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HomeMy WebLinkAboutC19-062 DHM DesignDocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
AGREEMENT FOR ON-CALL PROFESSIONAL SERVICES
BETWEEN EAGLE COUNTY, COLORADO
AND
DHM DESIGN CORPORATION
THIS AGREEMENT ("Agreement') is effective as of 2/25/2019 , by and between DHM Design
Corporation a Colorado corporation (hereinafter "Consultant' or "Contractor") and Eagle County,
Colorado, a body corporate and politic (hereinafter "County").
RECITALS
WHEREAS, from time to time County, through its Open Space Department, has a need for ecological
services on its existing properties or properties being considered for acquisition (individually a "Property"
or collectively the "Properties"); and
WHEREAS, Consultant is authorized to do business in the State of Colorado and has the time, skill,
expertise, and experience necessary to provide the Services from time to time as defined below in
paragraph 1 hereof, and
WHEREAS, this Agreement shall govern the relationship between Consultant and County in connection
with the Services.
AGREEMENT
NOW, THEREFORE, in consideration of the foregoing and the following promises Consultant and
County agree as follows:
1. Services. Consultant agrees to diligently provide all services, labor, personnel and materials
necessary to perform and complete the services described in Exhibit A ("Services") which is attached
hereto and incorporated herein by reference. The Services shall be performed in accordance with the
provisions and conditions of this Agreement.
a. Consultant agrees to diligently provide all services, labor, personnel and materials
necessary to perform and complete the on-call services or work at the rates set forth in Exhibit A and in
accordance with a formal proposal for each on-call service to be provided by Consultant and approved by
County in writing ("Services" or "Work"). Exhibit A is attached hereto and incorporated herein by
reference. Consultant agrees to furnish the Services in accordance with the schedule established in each
proposal approved by County. If no completion date is specified, then Consultant agrees to furnish the
Services in a timely and expeditious manner consistent with the applicable standard of care. By signing
below Consultant represents that it has the expertise and personnel necessary to properly and timely
perform the Services.
DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
b. In the event of any conflict or inconsistency between the terms and conditions set forth in
Exhibit A and the terms and conditions set forth in this Agreement, the terms and conditions set forth in
this Agreement shall prevail.
C. Consultant agrees that it will not enter into any consulting or other arrangements with
third parties that will conflict in any manner with the Services.
2. Count Representative. The Open Space Department's designee shall be Consultant's contact
with respect to this Agreement and performance of the Services.
3. Term of the Agreement. This Agreement shall commence upon the date first written above, and
subject to the provisions of paragraph 12 hereof, shall continue in full force and effect through February
15, 2020.
4. Extension or Modification. This Agreement may be extended for up to three additional one
year terms upon written agreement of the parties. Any amendments or modifications shall be in
writing signed by both parties. No additional services or work performed by Consultant shall be
the basis for additional compensation unless and until Consultant has obtained written
authorization and acknowledgement by County for such additional services in accordance with
County's internal policies. Accordingly, no course of conduct or dealings between the parties,
nor verbal change orders, express or implied acceptance of alterations or additions to the
Services, and no claim that County has been unjustly enriched by any additional services,
whether or not there is in fact any such unjust enrichment, shall be the basis of any increase in
the compensation payable hereunder. In the event that written authorization and acknowledgment by
County for such additional services is not timely executed and issued in strict accordance with this
Agreement, Consultant's rights with respect to such additional services shall be deemed waived and such
failure shall result in non-payment for such additional services or work performed.
5. Compensation. County shall compensate Consultant for the performance of the Services
in accordance with the fee schedule set forth in Exhibit A. Prior to commencement of Services at
any Property or Properties, Consultant shall first provide County with a written estimate which
shall include an estimate of the labor, materials without any mark up and any additional costs
necessary to perform the Services at a particular Property or Properties. Each estimate must be
approved by County's Representative prior to commencement of the Services by Consultant and
all rates shall be in accordance with the fee schedule set forth in Exhibit A. Total compensation
for all Services under this Agreement shall not exceed $5,000. Contractor shall not be entitled to
bill at overtime and/or double time rates for work done outside of normal business hours unless
specifically authorized in writing by County.
a. Payment will be made for Services satisfactorily performed within thirty (30) days of
receipt of a proper and accurate invoice from Consultant. All invoices shall include detail regarding the
hours spent, tasks performed, who performed each task and such other detail as County may request.
b. Any out-of-pocket expenses to be incurred by Consultant and reimbursed by County shall
be identified on Exhibit A. Out-of-pocket expenses will be reimbursed without any additional mark-up
thereon and are included in the not to exceed contract amount set forth above. Out-of-pocket expenses
shall not include any payment of salaries, bonuses or other compensation to personnel of Consultant.
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Consultant shall not be reimbursed for expenses that are not set forth on Exhibit A unless specifically
approved in writing by County.
C. If, at any time during the term or after termination or expiration of this Agreement,
County reasonably determines that any payment made by County to Consultant was improper because the
Services for which payment was made were not performed as set forth in this Agreement, then upon
written notice of such determination and request for reimbursement from County, Consultant shall
forthwith return such payment(s) to County. Upon termination or expiration of this Agreement,
unexpended funds advanced by County, if any, shall forthwith be returned to County.
d. County will not withhold any taxes from monies paid to the Consultant hereunder and
Consultant agrees to be solely responsible for the accurate reporting and payment of any taxes related to
payments made pursuant to the terms of this Agreement.
e. Notwithstanding anything to the contrary contained in this Agreement, County shall have
no obligations under this Agreement after, nor shall any payments be made to Consultant in respect of any
period after December 31 of any year, without an appropriation therefor by County in accordance with a
budget adopted by the Board of County Commissioners in compliance with Article 25, title 30 of the
Colorado Revised Statutes, the Local Government Budget Law (C.R.S. 29-1-101 et. seq.) and the
TABOR Amendment (Colorado Constitution, Article X, Sec. 20).
6. Sub -consultants. Consultant acknowledges that County has entered into this Agreement in
reliance upon the particular reputation and expertise of Consultant. Consultant shall not enter into any
sub -consultant agreements for the performance of any of the Services or additional services without
County's prior written consent, which may be withheld in County's sole discretion. County shall have
the right in its reasonable discretion to approve all personnel assigned to the subject Project during the
performance of this Agreement and no personnel to whom County has an objection, in its reasonable
discretion, shall be assigned to the Project. Consultant shall require each sub -consultant, as approved by
County and to the extent of the Services to be performed by the sub -consultant, to be bound to Consultant
by the terms of this Agreement, and to assume toward Consultant all the obligations and responsibilities
which Consultant, by this Agreement, assumes toward County. County shall have the right (but not the
obligation) to enforce the provisions of this Agreement against any sub -consultant hired by Consultant
and Consultant shall cooperate in such process. The Consultant shall be responsible for the acts and
omissions of its agents, employees and sub -consultants or sub -contractors.
7. Insurance. Consultant agrees to provide and maintain at Consultant's sole cost and expense, the
following insurance coverage with limits of liability not less than those stated below:
a. Types of Insurance.
Workers' Compensation insurance as required by law.
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Eagle County Prof Services Final 5/14
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ii. Auto coverage with limits of liability not less than $1,000,000 each accident
combined bodily injury and property damage liability insurance, including coverage for owned, hired, and
non -owned vehicles.
iii. Commercial General Liability coverage to include premises and operations,
personal/advertising injury, products/completed operations, broad form property damage with limits of
liability not less than $1,000,000 per occurrence and $2,000,000 aggregate limits.
iv. Professional liability insurance with prior acts coverage for all Services required
hereunder, in a form and with an insurer or insurers satisfactory to County, with limits of liability of not
less than $1,000,000 per claim and $2,000,000 in the aggregate. In the event the professional liability
insurance is on a claims -made basis, Consultant warrants that any retroactive date under the policy shall
precede the effective date of this Agreement. Continuous coverage will be maintained during any
applicable statute of limitations for the Services and Project.
b. Other Requirements.
i. The automobile and commercial general liability coverage shall be endorsed to
include Eagle County, its associated or affiliated entities, its successors and assigns, elected officials,
employees, agents and volunteers as additional insureds.
ii. Consultant's certificates of insurance shall include sub -consultants as additional
insureds under its policies or Consultant shall furnish to County separate certificates and endorsements for
each sub -consultant. All coverage(s) for sub -consultants shall be subject to the same minimum
requirements identified above. Consultant and sub -consultants, if any, shall maintain the foregoing
coverage in effect until the Services are completed. In addition, all such policies shall be kept in force by
Consultant and its sub -consultants until the applicable statute of limitations for the Project and the
Services has expired.
iii. Insurance shall be placed with insurers duly licensed or authorized to do business
in the State of Colorado and with an "A.M. Best" rating of not less than A -VII.
iv. Consultant's insurance coverage shall be primary and non-contributory with
respect to all other available sources. Consultant's policy shall contain a waiver of subrogation against
Eagle County.
V. All policies must contain an endorsement affording an unqualified thirty (30)
days notice of cancellation to County in the event of cancellation of coverage.
vi. All insurers must be licensed or approved to do business within the State of
Colorado and all policies must be written on a per occurrence basis unless otherwise provided herein.
vii. Consultant's certificate of insurance evidencing all required coverage(s) is
attached hereto as Exhibit B. Upon request, Consultant shall provide a copy of the actual insurance
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Eagle County Prof Services Final 5/14
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policy and/or required endorsements required under this Agreement within five (5) business days of a
written request from County, and hereby authorizes Consultant's broker, without further notice or
authorization by Consultant, to immediately comply with any written request of County for a complete
copy of the policy.
viii. Consultant shall advise County in the event the general aggregate or other
aggregate limits are reduced below the required per occurrence limit. Consultant, at its own expense, will
reinstate the aggregate limits to comply with the minimum limits and shall furnish County a new
certificate of insurance showing such coverage.
ix. If Consultant fails to secure and maintain the insurance required by this
Agreement and provide satisfactory evidence thereof to County, County shall be entitled to immediately
terminate this Agreement.
X. The insurance provisions of this Agreement shall survive expiration or
termination hereof.
xi. The parties hereto understand and agree that the County is relying on, and does
not waive or intend to waive by any provision of this Agreement, the monetary limitations or rights,
immunities and protections provided by the Colorado Governmental Immunity Act, as from time to time
amended, or otherwise available to County, its affiliated entities, successors or assigns, its elected
officials, employees, agents and volunteers.
xii. Consultant is not entitled to workers' compensation benefits except as
provided by the Consultant, nor to unemployment insurance benefits unless unemployment compensation
coverage is provided by Consultant or some other entity. The Consultant is obligated to pay all federal
and state income tax on any moneys paid pursuant to this Agreement.
8. Indemnification. The Consultant shall indemnify and hold harmless County, and any of its
officers, agents and employees against any losses, claims, damages or liabilities for which County may
become subject to insofar as any such losses, claims, damages or liabilities arise out of, directly or
indirectly, this Agreement, or are based upon any performance or nonperformance by Consultant or any
of its sub -consultants hereunder; and Consultant shall reimburse County for reasonable attorney fees and
costs, legal and other expenses incurred by County in connection with investigating or defending any such
loss, claim, damage, liability or action. This indemnification shall not apply to claims by third parties
against the County to the extent that County is liable to such third party for such claims without regard to
the involvement of the Consultant. This paragraph shall survive expiration or termination hereof.
9. Ownership of Documents. All documents prepared by Consultant in connection with the Services
shall become property of County. Consultant shall execute written assignments to County of all rights
(including common law, statutory, and other rights, including copyrights) to the same as County shall
from time to time request. For purposes of this paragraph, the term "documents" shall mean and include
all reports, plans, studies, tape or other electronic recordings, drawings, sketches, estimates, data sheets,
maps and work sheets produced, or prepared by or for Consultant (including any employee or
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Eagle County Prof Services Final 5/14
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subconsultant in connection with the performance of the Services and additional services under this
Agreement).
10. Notice. Any notice required by this Agreement shall be deemed properly delivered when (i)
personally delivered, or (ii) when mailed in the United States mail, first class postage prepaid, or (iii)
when delivered by FedEx or other comparable courier service, charges prepaid, to the parties at their
respective addresses listed below, or (iv) when transmitted via e-mail with confirmation of receipt. Either
party may change its address for purposes of this paragraph by giving five (5) days prior written notice of
such change to the other party.
COUNTY:
Eagle County, Colorado
Attention: Diane Mauriello
500 Broadway
Post Office Box 850
Eagle, CO 81631
Telephone: 970-328-8698
E -Mail: Diane.Mauriello@eaglecounty.us
With a copy to:
Eagle County Attorney
500 Broadway
Post Office Box 850
Eagle, Co 81631
Telephone: 970-328-8685
E -Mail: atty@eaglecounty.us
CONSULTANT:
DHM Design Corporation
Attention: Stephen Ellsperman
311 Main Street
Suite 102
Carbondale, CO 81623
Telephone: 970-963-2520
E-mail: sellsperman@dhmdesi ng corn
11. Coordination. Consultant acknowledges that the development and processing of the Services for
the Project may require close coordination between various consultants and contractors. Consultant shall
coordinate the Services required hereunder with the other consultants and contractors that are identified
by County to Consultant from time to time, and Consultant shall immediately notify such other
consultants or contractors, in writing, of any changes or revisions to Consultant's work product that might
affect the work of others providing services for the Project and concurrently provide County with a copy
of such notification. Consultant shall not knowingly cause other consultants or contractors extra work
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without obtaining prior written approval from County. If such prior approval is not obtained, Consultant
shall be subject to any offset for the costs of such extra work.
12. Termination. County may terminate this Agreement, in whole or in part, at any time and for any
reason, with or without cause, and without penalty therefor with seven (7) calendar days' prior written
notice to the Consultant. Upon termination of this Agreement, Consultant shall immediately provide
County with all documents as defined in paragraph 9 hereof, in such format as County shall direct and
shall return all County owned materials and documents. County shall pay Consultant for Services
satisfactorily performed to the date of termination.
13. Venue, Jurisdiction and Applicable Law. Any and all claims, disputes or controversies related to
this Agreement, or breach thereof, shall be litigated in the District Court for Eagle County, Colorado,
which shall be the sole and exclusive forum for such litigation. This Agreement shall be construed and
interpreted under and shall be governed by the laws of the State of Colorado.
14. Execution by Counterparts; Electronic Signatures. This Agreement may be executed in two or
more counterparts, each of which shall be deemed an original, but all of which shall constitute one and the
same instrument. The parties approve the use of electronic signatures for execution of this Agreement.
Only the following two forms of electronic signatures shall be permitted to bind the parties to this
Agreement: (i) Electronic or facsimile delivery of a fully executed copy of the signature page; (ii) the
image of the signature of an authorized signer inserted onto PDF format documents. All documents must
be properly notarized, if applicable. All use of electronic signatures shall be governed by the Uniform
Electronic Transactions Act, C.R.S. 24-71.3-101 to 121.
15. Other Contract Requirements.
a. Consultant shall be responsible for the completeness and accuracy of the Services,
including all supporting data or other documents prepared or compiled in performance of the Services,
and shall correct, at its sole expense, all significant errors and omissions therein. The fact that the County
has accepted or approved the Services shall not relieve Consultant of any of its responsibilities.
Consultant shall perform the Services in a skillful, professional and competent manner and in accordance
with the standard of care, skill and diligence applicable to Consultants performing similar services.
Consultant represents and warrants that it has the expertise and personnel necessary to properly perform
the Services and covenants that its professional personnel are duly licensed to perform the Services within
Colorado. This paragraph shall survive termination of this Agreement.
b. Consultant agrees to work in an expeditious manner, within the sound exercise of its
judgment and professional standards, in the performance of this Agreement. Time is of the essence with
respect to this Agreement.
C. This Agreement constitutes an agreement for performance of the Services by Consultant
as an independent contractor and not as an employee of County. Nothing contained in this Agreement
shall be deemed to create a relationship of employer-employee, master -servant, partnership, joint venture
Eagle County Prof Services Final 5/14
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or any other relationship between County and Consultant except that of independent contractor.
Consultant shall have no authority to bind County.
d. Consultant represents and warrants that at all times in the performance of the Services,
Consultant shall comply with any and all applicable laws, codes, rules and regulations.
e. This Agreement contains the entire agreement between the parties with respect to the
subject matter hereof and supersedes all other agreements or understanding between the parties with
respect thereto.
f. Consultant shall not assign any portion of this Agreement without the prior written
consent of the County. Any attempt to assign this Agreement without such consent shall be void.
g. This Agreement shall be binding upon and shall inure to the benefit of the parties hereto
and their respective permitted assigns and successors in interest. Enforcement of this Agreement and all
rights and obligations hereunder are reserved solely for the parties, and not to any third party.
h. No failure or delay by either party in the exercise of any right hereunder shall constitute a
waiver thereof. No waiver of any breach shall be deemed a waiver of any preceding or succeeding
breach.
i. The invalidity, illegality or unenforceability of any provision of this Agreement shall not
affect the validity or enforceability of any other provision hereof.
j. Consultant shall maintain for a minimum of three years, adequate financial and other
records for reporting to County. Consultant shall be subject to financial audit by federal, state or county
auditors or their designees. Consultant authorizes such audits and inspections of records during normal
business hours, upon 48 hours' notice to Consultant. Consultant shall fully cooperate during such audit or
inspections.
k. The signatories to this Agreement aver to their knowledge, no employee of the County
has any personal or beneficial interest whatsoever in the Services or Property described in this
Agreement. The Consultant has no beneficial interest, direct or indirect, that would conflict in any manner
or degree with the performance of the Services and Consultant shall not employ any person having such
known interests.
1. The Consultant, if a natural person eighteen (18) years of age or older, hereby swears and
affirms under penalty of perjury that he or she (i) is a citizen or otherwise lawfully present in the United
States pursuant to federal law, (ii) to the extent applicable shall comply with C.R.S. 24-76.5-103 prior to
the effective date of this Agreement.
16. Prohibitions on Government Contracts.
As used in this Section 16, the term undocumented individual will refer to those individuals from foreign
countries not legally within the United States as set forth in C.R.S. 8-17.5-101, et. seq. If Consultant has
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Eagle County Prof Services Final 5/14
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any employees or subcontractors, Consultant shall comply with C.R.S. 8-17.5-101, et. seq., and this
Agreement. By execution of this Agreement, Consultant certifies that it does not knowingly employ or
contract with an undocumented individual who will perform under this Agreement and that Consultant
will participate in the E -verify Program or other Department of Labor and Employment program
("Department Program") in order to confirm the eligibility of all employees who are newly hired for
employment to perform Services under this Agreement.
a. Consultant shall not:
Knowingly employ or contract with an undocumented individual to perform
Services under this Agreement; or
ii. Enter into a subcontract that fails to certify to Consultant that the subcontractor
shall not knowingly employ or contract with an undocumented individual to perform work under the
public contract for services.
b. Consultant has confirmed the employment eligibility of all employees who are newly
hired for employment to perform Services under this Agreement through participation in the E -Verify
Program or Department Program, as administered by the United States Department of Homeland
Security. Information on applying for the E -verify program can be found at:
htti)s://www.uscis.gov/e-verify
C. Consultant shall not use either the E -verify program or other Department Program
procedures to undertake pre-employment screening of job applicants while the public contract for services
is being performed.
d. If Consultant obtains actual knowledge that a subcontractor performing work under the
public contract for services knowingly employs or contracts with an undocumented individual, Consultant
shall be required to:
i. Notify the subcontractor and County within three (3) days that Consultant has
actual knowledge that the subcontractor is employing or contracting with an undocumented individual;
and
ii. Terminate the subcontract with the subcontractor if within three days of receiving
the notice required pursuant to subparagraph (i) of the paragraph (d) the subcontractor does not stop
employing or contracting with the undocumented individual; except that Consultant shall not terminate
the contract with the subcontractor if during such three (3) days the subcontractor provides information to
establish that the subcontractor has not knowingly employed or contracted with an undocumented
individual.
e. Consultant shall comply with any reasonable request by the Department of Labor and
Employment made in the course of an investigation that the department is undertaking pursuant to its
authority established in C.R.S. 8-17.5-102(5).
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Eagle County Prof Services Final 5/14
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f. If Consultant violates these prohibitions, County may terminate the Agreement for breach
of contract. If the Agreement is so terminated specifically for breach of this provision of this Agreement,
Consultant shall be liable for actual and consequential damages to County as required by law.
g. County will notify the Colorado Secretary of State if Consultant violates this provision
of this Agreement and County terminates the Agreement for such breach.
[REST OF PAGE INTENTIONALL Y LEFT BLANK]
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DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
IN WITNESS WHEREOF, the parties have executed this Agreement the day and year first set forth
above.
EAGLE COUNTY, COLORADO
By and through its County Manager
Do/uSigned by:
By: ,��( S(wa
gW4 2edunty Manager
CONSULTANT: DHM Design Corporation
DocuSigned by:
By: " f�S Gmav'
BC56C585854MD...
Print Name: Stephen Ellsperman
Title: Principal
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Eagle County Prof Services Final 5/14
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EXHIBIT A
Fee Schedule
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HHM HISIEN
LANDSCAPE ARCHITECTURE I LAND PLANNING I ECOLOGICAL PLANNING I URBAN DESIGN
FEE STRUCTURE
DHM Design Corporation
Effective January 1, 2019
Hourly Rates
Principal
$160.00
Principal Ecological
$160.00
Associate Principal
$145.00
Senior Associate
$130.00
Associate
$120.00
Natural Resource Coordinator
$115.00
Visualization/3D
$125.00
Senior Designer/Planner
$105.00
Associate Graphic Designer
$100.00
Designer
$100.00
Graphic Designer
$85.00
Ecological Technician
$90.00
Clerical/Word Processing
$65.00
Reimbursable Expenses
Xerox Copies
$ 0.12 per copy
Color Copies
$ 1.50 per copy
In -House Computer Plots
- Mylar
$ 3.50 per square foot
- Vellum
$ 2.30 per square foot
- Bond
$ 0.45 per square foot
Color Computer Plots
$ 2.80 per square foot
Auto Mileage
Mileage billed at the federal standard rate
All outside reimbursable expenses such as printing, copying, postage and deliveries are billed at our
direct costs.
Bills are rendered and due payable monthly. Terms: Due and payable within 30 days upon receipt of
statements. 1.5% per month interest charged on all past due accounts.
Proposal price quotes shall remain in effect for a period of six months with renegotiation of hourly rates
and reimbursable expenses at that time.
DENVER CARBONDALE DURANGO BOZEMAN
ass Main Street, Suite 102 Carbondale, CO 81623 970.963.6520
WWW.DHMDESIGN.COM
DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
EXHIBIT B
Insurance Certificate
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Eagle County Prof Services Final 5/14
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/
A� " CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDIYYYY)
2/11/2019
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 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
The Buckner Company of Colorado, LLC
6400 S Fiddlers Green Circle Suite 950
Village CO 80111
CONTACT
NAME: Certificate Department
PHONE FAX
AIC No Ext): 303-756-9909 AIC No): 303-756-8818
E-MGreenwood
ADDRESS: denver@buckner.com
INSURER(S) AFFORDING COVERAGE
NAIC #
Y
INSURERA: Hartford Insurance Company of the Midwest
37478
8/17/2018
INSURED 2543
DHM Design Corporation
900 S. Broadway Ste. 300
INSURER B : Hartford Casualty Insurance Company
29424
INSURER C :
Fv�
CLAIMS -MADE OCCUR
INSURER D
Denver CO 80209
INSURER E
INSURER F,
$ 1,000,000
COVERAGES CERTIFICATE NUMBER: 1236365846 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADDL
INSD
SUBR
WVD
POLICY NUMBER
POLICY EFF
MM/DDIYYYY
POLICY EXP
MM/DDIYYYY
LIMITS
B
X
COMMERCIAL GENERAL LIABILITY
Y
Y
34SBAIK3042
8/17/2018
8/17/2019
EACH OCCURRENCE
$2,000,000
Fv�
CLAIMS -MADE OCCUR
DAMAGE TO
PREM SES a o_cur ence
$ 1,000,000
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 2,000,000
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$4,000,000
GEN'L
X
POLICY ❑ PRO-
JECT [:]LOC
PRODUCTS - COMP/OP AGG
$ 4,000,000
$
OTHER:
B
AUTOMOBILE
LIABILITY
Y
Y
34SBAIK3042
8/17/2018
8/17/2019
COMBINED SINGLE LIMIT
Ea accident
$ 2,000,000
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
X
HIRED�( NON -OWNED
AUTOS ONLY AUTOS ONLY
B
X
UMBRELLA LAB
X
OCCUR
Y
Y
34SBAIK3042
8/17/2018
8/17/2019
EACH OCCURRENCE
$ 2,000,000
AGGREGATE
$ 2,000,000
EXCESS LIAB
CLAIMS -MADE
DED X RETENTION $ In nnn
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
Y
34WECZF7100
8/1/2018
8/1/2019
X PER-----------7-7-0TH-
STATUTE I I ER
ANYPROPRIETOR/PARTNER/EXECUTIVE❑
N
E.L. EACH ACCIDENT
$ 500,000
OFFICER/MEMBER EXCLUDED?
NIA
E.L. DISEASE - EA EMPLOYEE
$ 500,000
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 500,000
B
Drone Liability
34SBAIK3042
8/17/2018
8/17/2019
Limit
5,000
ded
250
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Certificate Holder is Additional Insured, with Waiver of Subrogation, for General Liability as required by written contract with Insured subject to the terms and
conditions of the policy contract. Additional Insured, Waiver of Subrogation and Primary Non -Contributory coverage forms are attached per policy. Waiver of
Subrogation applies to Workers Compensation. Umbrella follows form and extends over General Liability, Auto Liability & Employers Liability.
Eagle County, its associated or affiliated entities, its successors and assigns, elected officials, employees, agents and volunteers are additional insured per the
above
CERTIFICATE HOLDER CANCELLATION
©1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Eagle County Open Space
ACCORDANCE WITH THE POLICY PROVISIONS.
500 Broadway
AUTHORIZED REPRESENTATIVE
PO Box 850
Eagle CO 81631
�.�
©1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF OUR RIGHT TO RECOVER
FROM OTHERS ENDORSEMENT
Policy Number: 34 WEC ZF7100 Endorsement Number:
Effective Date: 08/01/18 Effective hour is the same as stated on the Information Page of the policy.
Named Insured and Address: DHM DESIGN CORPORATION
900 S BROADWAY STE 300
DENVER CO 80209
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our
right against the person or organization named in the Schedule.
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
SCHEDULE
Any person or organization from whom you are required by contract or agreement to obtain this waiver from us.
Endorsement is not applicable in KY, NH, NJ or for any MO construction risk
Countersigned by
Authorized Representative
Form WC 00 03 13 Printed in U.S.A.
Process Date: 06/21/18 Policy Expiration Date: 08/01/19
DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
BUSINESS LIABILITY COVERAGE FORM
Form SS 00 08 04 05
© 2005, The Hartford
DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
QUICK REFERENCE
BUSINESS LIABILITY COVERAGE FORM
READ YOUR POLICY CAREFULLY
BUSINESS LIABILITY COVERAGE FORM
A. COVERAGES
Business Liability
Medical Expenses
Coverage Extension - Supplementary Payments
B. EXCLUSIONS
C. WHO IS AN INSURED
D. LIABILITY AND MEDICAL EXPENSES
LIMITS OF INSURANCE
E. LIABILITY AND MEDICAL EXPENSES GENERAL CONDITIONS
1. Bankruptcy
2. Duties In The Event Of Occurrence, Offense, Claim Or Suit
3. Financial Responsibility Laws
4. Legal Action Against Us
5. Separation Of Insureds
6. Representations
7. Other Insurance
8. Transfer Of Rights Of Recovery Against Others To Us
F. OPTIONAL ADDITIONAL INSURED COVERAGES
Additional Insureds
G. LIABILITY AND MEDICAL EXPENSES DEFINITIONS
Form SS 00 08 04 05
Beginning on Page
1
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DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
r
BUSINESS LIABILITY COVERAGE FORM
Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights, duties and what
is and is not covered.
Throughout this policy the words "you" and "your" refer to the Named Insured shown in the Declarations. The words
"we", "us" and "our" refer to the stock insurance company member of The Hartford providing this insurance.
The word "insured" means any person or organization qualifying as such under Section C. - Who Is An Insured.
Other words and phrases that appear in quotation marks have special meaning. Refer to Section G. - Liability And
Medical Expenses Definitions.
A. COVERAGES (a) The "bodily injury" or "property
1. BUSINESS LIABILITY COVERAGE (BODILY damage" is caused by an
INJURY, PROPERTY DAMAGE, PERSONAL "occurrence" that takes place in the
AND ADVERTISING INJURY) "coverage territory";
Insuring Agreement
a. We will pay those sums that the insured
becomes legally obligated to pay as
damages because of "bodily injury",
"property damage" or "personal and
advertising injury" to which this insurance
applies. We will have the right and duty to
defend the insured against any "suit"
seeking those damages. However, we will
have no duty to defend the insured against
any "suit" seeking damages for "bodily
injury", "property damage" or "personal and
advertising injury" to which this insurance
does not apply.
We may, at our discretion, investigate any
"occurrence" or offense and settle any claim
or "suit" that may result. But:
(1) The amount we will pay for damages is
limited as described in Section D. -
Liability And Medical Expenses Limits
Of Insurance; and
(2) Our right and duty to defend ends when
we have used up the applicable limit of
insurance in the payment of judgments,
settlements or medical expenses to which
this insurance applies.
No other obligation or liability to pay sums or
perform acts or services is covered unless
explicitly provided for under Coverage
Extension - Supplementary Payments.
b. This insurance applies:
(1) To "bodily injury" and "property
damage" only if:
(b) The "bodily injury" or "property
damage" occurs during the policy
period; and
(c) Prior to the policy period, no insured
listed under Paragraph 1. of Section
C. — Who Is An Insured and no
"employee" authorized by you to give
or receive notice of an "occurrence"
or claim, knew that the "bodily injury"
or "property damage" had occurred,
in whole or in part. If such a listed
insured or authorized "employee"
knew, prior to the policy period, that
the "bodily injury" or "property
damage" occurred, then any
continuation, change or resumption
of such "bodily injury" or "property
damage" during or after the policy
period will be deemed to have been
known prior to the policy period.
(2) To "personal and advertising injury"
caused by an offense arising out of your
business, but only if the offense was
committed in the "coverage territory"
during the policy period.
c. "Bodily injury" or "property damage" will be
deemed to have been known to have
occurred at the earliest time when any
insured listed under Paragraph 1. of Section
C. — Who Is An Insured or any "employee"
authorized by you to give or receive notice
of an "occurrence" or claim:
(1) Reports all, or any part, of the "bodily
injury" or "property damage" to us or
any other insurer;
Form SS 00 08 04 05 Page 1 of 24
© 2005, The Hartford
DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
BUSINESS LIABILITY COVERAGE FORM
(2) Receives a written or verbal demand or
b. We will make these payments regardless of
claim for damages because of the "bodily
fault. These payments will not exceed the
injury" or "property damage"; or
applicable limit of insurance. We will pay
(3) Becomes aware by any other means that
reasonable expenses for:
"bodily injury" or "property damage" has
(1) First aid administered at the time of an
occurred or has begun to occur.
accident;
d. Damages because of "bodily injury" include
(2) Necessary medical, surgical, x-ray and
damages claimed by any person or
dental services, including prosthetic
organization for care, loss of services or
devices; and
death resulting at any time from the "bodily
(3) Necessary ambulance, hospital,
injury .
professional nursing and funeral
e. Incidental Medical Malpractice
services.
(1) "Bodily injury" arising out of the
3. COVERAGE EXTENSION -
rendering of or failure to render
SUPPLEMENTARY PAYMENTS
professional health care services as a
a. We will pay, with respect to any claim or
physician, dentist, nurse, emergency
"suit" we investigate or settle, or any "suit"
medical technician or paramedic shall
against an insured we defend:
be deemed to be caused by an
"occurrence", but only if:
(1) All expenses we incur.
(a) The physician, dentist, nurse,
(2) Up to $1,000 for the cost of bail bonds
emergency medical technician or
required because of accidents or traffic
paramedic is employed by you to
law violations arising out of the use of
provide such services; and
any vehicle to which Business Liability
Coverage for "bodily injury" applies. We
(b) You are not engaged in the
do not have to furnish these bonds.
business or occupation of providing
such services.
(3) The cost of appeal bonds or bonds to
release attachments, but only for bond
(2) For the purpose of determining the
amounts within the applicable limit ofinsurance.
limits of insurance for incidental medical
We do not have to furnish
malpractice, any act or omission
these bonds.
together with all related acts or
omissions in the furnishing of these
(4) All reasonable expenses incurred by the
services to any one person will be
insured at our request to assist us in the
considered one "occurrence".
investigation or defense of the claim or
"suit", including actual loss of earnings
2. MEDICAL EXPENSES
up to $500 a day because of time off
Insuring Agreement
from work.
a. We will pay medical expenses as described
below for "bodily injury" caused by an
accident:
(1) On premises you own or rent;
(2) On ways next to premises you own or
rent; or
(3) Because of your operations;
provided that:
(1) The accident takes place in the
"coverage territory" and during the
policy period;
(2) The expenses are incurred and reported
to us within three years of the date of
the accident; and
(3) The injured person submits to
examination, at our expense, by
physicians of our choice as often as we
reasonably require.
(5) All costs taxed against the insured in
the "suit".
(6) Prejudgment interest awarded against
the insured on that part of the judgment
we pay. If we make an offer to pay the
applicable limit of insurance, we will not
pay any prejudgment interest based on
that period of time after the offer.
(7) All interest on the full amount of any
judgment that accrues after entry of the
judgment and before we have paid,
offered to pay, or deposited in court the
part of the judgment that is within the
applicable limit of insurance.
Any amounts paid under (1) through (7)
above will not reduce the limits of insurance.
Page 2 of 24 Form SS 00 08 04 05
DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
b. If we defend an insured against a "suit"
and an indemnitee of the insured is also
named as a party to the "suit", we will
defend that indemnitee if all of the
following conditions are met:
(1) The "suit" against the indemnitee
seeks damages for which the insured
has assumed the liability of the
indemnitee in a contract or agreement
that is an "insured contract";
(2) This insurance applies to such liability
assumed by the insured;
(3) The obligation to defend, or the cost of
the defense of, that indemnitee, has
also been assumed by the insured in
the same "insured contract";
(4) The allegations in the "suit" and the
information we know about the
"occurrence" are such that no conflict
appears to exist between the interests
of the insured and the interest of the
indemnitee;
(5) The indemnitee and the insured ask
us to conduct and control the defense B
of that indemnitee against such "suit"
and agree that we can assign the
same counsel to defend the insured
and the indemnitee; and
(6) The indemnitee:
(a) Agrees in writing to:
(i) Cooperate with us in the
investigation, settlement or
defense of the "suit";
(ii) Immediately send us copies of
any demands, notices,
summonses or legal papers
received in connection with
the "suit";
(iii) Notify any other insurer whose
coverage is available to the
indemnitee; and
(iv) Cooperate with us with
respect to coordinating other
applicable insurance available
to the indemnitee; and
(b) Provides us with written
authorization to:
(i) Obtain records and other
information related to the
"suit"; and
(ii) Conduct and control the
defense of the indemnitee in
such "suit".
BUSINESS LIABILITY COVERAGE FORM
So long as the above conditions are met,
attorneys' fees incurred by us in the
defense of that indemnitee, necessary
litigation expenses incurred by us and
necessary litigation expenses incurred
by the indemnitee at our request will be
paid as Supplementary Payments.
Notwithstanding the provisions of
Paragraph 1.b.(b) of Section B. —
Exclusions, such payments will not be
deemed to be damages for "bodily
injury" and "property damage" and will
not reduce the Limits of Insurance.
Our obligation to defend an insured's
indemnitee and to pay for attorneys' fees
and necessary litigation expenses as
Supplementary Payments ends when:
(1) We have used up the applicable limit
of insurance in the payment of
judgments or settlements; or
(2) The conditions set forth above, or the
terms of the agreement described in
Paragraph (6) above, are no longer met.
EXCLUSIONS
1. Applicable To Business Liability Coverage
This insurance does not apply to:
a. Expected Or Intended Injury
(1) "Bodily injury" or "property damage"
expected or intended from the
standpoint of the insured. This
exclusion does not apply to "bodily
injury" or "property damage" resulting
from the use of reasonable force to
protect persons or property; or
(2) "Personal and advertising injury" arising
out of an offense committed by, at the
direction of or with the consent or
acquiescence of the insured with the
expectation of inflicting "personal and
advertising injury".
b. Contractual Liability
(1) "Bodily injury" or "property damage"; or
(2) "Personal and advertising injury"
for which the insured is obligated to pay
damages by reason of the assumption of
liability in a contract or agreement.
This exclusion does not apply to liability
for damages because of:
(a) "Bodily injury", "property damage" or
"personal and advertising injury" that
the insured would have in the
absence of the contract or
agreement; or
Form SS 00 08 04 05 Page 3 of 24
DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
BUSINESS LIABILITY COVERAGE FORM
(b) "Bodily injury" or "property damage"
(b) Performing duties related to the
assumed in a contract or agreement
conduct of the insured's business, or
that is an "insured contract",
(2) The spouse, child, parent, brother or
provided the "bodily injury" or
sister of that "employee" as a
"property damage" occurs
consequence of (1) above.
subsequent to the execution of the
This exclusion applies:
contract or agreement. Solely for
the purpose of liability assumed in
(1) Whether the insured may be liable as
an "insured contract", reasonable
an employer or in any other capacity;
attorneys' fees and necessary
and
litigation expenses incurred by or for
(2) To any obligation to share damages
a party other than an insured are
with or repay someone else who must
deemed to be damages because of
pay damages because of the injury.
"bodily injury" or "property damage"
This exclusion does not apply to liability
provided:
assumed by the insured under an "insured
(i) Liability to such party for, or for
contract".
the cost of, that party's defense
f. Pollution
has also been assumed in the
same "insured contract", and
(1) "Bodily injury", "property damage" or
personal and advertising injury
(ii) Such attorneys' fees and
arising out of the actual, alleged or
litigation expenses are for
threatened discharge, dispersal,
defense of that party against
seepage, migration, release or escape
civil or alternative disputea
of "pollutants":
resolution proceeding in which
damages to which this
(a) At or from any premises, site or
insurance applies are alleged.
location which is or was at any
time owned or occupied by, or
c. Liquor Liability
rented or loaned to any insured.
"Bodily injury" or "property damage" for
However, this subparagraph does
which any insured may be held liable by
not apply to:
reason of:
(i) "Bodily injury" if sustained within
(1) Causing or contributing to the
a building and caused by
intoxication of any person;
smoke, fumes, vapor or soot
(2) The furnishing of alcoholic beverages to
produced by or originating from
a person under the legal drinking age or
equipment that is used to heat,
under the influence of alcohol; or
cool or dehumidify the building,
(3) Any statute, ordinance or regulation
or equipment that is used to
heat water for personal use, by
relating to the sale, gift, distribution or
the buildings occupants or their
use of alcoholic beverages.
guests;
This exclusion applies only if you are in the
(ii) "Bodilyinjury" or "property
)
business of manufacturing, distributing,
damage" for which you may be
selling, serving or furnishing alcoholic
held liable, if you are a
beverages.
contractor and the owner or
d. Workers' Compensation And Similar
lessee of such premises, site or
Laws
location has been added to your
Any obligation of the insured under a
policy as an additional insured
workers' compensation, disability benefits
with respect to your ongoing
or unemployment compensation law or
operations performed for that
any similar law.
additional insured at that
e. Employer's Liability
premises, site or location and
"Bodily injury" to:
such premises, site or location
(1) An "employee" of the insured arising
is not and never was owned or
out of and in the course of:
occupied by, or rented or
loaned to, any insured, other
(a) Employment by the insured; or
than that additional insured; or
Page 4 of 24 Form SS 00 08 04 05
DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
BUSINESS LIABILITY COVERAGE FORM
(iii) "Bodily injury" or "property
released as part of the
damage" arising out of heat,
operations being performed
smoke or fumes from a
by such insured, contractor or
"hostile fire";
subcontractor;
(b) At or from any premises, site or
(ii) "Bodily injury" or "property
location which is or was at any
damage" sustained within a
time used by or for any insured or
building and caused by the
others for the handling, storage,
release of gases, fumes or
disposal, processing or treatment
vapors from materials brought
of waste;
into that building in connection
(c) Which are or were at any time
with operations being performed
transported, handled, stored,
by you or on your behalf by a
treated, disposed of, or processed
contractor or subcontractor; or
as waste by or for:
(iii) "Bodily injury" or "property
(i) Any insured; or
damage" arising out of heat,
smoke or fumes from a
(ii) Any person or organization for
hostile fire , or
whom you may be legally
responsible;
(e) At or from any premises, site or
location on which any insured or any
(d) At or from any premises, site or
contractors or subcontractors
location on which any insured or
working directly or indirectly on any
any contractors or subcontractors
insured's behalf are performing
working directly or indirectly on
operations if the operations are to
any insured's behalf are
test for, monitor, clean up, remove,
performing operations if the
contain, treat, detoxify or neutralize,
"pollutants" are brought on or to
or in any way respond to, or assess
the premises, site or location in
the effects of, "pollutants".
connection with such operations
by such insured, contractor or
(2) Any loss, cost or expense arising out
subcontractor. However, this
of any:
subparagraph does not apply to:
(a) Request, demand, order or statutory
(i) "Bodily injury" or "property
or regulatory requirement that any
damage" arising out of the
insured or others test for, monitor,
escape of fuels, lubricants or
clean up, remove, contain, treat,
other operating fluids which are
detoxify or neutralize, or in any way
needed to perform the normal
respond to, or assess the effects of,
electrical, hydraulic or
"pollutants"; or
mechanical functions
(b) Claim or suit by or on behalf of a
necessary for the operation of
governmental authority for
"mobile equipment" or its parts,
damages because of testing for,
if such fuels, lubricants or other
monitoring, cleaning up, removing,
operating fluids escape from a
containing, treating, detoxifying or
vehicle part designed to hold,
neutralizing, or in any way
store or receive them. This
responding to, or assessing the
exception does not apply if the
effects of, "pollutants".
"bodily injury" or "property
However, this paragraph does not
damage" arises out of the
apply to liability for damages because
intentional discharge, dispersal
of "property damage" that the insured
or release of the fuels,
would have in the absence of such
lubricants or other operating
request, demand, order or statutory or
fluids, or if such fuels,
regulatory requirement, or such claim
lubricants or other operating
or "suit" by or on behalf of a
fluids are brought on or to the
governmental authority.
premises, site or location with
the intent that they be
discharged, dispersed or
Form SS 00 08 04 05 Page 5 of 24
DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
BUSINESS LIABILITY COVERAGE FORM
g. Aircraft, Auto Or Watercraft
(2) The use of "mobile equipment" in, or
"Bodily injury" or "property damage" arising
while in practice or preparation for, a
out of the ownership, maintenance, use or
prearranged racing, speed or
entrustment to others of any aircraft, "auto"
demolition contest or in any stunting
or watercraft owned or operated by or rented
activity.
or loaned to any insured. Use includes
i. War
operation and "loading or unloading".
"Bodily injury", "property damage" or
This exclusion applies even if the claims
"personal and advertising injury", however
against any insured allege negligence or
caused, arising, directly or indirectly, out of:
other wrongdoing in the supervision, hiring,
(1) War, including undeclared or civil war;
employment, training or monitoring of others
by that insured, if the "occurrence" which
(2) Warlike action by a military force,
caused the "bodily injury" or "property
including action in hindering or
damage" involved the ownership,
defending against an actual or
maintenance, use or entrustment to others of
expected attack, by any government,
any aircraft, "auto" or watercraft that is
sovereign or other authority using
owned or operated by or rented or loaned to
military personnel or other agents; or
any insured.
(3) Insurrection, rebellion, revolution,
This exclusion does not apply to:
usurped power, or action taken by
governmental authority in hindering or
(1) A watercraft while ashore on premises
defending against any of these.
you own or rent;
j. Professional Services
(2) A watercraft you do not own that is:
"Bodily injury", "property damage" or
(a) Less than 51 feet long; and
"personal and advertising injury" arising
(b) Not being used to carry persons
out of the rendering of or failure to render
for a charge;
any professional service. This includes
(3) Parking an "auto" on, or on the ways
but is not limited to:
next to, premises you own or rent,
(1) Legal, accounting or advertising
provided the "auto" is not owned by or
services;
rented or loaned to you or the insured;
(2) Preparing, approving, or failing to
(4) Liability assumed under any "insured
prepare or approve maps, shop
contract" for the ownership,
drawings, opinions, reports, surveys,
maintenance or use of aircraft or
field orders, change orders, designs or
watercraft;
drawings and specifications;
(5) "Bodily injury" or "property damage"
(3) Supervisory, inspection, architectural
arising out of the operation of any of
or engineering activities;
the equipment listed in Paragraph f.(2)
(4) Medical, surgical, dental, x-ray or
or f.(3) of the definition of "mobile
nursing services treatment, advice or
equipment"; or
instruction;
(6) An aircraft that is not owned by any
(5) Any health or therapeutic service
insured and is hired, chartered or loaned
treatment, advice or instruction;
with a paid crew. However, this
(6) Any service, treatment, advice or
exception does not apply if the insured
"bodily
instruction for the purpose of
has any other insurance for such
appearance or skin enhancement, hair
injuryor property damage", whether
removal or replacement or personal
the other insurance is primary, excess,
contingent or on any other basis.
grooming;
h. Mobile Equipment
(7) Optical or hearing aid services
including the prescribing, preparation,
"Bodily injury" or "property damage"
fitting, demonstration or distribution of
arising out of:
ophthalmic lenses and similar
(1) The transportation of "mobile equipment"
products or hearing aid devices;
by an "auto" owned or operated by or
rented or loaned to any insured; or
Page 6 of 24 Form SS 00 08 04 05
DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
BUSINESS LIABILITY COVERAGE FORM
(8) Optometry or optometric services
Paragraphs (1), (3) and (4) of this
including but not limited to examination
exclusion do not apply to "property
of the eyes and the prescribing,
damage" (other than damage by fire) to
preparation, fitting,demonstration or
premises, including the contents of such
distribution of ophthalmic lenses and
premises, rented to you for a period of 7 or
similar products;
fewer consecutive days. A separate Limit
(9) Any:
of Insurance applies to Damage To
Premises Rented To You as described in
(a) Body piercing (not including ear
Section D. - Limits Of Insurance.
piercing);
Paragraph (2) of this exclusion does not
(b) Tattooing, including but not limited
apply if the premises are "your work" and
to the insertion of pigments into or
were never occupied, rented or held for
under the skin; and
rental by you.
(c) Similar services;
Paragraphs (3) and (4) of this exclusion do
(10) Services in the practice of pharmacy;
not apply to the use of elevators.
and
Paragraphs (3), (4), (5) and (6) of this
(11) Computer consulting, design or
exclusion do not apply to liability assumed
programming services, including web
under a sidetrack agreement.
site design.
Paragraphs (3) and (4) of this exclusion do
Paragraphs (4) and (5) of this exclusion do
not apply to "property damage" to
not apply to the Incidental Medical
borrowed equipment while not being used
Malpractice coverage afforded under
to perform operations at a job site.
Paragraph 1.e. in Section A. - Coverages.
Paragraph (6) of this exclusion does not
k. Damage To Property
apply to "property damage" included in the
"Property damage" to:
"products -completed operations hazard".
(1) Property you own, rent or occupy,
I. Damage To Your Product
including any costs or expenses
"Property damage" to "your product"
incurred by you, or any other person,
arising out of it or any part of it.
organization or entity, for repair,
m. Damage To Your Work
replacement, enhancement,
restoration or maintenance of such
"Property damage" to "your work" arising
property for any reason, including
out of it or any part of it and included in the
prevention of injury to a person or
"products -completed operations hazard".
damage to another's property;
This exclusion does not apply if the
(2) Premises you sell, give away or
damaged work or the work out of which
abandon, if the "property damage" arises
the damage arises was performed on your
out of any part of those premises;
behalf by a subcontractor.
(3) Property loaned to you;
n. Damage To Impaired Property Or
Property Not Physically Injured
(4) Personal property in the care, custody
or control of the insured;
"Property damage" to "impaired property"
or property that has not been physically
(5) That particular part of real property on
injured, arising out of:
which you or any contractors or
subcontractors working directly or
(1) A defect, deficiency, inadequacy or
indirectly on your behalf are performing
dangerous condition in "your product"
operations, if the "property damage"
or "your work"; or
arises out of those operations; or
(2) A delay or failure by you or anyone
(6) That particular part of any property
acting on your behalf to perform a
that must be restored, repaired or
contract or agreement in accordance
replaced because "your work" was
with its terms.
incorrectly performed on it.
This exclusion does not apply to the loss
of use of other property arising out of
sudden and accidental physical injury to
"your product" or "your work" after it has
been put to its intended use.
Form SS 00 08 04 05 Page 7 of 24
DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
BUSINESS LIABILITY COVERAGE FORM
o. Recall Of Products, Work Or Impaired
(c) Title of any literary or artistic work;
Property
(8) Arising out of an offense committed by
Damages claimed for any loss, cost or
an insured whose business is:
expense incurred by you or others for the
(a) Advertising, broadcasting,
loss of use, withdrawal, recall, inspection,
publishing or telecasting;
repair, replacement, adjustment, removal
(b) Designing or determining content
or disposal of:
of web sites for others; or
(1) "Your product";
(c) An Internet search, access,
(2) "Your work"; or
content or service provider.
(3) "Impaired property";
However, this exclusion does not
if such product, work or property is
apply to Paragraphs a., b. and c.
withdrawn or recalled from the market or
under the definition of "personal and
from use by any person or organization
advertising injury" in Section G. —
because of a known or suspected defect,
Liability And Medical Expenses
deficiency, inadequacy or dangerous
Definitions.
condition in it.
For the purposes of this exclusion,
p. Personal And Advertising Injury
placing an "advertisement" for or
"Personal and advertising injury":
linking to others on your web site, by
(1) Arising out of oral, written or electronic
itself, is not considered the business
publication of material, if done by or at
of advertising, broadcasting,
the direction of the insured with
publishing or telecasting;
knowledge of its falsity;
(9) Arising out of an electronic chat room
(2) Arising out of oral, written or electronic
or bulletin board the insured hosts,
publication of material whose first
owns, or over which the insured
publication took place before the
exercises control;
beginning of the policy period;
(10) Arising out of the unauthorized use of
(3) Arising out of a criminal act committed
another's name or product in your e-mail
by or at the direction of the insured;
address, domain name or metatags, or
any other similar tactics to mislead
(4) Arising out of any breach of contract,
another's potential customers;
except an implied contract to use
"advertising
(11) Arising out of the violation of a
another's idea" in your
"advertisement";
persons right of privacy created by
any state or federal act.
(5) Arising out of the failure of goods,
However, this exclusion does not
products or services to conform with
apply to liability for damages that the
any statement of quality or
insured would have in the absence of
performance made in your
such state or federal act;
"advertisement";
(6) Arising out of the wrong description of
(12) Arising out of:
the price of goods, products or services;
(a) An "advertisement" for others on
(7) Arising out of any violation of any
your web site;
intellectual property rights such as
(b) Placing a link to a web site of
copyright, patent, trademark, trade
others on your web site;
name, trade secret, service mark or
(c) Content from a web site of others
other designation of origin or
displayed within a frame or border
authenticity.
on your web site. Content includes
However, this exclusion does not
information, code, sounds, text,
apply to infringement, in your
graphics or images; or
"advertisement", of
(d) Computer code, software or
(a) Copyright;
programming used to enable:
(b) Slogan, unless the slogan is also
(i) Your web site; or
a trademark, trade name, service
(ii) The presentation or functionality
mark or other designation of origin
of an "advertisement" or other
or authenticity; or
content on your web site;
Page 8 of 24 Form SS 00 08 04 05
DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
BUSINESS LIABILITY COVERAGE FORM
(13) Arising out of a violation of any anti-
(a) May be awarded or incurred by
trust law;
reason of any claim or suit
(14) Arising out of the fluctuation in price or
alleging actual or threatened injury
value of any stocks, bonds or other
or damage of any nature or kind to
securities; or
persons or property which would
"personal and advertising injury" to the
not have occurred in whole or in
(15) Arising out of discrimination or
part but for the asbestos hazard
,
humiliation committed by or at the
direction of any "executive officer",
(b) Arise out of any request, demand,
director, stockholder, partner or
order or statutory or regulatory
member of the insured.
requirement that any insured or
above is directed.
others test for, monitor, clean up,
q. Electronic Data
remove, encapsulate, contain,
Damages arising out of the loss of, loss of
treat, detoxify or neutralize or in
use of, damage to, corruption of, inability
any way respond to or assess the
to access, or inability to manipulate
effects of an "asbestos hazard"; or
"electronic data".
(c) Arise out of any claim or suit for
r. Employment -Related Practices
damages because of testing for,
"Bodily injury" or "personal and advertising
monitoring, cleaning up, removing,
injury" to:
encapsulating, containing, treating,
(1) A person arising out of any:
detoxifying or neutralizing or in any
way responding to or assessing the
(a) Refusal to employ that person;
effects of an "asbestos hazard".
(b) Termination of that person's
t. Violation Of Statutes That Govern E -
employment; or
Mails, Fax, Phone Calls Or Other
(c) Employment-related practices,
Methods Of Sending Material Or
policies, acts or omissions, such as
Information
coercion, demotion, evaluation,
"Bodily injury", "property damage", or
reassignment, discipline,
"personal and advertising injury" arising
defamation, harassment, humiliation
directly or indirectly out of any action or
or discrimination directed at that
omission that violates or is alleged to
person; or
violate:
(2)
The spouse, child, parent, brother or
(1) The Telephone Consumer Protection
sister of that person as a
Act (TCPA), including any amendment
consequence of "bodily injury" or
of or addition to such law;
"personal and advertising injury" to the
(2) The CAN -SPAM Act of 2003, including
person at whom any of the
any amendment of or addition to such
employment-related practices
law; or
described in Paragraphs (a), (b), or (c)
above is directed.
(3) Any statute, ordinance or regulation,
This
exclusion applies:
other than the TCPA or CAN -SPAM Act
of 2003, that prohibits or limits the
(1)
Whether the insured may be liable as
sending, transmitting, communicating or
an employer or in any other capacity;
distribution of material or information.
and
Damage To Premises Rented To You —
(2)
To any obligation to share damages
Exception For Damage By Fire, Lightning
with or repay someone else who must
or Explosion
pay damages because of the injury.
Exclusions c. through h. and k. through o. do
s. Asbestos
not apply to damage by fire, lightning or
(1)
"Bodily injury", "property damage" or
explosion to premises rented to you or
"personal and advertising injury"
temporarily occupied by you with permission of
arising out of the "asbestos hazard".
the owner. A separate Limit of Insurance
(2)
Any damages, judgments, settlements,
applies to this coverage as described in
loss, costs or expenses that:
Section D. - Liability And Medical Expenses
Limits Of Insurance.
Form SS 00 08 04 05 Page 9 of 24
DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
BUSINESS LIABILITY COVERAGE FORM
2. Applicable To Medical Expenses Coverage
e. A trust, you are an insured. Your trustees
We will not pay expenses for "bodily injury":
are also insureds, but only with respect to
their duties as trustees.
a. Any Insured
To any insured, except "volunteer workers".
2. Each of the following is also an insured:
b. Hired Person
a. Employees And Volunteer Workers
To a person hired to do work for or on behalf
Your "volunteer workers" only while
of any insured or a tenant of any insured.
performing duties related to the conduct of
your business, or your "employees", other
c. Injury On Normally Occupied Premises
than either your executive officers (if you
To a person injured on that part of
are an organization other than a
premises you own or rent that the person
partnership, joint venture or limited liability
normally occupies.
company) or your managers (if you are a
d. Workers' Compensation And Similar
limited liability company), but only for acts
Laws
within the scope of their employment by
To a person, whether or not an
you or while performing duties related to
"employee" of any insured, if benefits for
the conduct of your business.
the "bodily injury" are payable or must be
However, none of these "employees" or
provided under a workers' compensation
"volunteer workers" are insureds for:
or disability benefits law or a similar law.
(1) "Bodily injury" or "personal and
e. Athletics Activities
advertising injury":
To a person injured while practicing,
(a) To you, to your partners or
instructing or participating in any physical
members (if you are a partnership
exercises or games, sports or athletic
or joint venture), to your members
contests.
(if you are a limited liability
f. Products -Completed Operations Hazard
company), or to a co -"employee"
while in the course of his or her
Included with the "products -completed
employment or performing duties
operations hazard".
related to the conduct of your
g. Business Liability Exclusions
business, or to your other
Excluded under Business Liability Coverage.
"volunteer workers" while
performing duties related to the
C. WHO IS AN INSURED
conduct of your business;
1. If you are designated in the Declarations as:
(b) To the spouse, child, parent,
a. An individual, you and your spouse are
brother or sister of that co -
insureds, but only with respect to the
"employee" or that "volunteer
conduct of a business of which you are the
worker" as a consequence of
sole owner.
Paragraph (1)(a) above;
b. A partnership or joint venture, you are an
(c) For which there is any obligation
insured. Your members, your partners, and
to share damages with or repay
their spouses are also insureds, but only with
someone else who must pay
respect to the conduct of your business.
damages because of the injury
c. A limited liability company, you are an
described in Paragraphs (1)(a) or
insured. Your members are also insureds,
(b) above; or
but only with respect to the conduct of your
(d) Arising out of his or her providing
business. Your managers are insureds, but
or failing to provide professional
only with respect to their duties as your
health care services.
managers.
If you are not in the business of
d. An organization other than a partnership,
providing professional health care
joint venture or limited liability company, you
services, Paragraph (d) does not apply
are an insured. Your "executive officers" and
to any nurse, emergency medical
directors are insureds, but only with respect
technician or paramedic employed by
to their duties as your officers or directors.
you to provide such services.
Your stockholders are also insureds, but only
(2) "Property damage" to property:
with respect to their liability as stockholders.
(a) Owned, occupied or used by,
Page 10 of 24 Form SS 00 08 04 05
DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
BUSINESS LIABILITY COVERAGE FORM
(b) Rented to, in the care, custody or
b. Coverage under this provision does not
control of, or over which physical
apply to:
control is being exercised for any
(1) "Bodily injury" or "property damage"
purpose by you, any of your
that occurred; or
"employees", "volunteer workers",
any partner or member (if you are
(2) "Personal and advertising injury"
a partnership or joint venture), or
arising out of an offense committed
any member (if you are a limited
before you acquired or formed the
liability company).
organization.
b. Real Estate Manager
4. Operator Of Mobile Equipment
Any person (other than your "employee" or
With respect to "mobile equipment" registered in
"volunteer worker"), or any organization
your name under any motor vehicle registration
while acting as your real estate manager.
law, any person is an insured while driving such
c. Temporary Custodians Of Your
equipment along a public highway with your
Property
permission. Any other person or organization
responsible for the conduct of such person is
Any person or organization having proper
also an insured, but only with respect to liability
temporary custody of your property if you
arising out of the operation of the equipment, and
die, but only:
only if no other insurance of any kind is available
(1) With respect to liability arising out of the
to that person or organization for this liability.
maintenance or use of that property; and
However, no person or organization is an insured
(2) Until your legal representative has
with respect to:
been appointed.
a. "Bodily injury" to a co -"employee" of the
d. Legal Representative If You Die
person driving the equipment; or
Your legal representative if you die, but
b. "Property damage" to property owned by,
only with respect to duties as such. That
rented to, in the charge of or occupied by
representative will have all your rights and
you or the employer of any person who is
duties under this insurance.
an insured under this provision.
e. Unnamed Subsidiary
5. Operator of Nonowned Watercraft
Any subsidiary and subsidiary thereof, of
With respect to watercraft you do not own that
yours which is a legally incorporated entity
is less than 51 feet long and is not being used
of which you own a financial interest of
to carry persons for a charge, any person is an
more than 50% of the voting stock on the
insured while operating such watercraft with
effective date of this Coverage Part.
your permission. Any other person or
organization responsible for the conduct of
The insurance afforded herein for any
such person is also an insured, but only with
subsidiary not shown in the Declarations
respect to liability arising out of the operation
as a named insured does not apply to
of the watercraft, and only if no other
injury or damage with respect to which an
insurance of any kind is available to that
insured under this insurance is also an
person or organization for this liability.
insured under another policy or would be
an insured under such policy but for its
However, no person or organization is an
termination or upon the exhaustion of its
insured with respect to:
limits of insurance.
a. "Bodily injury" to a co -"employee" of the
3. Newly Acquired Or Formed Organization
person operating the watercraft; or
Any organization you newly acquire or form,
b. "Property damage" to property owned by,
other than a partnership, joint venture or
rented to, in the charge of or occupied by
limited liability company, and over which you
you or the employer of any person who is
maintain financial interest of more than 50% of
an insured under this provision.
the voting stock, will qualify as a Named
6. Additional Insureds When Required By
Insured if there is no other similar insurance
Written Contract, Written Agreement Or
available to that organization. However:
Permit
a. Coverage under this provision is afforded
The person(s) or organization(s) identified in
only until the 180th day after you acquire
Paragraphs a. through f. below are additional
or form the organization or the end of the
insureds when you have agreed, in a written
policy period, whichever is earlier; and
Form SS 00 08 04 05 Page 11 of 24
DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
BUSINESS LIABILITY COVERAGE FORM
contract, written agreement or because of a
(e) Any failure to make such
permit issued by a state or political
inspections, adjustments, tests or
subdivision, that such person or organization
servicing as the vendor has
be added as an additional insured on your
agreed to make or normally
policy, provided the injury or damage occurs
undertakes to make in the usual
subsequent to the execution of the contract or
course of business, in connection
agreement, or the issuance of the permit.
with the distribution or sale of the
A person or organization is an additional
products;
insured under this provision only for that
(f) Demonstration, installation,
period of time required by the contract,
servicing or repair operations,
agreement or permit.
except such operations performed
However, no such person or organization is an
at the vendor's premises in
connection with the sale of the
additional insured under this provision if such
product;
person or organization is included as an
additional insured by an endorsement issued
(g) Products which, after distribution
by us and made a part of this Coverage Part,
or sale by you, have been labeled
including all persons or organizations added
or relabeled or used as a
as additional insureds under the specific
container, part or ingredient of any
additional insured coverage grants in Section
other thing or substance by or for
F. — Optional Additional Insured Coverages.
the vendor; or
a. Vendors
(h) "Bodily injury" or "property
damage" arising out of the sole
Any person(s) or organization(s) (referred to
negligence of the vendor for its
below as vendor), but only with respect to
own acts or omissions or those of
"bodily injury" or "property damage" arising
its employees or anyone else
out of "your products" which are distributed
acting on its behalf. However, this
or sold in the regular course of the vendor's
exclusion does not apply to:
business and only if this Coverage Part
provides coverage for "bodily injury" or
(i) The exceptions contained in
"property damage" included within the
Subparagraphs (d) or (f); or
"products -completed operations hazard".
(ii) Such inspections, adjustments,
(1) The insurance afforded to the vendor
tests or servicing as the vendor
is subject to the following additional
has agreed to make or normally
exclusions:
undertakes to make in the usual
This insurance does not apply to:
course of business, in
connection with the distribution
(a) "Bodily injury" or "property
or sale of the products.
damage" for which the vendor is
(2) This insurance does not apply to any
obligated to pay damages by
insured person or organization from
reason of the assumption of
whom you have acquired such products,
liability in a contract or agreement.
or any ingredient, part or container,
This exclusion does not apply to
entering into, accompanying or
liability for damages that the
containing such products.
vendor would have in the absence
of the contract or agreement;
b. Lessors Of Equipment
(b) Any express warranty
(1) Any person or organization from
unauthorized by you;
whom you lease equipment; but only
with respect to their liability for "bodily
(c) Any physical or chemical change
injury", "property damage" or
in the product made intentionally
"personal and advertising injury"
by the vendor;
caused, in whole or in part, by your
(d) Repackaging, except when
maintenance, operation or use of
unpacked solely for the purpose of
equipment leased to you by such
inspection, demonstration, testing,
person or organization.
or the substitution of parts under
instructions from the manufacturer,
and then repackaged in the
original container;
Page 12 of 24 Form SS 00 08 04 05
DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
BUSINESS LIABILITY COVERAGE FORM
(2) With respect to the insurance afforded
e. Permits Issued By State Or Political
to these additional insureds, this
Subdivisions
insurance does not apply to any
(1) Any state or political subdivision, but
"occurrence" which takes place after
only with respect to operations
you cease to lease that equipment.
performed by you or on your behalf for
c. Lessors Of Land Or Premises
which the state or political subdivision
(1) Any person or organization from
has issued a permit.
whom you lease land or premises, but
(2) With respect to the insurance afforded
only with respect to liability arising out
to these additional insureds, this
of the ownership, maintenance or use
insurance does not apply to:
of that part of the land or premises
(a) "Bodily injury", "property damage"
leased to you.
or "personal and advertising
(2) With respect to the insurance afforded
injury" arising out of operations
to these additional insureds, this
performed for the state or
insurance does not apply to:
municipality; or
(a) Any 'occurrence" which takes
(b) 'Bodily injury" or "property damage"
place after you cease to lease that
included within the "products -
land or be a tenant in that
completed operations hazard".
premises; or
f. Any Other Party
(b) Structural alterations, new
(1) Any other person or organization who
construction or demolition
is not an insured under Paragraphs a.
operations performed by or on
through e. above, but only with
behalf of such person or
respect to liability for "bodily injury",
organization.
"property damage" or "personal and
d. Architects, Engineers Or Surveyors
advertising injury" caused, in whole or
(1) Any architect, engineer, or surveyor, but
in part, by your acts or omissions or
only with respect to liability for "bodily
the acts or omissions of those acting
injury", "property damage" or "personal
on your behalf:
and advertising injury" caused, in whole
(a) In the performance of your
or in part, by your acts or omissions or
ongoing operations;
the acts or omissions of those acting on
(b) In connection with your premises
your behalf:
owned by or rented to you; or
(a) In connection with your premises;
(c) In connection with "your work" and
or
included within the "products -
(b) In the performance of your
completed operations hazard", but
ongoing operations performed by
only if
you or on your behalf.
(i) The written contract or written
(2) With respect to the insurance afforded
agreement requires you to
to these additional insureds, the
provide such coverage to
following additional exclusion applies:
such additional insured; and
This insurance does not apply to
(ii) This Coverage Part provides
"bodily injury", "property damage" or
coverage for "bodily injury" or
"personal and advertising injury"
"property damage" included
arising out of the rendering of or the
within the "products -
failure to render any professional
completed operations hazard".
services by or for you, including:
(2) With respect to the insurance afforded
(a) The preparing, approving, or
to these additional insureds, this
failure to prepare or approve,
insurance does not apply to:
maps, shop drawings, opinions,
"Bodily injury", "property damage" or
reports, surveys, field orders,
"personal and advertising injury"
change orders, designs or
arising out of the rendering of, or the
drawings and specifications; or
failure to render, any professional
(b) Supervisory, inspection,
architectural, engineering or surveying
architectural or engineering
services, including:
activities.
Form SS 00 08 04 05
Page 13 of 24
DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
BUSINESS LIABILITY COVERAGE FORM
(a) The preparing, approving, or
failure to prepare or approve,
maps, shop drawings, opinions,
reports, surveys, field orders,
change orders, designs or
drawings and specifications; or
(b) Supervisory, inspection,
architectural or engineering
activities.
The limits of insurance that apply to additional
insureds are described in Section D. — Limits
Of Insurance.
How this insurance applies when other
insurance is available to an additional insured
is described in the Other Insurance Condition
in Section E. — Liability And Medical Expenses
General Conditions.
No person or organization is an insured with
respect to the conduct of any current or past
partnership, joint venture or limited liability
company that is not shown as a Named Insured in
the Declarations.
D. LIABILITY AND MEDICAL EXPENSES
LIMITS OF INSURANCE
1. The Most We Will Pay
The Limits of Insurance shown in the
Declarations and the rules below fix the most
we will pay regardless of the number of:
a. Insureds;
b. Claims made or "suits" brought; or
c. Persons or organizations making claims or
bringing "suits".
2. Aggregate Limits
The most we will pay for:
a. Damages because of "bodily injury" and
"property damage" included in the
"products -completed operations hazard" is
the Products -Completed Operations
Aggregate Limit shown in the
Declarations.
b. Damages because of all other "bodily
injury", "property damage" or "personal
and advertising injury", including medical
expenses, is the General Aggregate Limit
shown in the Declarations.
This General Aggregate Limit applies
separately to each of your "locations"
owned by or rented to you.
"Location" means premises involving the
same or connecting lots, or premises
whose connection is interrupted only by a
street, roadway or right-of-way of a
railroad.
This General Aggregate limit does not
apply to "property damage" to premises
while rented to you or temporarily
occupied by you with permission of the
owner, arising out of fire, lightning or
explosion.
3. Each Occurrence Limit
Subject to 2.a. or 2.b above, whichever
applies, the most we will pay for the sum of all
damages because of all "bodily injury",
"property damage" and medical expenses
arising out of any one 'occurrence" is the
Liability and Medical Expenses Limit shown in
the Declarations.
The most we will pay for all medical expenses
because of "bodily injury" sustained by any
one person is the Medical Expenses Limit
shown in the Declarations.
4. Personal And Advertising Injury Limit
Subject to 2.b. above, the most we will pay for
the sum of all damages because of all
"personal and advertising injury" sustained by
any one person or organization is the Personal
and Advertising Injury Limit shown in the
Declarations.
5. Damage To Premises Rented To You Limit
The Damage To Premises Rented To You
Limit is the most we will pay under Business
Liability Coverage for damages because of
"property damage" to any one premises, while
rented to you, or in the case of damage by fire,
lightning or explosion, while rented to you or
temporarily occupied by you with permission of
the owner.
In the case of damage by fire, lightning or
explosion, the Damage to Premises Rented To
You Limit applies to all damage proximately
caused by the same event, whether such
damage results from fire, lightning or explosion
or any combination of these.
6. How Limits Apply To Additional Insureds
The most we will pay on behalf of a person or
organization who is an additional insured
under this Coverage Part is the lesser of:
a. The limits of insurance specified in a
written contract, written agreement or
permit issued by a state or political
subdivision; or
b. The Limits of Insurance shown in the
Declarations.
Such amount shall be a part of and not in
addition to the Limits of Insurance shown in
the Declarations and described in this Section.
Page 14 of 24 Form SS 00 08 04 05
DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
E
If more than one limit of insurance under this
policy and any endorsements attached thereto
applies to any claim or "suit", the most we will pay
under this policy and the endorsements is the
single highest limit of liability of all coverages
applicable to such claim or "suit". However, this
paragraph does not apply to the Medical Expenses
limit set forth in Paragraph 3. above.
The Limits of Insurance of this Coverage Part apply
separately to each consecutive annual period and to
any remaining period of less than 12 months, starting
with the beginning of the policy period shown in the
Declarations, unless the policy period is extended
after issuance for an additional period of less than 12
months. In that case, the additional period will be
deemed part of the last preceding period for purposes
of determining the Limits of Insurance.
LIABILITY AND MEDICAL EXPENSES
GENERAL CONDITIONS
1. Bankruptcy
Bankruptcy or insolvency of the insured or of
the insured's estate will not relieve us of our
obligations under this Coverage Part.
2. Duties In The Event Of Occurrence,
Offense, Claim Or Suit
a. Notice Of Occurrence Or Offense
You or any additional insured must see to
it that we are notified as soon as
practicable of an "occurrence" or an
offense which may result in a claim. To
the extent possible, notice should include:
(1) How, when and where the "occurrence"
or offense took place;
(2) The names and addresses of any
injured persons and witnesses; and
(3) The nature and location of any injury
or damage arising out of the
"occurrence" or offense.
b. Notice Of Claim
If a claim is made or "suit" is brought
against any insured, you or any additional
insured must:
(1) Immediately record the specifics of the
claim or "suit" and the date received;
and
(2) Notify us as soon as practicable.
You or any additional insured must see to
it that we receive a written notice of the
claim or "suit" as soon as practicable.
c. Assistance And Cooperation Of The
Insured
You and any other involved insured must:
Form SS 00 08 04 05
BUSINESS LIABILITY COVERAGE FORM
(1) Immediately send us copies of any
demands, notices, summonses or
legal papers received in connection
with the claim or "suit";
(2) Authorize us to obtain records and
other information;
(3) Cooperate with us in the investigation,
settlement of the claim or defense
against the "suit"; and
(4) Assist us, upon our request, in the
enforcement of any right against any
person or organization that may be
liable to the insured because of injury
or damage to which this insurance
may also apply.
d. Obligations At The Insured's Own Cost
No insured will, except at that insured's own
cost, voluntarily make a payment, assume
any obligation, or incur any expense, other
than for first aid, without our consent.
e. Additional Insured's 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 contract, written agreement or
permit 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.
Page 15 of 24
DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
BUSINESS LIABILITY COVERAGE FORM
This Paragraph f. applies separately to
you and any additional insured.
3. Financial Responsibility Laws
a. When this policy is certified as proof of
financial responsibility for the future under
the provisions of any motor vehicle
financial responsibility law, the insurance
provided by the policy for "bodily injury"
liability and "property damage" liability will
comply with the provisions of the law to
the extent of the coverage and limits of
insurance required by that law.
b. With respect to "mobile equipment" to
which this insurance applies, we will
provide any liability, uninsured motorists,
underinsured motorists, no-fault or other
coverage required by any motor vehicle
law. We will provide the required limits for
those coverages.
4. Legal Action Against Us
No person or organization has a right under
this Coverage Form:
a. To join us as a party or otherwise bring us
into a "suit" asking for damages from an
insured; or
b. To sue us on this Coverage Form unless
all of its terms have been fully complied
with.
A person or organization may sue us to recover
on an agreed settlement or on a final judgment
against an insured; but we will not be liable for
damages that are not payable under the terms of
this insurance or that are in excess of the
applicable limit of insurance. An agreed
settlement means a settlement and release of
liability signed by us, the insured and the
claimant or the claimant's legal representative.
5. Separation Of Insureds
Except with respect to the Limits of Insurance,
and any rights or duties specifically assigned
in this policy to the first Named Insured, this
insurance applies:
a. As if each Named Insured were the only
Named Insured; and
b. Separately to each insured against whom
a claim is made or "suit" is brought.
6. Representations
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
representations you made to us; and
(3) We have issued this policy in reliance
upon your representations.
b. Unintentional Failure To Disclose
Hazards
If unintentionally you should fail to disclose
all hazards relating to the conduct of your
business at the inception date of this
Coverage Part, we shall not deny any
coverage under this Coverage Part
because of such failure.
7. Other Insurance
If other valid and collectible insurance is
available for a loss we cover under this
Coverage Part, our obligations are limited as
follows:
a. Primary Insurance
This insurance is primary except when b.
below applies. If other insurance is also
primary, we will share with all that other
insurance by the method described in c.
below.
b. Excess Insurance
This insurance is excess over any of the
other insurance, whether primary, excess,
contingent or on any other basis:
(1) Your Work
That is Fire, Extended Coverage,
Builder's Risk, Installation Risk or
similar coverage for "your work";
(2) Premises Rented To You
That is fire, lightning or explosion
insurance for premises rented to you
or temporarily occupied by you with
permission of the owner;
(3) Tenant Liability
That is insurance purchased by you to
cover your liability as a tenant for
"property damage" to premises rented
to you or temporarily occupied by you
with permission of the owner;
(4) Aircraft, Auto Or Watercraft
If the loss arises out of the maintenance
or use of aircraft, "autos" or watercraft to
the extent not subject to Exclusion g. of
Section A. — Coverages.
(5) 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 k. of Section A. —
Coverages.
Page 16 of 24 Form SS 00 08 04 05
DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
(6) When You Are Added As An
Additional Insured To Other
Insurance
That is other insurance available to
you covering liability for damages
arising out of the premises or
operations, or products and completed
operations, for which you have been
added as an additional insured by that
insurance; or
(7) When You Add Others As An
Additional Insured To This
Insurance
That is 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:
(a) Primary Insurance When
Required By Contract
This insurance is primary if you
have agreed in a written contract,
written agreement or permit 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.
below.
(b) 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 additional
insured has been added as an
additional insured.
When this insurance is excess, we will
have no duty under this Coverage Part to
defend the insured against any "suit" if any
other insurer has a duty to defend the
insured against that "suit". If no other
insurer defends, we will undertake to do
so, but we will be entitled to the insured's
rights against all those other insurers.
BUSINESS LIABILITY COVERAGE FORM
When this insurance is excess over other
insurance, we will pay only our share of
the amount of the loss, if any, that
exceeds the sum of:
(1) The total amount that all such other
insurance would pay for the loss in the
absence of this insurance; and
(2) The total of all deductible and self-
insured amounts under all that other
insurance.
We will share the remaining loss, if any, with
any other insurance that is not described in
this Excess Insurance provision and was not
bought specifically to apply in excess of the
Limits of Insurance shown in the
Declarations of this Coverage Part.
c. Method Of Sharing
If all the other insurance permits
contribution by equal shares, we will follow
this method also. Under this approach,
each insurer contributes equal amounts
until it has paid its applicable limit of
insurance or none of the loss remains,
whichever comes first.
If any of the other insurance does not permit
contribution by equal shares, we will
contribute by limits. Under this method, each
insurer's share is based on the ratio of its
applicable limit of insurance to the total
applicable limits of insurance of all insurers.
8. Transfer Of Rights Of Recovery Against
Others To Us
a. Transfer Of Rights Of Recovery
If the insured has rights to recover all or
part of any payment, including
Supplementary Payments, we have made
under this Coverage Part, those rights are
transferred to us. The insured must do
nothing after loss to impair them. At our
request, the insured will bring "suit" or
transfer those rights to us and help us
enforce them. This condition does not
apply to Medical Expenses Coverage.
b. Waiver Of Rights Of Recovery (Waiver
Of Subrogation)
If the insured has waived any rights of
recovery against any person or
organization for all or part of any payment,
including Supplementary Payments, we
have made under this Coverage Part, we
also waive that right, provided the insured
waived their rights of recovery against
such person or organization in a contract,
agreement or permit that was executed
prior to the injury or damage.
Form SS 00 08 04 05 Page 17 of 24
DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
BUSINESS LIABILITY COVERAGE FORM
F. OPTIONAL ADDITIONAL INSURED
3. Additional Insured - Grantor Of Franchise
COVERAGES
WHO IS AN INSURED under Section C. is
If listed or shown as applicable in the Declarations,
amended to include as an additional insured
one or more of the following Optional Additional
the person(s) or organization(s) shown in the
Insured Coverages also apply. When any of these
Declarations as an Additional Insured -
Optional Additional Insured Coverages apply,
Grantor Of Franchise, but only with respect to
Paragraph 6. (Additional Insureds When Required
their liability as grantor of franchise to you.
by Written Contract, Written Agreement or Permit)
4. Additional Insured - Lessor Of Leased
of Section C., Who Is An Insured, does not apply
Equipment
to the person or organization shown in the
a. WHO IS AN INSURED under Section C. is
Declarations. These coverages are subject to the
amended to include as an additional
terms and conditions applicable to Business
insured the person(s) or organization(s)
Liability Coverage in this policy, except as
shown in the Declarations as an Additional
provided below:
Insured — Lessor of Leased Equipment,
1. Additional Insured - Designated Person Or
but only with respect to liability for "bodily
Organization
injury", "property damage" or "personal
WHO IS AN INSURED under Section C. is
and advertising injury" caused, in whole or
amended to include as an additional insured
in part, by your maintenance, operation or
the person(s) or organization(s) shown in the
use of equipment leased to you by such
Declarations, but only with respect to liability
person(s) or organization(s).
for "bodily injury", "property damage" or
b. With respect to the insurance afforded to
"personal and advertising injury" caused, in
these additional insureds, this insurance
whole or in part, by your acts or omissions or
does not apply to any 'occurrence" which
the acts or omissions of those acting on your
takes place after you cease to lease that
behalf:
equipment.
a. In the performance of your ongoing
5. Additional Insured - Owners Or Other
operations; or
Interests From Whom Land Has Been
b. In connection with your premises owned
Leased
by or rented to you.
a. WHO IS AN INSURED under Section C. is
2. Additional Insured - Managers Or Lessors
amended to include as an additional
Of Premises
insured the person(s) or organization(s)
shown in the Declarations as an Additional
a. WHO IS AN INSURED under Section C. is
Insured — Owners Or Other Interests From
amended to include as an additional insured
Whom Land Has Been Leased, but only
the person(s) or organization(s) shown in the
with respect to liability arising out of the
Declarations as an Additional Insured -
ownership, maintenance or use of that part
Designated Person Or Organization; but only
of the land leased to you and shown in the
with respect to liability arising out of the
Declarations.
ownership, maintenance or use of that part of
the premises leased to you and shown in the
b. With respect to the insurance afforded to
Declarations.
these additional insureds, the following
additional exclusions apply:
b. With respect to the insurance afforded to
these additional insureds, the following
This insurance does not apply to:
additional exclusions apply:
(1) Any 'occurrence" that takes place
This insurance does not apply to:
after you cease to lease that land; or
(1) Any 'occurrence" which takes place
(2) Structural alterations, new
after you cease to be a tenant in that
construction or demolition operations
performed by or on behalf of such
premises; or
person or organization.
(2) Structural alterations, new
construction or demolition operations
6. Additional Insured - State Or Political
performed by or on behalf of such
Subdivision — Permits
person or organization.
a. WHO IS AN INSURED under Section C. is
amended to include as an additional
insured the state or political subdivision
shown in the Declarations as an Additional
Page 18 of 24 Form SS 00 08 04 05
DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
BUSINESS LIABILITY COVERAGE FORM
Insured — State Or Political Subdivision -
(e) Any failure to make such
Permits, but only with respect to
inspections, adjustments, tests or
operations performed by you or on your
servicing as the vendor has agreed
behalf for which the state or political
to make or normally undertakes to
subdivision has issued a permit.
make in the usual course of
b. With respect to the insurance afforded to
business, in connection with the
these additional insureds, the following
distribution or sale of the products;
additional exclusions apply:
(f) Demonstration, installation,
This insurance does not apply to:
servicing or repair operations,
except such operations performed
(1) Bodily injury , property damage or
at the vendor's premises in
"personal and advertising injury"
connection with the sale of the
arising out of operations performed for
product;
the state or municipality; or
(g) Products which, after distribution
(2) "Bodily injury" or "property damage"
or sale by you, have been labeled
included in the "product -completed
or relabeled or used as a
operations" hazard.
container, part or ingredient of any
7. Additional Insured —Vendors
other thing or substance by or for
a. WHO IS AN INSURED under Section C. is
the vendor; or
amended to include as an additional
(h) "Bodily injury" or "property
insured the person(s) or organization(s)
damage" arising out of the sole
(referred to below as vendor) shown in the
negligence of the vendor for its
Declarations as an Additional Insured -
own acts or omissions or those of
Vendor, but only with respect to "bodily
its employees or anyone else
injury" or "property damage" arising out of
acting on its behalf. However, this
"your products" which are distributed or
exclusion does not apply to:
sold in the regular course of the vendor's
(i) The exceptions contained in
business and only if this Coverage Part
Subparagraphs d orf or
() ()'
provides coverage for "bodily injury" or
"property damage" included within the
(ii) Such inspections,
"products -completed operations hazard".
adjustments, tests or servicing
as the vendor has agreed to
b. The insurance afforded to the vendor is
make or normally undertakes
subject to the following additional exclusions:
to make in the usual course of
(1) This insurance does not apply to:
business, in connection with
(a) "Bodily injury" or "property
the distribution or sale of the
damage" for which the vendor is
products.
obligated to pay damages by
(2) This insurance does not apply to any
reason of the assumption of
insured person or organization from
liability in a contract or agreement.
whom you have acquired such
This exclusion does not apply to
products, or any ingredient, part or
liability for damages that the
container, entering into,
vendor would have in the absence
accompanying or containing such
of the contract or agreement;
products.
(b) Any express warranty
8. Additional Insured — Controlling Interest
unauthorized by you;
WHO IS AN INSURED under Section C. is
(c) Any physical or chemical change
amended to include as an additional insured
in the product made intentionally
the person(s) or organization(s) shown in the
by the vendor;
Declarations as an Additional Insured —
(d) Repackaging, unless unpacked
Controlling Interest, but only with respect to
solely for the purpose of inspection,
their liability arising out of:
demonstration, testing, or the
a. Their financial control of you; or
substitution of parts under
b. Premises they own, maintain or control
instructions from the manufacturer,
while you lease or occupy these premises.
and then repackaged in the original
container;
Form SS 00 08 04 05 Page 19 of 24
DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
BUSINESS LIABILITY COVERAGE FORM
This insurance does not apply to structural
alterations, new construction and demolition
operations performed by or for that person or
organization.
9. Additional Insured — Owners, Lessees Or
Contractors — Scheduled Person Or
Organization
a. WHO IS AN INSURED under Section C. is
amended to include as an additional
insured the person(s) or organization(s)
shown in the Declarations as an Additional
Insured — Owner, Lessees Or Contractors,
but only with respect to liability for "bodily
injury", "property damage" 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 for the additional
insured(s); or
(2) In connection with "your work"
performed for that additional insured
and included within the "products -
completed operations hazard", but
only if this Coverage Part provides
coverage for "bodily injury" or
"property damage" included within the
"products -completed operations
hazard".
b. With respect to the insurance afforded to
these additional insureds, this insurance
does not apply to "bodily injury", "property
damage" or "personal an advertising
injury" arising out of the rendering of, or
the failure to render, any professional
architectural, engineering or surveying
services, including:
(1) The preparing, approving, or failure to
prepare or approve, maps, shop
drawings, opinions, reports, surveys,
field orders, change orders, designs or
drawings and specifications; or
(2) Supervisory, inspection, architectural
or engineering activities.
10. Additional Insured — Co -Owner Of Insured
Premises
WHO IS AN INSURED under Section C. is
amended to include as an additional insured
the person(s) or Organization(s) shown in the
Declarations as an Additional Insured — Co -
Owner Of Insured Premises, but only with
respect to their liability as co-owner of the
premises shown in the Declarations.
The limits of insurance that apply to additional
insureds are described in Section D. — Limits Of
Insurance.
How this insurance applies when other insurance
is available to an additional insured is described in
the Other Insurance Condition in Section E. —
Liability And Medical Expenses General
Conditions.
G. LIABILITY AND MEDICAL EXPENSES
DEFINITIONS
1. "Advertisement" means the widespread public
dissemination of information or images that
has the purpose of inducing the sale of goods,
products or services through:
a. (1) Radio;
(2) Television;
(3) Billboard;
(4) Magazine;
(5) Newspaper;
b. The Internet, but only that part of a web
site that is about goods, products or
services for the purposes of inducing the
sale of goods, products or services; or
c. Any other publication that is given
widespread public distribution.
However, "advertisement" does not include:
a. The design, printed material, information
or images contained in, on or upon the
packaging or labeling of any goods or
products; or
b. An interactive conversation between or
among persons through a computer network.
2. "Advertising idea" means any idea for an
"advertisement".
3. "Asbestos hazard" means an exposure or
threat of exposure to the actual or alleged
properties of asbestos and includes the mere
presence of asbestos in any form.
4. "Auto" means a land motor vehicle, trailer or
semi -trailer designed for travel on public
roads, including any attached machinery or
equipment. But "auto" does not include
"mobile equipment".
5. "Bodily injury" means physical:
a. Injury;
b. Sickness; or
c. Disease
sustained by a person and, if arising out of the
above, mental anguish or death at any time.
6. "Coverage territory" means:
Page 20 of 24 Form SS 00 08 04 05
DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
BUSINESS LIABILITY COVERAGE FORM
a. The United States of America (including its
b.
You have failed to fulfill the terms of a
territories and possessions), Puerto Rico
contract or agreement;
and Canada;
if such
property can be restored to use by:
b. International waters or airspace, but only if
a.
The repair, replacement, adjustment or
the injury or damage occurs in the course
removal of "your product" or "your work";
of travel or transportation between any
or
places included in a. above;
b.
Your fulfilling the terms of the contract or
c. All other parts of the world if the injury or
agreement.
damage arises out of:
12. "Insured contract" means:
(1) Goods or products made or sold by you
in the territory described in a. above;
a.
A contract for a lease of premises.
However, that portion of the contract for a
(2) The activities of a person whose home
lease of premises that indemnifies any
is in the territory described in a.
person or organization for damage by fire,
above, but is away for a short time on
lightning or explosion to premises while
your business; or
rented to you or temporarily occupied by
(3) "Personal and advertising injury"
you with permission of the owner is
offenses that take place through the
subject to the Damage To Premises
Internet or similar electronic means of
Rented To You limit described in Section
communication
D. — Liability and Medical Expenses Limits
provided the insured's responsibility to pay
of Insurance.
damages is determined in the United States of
b.
A sidetrack agreement;
America (including its territories and
c.
Any easement or license agreement,
possessions), Puerto Rico or Canada, in a
including an easement or license
"suit" on the merits according to the
agreement in connection with construction
substantive law in such territory, or in a
or demolition operations on or within 50
settlement we agree to.
feet of a railroad;
7. "Electronic data" means information, facts or
d.
Any obligation, as required by ordinance,
programs:
to indemnify a municipality, except in
a. Stored as or on;
connection with work for a municipality;
b. Created or used on; or
e.
An elevator maintenance agreement; or
c. Transmitted to or from
f.
That part of any other contract or
computer software, including systems and
agreement pertaining to your business
applications software, hard or floppy disks,
(including an indemnification of a
CD-ROMS, tapes, drives, cells, data
municipality in connection with work
processing devices or any other media which
performed for a municipality) under which
are used with electronically controlled
you assume the tort liability of another
equipment.
party to pay for "bodily injury" or "property
8. "Employee" includes a "leased worker".
damage" to a third person or organization,
"bodily "property
"Employee" does not include a "temporary
provided the injury" or
worker".
damage" is caused, in whole or in part, by
you or by those acting on your behalf.
9. "Executive officer" means a person holding
Tort liability means a liability that would be
any of the officer positions created by your
imposed by law in the absence of any
charter, constitution, by-laws or any other
contract or agreement.
similar governing document.
Paragraph f. includes that part of any
10. "Hostile fire" means one which becomes
contract or agreement that indemnifies a
uncontrollable or breaks out from where it was
railroad for "bodily injury" or "property
intended to be.
damage" arising out of construction or
11. "Impaired property" means tangible property,
demolition operations within 50 feet of any
other than "your product" or "your work", that
railroad property and affecting any railroad
cannot be used or is less useful because:
bridge or trestle, tracks, road -beds, tunnel,
a. It incorporates "your product" or "your work"
underpass or crossing.
that is known or thought to be defective,
However, Paragraph f. does not include
deficient, inadequate or dangerous; or
that part of any contract or agreement:
Form SS 00 08 04 05 Page 21 of 24
DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
BUSINESS LIABILITY COVERAGE FORM
(1) That indemnifies an architect,
engineer or surveyor for injury or
damage arising out of:
(a) Preparing, approving or failing to
prepare or approve maps, shop
drawings, opinions, reports,
surveys, field orders, change
orders, designs or drawings and
specifications; or
(b) Giving directions or instructions,
or failing to give them, if that is the
primary cause of the injury or
damage; or
(2) Under which the insured, if an
architect, engineer or surveyor,
assumes liability for an injury or
damage arising out of the insured's
rendering or failure to render
professional services, including those
listed in (1) above and supervisory,
inspection, architectural or
engineering activities.
13. "Leased worker" means a person leased to
you by a labor leasing firm under an
agreement between you and the labor leasing
firm, to perform duties related to the conduct of
your business. "Leased worker" does not
include a "temporary worker".
14. "Loading or unloading" means the handling of
property:
a. After it is moved from the place where it is
accepted for movement into or onto an
aircraft, watercraft or "auto";
b. While it is in or on an aircraft, watercraft or
"auto"; or
c. While it is being moved from an aircraft,
watercraft or "auto" to the place where it is
finally delivered;
but "loading or unloading" does not include the
movement of property by means of a mechanical
device, other than a hand truck, that is not
attached to the aircraft, watercraft or "auto".
15. "Mobile equipment" means any of the following
types of land vehicles, including any attached
machinery or equipment:
a. Bulldozers, farm machinery, forklifts and
other vehicles designed for use principally
off public roads;
b. Vehicles maintained for use solely on or
next to premises you own or rent;
c. Vehicles that travel on crawler treads;
d. Vehicles, whether self-propelled or not, on
which are permanently mounted:
(1) Power cranes, shovels, loaders,
diggers or drills; or
(2) Road construction or resurfacing
equipment such as graders, scrapers
or rollers;
e. Vehicles not described in a., b., c., or d.
above that are not self-propelled and are
maintained primarily to provide mobility to
permanently attached equipment of the
following types:
(1) Air compressors, pumps and
generators, including spraying,
welding, building cleaning,
geophysical exploration, lighting and
well servicing equipment; or
(2) Cherry pickers and similar devices
used to raise or lower workers;
f. Vehicles not described in a., b., c., or d.
above maintained primarily for purposes
other than the transportation of persons or
cargo.
However, self-propelled vehicles with the
following types of permanently attached
equipment are not "mobile equipment" but
will be considered "autos":
(1) Equipment, of at least 1,000 pounds
gross vehicle weight, designed
primarily for:
(a) Snow removal;
(b) Road maintenance, but not
construction or resurfacing; or
(c) Street cleaning;
(2) Cherry pickers and similar devices
mounted on automobile or truck
chassis and used to raise or lower
workers; and
(3) Air compressors, pumps and
generators, including spraying,
welding, building cleaning,
geophysical exploration, lighting and
well servicing equipment.
16. "Occurrence" means an accident, including
continuous or repeated exposure to substantially
the same general harmful conditions.
17. "Personal and advertising injury" means injury,
including consequential "bodily injury", arising
out of one or more of the following offenses:
a. False arrest, detention or imprisonment;
b. Malicious prosecution;
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c. The wrongful eviction from, wrongful entry
into, or invasion of the right of private
occupancy of a room, dwelling or
premises that the person occupies,
committed by or on behalf of its owner,
landlord or lessor;
d. Oral, written or electronic publication of
material that slanders or libels a person or
organization or disparages a person's or
organization's goods, products or services;
e. Oral, written or electronic publication of
material that violates a person's right of
privacy;
f. Copying, in your "advertisement", a
person's or organization's "advertising
idea" or style of "advertisement";
g. Infringement of copyright, slogan, or title of
any literary or artistic work, in your
"advertisement"; or
h. Discrimination or humiliation that results in
injury to the feelings or reputation of a
natural person.
18. "Pollutants" means any solid, liquid, gaseous or
thermal irritant or contaminant, including smoke,
vapor, soot, fumes, acids, alkalis, chemicals and
waste. Waste includes materials to be recycled,
reconditioned or reclaimed.
19. "Products -completed operations hazard";
a. Includes all "bodily injury" and "property
damage" occurring away from premises
you own or rent and arising out of "your
product" or "your work" except:
(1) Products that are still in your physical
possession; or
(2) Work that has not yet been completed
or abandoned. However, "your work"
will be deemed to be completed at the
earliest of the following times:
(a) When all of the work called for in
your contract has been completed.
(b) When all of the work to be done at
the job site has been completed if
your contract calls for work at
more than one job site.
(c) When that part of the work done at
a job site has been put to its
intended use by any person or
organization other than another
contractor or subcontractor
working on the same project.
BUSINESS LIABILITY COVERAGE FORM
Work that may need service, maintenance,
correction, repair or replacement, but
which is otherwise complete, will be
treated as completed.
The "bodily injury" or "property damage"
must occur away from premises you own
or rent, unless your business includes the
selling, handling or distribution of "your
product" for consumption on premises you
own or rent.
b. Does not include "bodily injury" or
"property damage" arising out of:
(1) The transportation of property, unless
the injury or damage arises out of a
condition in or on a vehicle not owned
or operated by you, and that condition
was created by the "loading or
unloading" of that vehicle by any
insured; or
(2) The existence of tools, uninstalled
equipment or abandoned or unused
materials.
20. "Property damage" means:
a. Physical injury to tangible property,
including all resulting loss of use of that
property. All such loss of use shall be
deemed to occur at the time of the
physical injury that caused it; or
b. Loss of use of tangible property that is not
physically injured. All such loss of use
shall be deemed to occur at the time of
"occurrence" that caused it.
As used in this definition, "electronic data" is
not tangible property.
21. "Suit" means a civil proceeding in which
damages because of "bodily injury", "property
damage" or "personal and advertising injury"
to which this insurance applies are alleged.
"Suit" includes:
a. An arbitration proceeding in which such
damages are claimed and to which the
insured must submit or does submit with
our consent; or
b. Any other alternative dispute resolution
proceeding in which such damages are
claimed and to which the insured submits
with our consent.
22. "Temporary worker" means a person who is
furnished to you to substitute for a permanent
"employee" on leave or to meet seasonal or
short-term workload conditions.
23. "Volunteer worker" means a person who:
a. Is not your "employee";
Form SS 00 08 04 05 Page 23 of 24
DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
BUSINESS LIABILITY COVERAGE FORM
b. Donates his or her work;
c. Acts at the direction of and within the
scope of duties determined by you; and
d. Is not paid a fee, salary or other
compensation by you or anyone else for
their work performed for you.
24. "Your product":
a. Means:
(1) Any goods or products, other than real
property, manufactured, sold, handled,
distributed or disposed of by:
(a) You;
(b) Others trading under your name;
or
(c) A person or organization whose
business or assets you have
acquired; and
(2) Containers (other than vehicles),
materials, parts or equipment
furnished in connection with such
goods or products.
b. Includes:
(1) Warranties or representations made at
any time with respect to the fitness,
quality, durability, performance or use
of "your product"; and
(2) The providing of or failure to provide
warnings or instructions.
c. Does not include vending machines or
other property rented to or located for the
use of others but not sold.
25. "Your work":
a. Means:
(1) Work or operations performed by you
or on your behalf; and
(2) Materials, parts or equipment
furnished in connection with such work
or operations.
b. Includes:
(1) Warranties or representations made at
any time with respect to the fitness,
quality, durability, performance or use
of "your work"; and
(2) The providing of or failure to provide
warnings or instructions.
Page 24 of 24 Form SS 00 08 04 05
DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
Why We Are Using the Latest ACORD 25 Certificate of Insurance
In September 2009, ACORD revised the ACORD 25 Certificate of Insurance form. One of the major changes was
the removal of the cancellation notice provision. For the following reasons, we are unable to issue an older edition
of this form, modify the current form, or complete a proprietary form you provide:
• Notice of cancellation is a policy right, not an unregulated service. No insurer shown on this certificate is able to
provide the cancellation notice you desire by endorsement. For example, the insured can cancel immediately, so
it would be impossible for the insurer to give you the notice you request. State law also grants the insurer the
right to cancel for reasons such as nonpayment with less notice than you require.
• For the reason just cited, if our agency was to issue a certificate that provides the cancellation notice you
request, we would do so with the full knowledge that it would be impossible to actually give that amount of notice
under certain circumstances. As such, the certificate could be alleged to constitute a misrepresentation or fraud
which could subject our agency and staff to serious civil and criminal penalties.
• If a certificate purports to provide a policy right different from that provided by the policy itself, then the certificate
effectively purports to be a policy form. Policy forms must be filed and approved by our state department of
insurance. Use of nonfiled policy forms is illegal and could result in legal sanctions distinct from the assertion
that the certificate is fraudulent.
• Under the ACORD Corporation's licensing agreement, the prior editions of superseded forms can be used for
one year from the time the new forms are introduced. Beginning in September 2010, this is another reason we
cannot use an older edition of the ACORD 25. Doing so would violate ACORD's licensing agreement and, as a
copyrighted document, federal copyright law.
• Likewise, we are unable to modify the new certificate to add a notice of cancellation. ACORD forms are
designed to be completed, not altered. ACORD's Forms Instruction Guide says that a certificate should not be
used "To waive rights ... To quote wording from a contract ... To quote any wording which amends a policy unless
the policy itself has been amended." Also, since our state requires ACORD forms to be filed, any alteration to a
filed form would require its refiling. In addition, our insurance company contracts only allow us to issue unaltered
ACORD forms.
• We are often asked to issue proprietary certificates provided by the certificate requestor. Again, our insurance
company contracts only allow us to issue unaltered ACORD forms. In addition, our state requires the filing of all
certificates of insurance and has very specific regulatory guidelines on certificate language. Many proprietary
certificates include broad, vague or ambiguous language that may or may not be incompliance with state laws,
regulations, and insurance department directives. Therefore, we cannot issue any proprietary certificates that
have not been reviewed by our state insurance department.
You may be interested in how the City of Atlanta, Georgia is now reportedly dealing with this issue based on a very
detailed study they conducted in 2008.
http://tinyuri.com/26guax8
We appreciate your understanding of the legal restrictions on our ability to fully comply with your request.
DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
vucnaTr. rvvaw�
DHMDES
ACORDT. CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
2/11/2019
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 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 any rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME:
USI Colorado, LLC Prof LiabP HONE 800 873-8500 FAX
A/C, No, Ext): A/C, No):
P.O. Box 7050 E-MAIL
ADDRESS:
Englewood, CO 80155
INSURER(S) AFFORDING COVERAGE NAIC#
800 873-8500 INSURER A: XL Specialty Insurance Company 37885
INSURED
INSURER B:
EACH OCCURRENCE $
DHM Design Corporation
CLAIMS -MADE � OCCUR
900 South Broadway, Suite 300
INSURERC:
Denver, CO 80209
INSURER D
INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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.
LTR
LTR
TYPE OF INSURANCE
ADDL
INSR
SUBR
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE $
CLAIMS -MADE � OCCUR
PREMISES ERENTED
oN.0 enc. $
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE $
PRO-
POLICY PRO-
JECTLOC
PRODUCTS - COMP/OP AGG $
$
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident $
BODILY INJURY (Per person) $
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident) $
PROPERTY DAMAGE $
Per accident
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE $
AGGREGATE $
EXCESS LIAB
CLAIMS -MADE
DED RETENTION $
$
WORKERS COMPENSATIONPER
OTH-
AND EMPLOYERS' LIABILITY Y / N
STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
N / A
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT $
A
Professional
DPR9936148
12/30/2018
12/30/201
$1,000,000 per claim
Liability
$2,000,000 annl aggr.
Claims Made
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
For Professional Services.
IL" ai's luaL"e11Ia,III Loll na1191eagWe111 Ls
Eagle County Open Space
500 Broadway
Post Office Box 850
Eagle, CO 81631
ACORD 25 (2016/03) 1 of 1
#S24918002/M24594115
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
© 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
DKPZP
DocuSign Envelope ID: D094F02B-2F23-4092-9091-22637452460F
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