Loading...
HomeMy WebLinkAbout457049 AAA PEST PROS JAMES MARQUARDT - INSURANCE CERTIFICATE (2)125000 I® CERTIFICATE OF LIABILITY INSURANCE DATE I 8113/2013rv) 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 pollcy(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 endorsement(s). PRODUCER CONTACT San Francisco Certificate Dept NAME: P Commercial Lines - (415) 541-7900 PHONE FAX 866-495-4735 -INC. No EIUL_415-541-7900 _Lc No): E-MAIL i f sanrancsco.certs o.com wellsfar ADDRESS: sanfrancisco.certs@wellsfargo.com Wells Fargo Insurance Services USA, Inc. - CA Lic#: OD08408 INSURER(S) AFFORDING COVERAGE NAIC Is 45 Fremont Street, Suite 800 INSURER A: Imperium Insurance Company 35408 San Francisco, CA 94105-2259 INSURED 1/) INSURER a: AAA Pest Pros James Marquardt I"lV NSURER C : PO Box 20235 INSURER D : INSURER E: INSURER F : Boulder CO 80308 COVERAGES CERTIFICATE NUMBER: 6450709 REVISION NUMBER: See below 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 CONTRACTOR OTHFR 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 rypE OF INSURANCE ADOL SUER POLICY NUMBER POLICY EFF MM/DDM'YY POLICY EXP MMIDD/YYYY LIMITS A GENERAL LIABILITY _ X COMMERCIAL GENERAL LIABILITY _ IIC GL0187200 8/18/2013 8I18/2014 EACH OCCURRENCE $ 1,000.000 DFMAGETOaENTED PREMISESfEa occurrencef_ $ 100,000 MED EXP(Any one person) $ 5,000 CLAIMS -MADE FXIOCCUR PERSONAL B ADV INJURY $ 1000,000 _ GENERAL AGGREGATE $ 1.000,000 _ GEN'L AGGREGATE LIMIT APPLIES PER, PRODUCTS - COMPIOP AGG $ 1,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT Ea amden0 $ BODILY INJURY (Per person) $ ALL OWNED SCHEDULED A AUTOS UTOS BODILY INJURY (Per accident) $ —9 PROPERTY DAMAGE (Per ac_urlentf_ $ NON -OWNED HIRED AUTOS AUTOS $ UMBRELLA LIAB OCCUR j EACH OCCURRENCE $ $ EXCESS LIAB CLAIMSMADEAGGREGATE DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN TO Y LIMIT$- -ER_ E. L. EACH ACCIDENT $ ANY PROPRIETORiPARTNERIEXECUTIVE❑ OFFICER/MEMBER EXCLUDED' NIA — EL. DISEASE - EA EMPLOYEE $ (MandatorylnNH) It yes, describe under DESCRIPTION OF OPERATIONS bd. E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Anach ACORD 101, AddlNonal Remarks Schedule, It mare space Is reRelmd) Certificate holder is included as additional insured per blanket policy endorsement. inaculuaTa�� Financial Services Purchasing Division 215 N. Mason Street, 2nd floor SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O. BOX 580 AUTHORIZED REPRESENTATIVE Fort Collins CO 80522 97_4-111 The ACORD name and lcoo are maistemd marks of ACORD © 19BB-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 111111111111111IIII1111III11111111111111II111111111 it IIIII DrBp:elamopplavmsaauo. IIC GLO187200 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL LIABILITY BROADENING ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY DECLARATION In addition to words and phrases contained in the III. Commercial General Liability Coverage Form, other words and phrases that appear in quotation marks have special meaning. Refer to Paragraph VII. DEFINITIONS of this endorsement. For the purposes of the coverage provided by this endorsement these definitions apply in place of their definitions stated elsewhere in the policy. The following provisions apply only with respect to the coverage provided by this endorsement. However, the coverage expansions provided throughout this endorsement do not apply if coverage is excluded either by the provisions of the Coverage Part or by endorsement. I. COVERAGE A (Bodily Injury and Property Damage) A. Non -Owned Watercraft Paragraph 2.g. (2)(a) of Section (- Coverage A is replaced with the following: (a) Less than 51 feet long; and B. Property Damage Extension The following is added to Exclusion j. 1. Borrowed Equipment Paragraph (3) and (4) of this exclusion does not apply to "property damage" to borrowed equipment while not being used to perform operations at the job site. 2. Elevators The following is added to Exclusion j. Paragraph (3) and (4) of this exclusion does not apply to "property damage" arising from the use of elevators. It. SUPPLEMENTARY PAYMENTS - COVERAGES A AND B In the Supplementary Payments- Coverage A and B: A. The limit for the cost of bail bonds is increased from $250 to $1,000; and IIC GL 50 04 04 10 B. The limit for loss of earnings is increased from $100 a day to $500 a day. WHO IS AN INSURED A. Paragraph 2. Under Section II is expanded to include the following: 1. Additional Insured by Contract, Agreement or Permit Any person(s) or organizations) is an additional insured when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such person(s) or organization(s) be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement. A person or organization is an additional insured under this provision only for that period of time required by the contract or agreement. However, no such person or organization is an insured under this provision if such a person or organization is included as an insured by an endorsement issued by us and made part of this Coverage Part. 1of7 III IIIIIIIIIIIIIIIII II IIII IIIIIIIIII II III IIIIIIII III IIII creaze,vmonaawmemmun THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. a. Vendors any other thing or substance by or for the vendor. Any person(s) or organization(s) (h) "Bodily Injury" or "Property (referred to herein as vendor) with whom Damage" arising out of the sole you agreed, because of a written contract negligence of the vendor for its or agreement to provide insurance, but own acts or omissions or those only with respect to "bodily injury" or of its employees or anyone else "property damage" arising out of "your acting on its behalf. However, products" which are distributed or sold in this exclusion does not apply to: the regular course of the vendor's (i) The exceptions contained in business, subject to the following contained in Subparagraphs(d) additional exclusions: or (f); or (ii) Such inspections, adjustments, (1) The insurance afforded the vendor tests or servicing as the vendor does not apply to: has agreed to make or normally (a) "Bodily injury" or "property undertakes to make in the usual damage" for which the vendor is course of business, in connection obligated to pay damages by with the distribution of sale of the reason of the assumption of products. liability in a contract or agreement. This exclusion does (2) Any insured person or organization, not apply to liability for damages from whom you have acquired such that the vendor would have in products, or any ingredient, part or the absence of the contract or container, entering into, agreement: accompanying or containing such (b) Any express warranty products. unauthorized by you; (c) Any physical or chemical b. Lessors or Equipment change in the product made intentionally by the vendor; (1) Any person(s) or organization(s) from (d) Repackaging, unless unpacked whom you lease equipment; but only solely for the purpose of with respect to liability for "bodily inspection, demonstration, injury", "property damage" or testing, or substitution of parts "personal and advertising injury" under instructions from the caused, in whole or in part, by your manufacturer, and then maintenance, operation or use of repackaged in the original equipment lease to you by such container: 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 insureds, agreed to make or normally this insurance does not apply to any undertakes to make in the usual "occurrence" which takes place after course of business, in the equipment lease expires. connection with the distribution or sale of the products; c. Lessors of Land or Premises (f) Demonstration, installation, services or repair operations, Any person(s) or organization(s) from except such operations whom you lease land or premises, but performed at the vendor's only with respect to liability arising out of premises in connection with the the ownership, maintenance or use of sale of the products; that part of the premises leased to you; (g) Products which, after distribution and subject to the following additional or sale by you, have been exclusions: labeled or relabeled or used as a container, part or ingredient of This insurance does not apply to: IICGL50040410 2of7 rows III III I I I II II I III III IIII II II II IIIII II II I IIIIII II III II III 'CY003B1]/000030NiN8glOgq' THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. political subdivision has issued a permit or (1) Any "occurrence" which takes place authorization. after you cease to be a tenant in that premises. The insurance does not apply to: (2) Structural alterations, new construction or demolition operations performed by or on behalf of such person or organization. d. Architects, Engineers or Surveyors (1) Any architect, engineer, or surveyor engaged by you but only with respect to liability for "bodily injury" "property damaged" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (a) In connection with your premises; or (b) In the performance of you ongoing operations (2) With respect to the insurances afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to "bodily injury" or property damage" or "personal and advertising injury" arising out of the rendering of or the failure to render any professional services by or for you, including: (a) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (b) Supervisory, inspection, architectural or engineering activities. e. Permits Issued By State or Political Subdivisions Any state or governmental agency or subdivision or political subdivision by only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or IIC GL 50 04 04 10 (1) "Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or (2) "Bodily injury" or "property damage" included within the "products completed operations hazard". f. Any Other Party Any other person(s) or organization(s) who is not an insured under Paragraph a. through e. above, but only with respect to liability for "bodily injury", "property damaged" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (1) In the performance of your ongoing operations; (2) In connection with your premises owned by or rented to you; or (3) In connection with " your work" and included within the "products completed operation hazard", but only if: (a) The written contract or agreement requires you to provide such a coverage to additional insureds; and (b) The Coverage Part provides coverage for "bodily injury" or "property damage" included within "products -completed operations hazard". With respect to the insurance afforded to these additional insureds, this coverage does not apply to: "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services, including: 3 of 7 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. (1) The preparing, approving, or filing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (2) Supervisory, inspections, architectural or engineering activities. The limit of insurance that apply to additional insureds under this extension is described in Section III - Limits of insurance. How this Insurance applies when other insurance is available to the additional insured is described in the Other Insurance Condition in Section IV - Commercial General Liability Conditions. 2. Subsidiaries Any subsidiary and subsidiary thereof, of yours which Is a legally incorporated entity of which is a legally incorporated entity of which you own a financial interest of more than 50% of the voting stock on the effective date of the Coverage Part. The insurance afforded herein for any subsidiary not named in this Coverage part as a named insured does not apply to injury or damage with respect to which an insured under this Coverage Part is also an insured under another policy or would be an insured under such policy but for its termination or the exhaustion of its limits of insurance. 3. Newly formed Or Acquired Organizations In Paragraph 3.a. of Section II - Who Is An Insured, is increased from 90" day to 1801h 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 Insurance Other Insurance If we cover a claim or "suit' under this Coverage Part that may also be covered by other insurance available to an IIC GL 50 04 04 10 4of7 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY additional insured, such additional If the loss arises out of "property damage" insured must submit such claim or "suit" to borrowed equipment or the use of to the other insurer for defense and elevators to the extent not subject to indemnity. Exclusion J. of Section I - Coverage A - Bodily Injury And Property Damage However, this provision does not apply to Liability; the extent that you have agreed in a written agreement that this insurance is (b) When You Are Added As An Additional primary and non-contributory with the Insured To Other Insurance additional insured's own insurance. Knowledge Of An Occurrence, Offense, Claim or Suit Paragraph 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. Other Insurance The following Items are added to paragraph 4.b. of Section IV - Commercial General Liability Conditions: (1) 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 IIC GL 50 04 04 10 Any other insurance available to you covering liability for damages arising out of the premises or operations, or products and completed operations, for products and completed operations, for which you have been added as an additional insured by that insurance; or (c) When You Add Others As An Additional Insured To This Insurance Any other insurance available to an additional insured. However, the following provisions apply to other insurance available to any person or organization who is an additional insured under this coverage part. 1. Primary Insurance When Required By Contract This insurance is primary if you have agreed in a written contract or written agreement that this insurance be primary. If other insurance is also primary, we will share with all that other insurance by the method described in c. Method of Sharing, in the policy. it. Primary And Non-ContributoryTo Other Insurance When Required By Contract If you have agreed in a written contract, written agreement, or permit that this insurance is primary and non- contributory with the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance. Paragraphs a. and b. do not apply to other insurance to which the 5of7 IIIII IIIIIIIIIII II IIII II IIIIIIIII III IIIIIII III III •craoze,3r0000wurusroumm THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. additional insured has been added as an additional insured. C. Representations Paragraph 6. Of Section IV - Commercial General Liability Conditions is replaced with the following: a. When You Accept This Policy By accepting this policy, you agree: (1) The statements in the Declarations are accurate and complete; (2) Those statements are based upon representation you made to us; and (3) We have issued this policy in reliance upon your representations. II Unintentional Failure to Disclose Hazards If you unintentionally fail to disclose any hazards existing at the inception date or your policy, we will not deny coverage under this Coverage Part because of such failure. However, you must report such error or omission to us as soon as practicable after its discovery. D. Transfer Of Rights OF Recovery Against Others To Us Paragraph 8. Of Section IV - Commercial General Liability Conditions is replaced with the following: 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 helps us enforce them. However, we waive any right of recovery we may have against any person or organization to the extent required of you by a written contract executed prior to any "occurrence" or "suit" arises out of operations contemplated by such contract. The waiver applies only to the person or organization designated in such contract. IIC GL 50 04 04 10 VI. DEFINITIONS A. Amended Definitions Advertisement The following is added to the definition of "advertisement". However, 'advertisement" does not include: The design, printed material, information or images contained in, on or upon the packaging or labeling of any goods or products; or An interactive conversation between or among persons through a computer network. 2. Coverage Territory Final paragraph in the definition of "coverage territory" is replaced by the following: Provided the insured's responsibility to pay damages is determined in the United States of America (including its territories and possessions), Puerto Rico or Canada, in a "suit" on the merits according to the substantive law in such territory or in a settlement we agree to. 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 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: 6of7 ooe�re IIII II I I I IIII I III III IIII II II II IIIII IIIII II IIIII IIIII •CYBO381 YU00030NBN9Ilq/SN' THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. 4. 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 damaged" 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. Mobile Equipment Paragraph f. (1) in the definition or "mobile equipment" is replaced by the following: IIC GL 50 04 04 10 (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" 7 of 7 IIC GLO187200 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL LIABILITY BROADENING ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY DECLARATION In addition to words and phrases contained in the III. Commercial General Liability Coverage Form, other words and phrases that appear in quotation marks have special meaning. Refer to Paragraph VII. DEFINITIONS of this endorsement. For the purposes of the coverage provided by this endorsement these definitions apply in place of their definitions stated elsewhere in the policy. The following provisions apply only with respect to the coverage provided by this endorsement. However, the coverage expansions provided throughout this endorsement do not apply if coverage is excluded either by the provisions of the Coverage Part or by endorsement. I. COVERAGE A (Bodily Injury and Property Damage) A. Non -Owned Watercraft Paragraph 2.g. (2)(a) of Section (- Coverage A is replaced with the following: (a) Less than 51 feet long; and B. Property Damage Extension The following is added to Exclusion j. 1. Borrowed Equipment Paragraph (3) and (4) of this exclusion does not apply to "property damage" to borrowed equipment while not being used to perform operations at the job site. 2. Elevators The following is added to Exclusion j. Paragraph (3) and (4) of this exclusion does not apply to "property damage" arising from the use of elevators. If. SUPPLEMENTARY PAYMENTS - COVERAGES A AND B In the Supplementary Payments- Coverage A and B: A. The limit for the cost of bail bonds is increased from $250 to $1,000; and IICGL50040410 B. The limit for loss of earnings is increased from $100 a day to $500 a day. WHO IS AN INSURED A. Paragraph 2. Under Section II is expanded to include the following: 1. Additional Insured by Contract, Agreement or Permit Any person(s) or organization(s) is an additional insured when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such person(s) or organization(s) be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement. A person or organization is an additional insured under this provision only for that period of time required by the contract or agreement. However, no such person or organization is an insured under this provision if such a person or organization is included as an insured by an endorsement issued by us and made part of this Coverage Part. Iof7 ooa .a I II II I I I II I II I I I (III I III III II III I II I I I I I II II II II .craozeiawomierosmeroraom• THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. a. Vendors any other thing or substance by or for the vendor. Any person(s) or organization(s) (h) "Bodily Injury" or "Property (referred to herein as vendor) with whom Damage" arising out of the sole you agreed, because of a written contract negligence of the vendor for its or agreement to provide insurance, but own acts or omissions or those only with respect to "bodily injury" or of its employees or anyone else "property damage" arising out of "your acting on its behalf. However, products" which are distributed or sold in this exclusion does not apply to: the regular course of the vendor's (i) The exceptions contained in business, subject to the following contained in Subparagraphs(d) additional exclusions: or (f); or (if) Such inspections, adjustments, (1) The insurance afforded the vendor tests or servicing as the vendor does not apply to: has agreed to make or normally (a) "Bodily injury" or "property undertakes to make in the usual damage" for which the vendor is course of business, in connection obligated to pay damages by with the distribution of sale of the reason of the assumption of products. liability in a contract or agreement. This exclusion does (2) Any insured person or organization, not apply to liability for damages from whom you have acquired such that the vendor would have in products, or any ingredient, part or the absence of the contract or container, entering into, agreement: accompanying or containing such (b) Any express warranty products. unauthorized by you; (c) Any physical or chemical b. Lessors or Equipment change in the product made intentionally by the vendor; (1) Any person(s) or organization(s) from (d) Repackaging, unless unpacked whom you lease equipment; but only solely for the purpose of with respect to liability for "bodily inspection, demonstration, injury", "property damage" or testing, or substitution of parts "personal and advertising injury" under instructions from the caused, in whole or in part, by your manufacturer, and then maintenance, operation or use of repackaged in the original equipment lease to you by such container: person(s) or organization(s). (a) Any failure to make such inspections, adjustments, tests (2) With respect to the insurance or servicing as the vendor has afforded to these additional insureds, agreed to make or normally this insurance does not apply to any undertakes to make in the usual "occurrence" which takes place after course of business, in the equipment lease expires. connection with the distribution or sale of the products; c. Lessors of Land or Premises (f) Demonstration, installation, services or repair operations, Any person(s) or organization(s) from except such operations whom you lease land or premises, but performed at the vendor's only with respect to liability arising out of premises In connection with the the ownership, maintenance or use of sale of the products; that part of the premises leased to you; (g) Products which, after distribution and subject to the following additional or sale by you, have been exclusions: labeled or relabeled or used as a container, part or ingredient of This insurance does not apply to: IIC GL 50 04 04 10 2of7 000iar II III II IIIII I II IIII it IIII II IIIIII IIII IIIIIII III II IIII 'CY002B1]NOro,BNaABN'J0.q' THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. political subdivision has issued a permit or (1) Any "occurrence" which takes place authorization. after you cease to be a tenant in that premises. The insurance does not apply to: (2) Structural alterations, new construction or demolition operations performed by or on behalf of such person or organization. d. Architects, Engineers or Surveyors (1) Any architect, engineer, or surveyor engaged by you but only with respect to liability for "bodily injury" "property damaged" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (a) In connection with your premises; or (b) In the performance of you ongoing operations (2) With respect to the insurances afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to "bodily injury" or property damage" or "personal and advertising injury" arising out of the rendering of or the failure to render any professional services by or for you, including: (a) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (b) Supervisory, inspection, architectural or engineering activities. e. Permits Issued By State or Political Subdivisions Any state or governmental agency or subdivision or political subdivision by only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or IIC GL 50 04 04 10 (1) "Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or (2) "Bodily injury" or "property damage" included within the "products completed operations hazard". I. Any Other Party Any other person(s) or organization(s) who is not an insured under Paragraph a. through e. above, but only with respect to liability for "bodily injury", "property damaged" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (1) In the performance of your ongoing operations; (2) In connection with your premises owned by or rented to you; or (3) In connection with " your work" and included within the "products completed operation hazard", but only if: (a) The written contract or agreement requires you to provide such a coverage to additional insureds; and (b) The Coverage Part provides coverage for "bodily injury" or "property damage" included within "products -completed operations hazard". With respect to the insurance afforded to these additional insureds, this coverage does not apply to: "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services, including: 3of7 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. (1) The preparing, approving, or filing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (2) Supervisory, inspections, architectural or engineering activities. The limit of insurance that apply to additional insureds under this extension is described in Section III - Limits of insurance. How this Insurance applies when other insurance is available to the additional insured is described in the Other Insurance Condition in Section IV - Commercial General Liability Conditions. 2. Subsidiaries Any subsidiary and subsidiary thereof, of yours which Is a legally incorporated entity of which is a legally incorporated entity of which you own a financial interest of more than 50% of the voting stock on the effective date of the Coverage Part. The insurance afforded herein for any subsidiary not named in this Coverage part as a named insured does not apply to injury or damage with respect to which an insured under this Coverage Part is also an insured under another policy or would be an insured under such policy but for its termination or the exhaustion of its limits of insurance. 3. Newly formed Or Acquired Organizations In Paragraph 3.a. of Section II - Who Is An Insured, is increased from 901h day to 180v' 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 I IC GL 50 04 04 10 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 injur;' 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 Insurance Other Insurance If we cover a claim or "suit" under this Coverage Part that may also be covered by other insurance available to an 4of7 'GYBN813INOO19M=AI - THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY additional insured, such additional If the loss arises out of "property damage" insured must submit such claim or "suit" to borrowed equipment or the use of to the other insurer for defense and elevators to the extent not subject to indemnity. Exclusion j. of Section I - Coverage A - Bodily Injury And Property Damage However, this provision does not apply to Liability; the extent that you have agreed in a written agreement that this insurance is (b) When You Are Added As An Additional primary and non-contributory with the Insured To Other Insurance additional insured's own insurance. Knowledge Of An Occurrence, Offense, Claim or Suit Paragraph 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. Other Insurance The following items are added to paragraph 4.b. of Section IV - Commercial General Liability Conditions: (1) 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 IIC GL 50 04 04 10 Any other insurance available to you covering liability for damages arising out of the premises or operations, or products and completed operations, for products and completed operations, for which you have been added as an additional insured by that insurance; or (c) When You Add Others As An Additional Insured To This Insurance Any other insurance available to an additional insured. However, the following provisions apply to other insurance available to any person or organization who is an additional insured under this coverage part. I. Primary Insurance When Required By Contract This insurance is primary if you have agreed in a written contract or written agreement that this insurance be primary. If other insurance is also primary, we will share with all that other insurance by the method described in c. Method of Sharing, in the policy. If. Primary And Non -Contributory To Other Insurance When Required By Contract If you have agreed in a written contract, written agreement, or permit that this insurance is primary and non- contributory with the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance. Paragraphs a. and b. do not apply to other insurance to which the 5of7 •cr 9oz a, aIWW, 9M7 W M1=ffi' THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. additional insured has been added as an additional insured. C. Representations Paragraph 6. Of Section IV - Commercial General Liability Conditions is replaced with the following: a. When You Accept This Policy By accepting this policy, you agree: (1) The statements in the Declarations are accurate and complete; (2) Those statements are based upon representation you made to us; and (3) We have issued this policy in reliance upon your representations. b. Unintentional Failure to Disclose Hazards If you unintentionally fail to disclose any hazards existing at the inception date or your policy, we will not deny coverage under this Coverage Part because of such failure. However, you must report such error or omission to us as soon as practicable after its discovery. D. Transfer Of Rights OF Recovery Against Others To Us Paragraph 8. Of Section IV - Commercial General Liability Conditions is replaced with the following: 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 helps us enforce them. However, we waive any right of recovery we may have against any person or organization to the extent required of you by a written contract executed prior to any "occurrence" or "suit" arises out of operations contemplated by such contract. The waiver applies only to the person or organization designated in such contract. I IC GL 50 04 04 10 VI. DEFINITIONS A. Amended Definitions Advertisement The following is added to the definition of "advertisement". However, 'advertisement" does not include: The design, printed material, information or images contained in, on or upon the packaging or labeling of any goods or products; or An interactive conversation between or among persons through a computer network. 2. Coverage Territory Final paragraph In the definition of "coverage territory" is replaced by the following: Provided the insured's responsibility to pay damages is determined in the United States of America (including its territories and possessions), Puerto Rico or Canada, in a "suit" on the merits according to the substantive law in such territory or in a settlement we agree to. 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 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 I. in the definition of "insured contract" is replaced by the following: 6of7 II II I I I IIIIIII III III III IIIII II II IIII II I III I II 'CYBO1BI]IWOOIB.OBNBgIpq�D' THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 4. 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 damaged" 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. Mobile Equipment Paragraph f. (1) in the definition or "mobile equipment" is replaced by the following: IICGL50040410 (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" 7of7 125000 �® CERTIFICATE OF LIABILITY INSURANCE oaT8113/2013 rt 8/13/2013 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 pollcy(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 endorsement(s). PRODUCER CONTACT P NAME: San Francisco Certificate Dept Commercial Lines - (415) 541-7900 PHONE 415-541-7900 FAX 866-495-4735 .(AIC, No,_Est): _IAID, Not: E-MAIL sanfrancisco.certs@wellsfargo.com ancisco.certsl!l1wells(ar o.m ADDRESS: 9 Wells Fargo Insurance Services USA, Inc. - CA -C#: OD08408 INSURER(S) AFFORDING COVERAGE NAIC N 45 Fremont Street, Suite 800 San Francisco, CA 94105-2259 INSURERA: Imperium Insurance Company 35408 INSURED INSURER B AAA Pest Pros James Marquardt INSURER C PO Box 20235 INSURER 0 INSURER E : 1 INSURER F: Boulder CO 80308 COVERAGES CERTIFICATE NUMBER: 6450720 REVISION NUMBER: See below 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 rypE OF ADDLSUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DOM'YY) (MMIDDMYYI LIMITS A GE N ERAL LIABILITY X COMMERCIAL GENERAL LIABILITY IIC GL0187200 8/18/2013 8I18I2014 EACH OCCURRENCE DAMAGE TORENTED PREMISES (Ea occurrence)_ $ 1000,000 8 100.000 MED EXP(Any one person) S 5,000 CLAIMS MADE 1X1 OCCUR PERSONAL B ADV INJURY $ 1,000, 000 GENERALAGGREGATE $ 1,000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S 1,000,000 X POLICY PRP LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT nacltlem) $_ _lEa BODILY INJURY (Per person) S ANY AUTO __ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident ( ) $ — NON OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE S AGGREGATE S EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION WC STATU OTH AND EMPLOYERS' LIABILITY YIN SORYLIMIT ER $ ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ N/A E.L. EACH ACCIDENT E.L. DISEASE- EA EMPLOYEE S (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS be. E.L. DISEASE -POLICY LIMIT S DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Anach ACORD 101, Additional Remarks Schedule, It more space Is required) City of Fort Collins is included as additional insured per attached blanket policy endorsement. City of Fort Collins P.O. Box 580 Fort Collins, CO 80522 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 The ACORD name and logo ere registered marks of ACORD © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 111111III 111111111 II 111111111 II II 111111 II II II II