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18-161 Safe Moves, Fall Festival Bike Rodeo
CITY OF II SERVICES AGREEMENT ($5,000 OR LESS) CUPERTINO 1. Parties. This Agreement ("Agreement") is made and entered into as of_6/20/2018 ----------- ("Effective Date") by and between the City of Cupertino, a municipal corporation ("City") and Safe Moves. for Fall Festival Bike Rodeo ("Contractor"), a_C_o_I~"P_O_ra_t_io_1_1 _______ _ 2. Services. Contractor agrees to provide the programs, classes or activities ("Services") set fo1ih in detail in the Scope of Services, attached and incorporated here as Exhibit A. 3. Time of Performance . This Agreement begins on the Effective Date and ends on 12/31/18 ("Contract Time"), unless tenninated earlier as provided herein. Contractor must deliver the Services in accordance with the Schedule of Performance included or attached to Exhibit A. Time is of the essence for the perfonnance of all the Services. Contractor must have sufficient time, resources , and qualified staff to deliver the Services on time. 4. Compensation. City will pay Contractor for satisfactory perfonnance of the Services an amount that will based upon actual costs but that will be capped so as not to exceed $_2,000.00 _ ("Contract Plice"), based upon the Scope of Services and the budget and rates included in Exhibit A. The maximum compensation includes all expenses and reimbursements and will remain in place even if Contractor's actual costs exceed the capped amount. Upon City approval of written invoices, Contractor will be paid as follows: (ch eck one; cross out others): 0 X A lump sum amount of$ _2 ,000_which shall not exceed the Contract P1ice. D At the rate of$ per hour for a total not to exceed the Contract P1ice. D Based on the payment schedule included or attached to Exhibit A which shall not exceed the Contract Price. 5. Independent Contractor. Contractor is an independent contractor and not an employee, paiiner, or joint venture of City. Contractor is solely responsible for the means and methods of perfonning the Services and for the persons hired to work under this Agreement. Contractor is not entitled to health benefits, workers compensation or other benefits from the City. Contractor must have the skills and qualifications to perfonn the Services in a competent and professional manner, and must be licensed, registered, and/or ce1iified and have a City Business License. Contractor will supply all tools, materials and equipment required to perforn1 the Services under this Agreement. 6. Assignment. This Agreement is not assignable. Contractor may not substitute another or transfer any rights or obligations under this Agreement without prior written approval of City . Only those persons whose names are included in Exhibit A may perfonn the Services. Progra m C ity of Cupertino Fa ll Festiv a l Bike Rod eo Services Agreement ($5,000)/Rev. May 22, 2018 Page 1 of 6 7. Indemnification. To the fullest extent allowed by law and except for losses caused by the sole and active negligence or willful misconduct of City personnel , Contractor shall inde1m1ify, defend, and hold hannless City, its City Council, boards and co1m11issions, officers, officials, employees , agents, servants , volunteers and consultants ("Inde1m1itees"), through legal counsel acceptable to City, from and against any and all liability, damages, claims , actions , causes of action , demands, charges , losses , costs and expenses (including attorney fees, legal costs and expenses related to litigation and dispute resolution proceedings), of every nature, arising directly or indirectly from this Agreement or in any manner relating to any of the following: (a) Breach of contract, obligations, representations or wananties; (b) Negligent or willful acts or omissions committed during perfo1111ance of the Services; (c) Personal injury, property damage, or economic loss resulting from the work or perfonnance of Contractor or its subcontractors or sub-subcontractors; Contractor must pay any costs City may incur in enforcing this provision and must accept a tender of defense upon receiving notice from City. Contractor's payments may be deducted or offset to cover any money the City lost due to a claim or counterclaim arising out of this Agreement. 8. Insurance . Contractor shall comply with the Insurance Requirements , attached and incorporated here as Exhibit B, and must maintain the insurance for the duration of the Agreement, or longer as required by City. City will not execute the Agreement until City approves receipt of satisfactory certificates of insurance and endorsements evidencing the type , amount, class of operations covered, and the effective and expiration dates of coverage. Failure to comply with this provision may result in City, at its sole discretion and without notice, purchasing insurance for Contractor and deducting the costs from Contractor's compensation or tenninating the Agreement. 9. Compliance with Laws . Contractor shall comply with all laws and regulations applicable to this Agreement, included without limitation the following laws: Labor Laws. Contractor shall comply with all labor laws applicable to this Agreement. If the Scope of Services includes a "public works" component, Contractor is required to comply with prevailing wage laws under Labor Code Section 1720 and other labor laws. D Sole Proprietor. If Contractor is a sole proprietorship/individual, it must sign the Affidavit of No Employees included in this Agreement. Discrimination Laws . Contractor shall not disc1iminate on the basis of race, religious creed, color, ancestry , national origin, ethnicity, handicap , disability, marital status, pregnancy, age, sex , gender, sexual orientation , gender identity, Acquired-hm1mne Deficiency Syndrome (AIDS) or any other protected classification. Contractor shall comply with all anti-disc1imination laws, including Govermnent Code Sections 12900 and 11135 , and Labor Code Sections 1735 , 1777 and 3077.5 . Consistent with City policy, Contractor understands that harassment and discrimination directed toward a job applicant, an employee, a City employee, or any other person , by Contractor or Contractor's employees or sub-contractors will not be tolerated. Prog ram C ity of C up e rtino F a ll Festiv a l Bike Rode o Services Agreement ($5,000)/Rev. May 22, 2018 Page 2 of 6 Conflicts of Interest. Contractor shall comply with all conflict of interest laws applicable to this . Agreement and must avoid any conflict of interest. Contractor wanants that no public official, employee, or member of a City board or commission who might have been involved in the making of this Agreement, has or will receive a direct or indirect financial interest in this Agreement, in violation of California Govermnent Code Section 1090 et seq. Contractor may be required to file a conflict of interest fonn if Contractor makes ce1iain governmental decisions or serves in a staff capacity, as defined in Section 18700 of the California Code of Regulations. Contractor agrees to abide by the City's rules governing gifts to public officials and employees. 10. Abandonment. City may abandon or postpone the Project at any time. Contractor will be compensated for satisfactory Services perfonned through the date of abandomnent. 11. Termination. City may tern1inate this Agreement for cause or without cause at any time. City reserves the right to tenninate the Agreement and the remainder of the Services offered by Consultant without notice based upon Contractor's cancellation of a Service (i.e., program, class or activity) without giving advance notice or obtaining w1itten approval from City. 12. Governing Law. This Agreement is governed by the laws of the State of California. Any lawsuits filed related to this Agreement must be filed with the Superior Comi for the County of Santa Clara, State of California. Contractor must comply with the claims filing requirements under the Government Code prior to filing a civil action in comi. If a dispute arises, Contractor must continue to provide the Services pending resolution of the dispute. If the Paiiies elect arbitration, the arbitrator's award must be supp01ied by law and substantial evidence and include detailed written findings oflaw and fact. 13. Entire Agreement. This Agreement represents the full and complete understanding of every kind or nature between the Paiiies, and supersedes any other agreement or understanding, either oral or written, between the Paiiies. Any changes to this Agreement will be effective only if in writing and signed by each Paiiy's authorized representative. No verbal agreement or implied covenant will be valid to amend or ab1idge this Agreement. If there is any inconsistency between the main Agreement and the attachments or exhibits thereto, the text of the main Agreement shall prevail. Each provision and clause required by law for this Agreement is deemed to be inse1ied and will be infened herein. 14. Services Coordinator. The Paiiies designate the following persons as Services Coordinators for this Agreement. Contractor's designation and any substih1tion are subject to City approval. For Contractor: Pat Hines Name President Position 818 .786.4614 Contact Program City of Cupertino Fa ll Fes tiv a l Bike Rodeo For City: David Stillman Name Transporation Manager Position clavicl s@cupertino.org Contact Services Agreement ($5,000)/Rev. May 22, 2018 Page 3 of 6 15. Contract Interpretation. T here are no intended third patty beneficiaries of this Agreement. Neither acceptance of the Services nor payment therefor shall constitute a waiver of any contract provision. City's waiver of a breach shall not constitute waiver of another provision or breach . The headings in this Agreement are for convenience only. The Indemnification and Governing Law sections expressly survive this Agreement. 16. Severabilitv. If a term or provision of the Agreement or its application to a pmticular situation is found by the comi to be void, invalid, illegal or unenforceable , such term/ provision shall remain in effect to the extent allowed by such ruling. All other terms and prov isions of this Agreement or their application to specific situations shall remain in full force and effect. 17. Notices. All notices, demands, requests and approvals must be sent to the p ersons below in writing, and will be considered effective on the date of personal delivery, upon confirmation of delivery by a reputable overnight delivery service, on the fifth calendar day after deposit thereof in the United States Mai], postage prepaid, registered or certified, or the next business day following electronic submission: To City of Cupertino: I 0300 Torre Ave., Cupe1tino, CA 95014 Attention: D avid Stillmann Transportation Manager Email: davids @ cupertino.org I To Contractor: I Safe J\fo ves, Jnc 1 15500 Ern,in St, #2451 Van Nuys, CA 9141 I Attention: Pat Hines ·.-::..:.='-"=------------- President Email: p htflf SCJ-fe±!j (1\ OJo/. C0/\1\ 18. Validity of Contract. This Agreement is valid and enforceable only if (a) it complies with the contract provisions of Cupertino Municipal Code Sections 3.22 and 3.23, (b) is signed by the City Manager or an authorized designee, and (c) is approved for form by the City Attorney's Office. 19. Execution . Contractor's signatory warrants that h e or she is authorized to execute the Agreement and to legally bind Contractor. This Agreement may be executed in counterparts, each one of which is deemed an original and all of which, taken together, constitute a single binding instrument. Program C ity of Cuperti no Fall Festival Bike Rodeo Se,vices Agreement ($5,000)/Rev. May 22, 2018 Page 4 of 6 IN WITNESS WHEREOF, the Parties have caused the Agreement to be executed as of the Effective Date written above. CONTRACTOR Save Moves, In c 1550 rwinSt,#2451 VanNuys,CA91411 Name: Pat Hines Title: President Tax JD. No.: CJS -lf '--f 3 5 Lf l 2 APPROVED AS TO FORM: Cup er · o Acting City Attorney ATTEST: ~k ' By: ~A~ ~ r GRACE SCHMIDT,rty C lerk Program City of Cupertino Fa ll Festival Bike Rodeo CITY OF CUPERTINO A Municipal Corporation Name: David Stillm an Title: Transportation Manage r Services Agreement ($5,000)/Rev. May 22, 2018 Page 5 of6 Ex. A: Revised Scope of Work for City of Cupertino Rodeo Safe Moves City o Sidewalk 0 Intersections 0 Residential Neighborhood 0 Business District 0 Railroad tracks 0 Railroad signs and signals 0 Stop Signs 0 Traffic Lights 0 Crosswalk Signs 0 Bike Lan e Sig ns 0 Bike Lan es 0 Cars 0 Loan er bicycles and helmets Bike Obstacle Course o 2raised ramps o 2 braking/avoidance board o l tilt boards Set-Up/ Registration/ General o One (l) Table o Chairs o One ( l) Traffic Sig n Cos tume C haracter for photos o Certifi cation of Additional Insured Staff o Two (2) Sa f e Moves Staff Compensation and Schedule The contra ctor, Safe Moves , w ill be payed a total of $2 ,000.00 for their event on October 27th , 20 18. V EXHIBITB INSURANCE REQUIREMENTS For Services and Activities Involving Children Instructor shall procure and maintain for the duration of the contract insurance against claims for injuries to persons or damages to property which may arise from or in connection with the performance of the work hereunder and the results of that work by the Instructor, his agents, representatives , employees or subcontractors. MINIMUM SCOPE AND LIMIT OF INSURANCE Coverage shall be at least as broad as: 1. Commercial General Liability (CGL): Insurance Services Office Form CG 00 01 covering CGL on an "occurrence" basis, including property damage, bodily injury and personal & advertising injury with limits no less than $1,000,000 per occurrence. If a general aggregate limit applies, either the general aggregate limit shall apply separately to this project/location (ISO CG 25 03 or 25 04) or the general aggregate limit shall be twice the required occurrence limit. 2. Sexual Abuse/ Molestation insurance or the equivalent are required for contracts involving children V in after school activities , recreational programs, athletics , studies, transportation of students . Covers potential claims of abuse or child molestation. Sexual Abuse/Molestation coverage must be included under General Liability or obtained in separate policies in an amount of not less than $1,000,000 per occurrence ($2 ,000 ,000 aggregate) and $3 ,000 ,000 excess /umbrella coverage. 3. Automobile Liability: Insurance Services Office Form Number CA 0001 covering, Code 1 (any auto), or if Instructor has no owned autos , Code 8 (hired) and 9 (non-owned), with limits no less than $1,000,000 per accident for bodily injury and property damage. (Note -required only if auto is used in performance of work) 4. v Workers' Compensation insurance as required by the State of California, with Statutory Limits, and Employer's Liability Insurance with limit of no less than $1,000,000 per accident for bodily injury or disease. (Note -required only if Instructor has employees). If the contractor maintains broader coverage and/or higher limits than the minimums shown above, the Entity requires and shall be entitled to the broader coverage and /or higher limits maintained by the contractor. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to the Entity. Self-Insured Retentions Self-insured retentions must be declared to and approved by the Entity. The Entity may require the Instructor to provide proof of ability to pay losses and related investigations , claim administration, and defense expenses within the retention. The policy language shall provide, or be endorsed to provide, that the self-insured retention may be satisfied by either the named insured or Entity. Other Insurance Provisions The general liability policy is to contain , or be endorsed to contain, the following provisions: 1. The Entity, its officers, officials, employees, agents, and volunteers are to be covered as additional insureds with respect to liability arising out of work or operations performed by or on behalf of the Instructor including materials , parts or equipment furnished in connection with such work or operations . 2. For any claims related to this contract, the Instructor's insurance coverage shall be primary insurance coverage at least as broad as ISO CG 20 01 04 13 as respe cts the Entity, its officers, officials, employees, agents , and volunteers . 3. The Insurance Company agrees to waive all rights of ~gation against the Entity, its elected or appointed officers, officials, agents, and employees for losses paid under the terms of any policy which arise V from work performed by the Instructor for the Entity. This provision also applies to the Instructor's Workers' Compensation policy. 4. Each insurance pol icy required above shall provide that coverage shall not be canceled , except with notice to the Entity . Acceptability of Insurers Insurance is to be placed with insurers with a current A.M. Best 's rating of no less than A: VII, unless otherwise acceptable to the Entity . Verification of Coverage Instructor shall furnish the Entity with original certificates and amendatory endorsements effecting coverage required by this clause. All certificates and endorsements are to be received and approved by the Entity before work commences. The Entity reserves the right to require complete , certified copies of all required insurance policies , including endorsements affecting the coverage required by these specifications, at any time. We strongly recommend obtaining a copy of the policy declarations and endorsement page (make this a requirement in your Contract) to facilitate verification of coverages and spot any undesirable policy limitations or exclusions . Homeowner 's Insurance In some cases the Instructor 's homeowner's liability insurance may provide coverage sufficient to meet these requirements . Instructor should provide these requirements to his or her agent to confirm and provide verification to the E ntity . Special Events Coverage for Instructors Special events coverage is available for an additional fee to provide the liability insurance required by this agreement. Instructor can obtain additional information and cost from the Entity. Special or Low Risk Activities E ntity reserves the right to modify these requirements , including limits , based on the nature of the risk , prior experience, insurer, coverage, or other special circumstances. The Entity reserves the right to modify or waive insurance requirements for certain low risk recreational activities. -~ SAFEMOV-01 CINDYVELAZOUEZ ACORD' CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~-07/30/2018 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 certi ficate does not confer rights to the certificate holder i n lieu of such endorsement(s). PRODUCER 2~~I~cr Melonie Harbo NFP Property & Casualty Services, Inc. PHONE I FAX 2450 Ta~o Street (A/C, No , Ext): (A/C, No):(805) 579-1916 Simi Va ley, CA 93063 ~oMl~~ss: Melonie.Harbo@nfp.com INSURER/Sl AFFORDING COVERAGE NAIC # INSURER A : NOVA Casualtv Companv 42552 INSURED INSURER B : California Automobile Insurance Companv 38342 Safe Moves, Inc. INSURER c : State Comp Ins Fund of CA 35076 15500 Erwin Street #2451 INSURER D : Van Nuys, CA 91411 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER· REVISION NUMBER· TH IS IS TO CERTIFY TH AT THE POLICIES OF INSURANC E LISTED BELOW HAVE BEEN IS SU ED TO THE INSURED NAMED ABOVE FOR THE PO LICY PERIOD INDI CATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR COND ITION O F ANY CONTRACT OR OTHER DOC UMENT WI TH RESPECT TO W HI CH THIS CERTIFICATE MAY BE IS SUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT T O A LL TH E TERMS, EXCLUSI ONS AND CON DIT IONS O F SUCH POLICIES . LI M ITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ~~._DJ-SUBR POLICY NUMBER POLICY EFF POLIC Y EXP LIMITS LTR WVD /MM/DD/YYYY\ IM"'nDJYYYY I A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 V t--I CLA IMS-MADE [KJ OCCUR CF1-ML-10000513-01 1, • ..-,.., /8~~~~~J9F~~~Jir?,,ncel 1,000,000 X X 02/23/2018 02/23/201 9/, $ MED EXP (Anv one oersonl $ 5,000 t-- 1,000,000 PERSONAL & ADV INJURY $ -3,000,000 GEN'L AGGR EGATE LIMIT APP LIES PER : GENERAL AGGREGATE $ ::i POLICY O ~f8,= 0 LOG PRODUCTS -COMP/OP AGG $ 3,000,000 OTHER : $ v B AUTOMOBILE LIABILITY fEOMB INED SING LE LIMIT a accident\ $ 1,000,000 V X ANY AUTO BA040000040500 01/05/2018 01 /05/2019L VBODILY INJURY (Pe r oerson\ $ -OWNED -SCHEDULED AUTOS ONLY AUTOS BOD ILY INJURY (Per accident) $ --HI RED NON-OWNED PROPERTY DAMAG E -AUTOS ON LY -AUTOS ONLY /Per accident\ $ $ A X UMBRELLA LIAB ~ OCCUR CF1-UM-10000093-01 V EACH OCCURRENCE $ 1 ,000 ,000 -02/23/2018 02/23/2019 ( v AGGR EGATE 1,000,000 EXCESS LIAB CLAIMS-MADE $ DED I X I RETENTION $ 10,000 $ C WORKERS COMPENSATION X I ~~fTUTF I I OTH- AND EMPLOYERS ' LIABILITY 9017211-2018 / ER Y/N X 07/01/2018 07/01/2019~ 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTI VE D E.L. EACH ACCIDENT $ OFFICER/MEMBER EXC LUDED ? N /A 1,000,000 (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $ V If yes, describe under DESCRIP TI ON OF OPERAT IONS below E.L. DISEASE -POLICY LIMIT $ 1,000 ,000 • DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required) v' The City of Cupertino, its officers, officials, employees , agents, and volunteers are included as Additional Insured as respect to any claim , loss or liability for which the named insured is liable, when required by written contract, agreement or permit per policy form CG20380413. Waiver of subrogation for General Liabil ity is i ncluded as required by written contract per form #AGL09340716. Waiver of subrogation for Workers Compensation is included as required by written contract per policy form #10217(REV 7-2014). CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Cupertino THE EXPIRATION DATE THEREOF , NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS . 10300 Torre Avenue Cupertino, CA 95014 AUTHORIZED REPRESENTATIVE ~ v/Jl---I ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1 AGENCY CUSTOMER ID: SAFEMOV-01 CINDYVELAZQUEZ -------------------LO C #: 1 -------- ADDITIONAL REMARKS SCHEDULE AGENC Y NFP Property & Casualty Services, Inc. POLICY NUMBER SEE PAGE 1 CARRIER I NAIC CODE SEE PAGE 1 SEEP 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM , FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Additional Information CONTRACTUAL INSURANCE REQUIREMENTS NAMED INSURED Safe Moves, Inc. 15500 Erwin Street #2451 Van Nuysl CA 91411 Los Ange es EFFECTIVE DATE: SEE PAGE 1 Page 1 of 1 The attached Certificate of Insurance is provided as part of our service to our client, the Insured. If special endorsements have been provided, they also are indicated attached. You may find that these documents do not comply with all the terms and conditions of the underlying contract between the Certificate Holder and the Insured due to the insurance company's insuring conditions, limitations , exclusions and other terms . If you have any questions, please contact the undersigned . INSURANCE WEST/ NFP P&C CA LICENSE #OF15715 2450 TAPO ST SIMI VALLEY, CA 93063 TELEPHONE: (805) 579-1900 FAX: (805) 579-1916 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CG 20 38 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS -AUTOMATIC STATUS FOR OTHER PARTIES WHEN REQUIRED IN WRITTEN CONSTRUCTION AGREEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II -Who Is An Insured is amended to include as an additional insured: 1. Any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy; and 2. Any other person or organization you are required to add as an additional insured under the contract or agreement described in Paragraph 1. above. Such person(s) or organizat ion(s) is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. However , the insurance afforded to such additional insured described above: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to prov ide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for the person or organization described in Paragraph 1. above are completed . B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply : This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural , engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings , opinions , reports, surveys , field orders , change orders or drawings and specifications ; or b. Supervisory, inspection, architectural or engineering activities . This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment , training or monitoring of others by that insured , if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of , or the failure to render, any professional architectural , engineering or surveying services. 2. "Bodily in jury" or "property damage" occurring after : a. All work , including materials , parts or equipment furnished in connection with such work, on the project (other than service , maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed ; or CG 20 380413 © Insurance Services Off ice , Inc., 2012 Page 1 of 2 INSURED b. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or o rganization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds , the following is added to Section Ill -Units Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance : 1. Required by the contract or agreement descr ibed in Paragraph A.1.; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less . This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations . Page 2 of 2 © Insurance Serv ices Office , Inc., 2012 CG 20 38 0413 INS URE D r---.._ ~-\ POLICY NUMr, CFI-UM-100007 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. -------SOCIAL SERVICES -GENERAL LIABILITY EXTRA ENDORSEMENT This endorsement modifies insurance provided under the following : COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to SECTION I -COVERAGES, COVERAGE A -BODILY INJURY AND PROPERTY DAMAGE LIABILITY: SPECIAL EVENTS 1. This endorsement includes coverage for the following : a. All indoor events with less than 2 ,500 attendees that are less than 24 hours in duration ; and b. All outdoor events with less than 2 ,500 attendees that are less than 24 hours in duration . 2. This provision does not apply to the following events: a. Any event that exceeds either the number of attendees or duration of time as set forth in Paragraph 1. above ; b. Any carnival , circus, fair or parade ; or c. Any athletic , sports or motor vehicle event including but not limited to contests , demonstrations , exhibitions , races, rallies, tournaments, or competitive activities . B. SECTION I -COVERAGES, COVERAGE A -BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Paragraph 2. Exclusions is amended as follows: 1. EXPECTED OR INTENDED INJURY EXTENSION Paragraph a. Expected Or Intended Injury is deleted and replaced by the following: a. "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. 2. NON OWNED AIRCRAFT CHARTERED WITH CREW EXTENSION Paragraph g. Aircraft, Auto Or Watercraft is amended to add an exception provision to the exclusion as follows: a. This exclusion does not apply to a ircraft chartered with crew to any insured . b. This exception provision does not apply if the chartered aircraft is owned by any insured. c. This insurance is excess over any other valid and collectible insurance available to the insured whether primary , excess, or contingent. 3. NON OWNED WATERCRAFT EXTENSION Subparagraph (2) of g. Aircraft, Auto Or Watercraft is deleted and replaced by the following: (2) A watercraft you do not own that is : (a) Less than 60 feet long ; and (b) Not being used to carry persons or property for a charge; This provision applies to any person who, with your consent, either uses or is responsible for the use of a watercraft. This insurance is excess over any other valid and collectible insurance available to the insured for aircraft , auto or watercraft whether primary , excess , or contingent. 4. PROPERTY SOLD OR ABANDONED BY YOU Subparagraph (2) of j. Damage To Property is deleted and replaced by the follow ing : (2) Premises you sell , give away or abandon , if the "property damage" arises out of any part of those premises, and occurred from hazards that were known by you or should have reasonably been known by you at the time the property was sold , given away or abandoned . 5. DAMAGE TO PREMISES RENTED TO YOU a. The last Paragraph of 2. Exclusions is deleted and replaced by the following : Exclusions c. through n. do not apply to damage to premises while rented to you , or temporarily occupied by you with the permission of the owner, when the damage is caused by fire , lightning , explosion , smoke, water or leaks from automatic fire protective systems. A separate limit of insurance applies to this coverage as described in SECTION Ill -LIMITS OF INSURANCE. AGL09340716 Includes copyrighted material of Insurance Services Office , Inc., with its perm ission . INSURED Page 1 of 7 COMMERCIAL GENERAL LIABILITY b. Paragraph 6. of SECTION Ill -LIMITS OF INSURANCE is deleted and replaced by the following: 6. Subject to Paragraph 5. above, the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of "property damage" to any one premises while rented to you, or temporarily occupied by you with permission of the owner, caused by fire, lightning, explosion, smoke , water or leaks from automatic fire protective systems . 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, lightning , explosion, smoke , water or leaks from automatic fire protective systems, or any combination of any of these. The Damage To Premises Rented To You Limit will be the higher of: (1) $1,000,000 ; or (2) The amount shown on the Declarations for Damage To Premises Rented To You . 6. INVITEE PROPERTY DAMAGE LEGAL LIABILITY a. The following is added to subparagraph (4) of j. Damage To Property : However, this exclusion does not apply to "property damage" to your "invitee's" personal property in your care, custody or control caused by fire , lightning , explosion, smoke, water, leaks from automatic fire protective systems ; or vandalism or malicious mischief: (a) On premises you own or rent or on ways next to premises you own or rent; and (b) Arising out of your operations . For the purposes of this endorsement, personal property does not include any of the following: (a) Accounts, bills, currency , food stamps or other evidences of debt; deeds , money , notes, or securities ; (b) Contraband, or property in the course of illegal transportation or trade; or (c) Blueprints, documents , drawings, manuscripts, records or valuable papers. b. The following is added to SECTION Ill -LIMITS OF INSURANCE: Subject to Paragraph 5. above, the most we will pay under Coverage A for the sum of all damages sustained by all "invitees" because of "property damage" to personal property of such "invitees" in your care, custody or control is $15,000 . 7. Paragraph 2. Exclusions is amended to add the following exclusion : Willful Violation Of A Penal Code Or Statute "Bodily injury", "incidental medical malpractice liability" or "property damage" arising out of the willful violation of a penal code , statute or regulation relating to the sale or distribution of pharmaceuticals by or with the knowledge or consent of the insured . C. SECTION I -COVERAGES, COVERAGE B -PERSONAL AND ADVERTISING INJURY LIABILITY , Paragraph 2. Exclusions is amended as follows: 1. Subparagraph a. Knowing Violation Of Rights Of Another is amended to add the following : This exclusion does not apply to "personal and advertising injury" caused by malicious prosecution. 2. Subparagraph e. Contractual Liability is deleted and replaced by the following : e. Advertising injury for which the insured has assumed liability in a contract or agreement. This exclusion does not apply to liability for damages that the insured would have in the absence of the contract or agreement. This provision does not apply if COVERAGE B -PERSONAL AND ADVERTISING INJURY LIABILITY is excluded by endorsement. D. SUPPLEMENTARY PAYMENTS -COVERAGES A AND 8, Paragraph 1. is amended as follows: 1. The limit in subparagraph b. is increased to $2,500 . 2. The limit in subparagraph d. is increased to $500 a day . E. ADDITIONAL INSUREDS 1. SECTION II -WHO IS AN INSURED is amended to include , as an additional insured, any person(s) or organization(s) for whom a written contract or written agreement between you and such person(s) or organization(s) exists and requires such person(s) or organizations(s) to be added as an additional insured to your Policy , but only for liability arising out of "bodily injury ," "property damage" or "personal and advertising injury". a. This endorsement applies only if the written contract or written agreement is: (1) Currently in effect or becomes effective during the term of this Policy; and (2) Executed prior to the "bodily injury", "property damage", or "personal and advertising injury". AGL09340716 Includes copyrighted material of Insurance Services Office , Inc., with its permission . INSURED Page 2 of 7 b. The insurance afforded to such additional insured only: (1) Applies to the extent permitted by law ; and COMMERCIAL GENERAL LIABILITY (2) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. 2. The insurance provided to the additional insured by this endorsement applies as follows : a. The person(s) or organization(s) is an additional insured but only for liability caused in whole or in part by your acts or omissions or the acts or omissions of those acting on your behalf: (1) In connection with your premises owned by or rented to you; or (2) In the performance of your ongoing operations. b. If the additional insured is an architect, engineer or surveyor, this insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of or failure to render any professional services including : (1) The preparing , approving, or failing to prepare or approve maps, drawings , opinions , reports , surveys, change orders, designs or specifications; or (2) Supervisory, inspection or engineering services. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring , employment, training or monitoring of others by that insured if the "occurrence" which caused the "bodily injury" or "property damage" or the offense which caused the "personal and advertising injury" involved the rendering of or the failure to render any professional services by or for you . c. If the additional insured is a lessor of equipment, this insurance only applies to liability caused, in whole or in part, by your maintenance , operation or use of equipment leased to you by such additional insured and does not apply to any "occurrence" which takes place after the equipment lease expires. d. If the additional insured is a state or governmental agency or political subdivision and has issued a permit in connection with premises you own, rent or control, this insurance applies only with respect to the following hazards for which the state or political subdivision has issued such permit: (1) The existence, maintenance , repair , construction, erection , or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes , marquees, hoist away openings, sidewalk vaults, street banners or decoration and similar exposures ; (2) The construction, erection or removal of elevators; or (3) The ownership , maintenance, or use of any elevators covered by this insurance. e. If the additional insured is a state or governmental agency or political subdivision that has issued a permit or authorization with respect to operations performed by you or on your behalf, then this insurance does not apply to : (1) "Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality ; or (2) "Bodily injury" or "property damage" included within the "products-completed operations hazard ". f. If the additional insured is a manager or lessor of insured premises , that person or organization is an additional insured only with respect to liability arising out of the ownership, maintenance or use of that part of the premises leased to you . This insurance does not apply to: (1) Any "occurrence" that takes place 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 the manager or lessor of insured premises . g. If the additional insured is grantor of franchise , that person(s) or organization(s) is only an additional insured with respect to liability as grantor of a franchise to you . h. If the additional insured is an owner or other interest from whom land has been leased, that person(s) or organization(s) is only an additional insured with respect to liability arising out of the ownership, maintenance or use of that part of the land leased to you . This insurance does not apply to : (1) Any "occurrence" that takes place after you cease to lease that land; or (2) Structural alterations , new construction or demolition operations performed by or on behalf of the owner or other interest from whom land has been leased . i. If the additional insured is a mortgagee , assignee , or receiver , that person(s) or organization(s) is only an additional insured with respect to their liability as such and arising out of the ownership, maintenance or use of the premises by you. This insurance does not apply to structural alterations, new construction or demolition operations performed by or for that mortgagee, assignee or receiver. AGL09340716 Includes copyrighted material of Insurance Services Office , Inc., Page 3 of 7 with its permission . INSURED COMMERCIAL GENERAL LIABILITY j . If the additional insured is a controlling interest , that person(s) or organization(s) is an additional insured but only for their liability arising out of: (1) Their financial control of you; or (2) Premises they own , maintain or control while you lease or occupy those premises . (3) Their requirements for certain performance placed upon you , as a non-profit organization, in consideration for funding or financial contributions you receive from them ; or As respects Paragraph j.(2) above , this insurance does not apply to : (1) Structural alterations , new construction or demolition operations performed by or on behalf of the person or organization ; or (2) Any "occurrence " which takes place after you cease to be a tenant in that premises . k. If the additional insured is a vendor , that person(s) or organization(s) is only an additional insured with respect to "bodily injury" or "property damage" arising out of "your products" which are distributed or sold in the regular course of the vendor's business, but only if this Policy provides coverage for "bodily injury " or "property damage" included within the "products-completed operations hazard ". (1) This insurance afforded to the vendor does not app ly to : (a) "Bodily injury" or "property damage" for which the vendor 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 that the vendor would have in the absence of the contract or agreement; (b) Any express warranty unauthorized by you ; (c) Any physical or chemical change in the product made intentionally by the vendor ; (d) Repackaging , except when unpacked under the instructions of the manufacturer for the sole purpose of inspection , demonstration, testing or the substitution of parts and then repackaged in the original container ; (e) Any failure by the vendor to make inspections , adjustments , tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of "your products"; (f) Demonstration , installation, servicing or repair operat ions, except such operations performed at the vendor's premises in connection with the sale of "your products"; (g) Products which , after distribut ion or sale by you , have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for the vendor; or (h) "Bodily injury" or "property damage" arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not apply to : (i) The exceptions contained in subparagraphs (d) or (f); or (ii) Such inspections, adjustments , tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business , in connection with the distribution or sale of "your products". (2) This insurance does not apply to any insured person or organization, from whom you have acquired such products , or any ingredient , part or container, entering into, accompanying or containing such products . I. If the additional insured is a member or volunteer this insurance only applies with respect to their liabil ity for your activities or activities they perform on your behalf. m. If the additional insured is a trustee or member of the Board of Governors this insurance only applies with respect to their duties as such . 3. With respect to the insurance afforded to an additional insured as provided in Paragraphs E.1. and E.2. above , the most we will pay on behalf of the additional insured is the amount of insurance: a. Required by the contract or agreement ; or b. Available under the applicable Limits of Insu rance shown in the Declarations ; whichever is less . 4. With respect to the insurance afforded to an additional insured as provided in Paragraphs E.1. and E.2. above , this insurance shall not increase the applicable Limits of Insurance shown in the Declarations . 5. If an Additional Insured endorsement is attached to this Policy that specifically names a person or organization as an insured , then the above subsection E. ADDITIONAL INSUREDS does not apply to such person(s) or organization(s). 6. Paragraph 4. Other Insurance SECTION IV -COMMERCIAL GENERAL LIABILITY CONDITIONS is amended to include: For the purposes of the coverage provided by this endorsement, regardless of whether other insurance is available to an additional insured on a primary basis , this insurance will be primary and noncontributory if AGL09340 716 Includes copyrighted material of Insurance Services Office , Inc ., Page 4 of 7 with its permission. INSUR ED COMMERCIAL GENERAL LIABILITY a written contract between you and the additional insured specifically requires that this insurance be primary and noncontributory . F. SECTION II -WHO IS AN INSURED is amended as follows: 1. BROADENED NAMED INSURED Paragraph 3. is deleted and replaced by the following: 3. Any business entity organized under the laws of the United States of America (including any state thereof , its territories or possessions), or Canada (including any province thereof) will qualify as a Named Insured if there is no similar insurance available to that business entity , provided that one or more Named Insureds shown in the Declarations have , at the inception of the policy period, an ownership interest in such business entity of more than 50%. However , if a Named Insured has an ownership interest in a business entity of more than 50%, the business entity will not be a Named Insured if such business entity is an insured under any other liability policy or would be an insured under such policy but for its termination or the exhaustion of its Limit of Insurance . 2. CO-EMPLOYEE COVERAGE AND CO-VOLUNTEER WORKERS Subparagraphs (a), (b) and (c) under Paragraph 2.a.(1) do not apply to "bodily injury " for which insurance is provided as follows: a. Your "employees" are insureds with respect to "bodily injury" to a co-"employee " in the course of the co-"employee's " employment by you, or to your "volunteer workers " while performing duties related to the conduct of your business , provided that this coverage for your "employees " does not apply to acts outside the scope of their employment by you or while performing duties unrelated to the conduct of your business. b . Your "volunteer workers " are insureds with respect to "bodily injury " to a co-"volunteer worker" while performing duties related to the conduct of your business, or to your "employees " in the course of the "employees" employment by you, provided that this coverage for your "volunteer workers " does not apply while performing duties unrelated to the conduct of your business . 3. INCIDENTAL MEDICAL MALPRACTICE-EMPLOYED NURSES, EMT'S AND PARAMEDICS a. Paragraph 2.a.(1 )(d) does not apply to any registered nurse , licensed practical nurse, emergency medical technician or paramedic employed by you, but only : (1) While performing the services described in the definition of "incidental medical malpractice injury"; and (2) When acting within the scope of their employment by you . Any "employees " rendering "Good Samaritan Services " will be deemed to be acting within the scope of their employment by you . b. For the purposes of determining the applicable Limits of Insurance, any act or omission, together with all related acts or omissions in the furnishing of services for an "incidental medical malpractice injury" to any one person, will be considered one "occurrence". c. This provision as provided in Paragraph 3.a. and 3.b. does not apply if: (1) You are in the business or occupation of providing any of the services described in "incidental medical malpractice injury"; or (2) An endorsement is attached to this Policy that specifically provides liability coverage for registered or licensed practical nurses . d. The insurance provided by Paragraph 3.a. and 3.b. shall be excess over any other valid and collectible insurance available to the insured , whether primary, excess, contingent or on any other basis, except for insurance purchased specifically by you to be excess of this Policy . 4. LIABILITY FOR CONDUCT OF UNNAMED PARTNERSHIP OR JOINT VENTURE a. The last Paragraph of SECTION II -WHO IS AN INSURED is deleted and replaced by the following : No person or organization is an insured with respect to the conduct of any current or past partnership , joint venture , limited liability company or trust that is not shown as a Named Insured in the Declarations. This subparagraph does not apply to your liability with respect to your conduct of the business of any current or past partnership or joint venture that is not shown as a Named Insured in the Declarations . b. SECTION IV -COMMERCIAL GENERAL LIABILITY CONDITIONS , Paragraph 4.b. Excess Insurance is amended to add the following : This insurance is excess over any valid and collectible other insurance , whether primary , excess, contingent or on any other basis , which is available to you for your liability with respect to your conduct of the business of any current or past partnership or joint venture that is not shown as a Named Insured in the Declarations and which is issued to such partnership or joint venture . AGL09340716 Includes copyrighted material of Insurance Services Office , Inc ., Page 5 of 7 with its permission . INSURED COMMERCIAL GENERAL LIABILITY G. SECTION IV -COMMERCIAL GENERAL LIABILITY CONDITIONS are amended as follows: 1. KNOWLEDGE AND NO TICE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT The notification requirements of Paragraphs 2.a. and 2.b. Duties In The Event Of Occurrence, Offense, Claim Or Suit apply only when the "occurrence ", offense, claim or "sui t" is known to : a. You , if you are an ind iv idual ; b. A partner or member , if you are a partne rship or joint venture ; c. An officer or director , if you · are an entity other than a partnership , joint venture or limited liab ility company ; d. A member or manager, if you are a limited liability company ; or e. An insurance manager, risk manager or other "employee " you designate prior to loss to give notice to us . Knowledge of an "occurrence ", offense , claim, or "suit" by your agent , servant or "employee " shall not in and of itself constitute knowledge by you unless an individual in one of the positions listed above has actual knowledge . 2. FAILURE TO DISCLOSE HAZARDS The following is added to Paragraph 6. Representations : If you unintentionally failed to disclose all haza rds or pr ior "occurrences " existing at the inception of this Policy , but reported such error or omission to us as soon as practicable after discovery , we will not deny coverage under this Coverage Part because of such failure . This provision does not affect our right to collect any addit ional premium or exercise our right of cancellation or non-renewal. 3. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US The following is added to Paragraph 8 . Transfer Of Rights of Recovery Against Others To Us : We waive any right of recovery we may have aga inst any person or organization when such waiver is required by a written contract that you have agreed to prior to any "occurrence ", "suit" or the offense which caused the "bodily injury", "property damage" or "personal and advert ising injury ", provided that the "occurrence ", "suit" or the offense which caused the "bodily injury", "property damage" or "personal and advertising injury" arises out of operations contemplated by such contract. The waiver applies only to the person or organization designated in such contract. H . SECTION V -DEFINITIONS is amended as follows : 1. BODILY INJURY The definition of "bodily injury " in Paragraph 3 . is deleted and replaced by the following : "Bodily injury" means bodily injury , "incidental medical malpractice injury", mental anguish, mental injury , shock , fright , disability , humiliation , sickness or disease sustained by a person, including death resulting from any of these at any time . 2. PERSONAL AND ADVERTISING INJURY If COVERAGE B -PERSONAL AND ADVERTISING INJURY LIABILITY is not otherwise excluded from this Policy , the definition in Paragraph 14.b. is deleted and replaced by the following : b. Malicious prosecution or abuse of process ; The following is added : "Personal and advertising injury" also means "discrimination " or humiliation that results in injury to a natural person or their reputation , but only if such discrimination or humiliation is : (a) Not done intentionally by or at the direction of, or with the knowledge or consent of: i. Any insured ; or ii. Any executive officer , director, stockholder , partner or member of any i nsured organizat ion ; (b) Not directly or indirectly related to the employment , former or prospective employment , termination of employment , or app lication for employment , of any person or persons by any insured ; (c) Not prohibited by or held in violation of law , public policy, legislation , court decision or administrative ruling ; (d) Not arising out of any "advertisement" by the insu red. 3. INSURED CONTRACT a . Subparagraph a. of the definition of "insured contract" is deleted and replaced by the following : a . A contract for a lease of prem ises . b. Subparagraph f. of the definition of "insured contract" is deleted and replaced by the following : AGL09340716 Includes copyrighted material of Insurance Services Office , Inc., with its permiss ion. INSURED Page 6 of 7 COMMERCIAL GENERAL LIABILITY f. That part of any other contract or agreement pertaining to your business (including an indemnification of a municipality in connection with work performed for a municipality) under which you assume the tort liability of another party to pay for "bodily injury " "property damage" or "personal and advertising injury" to a third party or organization . Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. 4. PRODUCTS-COMPLETED OPERATIONS HAZARD The defin ition of "products-completed operations hazard " in Paragraph 16. is amended to add the fol lowing : Includes all "bodily injury " and "property damage" arising out of your "designated products " on premises you own or rent ; on premises used by you for a special event related to your business ; or on connecting lots , or premises whose connection is interrupted only by a street , roadway , waterway or right-of-way of a ra ilroad , next to any such premises you own or rent , or use for a special event. For the purpose of this definition, "designated products " means apparel , buttons , CD 's , DVD 's, posters , stickers , tapes and other similar products used to promote a special event rela t ed to your bus i ness . The following definitions are added : 5. "Discrimination" means : a. Unfair treatment of a natural person or organization including but not limited to discrimination based upon race, color , ethnic or national origin , religion , age , gender, marital status, sexual orientation or preference, pregnancy , physical disability or impairment , or mental disability or impa i rment ; or b. Any act or conduct that would be considered "discrimination " under any applicable federal, state , or local statute , ordinance or law. 6. "Good Samaritan services " means those medical services rendered or provided in an emergency and for which no remuneration is requested or paid . 7. "Incidental medical malpractice injury" means "bodily injury", mental anguish , sickness or disease sustained by a person , including death resulting from any of these at any time , arising out of the rendering of, or failure to render , the following services : a. Medical , surgical , dental, laboratory , x-ray or nursing service or treatment, advice or instruction , or the related furnishing of food or beverages ; b. The furnishing or dispensing of drugs or medical, dental, or surgical supplies or appliances ; or c. Fi rst aid . 8. "Invitee" means any of your clients , customers, guests, members, patrons, supporters , and "volunteer workers"; however, it does not include any pe rson who is your "emp loyee ", "temporary worker" or independent contractor. All other terms and conditions of the pol icy remain unchanged . AGL09 34071 6 Includes copyrighted material of Insurance Services Office , Inc ., with its permission . INSURED Page 7 of 7 I STATE ENDORSEMENT AGREEMENT WAIVER OF SUBROGATION BLANKET BASIS BROKER COPY COMPENr..;ATIOr,... IN ,;;UAA ...... C E FUNO 9017211-18 RENEWAL HOME OFFICE SAN FRANCISCO EFFECTIVE JULY 1, 2018 AT 12.01 A.M. NA 2-80-34-74 PAGE 1 OF ALL EFFECTIVE DATES ARE AT 12:01 AM PACIFIC ST AND ARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME AND EXPIRING JULY 1, 2019 AT 12.01 A.M. SAFE MOVES, INC. 15500 ERWIN ST STE 2451 VAN NUYS, CA 91411 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 APPLIES ONLY TO THE EXTENT THAT YOU PERFORM WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT FROM US. THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2.00% OF THE TOTAL POLICY PREMIUM. SCHEDULE PERSON OR ORGANIZATION ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER JOB DESCRIPTION BLANKET WAIVER OF SUBROGATION NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: ~;{.~ JULY 3, 2018 ~n-.di~~~ PRESIDENT AND CEO SCIF FORM 10217 (REV.7·2014) 2572 OLD DP 217 1