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HomeMy WebLinkAboutJ. Johnson & Company, Inc. (2)IOHNC01 OP In- CF CERTIFICATE OF LIABILITY INSURANCE DATE(M 10/099/20/20YYY) 20 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 Capitola, CA 95010 Donald R. Hardy NIT Charmane Phillips, CSR NA PHONE 831-475-4314 FAX ) 831-475-9524 (A/C, No, Ext): (A/C, No at oRIL charmanep@hardyins.com LIMITS A INSURERS AFFORDING COVERAGE NAIC # INSURER A: Kinsale Insurance Company 38920 JNSU ED . Jo�tnson & Company, Inc. W9 Calab sas Road atsonvil�e, CA 95076 INSURER B: Ohio Casualty Ins Co 24074 INSURER C :Kinsale Insurance Company 38920 INSURER D: p State Compensation Ins. Fund 35076 INSURER E: DAMAGE TO RENTED 100,000 PREMISES Ea occurrence) $ INSURER F: COVERAGES CFRTIFICATF NI IMRFR- RFVISInAI t o MEMO. 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. ILTR NSR TYPE OF INSURANCE DDL UBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR01000355984 X 02105/2020 02/05/2021 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 100,000 PREMISES Ea occurrence) $ MED EXP (Any oneperson) $ EXCLUDED PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ j� LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 210001000 OTHER: B AUTOMOBILE LIABILITY TI BINEDtSINGLE LIMIT$ 1,000,000 X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X BAS56694868 09/28/2020 09128/2021 BODILY INJURY Perperson) $ BODILY INJURY Per accident $ ROPERTY AMAGE Per.$ AUT OS ONLY AOTOpW�Ep U S ONLY 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 I I RETENTION $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/M MBE EXCLUDE[ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 9067956 08/0912020 08/09/2021 X PER OTH- UTE E E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE _EPOLICY LIMIT 1,000,000 B Tools & Equipment BM0566948168 09/2812020 03128/2021 'I`aols 6V 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 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 0100035598-4 02/05/202012:01AM at the Named Insured J Johnson & Company Inc address shown on the Declarations Additional Premium; Return Premium: $0 $0 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) or Organization(s): Locations) of Covered Operations Blanket, as required by written contract, executed prior to the start of work on the project. Locations as required and specified by written contract, executed prior to the start of work on the project. 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 organizations) 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. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. CG 20 10 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 0100035598-4 02/05/202012:01AM at the Named Insured J Johnson & Company Inc address shown on the Declarations Additional Premium: Return Premium: $0 $0 This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s) or Organization(s) Location and Description of Completed Operations Blanket, as required by written contract, executed prior to the start of work on the project. Locations as required and specified by written contract, executed prior to the start of work on the project. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. 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 desig- nated and described in the schedule of this endorse- ment performed for that additional insured and in- cluded in the "products -completed operations hazard". ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. CG 20 37 07 04 C ISO Properties, Inc., 2004 Page 1 of 1 COMMERCIAL. AUTO CA 88 10 01 13 THIS -ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. :BONS & AUTO OOVERAGE ENHANCEMENT ENDORSEMENT This endorsement modifies Insurance provided, under the followlnga BUSINESS AUTO COVERAGE FORM With respect to: coverage afforded by this endorsement, the .provislons of the policy apply unless modified by the endorsement, COVERAMNI)EX MME -U ADDITIONAL INSURED. BY CONTRACT, At OR PERMIT ACCIDENTAL AIRSAG DEPLOYMENT AMENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS AMENDED FELLOW:5MPLOYEE aXCLUStON AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE BROAD FORM INSURED 80DILY INJURY REDEFINED EMPLOYEESAS INSUREDS (including employee hired auto) EXTENDED CANCELLATION CONDITION' EXTRA EXPENSE - BROADENED COVERAGE GLASS REPAIR -:WAIVER OF DEDUCTIBLE HIRED AUTO PHYSICAL DAMAGE (Including employee hired -auto and loss of use) HIRED AUTO COVERAGE TERRITORY LOAN I LASE 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 LININ T'ENTIONAL FAILURE TO. DISCLOSE HAZARDS WAIVER OF TRANSFER OF RIGHTS Or RECOV�RYAGAIN$T OTHERS -TO US PROVISION NUL4PER SECTION i1. LIABILITY COVERAGE Is amended as follows: 1. BROAD FORM INSURED SECTION 11 - LIABILITY COVERAGE, paragraph A.1, - WHO IS AN INSURED It amended to incip.dje the following as an Insured: d. Any legally Incorporated entity of which you own more than 50 percent of the voting stock during the policy peflod, However, "Insured" does not include any organization that: (1) Ise partnership or joint ventute, 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 excess of this policy, er 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 is .afforded only for 180 days from the date of acquisition or formation. However, coverage under this provision does not apply: (1) If there Is similar Insurance or a-solf-Insured retention plan available to that organization; 0 2013 Ltberty Mutual Insurance CA 88 10 01 13 Includes cop yrighted material of Insurance Services Offfoe, Inc., with Its perrnlsslon; Page 1 of 7 ........... .................. 11 ...... ......... (2) If the Limits of Insurance of any 6thor Insurance policy have boon oxhausted,, or (3) TO "bodily Injury" or "property damage" that occurred before you :aoqulred or formed the organization. 2. EMPLOYEES AS,INSUREDS SECTION 11 - LIABILITY COVERAGE, paragraph A.1. - WHO IS AN INSUkED. Is amended to Include the following as an Insured: f. Any "employee" of yourswhile using a covered "auto" you do -hot own, hire or borrow, but only for acts within the. scope of their employment by you, Insurance provided by this endorse- man't Is excess ever any other Insurance available to any "employee.", 9, An "employee" of yours while' operating an "a.000: hired, or •borrowed under a written contract or agreement In that "employee's" name, with your permission, white performing duties ro lated to the oonduotof your business and Within the scope of their ernploymont, Insurance provided by this endorsement Is excess over any othar Insuranoo available to the "employee", 3. ADDITIONAL INSURED sy CONTRACT, AGR EEMeNT OR PERMIT 8120TION 11 - LIABILITY COVERAGE paragraph A.1, - WHO IS AN INSURED to amended, to Include thefo.1lowina as an InSUrnd:. In, Any person or organization with respect to the operation., maintenance or use of a covered "auto"i, provided that you and'suoh person or oTganization have Agreed In a written contract, agreement, orpermitIssued to you by goVernmental oroklio.,:Authorlty., to,.a.Od sucl-r person, or organization, or governmental or pyblicauthority to this policy as an "Insured", However, such person or organization Is an "insured": (1) Only with respect to the: operation, maintenance or use of a covered "auto"; (2) ONY for "bodily Injury" or "property damage" caused by: an "ao.oldent" which takes place after you exaouted the written, contract or agreement, -or the permit has been Issued to you; and (3) Only for the duration of that contract, agreement or permit, 4, 8UPPLEMeNTARY PAYMENTS SECTION 11 - LIABILITY COVERAGE, Coverage Extension$, Z,a..St.jpplefn9ntary Payments, pare - graphs (2) and (4) are replaced by,the following: (2) Up to $x,000 for cost of ball :bonds (including bonds for related traffic 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 earn - Ings up to $600 s day because of time -off gone work, .6, AMENDED .FELLOW EMPLOYEE EXCLUSION In those jurisdictions where; :by law, fellow employees ere not entitled to the protection afforded to the employer , by the workers compensation explualy4y rine., or similar protection, thQ following provision Is added: SECTION 11 - LIABILITY, exclusion 134, FELLOW. EMPLOYEE does not apply If the "bodily Injury" results fmrn 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 A,4. Coverage Extensions. of SECTION 1,11 - PHYSICAL DAMAGE COVERAGE, Is amended by adding the following: If hired "autos" are covered "SWOG" for Liability Coverage, and It Comprehensive., Specified Causes of Loss or Collision coverage are provided under the Business. Auto Coverage Form for any "auto" you own, then the Physical Damage coverages provided are extended to "autos": a, You hire, rent or borrow; or Q 2013 -Lib arty Mflus I Insuranco CA 33 10 01 13. Includes copyrighted material of Insuranoo $ervloo6 Oflica, 1=, With its permission, Page 2 of 7 b, Your "brnployoe" hires or rents tinder a written contract or agreement In that "'employee's" name, bait only If the damage occurs while the vehicle Is being used In the conduct of your business, subject to the following limit and deductible: A. The most we will pay for ',loss,, In any one "accident" or "loss" Is the smallest of: (1) $60,000; or (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, minus a deductible, B, 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 lo -,;s of use of tl)o :hired "auto" If It results from an "accident", you are legally liable and the lessor incurs an actual financial los*s. 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, rentod or borrowed from your "employee", For the purposes of this provision, SECTION V - DEFINITIONS Is amended by adding the following: "Total loss" means a "loss,, 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 X2. Towing, Is amended by the addition of the following: We will pay towing end labor costs Incurred, up to the limits shown below, each time a covered ""auto" classified and rated as a private passenger type, "light truck'` or "medium truck" Is dis- abled: a. For. private passenger type vehicles, we will Pay OP to $50 per disablement, b, For "light trucks", WO will -pay up to $60 per disablement, "Light. trucks' are trucks that have a gross vehicle weight (GVW) of 1.0,000 pounds or less, c, For "medium trucks" ,'we will pay up to $ 150 per dlsablemenL "Medium trucks" are trucks that have a gross vehicle weight (GVW) of 10,001 - 20,000.pounds, However, the labor must be performed at the place' of disablemont, 8. PHYSICAL DAMAGE. - ADDITIONAL TRANSPORTA'ri3ON EXPENSE CO'V VE . R AG . E Paragraph A.4.a,, Coverage Extension of SECTION III - PHYSICAL DAMAGE COVERAGE, Is amend- ed to provide a limit of $60 per day and a maximum limit of $1,500 CA.88 10 01 13 .0 201311berty Mutual Inauranco I nolUd.06copyrighted material of lnsurancoSorvlaps.offlce, Ino,, with Its permission, Psoe 3 of 7 -9. RENTAL Rr=imBUR8P-MI2NT SECTION III - PHYSICAL DAMAGE COV ERAOE, A, COVERAGE:, is amended by addina. g the following,, We will Pay UP to $76 per dby for rental reimbursementBkPenses lnourradby you for the rontal of an. ,auto,, be . Cause of "000ldent" 01r �1088'1, to an "auto" for whloh we also pay a under Comprehensive, Specified 000ses of Loss or Collision Coverages, We will pay only for those -expenses Incurred after the first 24 hours following the "acoldont It or "loss" to the covered b, Rental Reimbursement will be based on the rental of a comparable Vehicle, which In many cases may .be substantially. Joss,than $76 - per.day, wd. will . poly'. be allowed fo111 r .0 p GrIod of time :It should take to repair e or repl c P replace the Vehicle with reasonable spoe., d and slinflar quality, up to a maximum of 30 days, We will also Pay up to $600 for roa�sonabla and neoessary expellses lncurred by you to remove and mplace your tO.018: and equipment frOrn the covered "auto", d. This coverage does nO . t apply Unless you have a business necessity that other "autos" ava ilw able for your use and operation cannot fill. er If "loss" results from the .total theft Of 6 00YOred "'"auto". , of the private pay under this; covorsob. onlPassenger type, we will y th'afaimount of your mhtal reimbursement expenses which Is not already provided under Paragraph 4. Coverage Extension, f, No deductible, kappileb to th!s coverage, For the purposes of this. endorsement Prov.1s.lon, materialsand equipment do not Include "personal effects" as defined In provision 11. 10, EXTRA EXPENSE -BiOADENED.00VERAGE Under S150tION III -PHYSICAL DAMAGE COV' RACE, A, COVERAGE., We, will Pay for the expense of returning a stolon covered ,auto,, to you. The maximum amount . I . We will pay Is $1',000. 11, PERSONAL EFFF.CTSCOVERAG11 .A,. S.ECT.10N III �; PHYSICAL DAMAGE COVERAGE, A. COVERAGE, Is amended by adding the followln9"'* (you have purchased Comprehens:Ive . Coverage on this polloy for an "auto,, you own and that auto" Is stolen, WO Will, Pay, �VlthWt applfcaflot) effects" stolen with the "auto," Of El tap W.$600 for "personal The Insurance provided Linder this proftion' Is excess over any other. collectible Insurance, B, SECTION V - DEFINITIONS Is amended by adding the following, - For the purposes of this provision, "personal effects" mean tangible Property that Is worn carried by an Insured," "personal 'effects" do" not Include tools, eqQlpmentl jewelry, moneyor or securities, 12, ACC.IDENTAL AIRBAG OrzPLOYMENT- 'SEOTION III - PHY8JC4C6A`MA0E . 0 SAGE,8, Ing;bmendod"icy hddlnd- the,rollow- If you have purchased Comprehe*nsIve or Collision Coverage under this policy, the exclusion for "loss" relating to Mechanical breakdown does not apply to the aodIdlontal discharge of an alrbag, Any insurance we provide shall be excess over any other collectible Insurance or reimbursement by manufacturer's warriahty. However, we agree to pay' any deductible appficable to the other covN erase or warranty, 13. AUDIO, VISUAL AND DATA NLECTRONIC F-OUIPMENT COVERAGE SECTION .111 - PHYSICAL DAMAGE COVERAGE, 13, EXCLUSIONS, exception paragraph a. to oxclu- sloni 4..o�'n'nd 44 is deleted tandl:replaQed Will the following.. 0 201311�erty Mutual Insurance CA 88 10 01 13 Includes copyrighted mElterial of In'suranGo Servloas:offloe, Inc., with Its pormls.slon, Page 4 of 7 Excluslon 4.c.. and 4.d, do notapply to, a. Electronic equipment that receives or transmits audio, visual or data signals, whether or not designed 80101y for the reproduction of sound, If the equipment Is permanently Installed In the covered "auto" at the time of the "'Cass" 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 fpr the covered "auto'"; or If the "loss" occurs solely to audio, visual or date electronic equipment or accessories used with this equipment, then our obligation to pay for, repair" return or replace damaged" or stolen property will be roduced by a $100 deductible. 14, LOAN I LEASE GAP COV15RAGE A. Paragraph C.,. LIMIT OF INSURANCE of 6 SECTION III - PHYSICAL DAMAGE COVERAGE Is amended by adding the following: The most we will pay for a "total loss" to a covered "auto,, owned by or leased to you in any One "accident" is the greater of the; 1. Balanob due under the terms of the loan of lease to which the damaged covered "auto" is subject at the time of the "loss" less the amount of; a. Overdue payments and financial penalties associated with those payments as of the date of the 'loss,,, b. Financial penalties Imposed under a lease due to high mileage, excessive use or ab- normal wear and tear, 0, Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability insurance purchased with the loan or lease; cl, Transfer or rollover balances from previous loans or leases, o. Final payment due under a IlUlloon Loan", f. The dollar amount of any unrepaired damage which. occurredprior to the "total loss", of a covered "auto", 0. Security deposits not refunded by a lessor, h. All refunds payable or paid to you as a result of the early termination of a. lease agreement or as a result of the early termination of any warranty or extended service 6greernent on a covered: "auto", 1. Any amount representing taxes., J. Loan or lease termination fees; or Z The actual cash Value Of the damage or stolen property as of, the time of the "loss", An adjustment for deproclatlonand physical condition Will - be made In determining the actual cash value at the time.. of the "los$". This e0jos-b-nent Is not applicable In Texas,. U. ADDITIONAL CONDITION 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. C, SECTION V - DEFINTIONS Is changed by adding the following: As used In this endorsement provision, the following definitions apply: "Total loss" means a "'loss'" In which the cost of repairs plus the salvage value exceeds the actual cash value, A."balloon loan" Is one with periodic payments that are Insufficient to ropay the balance over -the term of the loan, thereby requiring a large_final payment, 0 2010 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Offloe, lno,, with Its permission. Page 5 of 7 15, GLASS REPAIR- WAIVER OF i. DUCTISLE Paragraph 0, Deductible of -SECTION., III - PHY$IqAL 0A.MAGR COVERAGE Is amended by the addition of the following-, e NO deductible 8I)PI108 to. glass demop If the glass ls,'repalred rather than replaced, eplaced. 16. PARKED AUTO COLLISION GOVERAGE4WAIVER OS DEOUCTIBLE) Paragraph 0. Deductible of SECT . ION III - PHYSICAL DAMAG5 COVERAGE Is amended by the addition of the following., The deductible. does- not apply to, 'loss', cause passenger d by!00111slon to such obye.red 11416" of the private ger ty we ht 16, , 68' -." defined by Pa or Welght'trkk with "a gro6i vdhjola�; ''Ig­` of 0.00 or Jess the manufacturer , as maxim . urn loaded weight 1he "auto" Is. designed to carry, while It Is'., n. In the charge of an "Insured"; b. Legally parked; and 0. Unoccupied, The "loss" must b.e, reported to the polloe.authorltleal within 24 hours of known.,demage. The total amount of the damage to the covered "aLlto" must exceed, :the deductible shown in the Declaration% This provision does not apply to any "loss" If thie covered 11autv, Is In. the charge of any person or organization engaged In the automobile business. 17. TWO OR MORE DEDUOTIBLES Under SECTION III PHYSICAL DAMAGE COVEDACE, :If two or more company policies or coverage forms apply to the same. accident, the following applies to paragraph 'DA-Deductible; a, if the applioablo Business Auto deductible Is the smaller (or smallest) deductible It: will be waived; or b, It the a.pplloablo Business Auto deductible Is not the smaller (or smallest) deductible It will be reduced by the amount of the smaller (or smallest) dedu6ti ' * ' blo; or If the loss Involves two or more. Buslnes.s AUto coverage forms :or policies the smaller (or smallest) deduotible will be Waived, For the purpose of this endorsement -company meansany company. that Is part of. the Liberty Mutual Group. SECTION IV - BUSINESS AUTO CONDITIONS Is ..amended as follows,, 18, UNINTENTIONAL FAILURE TO DISCLO$S HAZARDS SECTION IV. BUSINESS A.UTO CONDITIONS Paragraph 13.2. Is amended by adding the following: If you unintentionally fall to disclose any hazard$, exposures. or.matatial facts existing as of the Inception date or renewal data of the Business Auto Coverage Form, the coverage afforded by this Policy will not be prejudiced, However, You must report the undlWosed hazard of exposure 'as- 80011 as Practicable after Its discovery, and we have the right to colleot additional premium for en.y such hazard or exposure, % AMENDED DUTIES IN TRE EVENT OF ACCIDENT, :01. :CLAIM, SUIT, OR LOS$ SECTION IV - BUS.INESS AUTO CONDITIONS, para following: groph A.2.a. Is replaced In Its entirety by the a, In the event of "accident.", claim, "cult" or "loss", you must promptly notify us 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 exeoutive offloor or the "employee" designated by the Named Insured to give such notice, if you are a corporation, GA 88 10 01 13 Includes copyrighted me (D I 20-131Insur1barty Mutual ljj�urance total of ance Services office, Ino,, with Its Permission, Page 8 of 7 To the extent possible, notice to us should Include-, (1) How, when and Where the ".0coldent" 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 OF RIGHTS OF RECOVERY AGAINST OTHERS TO US SECTION IV - BUSINESS. AUTO CONDITIONS, paragraph A.S., Transfer of Rights of Recovery Against Others to Us, 18 amended 'by the addition of the -following, ' If the person or, OrganlZation has waived. those rights before an ,accident,, or "loss", our rights are Waived also. 2t HIRED AUTO COVERAGE TERRITORY SECTION IV - BUSINESS AUTO CONDITIONS, paragraph B.7,, Policy Poriod, Coverage Territory, is amended by the addition of the following: f. For "autos" Ihired 39 days or less, the coverage territory. Is anywhere in the world, provided that the Insureds responsollity to pay for damages Is determined in 6 "'Suit", " on the met -its, in the United States, the territories and possessions of the United States of America, Puerto Rico or Canada 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 RIEDEFINED Under. SECTION V - DEFINTIONS, definition C. is: replaced by the following: "Bodily Injury" means physical Injury, sickness or disease sustained by a -.person, Including noellial ang0lsh, mental Injury, shook, fright or death resulting from any of these at any time, COMMON POLICY CONDITIONS 23, EXTENDED CANCELLATION CONDITION COMMON POLICY CONDITIONS, paragraph A. - CANCELLATION condition applies 0 0 as lows'! x ept f01 If we cancel for any reason other then nonpayment of.promium, WO Will, mail to .Insured written notice of cancellation at least 60 days before the effective the first Named ed date of cancellation. This provision does not apply In those states which require more than 6(l .days prior notice of cancella- tion. CA 88 10,01 13 Includes copyrighted 0 201Liberty Mutual Insurance .ghted Material of0.Insurance services offlc*0, 410., with Its peernfisalbn. Page 7 of 7