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HomeMy WebLinkAbout457049 AAA PEST PROS - INSURANCE CERTIFICATE (11)�^� " CERTIFICATE OF LIABILITY INSURANCE AM D08/30 D011 OB/30/2011 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 endorsements . PRODUCER OD08408 1-415-541-7900 CONTACT NAME: Wells Fargo Insurance Services USA, Inc. PHONE FAx No. Ext, C Na: E-MAIL ADDRESS: 45 Fremont Street Suite 800 San Francisco, CA 94105 INSURERS AFFORDING COVERAGE NAIC R INSURERA: Sparta Insurance Company INSURED - 1', D INSURER B: AAA Past ProsT James Marrquardt INSURER C: INSURER D: PO Box 20235 INSURER E: Boulder, CO 80308 INSURER F : COVERAGES CERTIFICATE NUMBER: 22886339 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 TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMIDO MMIDD A GENERALUABILITY OIIGLO333000 08/18/1 08/18/12 EACH OCCURRENCE f 1,000,000 PREMISES Ea occurmnce $ 100,000 X COMMERCIAL GENERAL LIABILITY CI -AIMS -MADE PFIOCCUR MED EXP(Anycne person) E 5,000 PERSONAL S ADV INJURY f 1,000,000 GENERAL AGGREGATE f 1,000,000 GEN'L AGGREGJLIMIT APPLIES PER: PRODUCTS - COMP/OP AGO S 1,000,000 X POLICY PRC- LOC f AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ee accident BODILY INJURY (Per person) E ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPER' Y DAMAGE Per exident f NON -OWNED HIRED AUTOS AUTOS f UMBRELLA DAB OCCUR EACH OCCURRENCE f AGGREGATE f EXCESS-UBCLAIMSMADE DED I I RETENTIONS S WORKERS COMPENSATION WCSTATU- OTH- AND EMPLOYERS' UABIUW YINLIM E.L. EACH ACCIDENT E ANY PROPRIEfOR/PARTNERIEXECUTIVE❑ OFFICERIMEMBER EXCLUDED? NIA E.L. DISEASE - EA EMPLOYE E (Mandatory In NH) It yes, desuibe under DE SCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT E DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, A Idltlanal Remarks ScheduN, If mom span Is required) Certificate holder is included as additional insured per blanket policy endorsement. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ity of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ttn: Purchasing Division .0. Box 580 AUTHORIZED REPRESENTATIVE ort Collins, CO 80522 USA ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD aditty 22886339 rnPPnIOATInIU All --A 3:I0 Wells Fargo Insurance Services USA, Inc. 45 Fremont Street Suite 800 San Francisco, CA 94105 USA Financial Services Purchasing Division 215 N. Mason Street, 2nd floor P.O. Box 580 Fort Collins, CO 80522 USA 0:a9:83 EBIX BPO This document was brought to you by CertificatesNow. If you have questions regarding the content of this document, please contact the Producer/Agent listed on the certificate of insurance or the Insured listed on the notice of cancellation/reinstatement. To find out how you can send and receive all of your certificates of insurance either by email, high speed fax or standard mail, email customercare@confirmnet.com, or visit our websits at wwr.confirmnet.con cc: The data included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. Certificate Delivery by CertificatesNow - www.ConfinnNet.com - 877.669.8600 3'30 the absence of the contract or (2) Any insured person or organization, agreement: from whom you have acquired such (b) Any express warranty products, or any ingredient, part or unauthorized by you; container, entering into, accompanying or containing such (c) Any physical or chemical products. change in the product made b. Lessors of Equipment intentionally by the vendor; (d) Repackaging, unless unpacked (1) Any person(s) or organization(s) solely for the purpose of from whom you lease equipment; . inspection, demonstration, but only with respect to liability for testing, or substitution of parts "bodily injury", "property damage" or under instructions from the "personal and advertising injury" manufacturer, and then caused, in whole or in part, by your repackaged in the original maintenance, operation or use of container: equipment leased to you by such person(s) or organization(s). (e) Any failure to make such inspections, adjustments, tests (2) With respect to the insurance or servicing as the vendor has afforded to these additional agreed ' to 'make or normally insureds, this. insurance. does not undertakes to make in the usual apply to any "occurrence" which course of business, in takes place after the equipment connection with the distribution lease expires. or sale of the products; c. Lessors of Land or Premises (f) Demonstration, installation, Any person(s) or organization(s) from servicing or repair operations, whom you lease land or premises, but except such operations only with respect to liability arising out performed at the vendor's of the ownership, maintenance or use premises in connection with the of that part of the premises leased to sale of the product: you; and subject to the following (g) Products which, after distribution additional exclusions: or sale by you, have been This insurance does not apply to: labeled or relabeled or used as (1) Any "occurrence" which takes place a container, part or ingredient of after you cease to be a tenant in any other thing or substance by that premises. or for the vendor. (2) Structural alterations, new (h) "Bodily Injury or "property construction or demolition damage" arising out of the sole operations performed by or o negligence of the vendor for its behalf of such person or own acts or omissions or those organization. of its employees or anyone else acting on its behalf. However, d. Architects, Engineers or Surveyors this exclusion does not apply to: (1) Any architect, engineer, or surveyor (1)„ The exceptions contained in engaged by you but only with contained in Subparagraphs respect to liability for "bodily injury", (d) or (f); or "property damage" or "personal and (ii) Such inspections, advertising injury" caused, in whole adjustments, tests or or in part, by your acts or omissions servicing as the vendor has or the acts or omissions of those acting on your behalf: agreed to make or normally undertakes to make in the (a) In connection with your usual course of business, in premises; or connection with the (b) In the performance of your distribution of sale of the ongoing operations products. Page 2 of 6 Includes copyright material of ISO, Inc. with its permission GL 50 04 0410 ❑ 5:10 3. Newly Formed Or Acquired Organizations In Paragraph 3.a. of Section II - Who Is An Insured, is increased from 90th day to 180th day. However, this expansion does not apply if coverage for newly formed or acquired organizations is excluded either by the provisions of the Coverage Part or by endorsement. IV. LIMITS OF INSURANCE A. Damage to Premises Rented To You Paragraph 6. of Section III - Limits Of Insurance is replaced with the following: 6. Subject to Paragraph 5. above, the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of "property damage" to any one premises, while rented to you, or in the case of damage by fire, while rented to you or temporarily occupied by you with permission of the owner. The most we will pay in any one "occurrence" is the higher of the following: (a) $300,000; or (b) The amount shown in the Declarations for Damages to Premises Rented to You Limit. B. Medical Payments Paragraph 7. of Section III - Limits Of Insurance is replaced with the following: 7. Subject to Paragraph 5. above, the Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of "bodily injury" sustained by any one person. The most we will pay because for "bodily injury" sustained by any one person is the higher of the following: (a) $10,000; or (b) The amount shown in the Declarations for Medical Expense Limit. V. SECTION IV- COMMERCIAL GENERAL LIABILITY CONDITIONS The following items are amended: A. Duties In The Event Of Accident, Claim, Suit Or Loss The following items are added to Paragraph 2. of Section IV - Commercial General Liability Conditions: e. Additional Insureds Other Insurance If we cover a claim or "suit" under this Coverage Part that may also be covered by other insurance available to an additional insured, such additional insured must submit such claim or "suit" to the other insurer for defense and indemnity. However, this provision does not apply to the extent that you have agreed in a written agreement that this insurance is primary and non-contributory with the additional insured's own insurance. f. Knowledge Of An Occurrence, Offense, Claim Or Suit Paragraphs a. and b. apply to you or to any additional insured only when such "occurrence", offense, claim or "suit" is known to: (1) You or any additional insured that is an individual; (2) Any partner, if you or an additional insured is a partnership; (3) Any manager, if you or an additional insured is a limited liability company; (4) Any "executive officer" or insurance manager, if you or an additional insured is a corporation; (5) Any trustee, if you or an additional insured is a trust; or (6) Any elected or appointed official, if you or an additional insured is a political subdivision or public entity. This duty applies separately to you and any additional insured. B. Otherinsurance The following items are added to Paragraph 4.b. of Section IV - Commercial General Liability Conditions: (5) This insurance is excess over any of the other insurance, whether primary, excess, - contingent or on any other basis: (a) Property Damage to Borrowed Equipment Or Use Of Elevators If the loss arises out of "property damage" to borrowed equipment or the use of elevators to the extent not subject to Exclusion j. of Section I - Coverage A - Bodily Injury And Property Damage Liability; Page 4 of 6 Includes copyright material of ISO, Inc. with its permission GL 50 04 04 10 ❑ 7:,O 3. Insured Contract (1) Paragraph a. in the definition of "insured contract" is replaced by the following: 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 to premises while rented to you or temporarily occupied by you with permission of the owner is subject to the Damage to Premises Rented To You Limit described in Section III- Limits of Insurance; (2) The first paragraph of Paragraph f. in the definition of "insured contract" is replaced by the following: That part of any other contract or agreement pertaining to your business --(including an indemnification of a municipality in connection with work performed for a municipality) under which you assume the tort liability of another party to pay for "bodily injury' or "property damage" to a third person or organization, provided the "bodily injury" or "property damage" is caused, in whole or in part, by you or by those acting on your behalf. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. 4. Mobile Equipment Paragraph f.(1) in the definition of "mobile equipment" is replaced by the following: (1) Equipment, of at least 1,000 pounds gross vehicle weight, designed primarily for: 5. Personal and Advertising Injury Paragraph f. in the definition of "personal and advertising injury" is replaced by the following: f. Copying, in your "advertisement", a person's or organization's "advertising idea" or style of "advertisement"; B. Added Definitions "Advertising idea" means any idea for an "advertisement". Page 6 of 6 Includes copyright material of ISO, Inc. with its permission GL 50 04 0410 ❑ 9:10 Wells Fargo Insurance Services USA, Inc. 45 Fremont Street Suite 800 San Francisco, CA 94105 USA City of Fort Collins Attn: Purchasing Division P.O. Box 580 Fort Collins, CO 80522 USA 0:50:83 EBIX BPO This document was brought to you by CertificatesNow. If you have questions regarding the content of this document, please contact the Producer/Agent listed on the certificate of insurance or the Insured listed on the notice of cancellation/reinstatement. To find out how you can send and receive all of your certificates of insurance either by email, high speed fax or standard mail, email customercar0confirmnet.com, or visit our website at www.confirmnet.com cc: The data included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. Certificate Delivery by CertificstesNow - ~v.ConfinnNet.com - 877.669.8600 1.10 IS CERTIFICATE OF LIABILITY INSURANCE AM D08/30 D/2011 OB/3011 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: N the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 endorsements . PRODUCER OD08408 1-415-541-7900 Wells Fargo Insurance Services USA, Inc. CONTACT NAME: PHONE FA% AA-C�N9 E : AIC No: IC Fremont Street Suite800 E-MAIL ADDRESS: San Francisco, CO, CA 94105 INSURERS AFFORDING COVERAGE NAICO INSURER A: Sparta Insurance Company INSURED INSURER B AAA Pest Pros James Marrquardt INSURER C: INSURER D: PO Box 20235 INSURER E: Boulder, CO 80308 INSURER F : COVERAGES CERTIFICATE NUMBER: 22886341 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 OF INSURANCE ADDTYPE INSL SUER POLICY NUMBER POLICY EFF MMIDD POLICY UP MWDD LIMITS A GENERAL LIABIUTY 011GL0333000 08/19/1 08/18/12 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1XI OCCUR PREMISES Eaocwnence f 100,000 MED UP (My one Person) f 5,000 PERSONAL S ADV INJURY f 1,000,000 GENERAL AGGREGATE f 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG f 1,000,000 T POLICY F1 PRO- LOC JFCT f AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea aoddent BODILY INJURY(Per Person) f ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Poraccidenl ) f PROPERTY DAMAGE Pereaidont f NON -OWNED HIREDAUTOS AUTOS f uMBREl1A LIAR OCCUR EACH OCCURRENCE f AGGREGATE f EXCESS LLIB CLAIMS -MADE DED RETENT IS WORKERS COMPENSATION STATU- TH WC O- ANDEMPLOYERS'LIABILnY YIN E.L. EACH ACCIDENT f ANY PROPRIETORIPARTNER/ ECUTIVE OFFICERIMEMBER EXCLUDED? ❑ NIA E.L. DISEASE - EA EMPLOYE f (Mandatory In NH) Des'"under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT f DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aaach ACORD 101, Additional Remarks Schedule, If more space Is required) Certificate holder is included as additional insured per blanket policy endorsement. Financial Services Purchasing Division 5 N. Mason Street, 2nd floor O. Box 580 rt Collins, CO 80522 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD sditty 22886341 All rinhle 3:10 the absence of the contract or (2) Any insured person or organization, agreement: from whom you have acquired such (b) Any express warranty products, or any ingredient, part or unauthorized by you; container, entering into, (c) Any physical or chemical accompanying or containing such products. change in the product made b. Lessors of Equipment intentionally by the vendor; (d) Repackaging, unless unpacked (1) Any person(s) or organization(s) solely for the purpose of from whom you lease equipment; inspection, demonstration, but only with respect to liability for testing, or substitution of parts "bodily injury", "property damage" or under instructions from the "personal and advertising injury' manufacturer, and then caused, in whole or in part, by your repackaged in the original maintenance, operation or use of container: equipment leased to you by such person(s) or organization(s). (e) Any failure to make such inspections, adjustments, tests (2) With respect to the insurance or servicing as the vendor has afforded to these additional agreed' to 'make or normally • insureds, this insurance does not undertakes to make in the usual apply to any "occurrence" which course of business, in takes place after the equipment connection with the distribution lease expires. or sale of the products; c. Lessors of Land or Premises (f) Demonstration, installation, Any person(s) or organization(s) from servicing or repair operations, whom you lease land or premises, but except such operations only with respect to liability arising out performed at the vendor's of the ownership, maintenance or use premises in connection with the of that part of the premises leased to sale of the product: you; and subject to the following (g) Products which, after distribution additional exclusions: or sale by you, have been This insurance does not apply to: labeled or relabeled or used as (1) Any "occurrence" which takes place a container, part or ingredient of after you cease to be a tenant in any other thing or substance by that premises. or for the vendor. (h) "Bodily Injury" or "property (2) Structural alterations, new construction or demolition damage" arising out of the sole operations performed by or o negligence of the vendor for its behalf of such person or own acts or omissions or those organization. of its employees or anyone else acting on its behalf. However, d. Architects, Engineers or Surveyors this exclusion does not apply to: (1) Any architect, engineer, or surveyor (1) The exceptions contained in engaged by you but only with contained in Subparagraphs respect to liability for "bodily injury", (d) or (f); or "property damage" or "personal and (it) Such inspections, advertising injury" caused, in whole adjustments, tests or or in part, by your acts or omissions servicing as the vendor has or the acts or omissions of those agreed to make or normally acting on your behalf: undertakes to make in the (a) In connection with your usual course of business, in premises; or connection with the (b) In the performance of your distribution of sale of the ongoing operations products. Page 2 of 6 Includes copyright material of ISO, Inc. with its permission GL 50 04 04 10 ❑ 3. Newly Formed Or Acquired Organizations In Paragraph 3.a. of Section II - Who Is An Insured, is increased from 90th day to 180th day. However, this expansion does not apply if coverage for newly formed or acquired organizations is excluded either by the provisions of the Coverage Part or by endorsement. IV. LIMITS OF INSURANCE A. Damage to Premises Rented To You Paragraph 6. of Section III - Limits Of Insurance is replaced with the following: 6. Subject to Paragraph 5. above, the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of "property damage" to any one premises, while rented to you, or in the case of damage by fire, while rented to you or temporarily occupied by you with permission of the owner. The most we will pay in any one "occurrence" is the higher of the following: (a) $300,000; or (b) The amount shown in the Declarations for Damages to Premises Rented to You Limit. B. Medical Payments Paragraph 7. of Section III - Limits Of Insurance is replaced with the following: 7. Subject to Paragraph 5. above, the Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of "bodily injury" sustained by any one person. The most we will pay because for "bodily injury' sustained by any one person is the higher of the following: (a) $10,000; or (b) The amount shown in the Declarations ... for Medical Expense Limit. V. SECTION IV- COMMERCIAL GENERAL LIABILITY CONDITIONS The following items are amended: A. Duties In The Event Of Accident, Claim, Suit Or Loss The fallowing items are added to Paragraph 2. of Section IV - Commercial General Liability Conditions: e. Additional Insureds Other Insurance If we cover a claim or "suit" under this Coverage Part that may also be covered by. other insurance available to an additional insured, such additional insured must submit such claim or "suit" to the other insurer for defense and indemnity. However, this provision does not apply to the extent that you have agreed in a written agreement that this insurance is primary and non-contributory with the additional insured's own insurance. f. Knowledge Of An Occurrence, Offense, Claim Or Suit Paragraphs a. and b. apply to you or to any additional insured only when such "occurrence", offense, claim or "suit" is known to: (1) You or any additional insured that is an individual; (2) Any partner, if you or an additional insured is a partnership; (3) Any manager, if you or an additional insured is a limited liability company; (4) Any "executive officer" or insurance manager, if you or an additional insured is a corporation; (5) Any trustee, if you or an additional insured is a trust; or (6) Any elected or appointed official, 9 you or an additional insured is a political subdivision or public entity. This duty applies separately to you and any additional insured. B. Otherinsurance The following items are added to Paragraph 4.b. of Section IV - Commercial General Liability Conditions: (5) This insurance is excess over any of the other insurance, whether primary, excess, _contingent or on any other basis: (a) Property Damage to Borrowed Equipment Or Use Of Elevators If the loss arises out of "property damage" to borrowed equipment or the use of elevators to the extent not subject to Exclusion j. of Section I - Coverage A - Bodily Injury And Property Damage Liability; Page 4 of 6 Includes copyright material of ISO, Inc. with its permission GL 50 04 04 10 ❑ 7:10 3. Insured Contract (1) Paragraph a. in the definition of "insured contract" is replaced by the following: 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 to premises while rented to you or temporarily occupied by you with permission of the owner is subject to the Damage to Premises Rented To You Limit described in Section III- Limits of Insurance; (2) The first paragraph of Paragraph f. in the definition of "insured contract" is replaced by the following: That part of any other contract or agreement pertaining to your business - (including - an- 'indemnification of a municipality in connection with work performed for a municipality) under which you assume the tort liability of another party to pay for "bodily injury" or "property damage" to a third person or organization, provided the "bodily injury" or "property damage" is caused, in whole or in part, by you or by those acting on your behalf. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. 4. Mobile Equipment Paragraph f.(1) in the definition of "mobile equipment" is replaced by the following: (1) Equipment, of at least 1,000 pounds gross vehicle weight, designed primarily for: 5. Personal and Advertising Injury Paragraph f. in the definition of "personal and advertising injury" is replaced by the following: f. Copying, in your "advertisement", a person's or organizations. "advertising idea" or style of "advertisement"; B. Added Definitions "Advertising idea" means any idea for an "advertisement". Page 6 of 6 Includes copyright material of ISO, Inc. with its permission GL 50 04 04 10 ❑ 9:So