. 1. BROAD FORM INSURED SECTION 11 - LIABILITY COVERAGE, paragraph A.1. - WHO IS AN INSURED Is amended to Include the following as an insured: d. Any legally Incorporated entity of which you own more than 60 percent of the voting stock during the policy period, However, "insured" cioes:not Include any organization that: (1) Is a partnership or joint venture; or (2) Is an Insured under any other automobile policy; or (3) Has exhausted Its Limit of Insurance under any other automobile policy. Paragraph d, (2) of this provision does not -apply to a policy written to apply specifically in expess of this pollcy. 9, Any organization you newly acquire or form, other than a partnership or joint venture, of which you own more than 60 percent of the voting stock, This automatic coverage 18afforded only for IBO days from the date of acquisition or formation, However, coverage under this provision does not apply: (1) If there Is similar Insurance or a self -Insured retention plan available to that. organization; 0 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted ftt6rlal -of Insurance Servici6s Office, Inc., Will Its permissl= Page 1 of 7 (2) If the Limits of Insurance of any other insurance policy have been exhausted) 'or (3) To "bodily injury" or "property damage" that occurred before you :acquired o . r formed the organization, 2, EMPLOYEES AS.IN$UREDS SECTION It - LIABILITY COVERAGE, paragraph AJ, -I/VI-ICS 18 AN MOISD Is amended to Include the following as 8n Insured,. f. Any "employee" of yours whIIG using a covered "auto" you do not own, hire or borrow; but Qnjy for acts within the scope of their employment by you, Insurance provided by this endorse - ME merit is excess over any other Insurance- available to any "employee.", g, An "employee" of yours whII6 operating an "auto" hired or --borrowed ! under a written contract or agreement in that "empd'oyeasll name, with your permission, while performing . duties re - opo of their employment, ment, Insurance I@tod to tilo 0011duot of your buolnos and within the OQ provided by t . hlq endorsement is excess - over any other Ihsuranoe available to the "employee"" mm 3. ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR PERMIT MM SECTION 11 - LIABILITY COVERAGE, paragraph AJ. - WHO IS AN INSURED Is amended to Include the following as an Insured: h, Any parson or organization with respect. to the operation., maintenance or use of a covered auto", provided that you and such person or ofgani zation. -have. agreed In a written contract, agreement, or permit. Issued to you by governmental or 0blia.-twthority, to, add such person, or organization, or governmental or public authority to this policy as ani "Insured". However, such person or organization Is an "Insured": (1) Only with respect to the operation, malfttenshce or use of a covered "auto"; (2) Only for "bodily Injury" or "property damage" caused by an "accident" which takes place after you aXacute.d the written contract or agreement, or the permit has been Issued to you; and (3) Only for tho duration of that contract, agreement or permit.. 4. SUPPLEMENTARY PAYMENTS SECTION 11 - LIABILITY COVERAGE, Coverage Extensions, 2 . ,a, Supple.,rnqntary Payments, para- graph$ (2) and (4) are replaced by,the following: (2) Up to $3,000 for cost of ball :bonds (Including bonds for related trafflo 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 reqvest,. Including actual loss of earn - Ings up to $500 a day because of time off from work. 6, AMENDED FELLOW EMPLOYEE EXCLUSION In those] urlsd lotions where, by law, fellow employees are not entitled to the protection afforded to I the following the employer by the workers compensation excuslylty rule, or �Irnllar protection,. provision Is added: SECTION 11 - LIABILITY, exclusion 6,5, FELLOW ENIPLOYEE does not apply If the "bodily injury" res . ults frofti the use of a covered "auto" you own or hire. SECTION III - PHYSICAL DAMAGE COVERAGE Is amended as follows' 6. HIRED AUTO PHYSICAL DAMAGE Paragraph AACoverage I5xtans.Ion§- of SECTION III - PHYSICAL DAMAGE COVERAGE, Is amended by adding the following: If hired "autos" are covered "autos" for Liability Coverage, and it Comprehensive., Specified causes of Loss or Colliqlon coverage are provided under the Business Auto Covorager Form for any "auto'" you own, then the Physical Damage coverages provided are extended to "autos": a, You hire, rent or borrow; or 0 20J3,LlberlyiMUtuall Insurance CA 88 10 01 13. includes copyrighted material of Insurance ServIC09 WOO, Ina,,with its permission, Page. 2 of 7 b, Your "employee" hires or rents under a written contract or agreement In that "employee's" name, but only If the damage occurs while the vehicle Is being used In the conduct of your buss subject to the following limit and deductible; A. The most we will pay for "logs" In any one "accident" or "loss" Is the smallest of: (1) $60,000, or (2) The actual cash value of1he damaged or stolen property as of the time of the "loss"; or (3) The, cost of repeffing or replacing the damaged or stolen property with other property of like kind and quality, minus adeduotible. 13, The deductible will be equal to the largest deductible applicable to any owned "auto" for that coverage. C. Subject to the limit, deductible and excess provisions described In this provision, we will provide coverage equal to the, broadest coverage applicable to any covered "auto" you own. D. Subject to a maximum of $1,000 per "accident", we will also cover the actual loss of use of thea hired "auto" If It results from an "accident", you are legally liable and the lessor Incurs an actual financial los8, E, This coverage extension does not apply to: (1) Any "auto" that Is hired., rented or borrowed with a driver, or (2) Any "auto" that Is hired, rented or borrowed from your "employee". For the purposes of this provision, SECTION V - DEFINITIONS Is amended by adding the following: "Total loss" means a "lose,, In which the cost of repairs plus the selvage value exceeds the actual cash value. 7, TOWING AND LABOR SECTION III - PHYSICAL DAMAGE COVERAGE, paragraph A.2. Towing, Is amended by the addition of the following: We will pay towing and labor costs Incurred, up to the limits shown below, each time a covered ""auto"" classified and rated as a private passenger type, '(1191)t truck" or "medium truck" Is dis- abled: a. For private passenger type vehicles, we will pay up to $50.p.or disablement, bf For "light trucks", we will -pay up to $60 per disablement, ""Licht trucks" are trucks that have a gross vehicle weight (GVW) of 10,000 pounds or less, c, For "medium trucks" , we will payup to $150 per disablement, "Medium trucks" are trucks that have a gross vehicle weight. (GVW) of 10,001 - 20,0.00 pounds, However, the labor must be performed at the place of dlaablemont. 8. PHYSICAL DAMAGE. - ADDITIONAL TRANSPORTATION EXPENSE cove -11401 Paragraph AA.a., Coverage Extension of SECTION III - PHYSICAL DAMAGE COVERAGE, Is amend- ed to provide a limit of $50 per day and a maximum limit of $1,500 CABs 10 01 13 0 2013Uberty Mutual Insurance IncludescopyrIghted material of InsurancoServicbs office, Inc.,with Its permisslon, Page 3 of 7 9. RENTAL REIMBURSEMENT SECTION III - PHYSICAL DAMAGE COVERAQE, A, COVERAGE, Is arnended by addlpg 'thefollowing: a, We Will Pay up to $75 per clay for rental reimbursement 'expenses Incurred by you for the rental Of an "auto" because of "acoldent" or loss", to an "auto" for which we also pay a "bsO under Comprehensive, Speolfled Causes of Loss or Collision Coverages, We will pay only for those expenses Incurred after the first 24 hours following the "accident" or "loss" to the covered "auto.11 b, Rental Relrrib.ursernent will be based on the rental of a comparable vehicle, which In many bases may be sulbstantl ' ally,..less .than $75 per .day, and., will - only .be allow ' ed for the period of time Ashould take to repair or repl4e the vehicle with reasonable s' ' ' peed end sihillar quality, up to a maximum of 30 days, I i , I c. We will also pay up to $500 for reasonable and necessary expenses IncWed by you to remove and r6place your tools and equipm4n't from the covered "auto", d. This coverage does not apply Unless. you have a business necessity that other "autos" avail- able for your use and operation cannot fill. 0, If "lose" reoult,.,4 from the total thoft of- a '06yered 'auto" of the private passenger type, we will pay Linder this coverage only that amount of your rental relmbursement expenses which. Is not already provided under Paragraph 4, Coverage Extension. f, No deductlble',Pappltea t,o this coverage.. For the purposes of this endorsement provision, materials and equipment do not Include "personal effects" as defined In provision 11, 10, EXTRA EXPENSE - BROADENED COVERAGE Under SECTION, III - PHYSICAL DAMAGE COVERAGE, A, COVERAGE, we will, pay for the expense of returning a stolen covered "auto', to you, The maximum amount. we Will pay is $'1000. 11, PERSONAL EFFECTS COVERAGE A, SECTION III - PHYSICAL DAMAGE COVERAGE, A. COVERAGE, 18 amended by adding the to llowln�: If you have purchased Comprehensive Coverage on tI its policy for. an "auto" you own and that „auto" Is stolen, we will, pay, without aPPlicstiOn Of 0 d6duddlb, `tap to for "personal effects" stolen with the "auto," The Insurance provided under this provision Is excess over any other collectible Insurance, 8, SECTION V - DEFINITIONS Is amended by adding the following, For the purposes of this provision, "personal effects" mean tangible property that Is worn or carried by an Insured," "Personal -effects" does not Include tools, eClulpment, jewelry, money or securities, 12, AC,01DENTAL AIRBAG DEPLOYMENT SECTION III - PHYSICA 'DMAGE 06V,ERA615, 13'XCLUS IONS" Io, amendedby iaddln�- the follow - Ing; If you have purchased Comprehensive or Collision Coverage wider this policy, the exclusion for "loss" relating to mechanical breakdown does not apply to the accidental discharge of an alrbag. Any Insurance we provide shall bb excess over any other collectible Insurance or reimbursement by manufacturer's warranty. 1-1 . oweveri we agree to pay any deductible' applicable to the other cov. erage or warranty, 13. AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE SECTION III - PHYSICAL DAMAGE COVERAGE, 13,. EXCLUSIONS, exception paragraph a. to exclu., slons 4,oA and 4A, Is deleted and jeplaQed with the following: 0 2013 Liberty Mutual Insurance CA 88 10 01 13 Inaludoscapyrightod material of insurance Services Off Ice, Inc„ with its perailsslon. Page 4 of 7 Exclusion 4ic,. and 4.d. do not apply to, a. Electronic equipment that receives or transmits audio, visual or data signals, whether or not designed solely for 'the reproduction of sound, It tho equipment Is prmenently 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" and PhYSIcal damage coverages .are provided for the covered "auto"; or If the "loss" occurs solely to audio, visual or data electronic equipment or accessories used with this equipment, then our obligation to prey for, repair,'jeturri or replace damaged''or stolen property will be reduced by a $100 deductible, 14, LOAN / LEASE GAP. COV RACE A. Paragraph C., LIMIT OF INSURANCI= of S15CTION III - PHYSICAL DAMAGE COVF-RAGE- is amended by adding the following: The most we will pay for a "total loss" to a covered "auto" owned by or leased to you In any one "accident" is the greater of the, 1. Balance due under the terms of the loan or lease to Which > the damaged covered "auto', is subject at the time of the "loss" less the amount of., a. Overdue payments and financlal penalties associated with those payments as of the date of the "loss'", b. Financial penalties Imposed under a lease due to high mileage, excessive use or 0, b - normal wear and tear, C. Costs for extended warranties, Credit Life Insurance, 1­16alth, Accident or Disability Insurance purchased with the loan or lease, * d, Transfer or rollover balances from previous loans or leases., o. Final payment due under a "Balloon Loan", f. The dollar amount of any unrepaired damage which occurred prior to the "total loss" of a covered "auto", g. Security deposits not refunded by a lessor, h, All refunds payable or paid to you as 8 result of the early termination of a lease agreement or as a result of the early termination of any warranty or extended service agreement on a covered "auto", 1, Any amount reprasentinq taxes, I. Loan or lease termination fees; or 2-1 The actual cash value of the damage or stolen Property as of the time of the "loss", An adjustment for depreciation and physical condftl6n will be—made e — ma ' d 6 In ' d' ete , r , rn I In I , ng the actual cash value at the time of the "Ioss'% This - . I , .. : adjustment Is not applicable In Texa,-,.:. B0 ADDITIONAL. CONDITIONS* This coverage applies only to the original loan for which the covered "auto" that Incurred the loss serves as collateral, or lease written on the covered "auto" that incurred the loss. 0, 85CTION V - DEFINTIONS Is changed by adding the following: As used in this endorsement provision, the following definitions apply: "Total 1086" means a "loss'" In which the cost of repairs plus thee salvage value exceeds the actual cash value, A "balloon loan" Is one with periodic payments that are Insufficient to repay the balance over the term of the loan, thereby requiring a large final payment, 0 2013 Liberty Mutuol Insurance CA 88 U 01 13 Includes copyrighted material of Insurance Servloes Office, Inc.. witti Its permission. Page 5 of 7 15, GLASS REPAIR. WAIVER OF D11DUCTISWE Paragraph D, Deduotlble of SECTION. III . PHYSICAL DAMAGa COVERAGE Is amended by the addition of the following: No deduclibla Wks to 918$9 damage If the glass 18,� repaired rather than r.pplaoed, 16, PARKED AUTO OOLLISION COVERAGEi (WAIVER OF DEDUCTIBLE) Paragraph 0. Deductible of SECTION III . PHYS16AL DAMAGE COVERAGE Is Amended by the addition of the following,. The deductible does not apply to, Q"I s" caused by� collision to 'Such do d "auto of the private s ve ro au o passenger type or light Weighttruck; with 'a gross' vOklOW: w6lghi: of 16,000 (be" or less as defined by the manufacturer as maximum loaded weight the "auto" Is. designed to carry while It Is; A, In the charge of an "Insured"; b, Legally parkod, and c. Unoccupied, The. "loss" must be reported to the police. authorities! within 24 hours- of known darriage The total amount.of the domago to the covored -11autoll 'rnust� 6Xcedd the deductible shown in the Doolaration.e. i This provision does. not apply to any "loss" If the covered "auto" Is In. the charge of any person or organization engoged In the automobile business, 17. TWO OR MORE DEDUCTIBLES, Under SECTION- III PHYSICAL DAMAGE COVERAGE, If two or more compen * y policies or coverage forms apply to the same. accident, the following applies to paragraph 0, De.,ductlble; a, If the applloab.le Business Auto deductible Is the smaller (or smallest) deductible It: will be waived; or b. If the appiloeble Business, Auto deductible Is not the smaller (or smallest) deductible It will be reduced by the amount of the smaller (or smallest) deduotl ' ble; or c, If the loss Involves two or more Business Auto coverage forms or policies, the smaller (or smallest) deductible will ;be waived, For the. purpose of this endorsement company means: any company. that Is part of. the Liberty Mutual Group, SECTION IV - BUSINESS AUTO CONDITIONS Is.,amended as follows: 18, UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS SECTION IV- BUSINESS AUTO CONDITIONS, Paragraph 13.2. Is amended by adding the following,, If YOU unintentionally fall to disolose any hazards, exposures or material facts existing as of the Inception date or renewal date of the Business Auto Coverage Form, the coverage afforded by this policy will not be prejudlonod. However, you must report the undisclosed hazard of exposure -as soon as practicable after Its discovery, and we have the right to collect additional premium for any euoh hazard or exposure, % AMENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM., SUIT, OR LOS$ SECTION IV - BUSJNESS AUTO CONDITIONS, paragraph A,2.a. Is replaced In. Its entirety by the following: a. In the event of "accident", Claim, "$Ult" or "loss", you must promptly notify Lis when It Is known to, 1, You, If you are an Individual,,, 2, A partner, If you are a partnership; 3. Member, If you are a limited liability company; 4. An executive officer or the "employee" designated by the Named Insured to give such notice, If you are a corporation. 0 201 3Ubarty Mutual In8urence CA 60 10 01 13 Includes copyrighted material of Imsurance Services Office, Inc,, with Its permission. Pagq 6 of 7 To the extent possible, notice to us should Include,, (1) How, when and where the '"eQcldent" or "loss" took place; (2) The `"insureds" name and address; and (3) The names and addresses of any Injured Persons and witnesses, 20, WAIVER OF TRANSFER ,017 RIGHTS OF RECOVERY AGAINsr OTHERS TO US SECTION IV - BUSINESS AUTO CONDITIONS, paragraph A.S., Transfer of Rights of Recovery Against Others to Us, Is amended 'by the addition of thofollowlng: If the person or organization has waived those rights before an "accident" or "loss", our rights are waived also, K HIRED AUTO COVERAGE TERRITORY SECTION IV -BUSINESS AUTO CONDITIONS, paragraph 8.7,, Policy Period, Coverage Territory, is amended by the -addition of the following: C .,For "autos", hired. 30.,.days or less, t1le-.,00veragO territory is anywhere 1h the World, provided that the Insured's responsibility to pay for damages Is deterrnIned In a "suit", on the merits, In the United States, the territories and possessions of the United States of America, Puerto Rico or Canhda or In a settlement we agree to. This extension Of coverage does not apply to all "auto" hired, leased, rented or borrowed with a driver, SECTION V - DEFINITION$ Is amended as follows: .22, BODILY INJURY RMEFINED Under SECTION V - DEFINTIONS, definition C. 'is replaced by the following: "Bodily Injury" means physical Injury, sickness or disease sustained by a person, Including mental anguish, mental Injury, shook, fright ht or death resulting from any of these at, any time, COMMMON POLICY CONDITIONS 23, EXTENDED CANCELLATION CONDITION COMMON POLICY CONDITIONS, paragraph A. - CANCELLATION condition applies except as fol- lows: . 0 If we cancel for any reason other than nonpayment of premium, we Will mail to the first: Named Insured written notice of cancellation at least 60 days before the effective date of cancellation. This provision does not apply In those states which require more than 6.0 days prior notice of oancelia- flon, 0) 2013 Liberty Mutual Insurance CA 88 14 01 13 Includes copyrighted materiel af Insurance Services office, Inc., with Its'peftnissibn. Page 7 of 7