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HomeMy WebLinkAboutC20-096 JviationEGE AIP 062 / 2020.EGE.01 Concrete Apron Joint Maintenance and Rehabilitation Page 1 of 1 AMENDMENT NO. FOUR (4) TO CONTRACT DATED DECEMBER 6, 2018 BETWEEN JVIATION, INC. AND EAGLE COUNTY, COLORADO The Sponsor and the Engineer agree to amend their contract for improvements to the Eagle County Reg ional Airport, Gypsum, Colorado dated December 6, 2018 to add the additional services and ass ociated fees identified in the Scope of Work for Eagle County Regional Airport dated, January 23, 2020, attached hereto as Exhibit A-4 and incorporated herein by this reference. NOW THEREFORE, in consideration of the foregoing and the mutual rights and obligations as set forth below, the parties agree as follows: The Original Contract shall be amended to include the following provisions: FEES: The Sponsor agrees to pay the Engineer for the services relating t o Concrete Apron Joint Maintenance and Rehabilitation (the “Project”) according to the schedule under Exhibit A-4 in the following manner: PART A - BASIC SERVICES Preliminary Design ................................................................................................... Lump sum of $13,432.00 Design ......................................................................................................................... Lump sum of $50,559.00 Bidding ...........................................................................................................................Lump sum of $7,584.00 TOTAL BASIC SERVICES ................................................................................... Lump sum of $71,575.00 Method of payment shall be as follows: If work is abandoned, or terminated, after obtaining approval by the Sponsor and the FAA of the final construction plans and specifications, the Sponsor shall reimburse up to 100 percent of the total lump sum as listed under PART A. All other terms and conditions of the original contract shall remain in effect. IN WITNESS WHEREOF, the parties hereto have affixed their signatures this ___________________ . SPONSOR: ENGINEER: Eagle County, Colorado Jviation, Inc. By: By: Name: Name: Jason Virzi, PE Title: Title: Office Manager DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 County Manager 3/11/2020 Jeff Shroll C20-096 Eagle County Regional Airport AIP Project No. 3-08-0020-062-2020 Concrete Apron Joint Maintenance and Rehabilitation January 23, 2020 Page 1 of 10 REV 2019.05 SCOPE OF WORK FOR Eagle County Regional Airport Gypsum, Colorado AIP Project No. 3-08-0020-062-2020 Concrete Apron Joint Maintenance and Rehabilitation This is an Appendix attached to, made a part of and incorporated by reference with the Consulting Contract dated December 6, 2018 between Eagle County, Colorado and Jviation, Inc. for providing professional services. For the remainder of this scope the Eagle County Regional Airport is indicated as “Sponsor” and Jviation, Inc. is indicated as “Engineer”. The approximate construction cost of this project is $680,000. This project shall consist of preparing Construction Plans, Contract Documents, Technical Specifications and Engineer’s Design Report, along with Bidding for the Concrete Apron Joint Maintenance and Rehabilitation Project. This scope of work is for the consulting services provided by the Engineer for the Sponsor. See Exhibit No. 1 below for the project location. EXHIBIT NO. 1 DESCRIPTION This project shall consist of concrete apron pavement maintenance on portions of the west and east ends as shown. The existing apron sections are in need of maintenance as the joint sealant and existing concrete spalls are producing foreign object debris (FOD). The proposed concrete apron pavement maintenance shall include, but not limited to, the resealing of all joints, spall repair, crack sealing, joint widening/repair, and minimal full depth concrete panel replacement. A row of existing concrete panels adjacent to an existing trench drain at the west end of the apron heaves in the winter. Those concrete panels will be replaced and a new underdrain pipe will be installed to help alleviate heaving that is occurring in these concrete panels. The new underdrain pipe will be connected to an existing underdrain system. This pavement maintenance will extend the useable life of the existing Portland Cement Concrete Pavement. Any surface pavement markings disturbed with this project will be improved as needed. The engineering fees for this project will be broken into two parts. Part A-Basic Services includes; 1) Preliminary Design Phase, 2) Design Phase, 3) Bidding Phase and reimbursable costs during Design and Bidding. Part A and the three phases are described in more detail below. DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 Eagle County Regional Airport AIP Project No. 3-08-0020-062-2020 Concrete Apron Joint Maintenance and Rehabilitation January 23, 2020 Page 2 of 10 REV 2019.05 PART A - BASIC SERVICES consists of the Preliminary Design Phase, Design Phase and Bidding Phase, all invoiced on a lump sum basis. 1.0 Preliminary Design Phase 1.1 Coordinate and Attend Meetings with the Sponsor and FAA. Meetings with the Sponsor and the FAA will take place to determine critical project dates, establish the proposed design schedule and AIP development schedule, determine the feasibility of the proposed project and to establish the need for topographical surveying, pavement investigation and/or geotechnical testing. Various meetings during the design phase will also be conducted to review the progress of the design, discuss construction details and proposed time frame of construction and identify any special requirements for the project. It is anticipated that there will be a minimum of three (3) meetings with the Sponsor and/or the FAA throughout the course of the project. 1.2 Prepare Project Scope of Work and Contract. This task includes establishing the scope of work through meetings outlined above. Fees will be negotiated with the Sponsor and may be subject to an independent fee estimate conducted by a third party hired by the Sponsor. This task also includes drafting the contract for the work to be completed by the Engineer for the Sponsor once negotiations are complete. 1.3 Provide Project Coordination. The Engineer shall provide project management and coordination services to ensure the completion of the design. These duties include:  The Engineer will utilize the project budget to determine the appropriate staffing required to complete the design.  The Engineer will analyze the budget semi-monthly to ensure budget and staffing needs are on track to meet design schedules within budget.  The Engineer will provide project instructions to staff to complete the design.  The Engineer will prepare and submit monthly invoicing. The Engineer will complete the following tasks:  Provide the Sponsor with a monthly Project Status Report (PSR), in writing, reporting on Engineer’s progress and any problems that may arise while performing the work. The PSR must include an update of the project schedule, as described in this section, when schedule changes are expected.  Submit for acceptance and maintain, a design schedule detailing the scheduled performance of the work.  Create and maintain a Quality Control Checklist (QCC) for the project. The QCC shall include personnel, project milestone checking and peer review procedures at each phase of the project. 1.4 Review Existing Documents. The Engineer will gather and review existing available documentation that may be relevant to the project, including, but not limited to, record drawings (as-builts), design reports, final reports, utility reports/maps and previous surveys. The Engineer may use relevant information from this review to coordinate the design for the project. 1.5 Prepare Federal Grant Application. This task consists of preparing the federal grant application. The application will be submitted during the initial portion of the project. Preparation of the application includes the following: DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 Eagle County Regional Airport AIP Project No. 3-08-0020-062-2020 Concrete Apron Joint Maintenance and Rehabilitation January 23, 2020 Page 3 of 10 REV 2019.05  Prepare Federal 424 form.  Prepare Federal Form 5100 – II thru IV.  Prepare project funding summary.  Prepare program narrative, discussing the purpose and need of the work and the method of accomplishment.  Project sketch (8.5” x 11”).  Prepare preliminary cost estimate.  Include the existing Exhibit “A” Property Map.  Prepare the Sponsor’s certifications.  Attach the current grant assurances.  Include DOT Title VI assurances.  Include certification for contract, grants and cooperative agreements.  Include Title VI pre-award checklist.  Include current FAA advisory circulars required for use in AIP and PFC approved projects. The Engineer shall submit the grant application to the Sponsor for approval and signatures. After obtaining the necessary signatures, the Engineer shall forward a copy of the signed application to the FAA for further processing. 1.6 Prepare Environmental Checklist. Not Applicable. The project will be environmentally approved through the FAA’s internal memorandum. 1.7 Prepare Disadvantaged Business Enterprise (DBE) Program and Goal. The Sponsor has an established Disadvantaged Business Enterprise (DBE) program in accordance with regulations of the U.S. Department of Transportation (DOT), 49 CFR Part 26. The current DBE program was approved for fiscal years 2017- 2020 although it did not include this project. It did include a similar pavement maintenance project. In order to be in compliance with 49 CFR Part 26, the program will need to be amended to include this project. The Engineer shall assist the Sponsor in amending the DBE program. The Engineer will research the current state highway certified DBE listings and local area contractors to determine the availability of potential DBE contractors. The Engineer will prepare preliminary construction cost estimates and establish potential DBE work tasks. The Engineer will finalize the DBE goal work sheets for the Sponsor for submittal to the FAA Civil Rights Office for approval. Preparation of the amended DBE program will include the following tasks:  Prepare preliminary program with Sponsor specific information.  Compile additional information from Sponsor to finalize program.  Revise program after Sponsor review.  Submit program to FAA/Civil Rights Office (CRO); revise per CRO review.  Resubmit Program to CRO for final approval.  Calculate base figure for DBE goal.  Adjust base figure for DBE goal.  Calculate Race Neutral & Race Conscious DBE goals.  Consultation and Publication for DBE goals.  Submit DBE goal to CRO.  Revise DBE goals after Sponsor and FAA review. DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 Eagle County Regional Airport AIP Project No. 3-08-0020-062-2020 Concrete Apron Joint Maintenance and Rehabilitation January 23, 2020 Page 4 of 10 REV 2019.05 TASK 1 DELIVERABLES TO FAA TO SPONSOR 1.1 Meeting Agendas, AIP Development Schedule and Meeting Minutes from Pre-Design Meeting   1.2 Scope of Work and Draft Contract for the Sponsor  1.3 Design Schedule, Project Status Report and Monthly Invoicing   1.5 Federal Grant Application   1.7 DBE Program/Goal   TASK 1 MEETINGS/SITE VISITS LOCATION/ATTENDEES/DURATION 1.1 Pre-Design Scoping Meeting  Denver, CO One (1) Project Manager Assume travel to/from Denver, CO to FAA Denver ADO for Project Manager (1 meeting) 1.1 Project Coordination  Gypsum, CO One (1) Project Manager and one (1) Project Engineer Assume travel to/from Denver, CO to Gypsum, CO for Project Manager and Project Engineer (6 hours for travel each trip) (2 site visits) 1.2 Prepare Project Scope of Work and Contract  Denver, CO One (1) Project Manager Assume One (1) hour via teleconference (1 meeting) 2.0 Design Phase 2.1 Prepare Preliminary Contract Documents. This task includes preparing the Preliminary Contract Documents, including Contract Proposal, Bid Bond, Contractor In formation Sheet, Subcontractor/Material Supplier List, Disadvantaged Business Utilization Commitment, DBE Participation Form, Certification of Non-Segregated Facilities, Equal Employment Opportunity Report Statement, Buy America Certification, Buy America Waiver Request, Buy America Conformance Listing, Certification Statement Regarding Undocumented Individuals, Bid Proposal, Contract, Payment Bond, Performance Bond, Notice of Award, Notice to Proceed, Notice of Contractor’s Settlement, General Provisions, FAA AC 150/5370-2 (Current Edition), Operational Safety on Airports during Construction, and Wage Rates. The wage rates will be updated at the time of advertisement to reflect the most current wage rates available. Preparation will include establishing the location for the bid opening, dates for advertisement and description of the work schedule. Also included in the Preliminary Contract Documents and covered under separate tasks below, are the Construction Safety and Phasing Plan, Technical Specifications and Special Provisions. Preliminary Contract Documents will be prepared as early as possible during the design phase and submitted to the Sponsor for review. 2.2 Prepare Construction Safety and Phasing Plan (CSPP). This task includes meeting with the Sponsor to discuss the current operations of the airport to assist in determining how the proposed construction phasing of the project will affect these operations. From these meetings, a complete Construction Safety and Phasing Plan (CSPP) will be developed to ensure safety compliance when coordinating construction activities and airport operations. The CSPP will be developed in accordance with the requirements of FAA AC 150/5370-2 (Current Edition), Operational Safety on Airports during Construction. A construction phasing plan that meets the requirements of the AC and operational needs of the airport will be developed as part of the CSPP and included in the Contract Documents. This plan will also identify any nighttime work, continuous working times, or other unusual conditions that could affect the contractor’s normal DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 Eagle County Regional Airport AIP Project No. 3-08-0020-062-2020 Concrete Apron Joint Maintenance and Rehabilitation January 23, 2020 Page 5 of 10 REV 2019.05 progress on the project. The draft CSPP will be submitted at 30% complete and at 95% complete for ADO review. Upon approval from the ADO, the CSPP will be submitted to FAA OE/AAA for coordination. 2.3 Prepare Preliminary Construction Plans. This task includes preparing the following list of construction plans for the project. Additional plans may be added during the design phase as needed: Plan Name/Description Number of Sheets Cover Sheet 1 Index of Drawings and Summary of Approximate Quantities 1 General Notes and Abbreviations 1 Survey Control Plan 1 Construction Layout Plan 1 Safety Plan 1 Construction Safety Drawing and Phasing Plan 2 Demolition Plan 4 Geometric Layout Plan 4 Grading and Drainage Plan 2 Drainage Details 1 Typical Sections 1 Concrete Joint Plan and Details 4 Pavement Marking Plan 4 Pavement Marking Details 1 Total Sheet Count 29 2.4 Prepare Preliminary Technical Specifications. This task includes assembling the technical specifications necessary for the project. Standard FAA specifications will be utilized where possible, with the guidance from the current edition of the FAA AC 150/5370-10, Standard Specifications for Construction of Airports. Additional specifications will be prepared to address work items for materials that are not covered by the standard FAA specifications. The standard specifications to be utilized shall include, but are not limited to, the following:  Item C-100 Contractor Quality Control Program (CQCP)  Item C-102 Temporary Air and Water Pollution, Soil Erosion and Siltation Control  Item C-105 Mobilization  Item P-101 Preparation/Removal of Existing Pavements  Item P-152 Excavation, Subgrade and Embankment  Item P-154 Subbase Course  Item P-209 Crushed Aggregate Base Course  Item P-306 Lean Concrete Base Course  Item P-501 Portland Cement Concrete Pavement  Item P-604 Compression Joint Seals for Concrete Pavements  Item P-605 Joint Sealants for Pavements  Item P-610 Concrete for Miscellaneous Structures  Item P-620 Runway and Taxiway Marking  Item D-705 Pipe Underdrains for Airports  Item D-751 Manholes, Catch Basins, Inlets and Inspection Holes Additional Non-FAA specifications will include, but are not limited to, the following items:  Item P-159 Watering DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 Eagle County Regional Airport AIP Project No. 3-08-0020-062-2020 Concrete Apron Joint Maintenance and Rehabilitation January 23, 2020 Page 6 of 10 REV 2019.05 2.5 Prepare Preliminary Special Provisions. This task includes preparing the preliminary Special Provisions to address, or expound on, site conditions that require additional clarification. These include, but are not limited to: Haul Roads, Airport Security, Radio Communications, Work Schedule, Contractor’s Quality Control Program, Sequencing of the Work, Closure of Air Operations Areas, Accident Prevention, Underground Cables/Utilities, Insurance, Indemnification, Sales and Use Taxes, Permits and Compliance with Laws, Executed Contracts, Subletting or Assigning of Contracts, Qualification of Disadvantaged Business Enterprises, Liquidated Damages, Acceptance Testing, Grade Control and Surface Tolerance, Construction Management Plan and Instruction Manuals. 2.6 Compile/Submit Permits. This task includes identifying potential federal, state and local permits needed for the project. Permits may be required for demolition activities, air quality, grading, hauling, batch plants, construction dewatering, and stormwater management construction plans and associated permits (SWMP). When applicable, the Engineer will assist the Sponsor to compile information and submit permits that are required to be obtained by the Sponsor. 2.7 Compile/Submit FAA Form 7460. This task includes preparing and submitting the required FAA Form 7460 on the Sponsor’s behalf. The anticipated use of equipment during construction requires an FAA Form 7460 to be sent to the FAA a minimum of 45 days prior to the start of construction for approval. The Engineer will prepare exhibits to illustrate the project limits and temporary construction equipment height. 2.8 Calculate Estimated Quantities. This task includes calculating all necessary quantities for the various work items. Quantities must be consistent with the specifications and acceptable quantity calculation practices. 2.9 Prepare Estimate of Probable Construction Cost. Using the final quantities calculated following the completion of the construction plans and specifications, the Engineer will prepare the construction cost estimate. The estimate will be based on information obtained from previous projects, contractors, material suppliers and other available databases. 2.10 Prepare Engineer’s Design Report. This task includes preparation of the Engineer’s design report in accordance with current FAA Northwest Mountain Region Design Report guidelines. The Engineer’s design report will include a detailed summary of the project, photographs and descriptions of existing site conditions, estimate of project costs and a schedule for the completion of the design, bidding and construction. The Engineer’s design report will also contain any alternative design concepts that were investigated and evaluated. 2.11 Review Plans at 60% and 90% Complete. During various stages of completion of the design, the Engineer will submit a set of Construction Plans, Specifications and Contract Documents to the Sponsor for their review. Meetings will be scheduled for periodic reviews, including a 90% plans-in-hand review. The project will be reviewed with the FAA to obtain their concurrence with the design. 2.12 Provide In-House Quality Control. The Engineer has an established quality control program that will provide both experienced and thorough reviews of all project submittals and will also provide engineering guidance to the design team throughout design development from an experienced senior-level Professional Engineer. Prior to each review set of Construction Plans, Specifications and Contract Documents being submitted to the Sponsor and FAA, a thorough in-house quality control review of the documents will be conducted. This process will include an independent review of the Construction Plans, Specifications and Contract DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 Eagle County Regional Airport AIP Project No. 3-08-0020-062-2020 Concrete Apron Joint Maintenance and Rehabilitation January 23, 2020 Page 7 of 10 REV 2019.05 Documents being submitted, by a licensed Professional Engineer other than the Engineer who performed the design of the project. Comments will be offered by the Engineer that performed the review and revisions to the Construction Plans, Specifications and Contract Documents accordingly. In addition to the 60% and 90% reviews, the Engineer’s in-house quality control program also provides engineering guidance to the design team throughout the project design in an attempt to steer the project in a manner that provides the best engineering judgment. 2.13 Prepare and Submit Final Plans and Specifications. A final set of Construction Plans (11” x 17”), Specifications, Contract Documents and the Engineer’s Design Report will be prepared and submitted to the Sponsor and the FAA. These documents incorporate all revisions, modifications and corrections determined during the final review. TASK 2 DELIVERABLES TO FAA TO SPONSOR 2.1 Preliminary Contract Documents for Sponsor’s Review  2.2 CSPP at 30% and 95% Complete   2.7 FAA Form 7460   2.11 60% and 90% Construction Plans, Specifications, Contract Documents, and Engineer’s Design Report   2.13 Final Construction Plans, Specifications and Contract Documents and Engineer’s Design Report   TASK 2 MEETINGS/SITE VISITS LOCATION/ATTENDEES/DURATION 2.11 Plan Review at 60% complete Plan Review at 90% complete  Gypsum, CO One (1) Project Manager and one (1) Project Engineer Assume travel to/from Denver, CO to Gypsum, CO for Project Manager and Project Engineer (6 hours for travel each trip) (2 site visits) 3.0 Bidding Phase 3.1 Provide Bid Assistance. The Engineer will assist the Sponsor, as needed, with any required bidding documents such as: project advertisement in the Denver Daily Journal and Eagle Valley Enterprise and solicit for bids to potential contractors and plan rooms. The Engineer will coordinate the project advertisement(s) and request reimbursement from the Sponsor as a pass-through cost during invoicing. 3.2 Prepare/Conduct Pre-Bid Meeting. The Engineer will conduct the pre-bid meeting and pre-bid site visit in sequence with the Sponsor’s requirements. 3.3 Prepare Addenda. Any necessary addenda will be issued to clarify and modify the project, as required, based on questions or comments that may arise from potential contractors during the bidding process. Any necessary addenda will be reviewed with the Sponsor and FAA prior to being issued. The addenda will meet all design and construction standards, as required. 3.4 Consult with Prospective Bidders. During the bidding process, the Engineer shall be available to clarify bidding issues with contractors and suppliers and for consultation with the various entities associated with the project. 3.5 Attend Bid Opening. The Engineer shall attend the bid opening for the project, which will be run by the Sponsor. DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 Eagle County Regional Airport AIP Project No. 3-08-0020-062-2020 Concrete Apron Joint Maintenance and Rehabilitation January 23, 2020 Page 8 of 10 REV 2019.05 3.6 Review Bid Proposals. Upon the opening of submitted bid proposals by the Sponsor, the Engineer shall review all the bid proposals submitted. An analysis of the bid prices will be tabulated and the contractor's qualifications to perform the work will be included, including review of suspension and debarment rules on the www.Sam.gov website and verification of proposed DBE subcontractors. Inclusion of bid guarantee, acknowledgement of addenda and licensure verification in Colorado shall be completed. 3.7 Prepare Recommendation of Award. The Engineer shall prepare a Recommendation of Award for the Sponsor to accept or reject the bids received. If rejection is recommended, the Engineer will supply an explanation for their recommendation and possible alternative actions the Sponsor can pursue to complete the project. TASK 3 DELIVERABLES TO FAA TO SPONSOR 3.1 Required Bidding Documents  3.2 Pre-Bid Meeting Agenda and Pre-Bid Meeting Minutes  3.3 Addenda  3.6 Bid Tabulations  3.7 Recommendation of Award  TASK 3 MEETINGS/SITE VISITS LOCATION/ATTENDEES/DURATION 3.2 Prepare/Conduct Pre-Bid Meeting  Gypsum, CO One (1) Project Manager Assume travel to/from Denver, CO to Gypsum, CO for Project Manager (6 hours for travel each trip) (1 site visit) 3.5 Attend Bid Opening  Gypsum, CO One (1) Project Manager Assume travel to/from Denver, CO to Gypsum, CO for Project Manager (6 hours for travel each trip) (1 site visit) EX Reimbursable Costs during Design This section includes reimbursable items such as auto rental, mileage, lodging, per diem and other miscellaneous expenses incurred in order to complete Part A – Basic Services. Assumptions The scope of services described previously is based on several assumptions of responsibilities by the Engineer and Sponsor. 1. It is anticipated there will be a minimum number of trips and site visits to the airport to facilitate the completion of the various phases listed in this scope. 2. The Sponsor will provide existing mapping data including as-builts available for the project areas, aerial orthoimagery, subsurface conditions information such as prior geotechnical investigations in the project area and other available information in the possession of the Sponsor. 3. The Sponsor will provide an electronic copy of the current ALP to allow for updating of the plan upon completion of the project. DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 Eagle County Regional Airport AIP Project No. 3-08-0020-062-2020 Concrete Apron Joint Maintenance and Rehabilitation January 23, 2020 Page 9 of 10 REV 2019.05 4. The Engineer will provide additional base mapping of existing topography, planimetric features and underground utilities needed in the design phase of the project. 5. The Sponsor will furnish escorts as needed for the Engineer to conduct field work. 6. The Sponsor will coordinate with tenants as required to facilitate field evaluations and construction. 7. All engineering work will be performed using accepted engineering principles and practices and provide quality products that meet or exceed industry standards. Dimensional criteria will be in accordance with FAA AC 150/5300-13 (Current Edition), Airport Design and related circulars. Construction specifications will be in accordance with FAA AC 150/5370-10 (Current Edition), Standard Specifications for Construction of Airports and the Northwest Mountain Region’s Regional Updates for Specifying Construction of Airports and related circulars. Project planning, design and construction will further conform to all applicable standards, including all applicable current FAA Advisory Circulars and Orders required for use in AIP- funded projects and other national, state, or local regulations and standards, as identified and relevant to an airfield design and construction project. 8. The Engineer will utilize the following plan standards for the project:  Plan will be prepared using the Engineer’s standards, unless the Sponsor provides its own standards upon Notice to Proceed.  Plan elevations will be vertical datum NAVD 88 derived from the existing control network.  Plan coordinates will be based on horizontal datum NAD 83/2011 State Plane Coordinates derived from the existing control network.  All plans will be stamped and signed by a registered Colorado Professional Engineer, or Professional Land Surveyor, as required.  Plans prepared by subconsultants will be prepared using the same base maps, the same coordinate systems and the same plan layout and format as plans prepared by the Engineer. 9. The Engineer will utilize the following assumptions when preparing the project manual for bidding and construction of the project:  The project manual Contract Documents will be developed jointly by the Sponsor and the Engineer.  The Engineer is responsible for developing the contents of the document and including the Front-End documents which will be supplied by the Sponsor.  FAA General Provisions and required contract language will be used. 10. The Engineer must maintain records of design analyses and calculations consistent with typical industry standards, as required by the FAA, for a period of three years after the project is closed by the FAA. 11. Because the Engineer has no control over the cost of construction-related labor, materials, or equipment, the Engineer's opinions of probable construction costs will be made on the basis of experience and qualifications as a practitioner of his/her profession. The Engineer does not DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 Eagle County Regional Airport AIP Project No. 3-08-0020-062-2020 Concrete Apron Joint Maintenance and Rehabilitation January 23, 2020 Page 10 of 10 REV 2019.05 guarantee that proposals for construction, construction bids, or actual project construction costs will not vary from Engineer's estimates of construction cost. 12. It is assumed that a project audit will not be performed. If a project audit occurs, the Engineer is prepared to assist the Sponsor in gathering and preparing the required materials for the audit. This work will be negotiated with the Sponsor, should the need occur and payment will be on a time and material basis. DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 AIRPORT:AIP OR PROJECT NUMBER: 3-08-0020-062-2020PROJECT NAME: Concrete Apron Joint Maintenance and RehabilitationDATE: February 7, 2020FEE BREAKDOWNLABORHOUR BREAKDOWNLabor CategoryTotal CostPrincipalQuality Control ManagerConstruction Manager IVProject Manager III Engineer IAssociate Engineer IIIDesigner II CADD Tech IIProject Coordinator ISupport II Planner III Phase Item Costs1.0 Preliminary Design Phase (Lump Sum) 1.0 Preliminary Design Phase (Lump Sum)Principal 12 hrs. x 235.00$ /hr =2,820.00$ 1.1 Coordinate and Attend Meetings with the Sponsor and FAA 8 246,200.00$ Quality Control Manager 0 hrs. x 195.00$ /hr = -$ 1.2 Prepare Project Scope of Work and Contract 2 6 422,340.00$ Construction Manager IV 0 hrs. x 195.00$ /hr = -$ 1.3Provide Project Coordination2122,630.00$ Project Manager III 44 hrs. x 180.00$ /hr =7,920.00$ 1.4 Review Existing Documents2300.00$ Engineer I 6 hrs. x 150.00$ /hr = 900.00$ 1.5 Prepare Federal Grant Application14560.00$ Associate Engineer III 0 hrs. x 150.00$ /hr = -$ 1.6 Prepare Environmental Checklist2310.00$ Designer II 0 hrs. x 145.00$ /hr = -$ 1.7 Prepare Disadvantaged Business Enterprise (DBE) Program and Goal14560.00$ CADD Tech II 0 hrs. x 100.00$ /hr = -$ Project Coordinator I 10 hrs. x 95.00$ /hr = 950.00$ Support II 0 hrs. x 75.00$ /hr = -$ Planner III 2 hrs. x 155.00$ /hr = 310.00$ SUBTOTAL 74hrs.12,900.00$ Reimbursables3 Day x 70.00$ /Day= 210.00$ 560 Mi x 0.575$ /Mi= 322.00$ 0 Day x 205.00$ /Day= -$ Per Diem 0 Day x 76.00$ /Day= -$ 532.00$ 13,432.00$ 1200446000100200012,900.00$ Labor CategoryTotal CostPrincipalQuality Control ManagerConstruction Manager IVProject Manager III Engineer IAssociate Engineer IIIDesigner II CADD Tech IIProject Coordinator ISupport II Survey Manager Phase Item Costs2.0 Design Phase (Lump Sum) 2.0 Design Phase (Lump Sum)10 hrs. x 235.00$ /hr =2,350.00$ 2.1 Prepare Preliminary Contract Documents 2 4 407,190.00$ 8 hrs. x 195.00$ /hr =1,560.00$ 2.2 Prepare Construction Safety and Phasing Plan (CSPP)42244,740.00$ 50 hrs. x 195.00$ /hr =9,750.00$ 2.3 Prepare Preliminary Construction Plans-$ 56 hrs. x 180.00$ /hr =10,080.00$ Cover Sheet12380.00$ 66 hrs. x 150.00$ /hr =9,900.00$ Index of Drawings and Summary of Approximate Quantities12380.00$ 54 hrs. x 150.00$ /hr =8,100.00$ General Notes and Abbreviations12380.00$ 8 hrs. x 145.00$ /hr =1,160.00$ Survey Control Plan121610.00$ 68 hrs. x 100.00$ /hr =6,800.00$ Construction Layout Plan224 41,750.00$ 2 hrs. x 95.00$ /hr = 190.00$ Safety Plan14580.00$ 0 hrs. x 75.00$ /hr = -$ Construction Safety Drawing and Phasing Plan224 82,150.00$ 1 hrs. x 230.00$ /hr = 230.00$ Demolition Plan224 82,150.00$ Geometric Layout Plan122 81,655.00$ Grading and Drainage Plan2882,320.00$ Drainage Details12380.00$ SUBTOTAL 323hrs.50,120.00$ Typical Sections114775.00$ Concrete Joint Plan and Details4241,540.00$ ReimbursablesPavement Marking Plan14580.00$ 2 Day x 70.00$ /Day= 140.00$ Pavement Marking Details12380.00$ 520 Mi x 0.575$ /Mi= 299.00$ 2.4 Prepare Preliminary Technical Specifications24 45,400.00$ 0 Day x 205.00$ /Day= -$ 2.5 Prepare Preliminary Special Provisions2300.00$ Per Diem 0 Day x 76.00$ /Day= -$ 2.6 Compile/Submit Permits2300.00$ 439.00$ 2.7 Compile/Submit FAA Form 746012480.00$ 2.8 Calculate Estimated Quantities24960.00$ 2.9 Prepare Estimate of Probable Construction Cost22 41,350.00$ 2.10 Prepare Engineer's Design Report 8245,040.00$ 2.11 Review Plans at 60% and 90% Complete 8 8 84,880.00$ 2.12 Provide In-House Quality Control81,560.00$ 2.1344 421,910.00$ 50,120.00$ 1085056665486820100050,120.00$ TASKTOTALSTOTALSPrepare and Submit Final Plans and SpecificationsTASKLABOR CATEGORYSUBTOTALBilling RatePrincipalAuto RentalMileageLodging + Tax & FeesLABOR CATEGORYTotal HoursTotal Hours Billing RateSUBTOTALEngineer ISUBTOTALProject Coordinator ISupport IISurvey ManagerCADD Tech IIAssociate Engineer IIIDesigner IIEagle County Regional AirportAuto RentalMileageLodging + Tax & FeesSUBTOTALSUBTOTALSUBTOTALQuality Control ManagerConstruction Manager IVProject Manager IIIPage 1 of 2REV 2020.01DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 Labor CategoryTotal CostPrincipalQuality Control ManagerConstruction Manager IVProject Manager III Engineer IAssociate Engineer IIIDesigner II CADD Tech IIProject Coordinator ISupport IIPhase Item Costs3.0 Bidding Phase (Lump Sum) 3.0 Bidding Phase (Lump Sum)1 hrs. x 235.00$ /hr = 235.00$ 3.1 Provide Bid Assistance24960.00$ 0 hrs. x 195.00$ /hr = -$ 3.2 Prepare/Conduct Pre-Bid Meeting81,440.00$ 0 hrs. x 195.00$ /hr = -$ 3.3Prepare Addenda22 2850.00$ 24 hrs. x 180.00$ /hr =4,320.00$ 3.4 Consult with Prospective Bidders2300.00$ 0 hrs. x 150.00$ /hr = -$ 3.5 Attend Bid Opening81,440.00$ 16 hrs. x 150.00$ /hr =2,400.00$ 3.6 Review Bid Proposals24960.00$ 0 hrs. x 145.00$ /hr = -$ 3.7 Prepare Recommendation of Award 1 2 41,195.00$ 0 hrs. x 100.00$ /hr = -$ 2 hrs. x 95.00$ /hr = 190.00$ 0 hrs. x 75.00$ /hr = -$ SUBTOTAL 43hrs.7,145.00$ Reimbursables2 Day x 70.00$ /Day= 140.00$ 520 Mi x 0.575$ /Mi= 299.00$ 0 Day x 205.00$ /Day= -$ Per Diem 0 Day x 76.00$ /Day= -$ 439.00$ 7,584.00$ 10024016002000007,145.00$ Phase Fee Reimbursable Costs Total CostPART A - BASIC SERVICES (LUMP SUM)1.0 Preliminary Design Phase (Lump Sum)12,900.00$ 532.00$ 13,432.00$ 2.0 Design Phase (Lump Sum)50,120.00$ 439.00$ 50,559.00$ 3.0 Bidding Phase (Lump Sum)7,145.00$ 439.00$ 7,584.00$ SUBTOTAL70,165.00$ 1,410.00$ 71,575.00$ 70,165.00$ 1,410.00$ 71,575.00$ TOTALSTASKAuto RentalLABOR CATEGORYPrincipalConstruction Manager IVLodging + Tax & FeesMileageEngineer IAssociate Engineer IIIDesigner IITotal HoursQuality Control ManagerCADD Tech IIProject Coordinator ISupport IITOTALSUBTOTALProject Manager IIISUBTOTALSUBTOTALBilling RatePage 2 of 2REV 2020.01DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 12/20/2019 Moody Insurance Agency, Inc. 8055 East Tufts Avenue Suite 1000 Denver CO 80237 Leigh Pullen (303) 824-6600 (303) 370-0118 leigh.pullen@moodyins.com Jviation, Inc. 900 S. Broadway Suite 350 Denver CO 80209 Travelers Indemnity of America 25666 Travelers Indemnity Company 25658 Lexington Insurance Co 19437 20/21 Master A Y 6803K605697 01/01/2020 01/01/2021 1,000,000 1,000,000 5,000 1,000,000 2,000,000 2,000,000 B BA3K607433 01/01/2020 01/01/2021 1,000,000 B 10,000 CUP3K612467 01/01/2020 01/01/2021 9,000,000 9,000,000 B N UB3K609703 01/01/2020 01/01/2021 1,000,000 1,000,000 1,000,000 C Primary Professional 031711172 01/01/2020 01/01/2021 Each Claim Limit 5,000,000 Aggregate Limit 5,000,000 RE: Any and All Projects Eagle County Regional Airport Attn Josh Miller Construction Manager 219 Eldon Wilson Road Gypsum CO 81637 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 Jviation, Inc.Moody Insurance Agency, Inc. 25 Certificate of Liability Insurance: Notes Other Coverage Lines: Aviation Insurance Policy/Unmanned Aircraft Policy Number: 9008387. Policy Effective Dates: 01/01/2020- 01/01/2021. Insurer: American Alternative Insurance Corp. Limits of Insurance: Each Occurrence Limit $3,000,000. Passenger War Liability Included. Medical Limit $5,000. Pollution Liability Policy: Policy Number: 031711172 Policy Effective Dates: 01/01/2020 – 01/01/2021 Insurer: Lexington Insurance Co. Pollution Liability Limit: $5,000,000 Each Pollution Condition Cyber Liability Policy: Policy Number: EVOPNZ490793 Policy Effective Dates: 01/01/2020 – 01/01/2021 Insurer: Evolve MGA Cyber Liability Limit: $1,000,000 Deductible: $10,000 General Liability CG D3 81 09 15 - Blanket Additional Insured Status When Required by Written Contract CG D3 81 09 15 – Blanket Waiver of Subrogation Status When Required by Written Contract CG D3 79 01 16 - Architects, Engineers and Surveyors Coverage Xtended Endorsement - Blanket Additional Insured, Blanket Waiver of Subrogation CG D4 69 07 14 - Per Project and Location Aggregate Limit Drone Liability UASA121 10/18 Additional Insured Endorsement Automobile Liability CA T420 0215 - Blanket Additional Insured & Waiver of Subrogation Umbrella Liability UM 04 88 07 08 – Blanket Waiver of Subrogation Status When Required by Written Contract Workers Compensation WC 00 03 13 00 001 Form Attached Includes: Blanket Waiver of Subrogation status applies when required by written contract. IMPORTANT: The policy forms referenced will be sent via email only. To obtain copies, please send your request with the email address to certrequest@moodyins.com. ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 UMBRELLA UM 04 88 07 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY (UMBRELLA) INSURANCE Page 1 of 1© 2008 The Travelers Companies, Inc. Includes the copyrighted material of Insurance Services Office, Inc. with its permission. The following is added to Paragraph 11., OUR RIGHT TO RECOVER FROM OTHERS., of SECTION IV – CONDITIONS.: If the insured has agreed in a contract or agreement to waive that insured's right of recovery against any person or organization, we waive our right of recovery against such person or organization, but only for payments we make because of: a."Bodily injury" or "property damage" caused by an "occurrence" that takes place; or b."Personal injury" or "advertising injury" caused by an "offense" that is committed; subsequent to the execution of the contract or agree- ment. DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED. This endorsement is effective: February 13, 2019 Endorsement Premium: Included Attached to and made part of Policy No.: 9008387 Issued to: JVIATION, INC. Global Aerospace, Inc. BY: UASA121 (October 1, 2018) Endorsement No. 1 Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. ADDITIONAL INSURED In consideration of the payment of the premium for this policy, it is agreed that solely as respects an occurrence arising out of the ownership, maintenance or use of a scheduled aircraft and solely to the extent required in an agreement with you for the use of a scheduled aircraft, the following provisions shall apply: 1.Subject to the policy exclusions and Paragraph 2 below, and to no greater extent than the scope of the insurance afforded by this policy, as respects the insurance afforded by Coverage A – BODILY INJURY AND PROPERTY DAMAGE LIABILITY, policy SECTION III – WHO IS AN INSURED is extended to include any person or organization, but only as respects your use of a scheduled aircraft, and only as respects his, her, or its liability because of your acts or omissions. 2.No person or organization described in paragraph 1 above, or agent or employee thereof, is an Insured if engaged in the manufacture, maintenance, repair, or sale of aircraft, aircraft engines, components or accessories, or in the operation of any airport, hangar, flying school, flight service, or aircraft or piloting service, as respects any occurrence arising out of such activity. 3.The insurance afforded by this endorsement shall be primary without right of contribution by any other valid and collectible insurance available to any person or organization described in paragraph 1 above. 4.Unless otherwise indicated in the policy, we waive any right of recovery we may have against any person or organization described in paragraph 1 above because of payments we make for physical damage in accordance with Coverage B - PHYSICAL DAMAGE TO SCHEDULED AIRCRAFT, but only to the same extent that you have waived your right of recovery for such physical damage against such person or organization. 5.If we cancel this policy we will give written notice to each person or organization described in paragraph 1 above at least: (a)ten (10) days before the effective date of cancellation if we cancel for non-payment of premium; or (b)thirty (30) days before the effective date of cancellation if we cancel for any other reason. 6.If we require any material change that is adverse to the interest of any person or organization described in paragraph 1 above, we will give thirty (30) days written notice to each person or organization described in paragraph 1 above. DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 6803K6056971847DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ARCHITECTS, ENGINEERS AND SURVEYORS COVERAGE XTEND ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CG D3 79 01 16 © 2016 The Travelers Indemnity Company. All rights reserved.Page 1 of 6 GENERAL DESCRIPTION OF COVERAGE This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general coverage description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this endorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. C.Reasonable Force – Bodily Injury Or Property Damage D.Non-Owned Watercraft – Increased To Up To 75 feet E.Aircraft Chartered With Crew F.Damage To Premises Rented To You G.Malicious Prosecution – Exception To Knowing Violation Of Rights Of Another Exclusion H.Medical Payments – Increased Limit I.Increased Supplementary Payments J.Additional Insured – Owner, Manager Or Lessor Of Premises A.Broadened Named Insured B.Incidental Medical Malpractice K.Additional Insured – Lessor Of Leased Equipment L.Additional Insured – State Or Political Subdivisions – Permits Relating To Premises M.Additional Insured – State Or Political Subdivisions – Permits Relating To Operations N.Who Is An Insured – Newly Acquired Or Formed Organizations O.Knowledge And Notice Of Occurrence Or Offense P.Unintentional Omission Q.Waiver Of Transfer Of Rights Of Recovery Against Others To Us When Required By Written Contract R.Amended Insured Contract Definition – Railroad Easement PROVISIONS A.BROADENED NAMED INSURED 1.The following is added to SECTION II – WHO IS AN INSURED: Any organization, other than a partnership or joint venture, over which you maintain ownership or majority interest on the effective date of the policy qualifies as a Named Insured. However, coverage for any such additional organization will cease as of the date during the policy period that you no longer maintain ownership of, or majority interest in, such organization. B.INCIDENTAL MEDICAL MALPRACTICE 1.The following is added to the definition of "occurrence" in the DEFINITIONS Section: Unless you are in the business or occupation of providing professional health care services, "occurrence" also means an act or omission committed in providing or failing to provide first aid or "Good Samaritan services" to a person. 2.The following is added to the DEFINITIONS Section: "Good Samaritan services" means any emergency medical services for which no compensation is demanded or received. 3.The following is added to Paragraph 2.a.(1) of SECTION II – WHO IS AN INSURED: Unless you are in the business or occupation of providing professional health care services, Paragraphs (1)(a), (b), (c) and (d) above DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 COMMERCIAL GENERAL LIABILITY Page 2 of 6 © 2016 The Travelers Indemnity Company. All rights reserved.CG D3 79 01 16 does not apply to any "bodily injury" arising out of any providing or failing to provide first aid or "Good Samaritan services" by any of your "employees", other than an employed doctor. Any such "employees" providing or failing to provide first aid or "Good Samaritan services" during their work hours for you will be deemed to be acting within the scope of their employment by you or performing duties related to the conduct of your business. 4.The following exclusion is added to Paragraph 2., Exclusions, of SECTION I – COVERAGES – COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY in COVERAGES: Sale of Pharmaceuticals "Bodily injury" or "property damage" arising out of the willful violation of a penal statute or ordinance relating to the sale of pharmaceuticals committed by, or with the knowledge or consent of, the insured. 5.The following is added to Paragraph 5. of SECTION III – LIMITS OF INSURANCE: For the purposes of determining the applicable Each Occurrence Limit, all related acts or omissions committed in the providing or failing to provide first aid or "Good Samaritan services" to any one person will be considered one "occurrence". 6.The following is added to Paragraph 4.b., Excess Insurance, of SECTION IV – COMMERCIAL GENERAL LIABILITY CONDITIONS: This insurance is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to any of your "employees" for "bodily injury" that arises out of providing or failing to provide first aid or "Good Samaritan services" to any person to the extent not subject to Paragraph 2.a.(1) of Section II – Who Is An Insured. C.REASONABLE FORCE – BODILY INJURY OR PROPERTY DAMAGE The following replaces Exclusion a., Expected Or Intended Injury, in Paragraph 2. of SECTION I – COVERAGES – COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY: a.Expected Or Intended injury Or Damage "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 any person or property. D.NON-OWNED WATERCRAFT – INCREASED TO UP TO 75 FEET 1.The following replaces Paragraph (2) of Exclusion g., Aircraft, Auto Or Watercraft, in Paragraph 2. of SECTION I – COVERAGES – COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY: (2)A watercraft you do not own that is: (a)Less than 75 feet long; and (b)Not being used to carry any person or property for a charge; 2. The following is added to Paragraph 2. of SECTION II – WHO IS AN INSURED: Any person or organization that, with your express or implied consent, either uses or is responsible for the use of a watercraft that you do not own that is: (a)Less than 75 feet long; and (b)Not being used to carry any person or property for a charge; 3.The following is added to Paragraph 4.b., Excess Insurance, of SECTION IV – COMMERCIAL GENERAL LIABILITY CONDITIONS: This insurance is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the insured for "bodily injury" that arises out of the use of a watercraft that you do not own that is: (a)Less than 75 feet long; and (b)Not being used to carry any person or property for a charge. E.AIRCRAFT CHARTERED WITH CREW 1.The following is added to Exclusion g., Aircraft, Auto Or Watercraft, in Paragraph 2. of SECTION I – COVERAGES – COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY in COVERAGES: This exclusion does not apply to an aircraft that is: (a)Chartered with crew to any insured; DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 COMMERCIAL GENERAL LIABILITY CG D3 79 01 16 © 2016 The Travelers Indemnity Company. All rights reserved.Page 3 of 6 (b)Not owned by any insured; and (c)Not being used to carry any person or property for a charge. 2.The following is added to Paragraph 4.b., Excess Insurance, of SECTION IV – COMMERCIAL GENERAL LIABILITY CONDITIONS: This insurance is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the insured for use of an aircraft that is: (a)Chartered with crew to any insured; (b)Not owned by any insured; and (c)Not being used to carry any person or property for a charge. F.DAMAGE TO PREMISES RENTED TO YOU 1.The following replaces the last paragraph of Paragraph 2., Exclusions, of SECTION I – COVERAGES – COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY in COVERAGES: Exclusions c. through n. do not apply to damage to premises while rented to you, or temporarily occupied by you with permission of the owner, caused by: a.Fire; b.Explosion; c.Lightning; d.Smoke resulting from such fire, explosion, or lightning; or e.Water. A separate limit of insurance applies to such damage to premises as described in Paragraph 6. of Section III – Limits Of Insurance. This insurance does not apply to damage to premises while rented to you, or temporarily occupied by you with permission of the owner, caused by: a.Rupture, bursting, or operation of pressure relief devices; b.Rupture or bursting due to expansion or swelling of the contents of any building or structure, caused by or resulting from water; or c.Explosion of steam boilers, steam pipes, steam engines, or steam turbines. 2.The following replaces Paragraph 6. of SECTION III – LIMITS OF INSURANCE: Subject to 5. above, the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of "property damage" to any one premises while rented to you, or temporarily occupied by you with permission of the owner, caused by fire; explosion; lightning; smoke resulting from such fire, explosion, or lightning; or water. The Damage To Premises Rented To You Limit will apply to all damage proximately caused by the same "occurrence", whether such damage results from: fire; explosion; lightning; smoke resulting from such fire, explosion, or lightning; or water; or any combination of any of these. The Damage To Premises Rented To You Limit will be the higher of: a.$1,000,000; or b.The amount shown on the Declarations of this Coverage Part for Damage To Premises Rented To You Limit. 3.The following replaces Paragraph a. of the definition of "insured contract" in the DEFINITIONS Section: a.A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage to premises while rented to you, or temporarily occupied by you with permission of the owner, caused by: (1)Fire; (2)Explosion; (3)Lightning; (4)Smoke resulting from such fire, explosion, or lightning; or (5)Water, is not an "insured contract"; 4.The following replaces Paragraph 4.b.(1)(b) of SECTION IV – COMMERCIAL GENERAL LIABILITY CONDITIONS: (b)That is insurance for premises rented to you, or temporarily occupied by you with the permission of the owner; DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 COMMERCIAL GENERAL LIABILITY Page 4 of 6 © 2016 The Travelers Indemnity Company. All rights reserved.CG D3 79 01 16 G.MALICIOUS PROSECUTION – EXCEPTION TO KNOWING VIOLATION OF RIGHTS OF ANOTHER EXCLUSION The following is added to Exclusion a., Knowing Violation Of Rights Of Another, in Paragraph 2. of SECTION I – COVERAGES – COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY: This exclusion does not apply to "personal injury" caused by malicious prosecution. H.MEDICAL PAYMENTS – INCREASED LIMIT The following replaces Paragraph 7. of SECTION III – LIMITS OF INSURANCE: 7.Subject to 5. above, the Medical Expense Limit is the most we will pay under Coverage C. for all medical expenses because of "bodily injury" sustained by any one person, and will be the higher of: (a)$10,000; or (b)The amount shown on the Declarations of this Coverage Part for Medical Expense Limit. I.INCREASED SUPPLEMENTARY PAYMENTS 1.The following replaces Paragraph 1.b. of SUPPLEMENTARY PAYMENTS – COVERAGES A AND B of SECTION I – COVERAGES: b.Up to $2,500 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. 2.The following replaces Paragraph 1.d. of SUPPLEMENTARY PAYMENTS – COVERAGES A AND B of SECTION I – COVERAGES: d.All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit", including actual loss of earnings up to $500 a day because of time off from work. J.ADDITIONAL INSURED – OWNER, MANAGER OR LESSOR OF PREMISES The following is added to SECTION II – WHO IS AN INSURED: Any person or organization that is a premises owner, manager or lessor and that you have agreed in a written contract to name as an additional insured on this Coverage Part is an insured, but only with respect to liability for "bodily injury", "property damage", "personal injury" or "advertising injury" that: a.Is "bodily injury" or "property damage" caused by an "occurrence" that takes place, or "personal injury" caused by an offense that is committed, after you have signed that contract; and b.Arises out of the ownership, maintenance or use of that part of any premises leased to you under that written contract. The insurance provided to such premises owner, manager or lessor is subject to the following provisions: a.The limits of insurance provided to such premises owner, manager or lessor will be the limits which you agreed to provide in the written contract, or the limits shown on the Declarations of this Coverage Part, whichever are less. b.The insurance provided to such premises owner, manager or lessor does not apply to: (1)"Bodily injury" or "property damage" caused by an "occurrence" that takes place, or "personal injury" caused by an offense that is committed, after you cease to be a tenant in that premises; or (2)Structural alterations, new construction or demolition operations performed by or on behalf of such premises owner, manager or lessor. c.The insurance provided to such premises owner, manager or lessor is excess over any valid and collectible other insurance available to such premises owner, manager or lessor, unless you have agreed in a written contract for this insurance to apply on a primary or contributory basis. K.ADDITIONAL INSURED – LESSOR OF LEASED EQUIPMENT The following is added to SECTION II – WHO IS AN INSURED: Any person or organization that is an equipment lessor and that you have agreed in a written contract to name as an additional insured on this Coverage Part is an insured, but only with respect to liability for "bodily injury", "property damage", "personal injury" or "advertising injury" that: a.Is "bodily injury" or "property damage" caused by an "occurrence" that takes place, or "personal injury" caused by an offense that is DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 COMMERCIAL GENERAL LIABILITY CG D3 79 01 16 © 2016 The Travelers Indemnity Company. All rights reserved.Page 5 of 6 committed, after you have signed that written contract; and b.Is caused, in whole or in part, by acts or omissions of you or any person or organization performing operations on your behalf, in the maintenance, operation or use of equipment leased to you by such equipment lessor. The insurance provided to such equipment lessor is subject to the following provisions: a.The limits of insurance provided to such equipment lessor will be the limits which you agreed to provide in the written contract, or the limits shown on the Declarations of this Coverage Part, whichever are less; and b.The insurance provided to such equipment lessor does not apply: (1)To any "bodily injury" or "property damage" caused by an "occurrence" that takes place, or "personal injury" caused by an offense that is committed, after the equipment lease expires; or (2)If the equipment is leased with an operator. c.The insurance provided to such equipment lessor is excess over any valid and collectible other insurance available to such equipment lessor, unless you have agreed in a written contract for this insurance to apply on a primary or contributory basis. L.ADDITIONAL INSURED – STATE OR POLITICAL SUBDIVISIONS – PERMITS RELATING T O PREMISES The following is added to Paragraph 2. of SECTION II – WHO IS AN INSURED: Any state or political subdivision that has issued a permit in connection with premises owned or occupied by, or rented or loaned to, you, is an insured, but only with respect to "bodily injury", "property damage", "personal injury" or "advertising injury" arising out of the existence, ownership, use, maintenance, repair, construction, erection or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, elevators, street banners or decorations for which that state or political subdivision has issued such permit. M.ADDITIONAL INSURED – STATE OR POLITICAL SUBDIVISIONS – PERMITS RELATING TO OPERATIONS The following is added to Paragraph 2. of SECTION II – WHO IS AN INSURED: Any state or political subdivision that has issued a permit with respect to operations performed by you or on your behalf is an insured, but only with respect to "bodily injury", "property damage", "personal injury" or "advertising injury" arising out of operations performed by you or on your behalf for which that state or political subdivision has issued such permit. However, no such state or political subdivision is an insured for: (1)"Bodily injury", "property damage", "personal injury" or "advertising injury" arising out of operations performed for that state or political subdivision; or (2)"Bodily injury" or "property damage" included within the "products – completed operations hazard". N.WHO IS AN INSURED – NEWLY ACQUIRED OR FORMED ORGANIZATIONS The following replaces Paragraph 4.a. of SECTION II – WHO IS AN INSURED: a.Coverage under this provision is afforded only: (1)Until the 180th day after you acquire or form the organization or the end of the policy period, whichever is earlier, if you do not report such organization in writing to us within 180 days after you acquire or form it; or (2)Until the end of the policy period, when that date is later than 180 days after you acquire or form such organizations, if you report such organization in writing to us within 180 days after you acquire or form it. O.KNOWLEDGE AND NOTICE OF OCCURRENCE OR OFFENSE The following is added to Paragraph 2., Duties In The Event of Occurrence, Offense, Claim Or Suit, of SECTION IV – COMMERCIAL GENERAL LIABILITY CONDITIONS: e.The following provisions apply to Paragraph a. above, but only for the purposes of the insurance provided under this Coverage Part to you or any insured listed in Paragraph 1. or 2. of Section II – Who Is An Insured: DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 Page 6 of 6 © 2016 The Travelers Indemnity Company. All rights reserved.CG D3 79 01 16 COMMERCIAL GENERAL LIABILITY (1)Notice to us of such "occurrence" or of an offense must be given as soon as practicable only after the "occurrence" or offense is known to you (if you are an individual), any of your partners or members who is an individual (if you are a partnership or joint venture), any of your managers who is an individual (if you are a limited liability company), any of your trustees who is an individual (if you are a trust), any of your "executive officers" or directors (if you are an organization other than a partnership, joint venture, limited liability company or trust), or any "employee" (such as an insurance, loss control or risk manager or administrator) authorized by you to give notice of an "occurrence" or offense. Knowledge by any other "employee" of an "occurrence" or offense does not imply that you also have such knowledge. (2)If you are a partnership, joint venture, limited liability company or trust, and none of your partners, joint venture members, managers or trustees are individuals, notice to us of such "occurrence" or offense must be given as soon as practicable only after the "occurrence" or offense is known by: (a)Any individual who is: (i)A partner or member of any partnership or joint venture; (ii)A manager of any limited liability company; (iii)A trustee of any trust; or (iv)An executive officer or director of any other organization; that is your partner, joint venture member, manager or trustee; or (b)Any "employee" authorized by such partnership, joint venture, limited liability company, trust or other organization to give notice of an "occurrence" or offense. (3)Notice to us of such "occurrence" or offense will be deemed to be given as soon as practicable if it is given in good faith as soon as practicable to your workers' compensation, accident, or health insurer. This applies only if you subsequently give notice to us of the "occurrence" or offense as soon as practicable after any of the persons described in Paragraphs e. (1) or (2) above discovers that the "occurrence" or offense may result in sums to which the insurance provided under the Coverage Part may apply. P.UNINTENTIONAL OMISSION The following is added to Paragraph 6., Representations, of SECTION IV – COMMERCIAL GENERAL LIABILITY CONDITIONS: The unintentional omission of, or unintentional error in, any information provided by you which we relied upon in issuing this policy will not prejudice your rights under this insurance. However, this provision does not affect our right to collect additional premium or to exercise our rights of cancellation or nonrenewal in accordance with applicable insurance laws or regulations. Q.WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US WHEN REQUIRED BY WRITTEN CONTRACT The following is added to Paragraph 8., Transfer of Rights of Recovery Against Others to Us, of SECTION IV – COMMERCIAL GENERAL LIABILITY CONDITIONS: We waive any right of recovery we may have against any person or organization because of payments we make for injury or damage arising out of premises owned or occupied by or rented or loaned to you; ongoing operations performed by you or on your behalf, done under a written contract with that person or organization; "your work"; or "your products". We waive this right where you have agreed to do so as part of a written contract signed by you prior to loss. R.AMENDED INSURED CONTRACT DEFINITION – RAILROAD EASEMENT 1.The following replaces Paragraph c. of the definition of "insured contract" in the DEFINITIONS Section: c.Any easement or license agreement; 2.Paragraph f.(1) of the definition of "insured contract" in the DEFINITIONS Section is deleted. DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. AUTO COVERAGE PLUS ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GENERAL DESCRIPTION OF COVERAGE This endorsement broadens coverage.However,coverage for any injury,damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part,and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement.The following listing is a general cover- age description only.Limitations and exclusions may apply to these coverages.Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights,duties,and what is and is not covered. A.BLANKET ADDITIONAL INSURED H.AUDIO,VISUAL AND DATA ELECTRONIC EQUIPMENT INCREASED LIMITB.EMPLOYEE HIRED AUTO I.WAIVER OF DEDUCTIBLE GLASSC.EMPLOYEES AS INSURED J.PERSONAL PROPERTYD.SUPPLEMENTARY PAYMENTS INCREASED LIMITS K.AIRBAGS E.TRAILERS INCREASED LOAD CAPACITY L.AUTO LOAN LEASE GAP F.HIRED AUTO PHYSICAL DAMAGE M.BLANKET WAIVER OF SUBROGATION G.PHYSICAL DAMAGE TRANSPORTATION EXPENSES INCREASED LIMIT A.BLANKET ADDITIONAL INSURED performing duties related to the conduct of your business.The following is added to Paragraph A.1.,Who Is An Insured,of SECTION II COVERED AUTOS 2.The following replaces Paragraph b.in B.5., LIABILITY COVERAGE:Other Insurance,of SECTION IV BUSI- NESS AUTO CONDITIONS:Any person or organization who is required under a written contract or agreement between you and b.For Hired Auto Physical Damage Cover- that person or organization,that is signed and age,the following are deemed to be cov- executed by you before the "bodily injury"or ered "autos"you own: "property damage"occurs and that is in effect (1)Any covered "auto"you lease,hire,during the policy period,to be named as an addi-rent or borrow;andtionalinsuredisan"insured"for Covered Autos (2)Any covered "auto"hired or rented byLiabilityCoverage,but only for damages to which your "employee"under a contract inthisinsuranceappliesandonlytotheextentthat an "employee's"name,with yourpersonororganizationqualifiesasan"insured" permission,while performing dutiesundertheWhoIsAnInsuredprovisioncontained related to the conduct of your busi-in Section II. ness.B.EMPLOYEE HIRED AUTO However,any "auto"that is leased,hired,1.The following is added to Paragraph A.1.,rented or borrowed with a driver is not aWhoIsAnInsured,of SECTION II COV-covered "auto".ERED AUTOS LIABILITY COVERAGE: C.EMPLOYEES AS INSUREDAn"employee"of yours is an "insured"while The following is added to Paragraph A.1.,Who Isoperatingacovered"auto"hired or rented An Insured,of SECTION II COVERED AUTOSunderacontractoragreementinan"em- LIABILITY COVERAGE:ployee's"name,with your permission,while CA T4 20 02 15 ©2015 The Travelers Indemnity Company.All rights reserved.Page 1 of 3 Includes copyrighted material of Insurance Services Office,Inc.with its permission. DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 COMMERCIAL AUTO (2)An adjustment for depreciation and physicalAny"employee"of yours is an "insured"while us- ing a covered "auto"you don't own,hire or borrow condition will be made in determining actual in your business or your personal affairs.cash value in the event of a total "loss". D.SUPPLEMENTARY PAYMENTS INCREASED (3)If a repair or replacement results in better LIMITS than like kind or quality,we will not pay for the amount of betterment.1.The following replaces Paragraph A.2.a.(2)of SECTION II COVERED AUTOS LIABILITY (4)A deductible equal to the highest Physical COVERAGE:Damage deductible applicable to any owned covered "auto".(2)Up to $3,000 for cost of bail bonds (in- (5)This Coverage Extension does not apply to:cluding bonds for related traffic law viola- tions)required because of an "accident"(a)Any "auto"that is hired,rented or bor- we cover.We do not have to furnish rowed with a driver;orthesebonds. (b)Any "auto"that is hired,rented or bor-2.The following replaces Paragraph A.2.a.(4)of rowed from your "employee".SECTION II COVERED AUTOS LIABILITY G.PHYSICAL DAMAGE TRANSPORTATIONCOVERAGE: EXPENSES INCREASED LIMIT(4)All reasonable expenses incurred by the The following replaces the first sentence in Para-"insured"at our request,including actual graph A.4.a.,Transportation Expenses,oflossofearningsupto$500 a day be-SECTION III PHYSICAL DAMAGE COVER-cause of time off from work. AGE:E.TRAILERS INCREASED LOAD CAPACITY We will pay up to $50 per day to a maximum ofThefollowingreplacesParagraphC.1.of SEC-$1,500 for temporary transportation expense in-TION I COVERED AUTOS:curred by you because of the total theft of a cov- 1."Trailers"with a load capacity of 3,000 ered "auto"of the pri ate passenger type.v pounds or less designed primarily for travel H.AUDIO,VISUAL AND DATA ELECTRONIC on public roads.EQUIPMENT INCREASED LIMIT F.HIRED AUTO PHYSICAL DAMAGE Paragraph C.1.b.of SECTION III PHYSICAL The following is added to Paragraph A.4.,Cover-DAMAGE COVERAGE is deleted. age Extensions,of SECTION III PHYSICAL I.WAIVER OF DEDUCTIBLE GLASSDAMAGECOVERAGE: The following is added to Paragraph D.,Deducti- Hired Auto Physical Damage Coverage ble,of SECTION III PHYSICAL DAMAGE COVERAGE:If hired "autos"are covered "autos"for Covered Autos Liability Coverage but not covered "autos"No deductible for a covered "auto"will apply to for Physical Damage Coverage,and this policy glass damage if the glass is repaired rather than replaced.also provides Physical Damage Coverage for an owned "auto",then the Physical Damage Cover-J.PERSONAL PROPERTY age is extended to "autos"that you hire,rent or The following is added to Paragraph A.4.,Cover-borrow subject to the following:age Extensions,of SECTION III PHYSICAL DAMAGE COVERAGE:(1)The most we will pay for "loss"to any one "auto"that you hire,rent or borrow is the Personal Property Coverage lesser of:We will pay up to $400 for "loss"to wearing ap- (a)$50,000;parel and other personal property which is: (1)Owned by an "insured";and(b)The actual cash value of the damaged or stolen property as of the time of the (2)In or on your covered "auto". "loss";or This coverage only applies in the event of a total (c)The cost of repairing or replacing the theft of your covered "auto". damaged or stolen property with other No deductibles apply to Personal Property cover- property of like kind and quality.age. Page 2 of 3 ©2015 The Travelers Indemnity Company.All rights reserved.CA T4 20 02 15 Includes copyrighted material of Insurance Services Office,Inc.with its permission. DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 COMMERCIAL AUTO K.AIRBAGS (2)Any: The following is added to Paragraph B.3.,Exclu-(a)Overdue lease or loan payments at the sions,of SECTION III PHYSICAL DAMAGE time of the "loss"; COVERAGE:(b)Financial penalties imposed under a Exclusion 3.a.does not apply to "loss"to one or lease for excessive use,abnormal wear more airbags in a covered "auto"you own that in-and tear or high mileage; flate due to a cause other than a cause of "loss"(c)Security deposits not returned by the les-set forth in Paragraphs A.1.b.and A.1.c.,but sor;only: (d)Costs for extended warranties,Credit Lifea.If that "auto"is a covered "auto"for Compre- Insurance,Health,Accident or DisabilityhensiveCoverageunderthispolicy; Insurance purchased with the loan orb.The airbags are not covered under any war-lease;andranty;and (e)Carry-over balances from previous loansc.The airbags were not intentionally inflated.or leases. We will pay up to a maximum of $1,000 for any M.BLANKET WAIVER OF SUBROGATIONone"loss". The following replaces Paragraph A.5.,TransferL.AUTO LOAN LEASE GAP Of Rights Of Recovery Against Others To Us, The following is added to Paragraph A.4.,Cover-of SECTION IV BUSINESS AUTO CONDI- age Extensions,of SECTION III PHYSICAL TIONS:DAMAGE COVERAGE: 5.Transfer Of Rights Of Recovery AgainstAutoLoanLeaseGapCoverageforPrivateOthersToUsPassengerTypeVehicles We waive any right of recovery we may haveIntheeventofatotal"loss"to a covered "auto"of against any person or organization to the ex-the private passenger type shown in the Schedule tent required of you by a written contract exe-or Declarations for which Physical Damage Cov- cuted prior to any "accident"or "loss",pro-erage is provided,we will pay any unpaid amount vided that the "accident"or "loss"arises out ofdueontheleaseorloanforsuchcovered"auto" the operations contemplated by such con-less the following: tract.The waiver applies only to the person or(1)The amount paid under the Physical Damage organization designated in such contract.Coverage Section of the policy for that "auto"; and CA T4 20 02 15 ©2015 The Travelers Indemnity Company.All rights reserved.Page 3 of 3 Includes copyrighted material of Insurance Services Office,Inc.with its permission. DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CG D3 81 09 15 © 2015 The Travelers Indemnity Company. All rights reserved. Includes the copyrighted material of Insurance Services Office, Inc., with its permission Page 1 of 2 1.The following is added to SECTION II – WHO IS AN INSURED: Any person or organization that you agree in a "written contract requiring insurance" to include as an additional insured on this Coverage Part, but: a.Only with respect to liability for "bodily injury", "property damage" or "personal injury"; and b.If, and only to the extent that, the injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" to which the "written contract requiring insurance" applies, or in connection with premises owned by or rented to you. The person or organization does not qualify as an additional insured: c.With respect to the independent acts or omissions of such person or organization; or d.For "bodily injury", "property damage" or "personal injury" for which such person or organization has assumed liability in a contract or agreement. The insurance provided to such additional insured is limited as follows: e.This insurance does not apply on any basis to any person or organization for which coverage as an additional insured specifically is added by another endorsement to this Coverage Part. f.This insurance does not apply to the rendering of or failure to render any "professional services". g.In the event that the Limits of Insurance of the Coverage Part shown in the Declarations exceed the limits of liability required by the "written contract requiring insurance", the insurance provided to the additional insured shall be limited to the limits of liability required by that "written contract requiring insurance". This endorsement does not increase the limits of insurance described in Section III – Limits Of Insurance. h.This insurance does not apply to "bodily injury" or "property damage" caused by "your work" and included in the "products- completed operations hazard" unless the "written contract requiring insurance" specifically requires you to provide such coverage for that additional insured, and then the insurance provided to the additional insured applies only to such "bodily injury" or "property damage" that occurs before the end of the period of time for which the "written contract requiring insurance" requires you to provide such coverage or the end of the policy period, whichever is earlier. 2.The following is added to Paragraph 4.a. of SECTION IV – COMMERCIAL GENERAL LIABILITY CONDITIONS: The insurance provided to the additional insured is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover. However, if you specifically agree in the "written contract requiring insurance" that this insurance provided to the additional insured under this Coverage Part must apply on a primary basis or a primary and non-contributory basis, this insurance is primary to other insurance available to the additional insured which covers that person or organizations as a named insured for such loss, and we will not share with the other insurance, provided that: (1)The "bodily injury" or "property damage" for which coverage is sought occurs; and (2)The "personal injury" for which coverage is sought arises out of an offense committed; after you have signed that "written contract requiring insurance". But this insurance provided to the additional insured still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured when that person or organization is an additional insured under any other insurance. DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 COMMERCIAL GENERAL LIABILITY Page 2 of 2 CG D3 81 09 15© 2015 The Travelers Indemnity Company. All rights reserved. Includes the copyrighted material of Insurance Services Office, Inc., with its permission 3.The following is added to Paragraph 8., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV – COMMERCIAL GENERAL LIABILITY CONDITIONS: We waive any right of recovery we may have against any person or organization because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" performed by you, or on your behalf, done under a "written contract requiring insurance" with that person or organization. We waive this right only where you have agreed to do so as part of the "written contract requiring insurance" with such person or organization signed by you before, and in effect when, the "bodily injury" or "property damage" occurs, or the "personal injury" offense is committed. 4.The following definition is added to the DEFINITIONS Section: "Written contract requiring insurance" means that part of any written contract under which you are required to include a person or organization as an additional insured on this Coverage Part, provided that the "bodily injury" and "property damage" occurs and the "personal injury" is caused by an offense committed: a.After you have signed that written contract; b.While that part of the written contract is in effect; and c.Before the end of the policy period. DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595 DocuSign Envelope ID: 6A37B14A-C2C3-41CA-BDD3-E91E0D462595