2011-80 CONTRACTOR AGREEMENT
THIS AGREEMENT, made and entered into this - day of VOZAP/11.1)0_, 2011,
A.D., by and between the City of Clermont 685 West Montrose Street, Clermont, Florida
(hereinafter referred to as "OWNER "), and ALLSTATE PAVING, INC., 5284 Patch
Road, Orlando, FL 32822 (hereinafter referred to as "CONTRACTOR ").
WITNESSETH: That the parties hereto, for the consideration hereinafter set forth,
mutually agree as follows:
ARTICLE I - SCOPE OF WORK
The CONTRACTOR shall furnish all labor, materials, equipment, machinery, tools,
apparatus and transportation and perform all of the work described in the bid documents
and specifications entitled:
RFB NO. 11 -023 — Disston Avenue Stormwater Improvements
as prepared by Owner and its agents shall do everything required by this Contract and the
other Contract Documents contained in the specifications, which are a part of these
Documents.
ARTICLE II - THE CONTRACT SUM
The OWNER shall pay to the CONTRACTOR, for the faithful performance of the
Contract as set forth in the contract documents and the Unit Price Schedule, attached
hereto and incorporated herein as Exhibit "A ", in lawful tender of the United States, the
total contract sum of FIVE HUNDRED NINETY -NINE THOUSAND ONE
HUNDRED AND TEN DOLLARS ($599,110.00).
ARTICLE III - COMMENCEMENT AND COMPLETION OF WORK
1. The CONTRACTOR shall commence work within 10 calendar days after receipt
of (i) Notice to proceed, and (ii) receipt of all permits required to perform the
work, and the CONTRACTOR will substantially complete the same within ninety
(90) calendar days, unless the period for completion is extended otherwise by the
amendment or change order to the Contract. Substantial Completion as provided
herein shall be the day the project or designated portion thereof is certified and
accepted by the OWNER as sufficiently complete, in accordance with the
Contract Documents.
2. The CONTRACTOR shall prosecute the work with faithfulness and diligence.
3 The CONTRACTOR further declares he has examined the sites of the work and
that from personal knowledge and experience or that he has made sufficient
investigations to fully satisfy himself that such sites are correct and suitable for
the work and he assumes full responsibility therefore. The provisions of this
Contract shall control any inconsistent provisions contained in the specifications.
All Drawings and Specifications have been read and carefully considered by the
CONTRACTOR, who understands the same and agrees to their sufficiency for the
work to be done. It is expressly agreed that under no circumstances, conditions or
situations shall this Contract be more strongly construed against the OWNER than
against the CONTRACTOR and his Surety.
Any ambiguity or uncertainty in the Plans, Drawings or Specifications shall be
interpreted and construed by the OWNERS Public Services Project Manager and
his decision shall be final and binding upon all parties.
It is distinctly understood and agreed that the passing, approval and/or acceptance
of any part of the work or material by the OWNER or by any agent or
representative as in compliance with the terms of this Contract and /or of the
Drawings, Plans and Specifications covering said work shall not operate as a
waiver by the OWNER of strict compliance with the terms of this Contract and /or
the Drawings and Specifications covering said work; and the OWNER may
require the CONTRACTOR and /or his Surety to repair, replace, restore and/or
make to comply strictly and in all things with this Contract and the Drawings and
Specifications any and all of said work and /or materials which within a period of
one year from and after the date of the passing, approval, and or acceptance of
any such work or material, are found to be defective or to fail and in any way to
comply with this Contract or with the Drawings and Specifications. This
provision shall not apply to materials or equipment normally expected to
deteriorate or wear out and become subject to normal repair and replacement
before their condition is discovered. The CONTRACTOR shall not be required to
do normal maintenance work under the guarantee provisions. Failure on the part
of the CONTRACTOR and /or his Surety, immediately after Notice to either, to
repair or replace any such defective materials and workmanship shall entitle the
OWNER, if it sees fit, to replace or repair the same and recover the reasonable
cost of such replacement and /or repair from the CONTRACTOR and /or his
Surety, who shall in any event be jointly and severally liable to the OWNER for
all damages, loss and expense caused to the OWNER by reason of the
CONTRACTOR'S breach of this Contract and /or his failure to comply strictly and
in all things with this Contract and /or his failure to comply strictly and in all
things with this Contract and with the Drawings and Specifications.
4. If required, As -built drawings and warranties acceptable to OWNER must be
submitted to the OWNER before final payment will be made to the
CONTRACTOR.
ARTICLE IV - LIQUIDATED DAMAGES
1. It is mutually agreed that time is of the essence in regard to this Contract.
Therefore, notwithstanding any other provision contained in the Contract
Documents, should the CONTRACTOR fail to complete the work within the
specified time as set by the Notice to Proceed, or any authorized extension
thereof, CONTRACTOR shall pay to OWNER the sum of FIVE HUNDRED
DOLLARS ($500.00) per calendar day as fixed, agreed and liquidated damages
for each calendar day elapsing beyond the specified time date; which sum shall
represent the damages sustained by the OWNER, and shall be considered not as a
penalty, but in liquidation of damages sustained. Contractor shall pay the
liquidated damages amount contained herein to Owner within fifteen (15) days of
receipt of Owner's written demand for such payment.
2. For the purposes of this Article, the day of final acceptance of the work shall be
considered a day of delay, and the scheduled day of completion of the work shall
be considered a day schedule for protection
ARTICLE V - PARTIAL AND FINAL PAYMENTS
In accordance with the provisions fully set forth in the General Conditions, and subject to
additions and deductions as provided, the OWNER shall pay the CONTRACTOR as
follows:
1. CONTRACTOR shall submit a progress payment request by the third (3rd) day of
each calendar month for work performed during the preceding calendar month.
Upon CONTRACTOR's signature accepting the PARTIAL PAYMENT
AUTHORIZATION, the OWNER shall make a partial payment to the
CONTRACTOR, within thirty (30) calendar days, on the basis of a duly certified
and approved payment invoice by the OWNER for work performed during the
preceding calendar month under the Contract. To insure proper performance of
the Contract, the OWNER shall retain ten percent (10 %) of the amount of each
estimate until final completion and acceptance of all work covered by the
Contract.
2. Upon submission by the CONTRACTOR of evidence satisfactory to the OWNER
that all payrolls, material bills and other costs incurred by the CONTRACTOR in
connection with the construction of the work have been paid in full, and also, after
all guarantees that may be required in the Specifications have been furnished and
are found acceptable by the OWNER, final payment, including any retainage
amount, on account of this Contract shall be made within thirty (30) calendar days
after completion of all work by the CONTRACTOR covered by this Agreement
and acceptance of such work by the OWNER.
ARTICLE VI - ADDITIONAL BONDS
It is further mutually agreed between the parties hereto that if, at any time after the
execution of this Agreement and the Surety Bonds hereto attached for its faithful
performance and payment of labor and materials, the OWNER shall deem the Surety or
Sureties upon such bonds to be unsatisfactory, or if, for any reason, such bonds cease to
be adequate to cover the performance and payments of the work, the CONTRACTOR
shall, at his expense, and within seven (7) days after receipt of Notice from the OWNER
to do so, furnish additional bonds, in such form and amounts, and with such Sureties as
shall be satisfactory to the OWNER. In such event, no further payment to the
CONTRACTOR shall be deemed due under this Agreement until such new or additional
security for the faithful performance and for payment of labor and materials of the work
shall be furnished in manner and form satisfactory to the OWNER.
ARTICLE VII — DISPUTE RESOLUTION - MEDIATION
1. Any claim, dispute or other matter in question arising out of or related to this
Agreement shall be subject to mediation as a condition precedent to voluntary
arbitration or the institution of legal or equitable proceedings by either party.
2. The Owner and Contractor shall endeavor to resolve claims, disputes and other
matters in question between them by mediation.
3. The parties shall share the mediator's fee and any filing fees equally. The
mediation shall be held in the place where the Project is located, unless another
location is mutually agreed upon. Agreements reached in mediation shall be
enforceable as settlement agreements in any court having jurisdiction thereof.
ARTICLE VIII — INSURANCE AND INDEMNIFICATION RIDER
1. Worker's Compensation Insurance - The Contractor shall take out and
maintain during the life of this Agreement Worker's Compensation Insurance for all his
employees connected with the work of this Project and, in case any work is sublet, the
Contractor shall require the subcontractor similarly to provide Worker's Compensation
Insurance for all of the latter's employees unless such employees are covered by the
protection afforded by the Contractor. Such insurance shall comply with the Florida
Worker's Compensation Law. In case any class of employees engaged in hazardous work
under this contract at the site of the Project is not protected under the Worker's
Compensation statute, the Contractor shall provide adequate insurance, satisfactory to the
Owner, for the protection of employees not otherwise protected
2. Contractor's Public Liability and Property Damage Insurance - The
Contactor shall take out and maintain during the life of this Agreement Comprehensive
General Liability and Comprehensive Automobile Liability Insurance as shall protect it
from claims for damage for personal injury, including accidental death, as well as claims
for property damages which may arise from operating under this Agreement whether
such operations are by itself or by anyone directly or indirectly employed by it, and the
amount of such insurance shall be minimum limits as follows
(a) Contractor's Comprehensive General, $1,000,000 Each
($2,000,000 aggregate)
Liability Coverages, Bodily Injury Occurrence, & Property Damage
Combined Single Limit
(b) Automobile Liability Coverages, $1,000,000 Each
Bodily Injury & Property Damage Occurrence,
Combined Single Limit
(c) Excess Liability, Umbrella Form $2,000,000
Each Occurrence, Combined Single Limit
Insurance clause for both BODILY INJURY AND PROPERTY
DAMAGE shall be amended to provide coverage on an occurrence basis.
3. Subcontractor's Public Liability and Property Damage Insurance - The
Contractor shall require each of his subcontractors to procure and maintain during the life
of this subcontract, insurance of the type specified above or insure the activities of his
subcontractors in his policy, as specified above.
4. Owner's and Contractor's Protective Liability Insurance - The Owner shall
procure and furnish an Owner's and Contractor's Protective Liability Insurance Policy
with the following minimum limits:
(a) Bodily Injury Liability & $1,000,000 each ($2,000,000 aggregate)
Property Damage Liability Occurrence
Combined Single Limit
5. "XCU" (Explosion, Collapse, Underground Damage) - The Contractor's
Liability Policy shall provide "XCU" coverage for those classifications in which they are
excluded.
6. Broad Form Property Damage Coverage, Products & Completed
Operations Coverages - The Contractor's Liability Policy shall include Broad Form
Property Damage Coverage, Products and Completed Operations Coverages.
7. Contractual Liability Work Contracts - The Contractor's Liability Policy
shall include Contractual Liability Coverage designed to protect the Contractor for
contractual liabilities assumed by the Contractor in the performance of this Agreement.
8. Indemnification Rider
(a) To cover to the fullest extent permitted by law, the Contractor shall
indemnify and hold harmless the Owner and its agents and employees
from and against all claims, damages, losses and expenses, including
but not limited to attorney's fees, arising out of or resulting from the
performance of the Work, provided that any such claim, damage, loss
or expense (1) is attributable to bodily injury, sickness, disease or
death, or to injury to or destruction of tangible property (other than the
Work itself) , and (2) is caused in whole or in part by any negligent act
or omission of the Contractor, any subcontractor, anyone directly or
indirectly employed by any of them or anyone for whose acts any of
them may be liable, regardless of whether or not it is caused in part by
a party indemnified hereunder. Such obligation shall not be construed
to negate, abridge, or otherwise reduce any other right to obligation of
indemnity which would otherwise exist as to any party or person
described in this Article.
(b) In any and all claims against the Owner or any of its agents or
employees by any employee of the Contractor, any subcontractor,
anyone directly or indirectly employed by any of them or anyone for
whose acts any of them may be liable, the indemnification obligations
under this Paragraph shall not be limited in any way by any limitation
on the amount or type of damages, compensation or benefits payable
by or for the Contractor or any subcontractor under workers' or
workmen's compensation acts, disability benefit acts or other
employee benefit acts.
(c) The Contractor hereby acknowledges receipt of ten dollars and other
good and valuable consideration from the Owner for the
indemnification provided herein.
9. Safety — At all times while performing the services contemplated herein
Contractor agrees to comply with OWNER'S published safety standards. A copy of
these standards is attached hereto and incorporated herein as Exhibit `B ".
CONSULTANT shall have full responsibility and assume all liability for the safety and
supervision of its employees while performing services provided hereunder.
ARTICLE IX - NOTICES
All notices shall be in writing and sent by United States mail, certified or registered, with
return receipt requested and postage prepaid, or by nationally recognized overnight
courier service to the address of the party set forth below. Any such notice shall be
deemed given when received by the party to whom it is intended.
CONTRACTOR: Allstate Paving, Inc.
5284 Patch Road
Orlando, FL 32822
Attn. Dan Phillips, President
OWNER: City of Clermont
Attn: Wayne Saunders, City Manager
685 W. Montrose Street
Clermont, FL 34711
ARTICLE X — MISCELLANEOUS
1. Attorneys' Fees. In the event a suit or action is instituted to enforce or interpret
any provision of this agreement, the prevailing party shall be entitled to recover
such sum as the Court may adjudge reasonable as attorneys' fees at trial or on any
appeal, in addition to all other sums provided by law.
2. Waiver. The waiver by city of breach of any provision of this agreement shall not
be construed or operate as a waiver of any subsequent breach of such provision or
of such provision itself and shall in no way affect the enforcement of any other
provisions of this agreement.
3. Severability. If any provision of this agreement or the application thereof to any
person or circumstance is to any extent invalid or unenforceable, such provision,
or part thereof, shall be deleted or modified in such a manner as to make the
agreement valid and enforceable under applicable law, the remainder of this
agreement and the application of such a provision to other persons or
circumstances shall be unaffected, and this agreement shall be valid and
enforceable to the fullest extent permitted by applicable law.
4. Amendment. Except for as otherwise provided herein, this agreement may not be
modified or amended except by an agreement in writing signed by both parties.
5. Entire Agreement. This agreement including the documents incorporated by
reference contains the entire understanding of the parties hereto and supersedes all
prior and contemporaneous agreements between the parties with respect to the
performance of services by contractor.
6. Assignment. This agreement is personal to the parties hereto and may not be
assigned by contractor, in whole or in part, without the prior written consent of
city.
7. Venue. The parties agree that the sole and exclusive venue for any cause of
action arising out of this agreement shall be Lake County, Florida.
8. Applicable Law. This agreement and any amendments hereto are executed and
delivered in the State of Florida and shall be governed, interpreted, construed and
enforced in accordance with the laws of the State of Florida.
9. Records. Contractor expressly understands and acknowledges that any and all
documents related to the services provided herein, may be considered records that
are subject to examination and production in accordance with Florida's Public
Records Law. Contractor expressly agrees that it will comply with all
requirements related to said law and that it will hold city harmless for any such
disclosure related to Florida's Public Records Law.
ARTICLE XI - CONTRACT DOCUMENTS
The Contract Documents, as listed below are herein made fully a part of this Contract as
if herein repeated.
Document Precedence:
1. Contract Agreement
2. Technical Plan and Specifications
3. All documents contained in RFP No.: 11 -023 — Disston Avenue Stormwater
Improvements and CONTRACTOR's October 13, 2011 response thereto,
including any all addenda or amendments thereto.
4. Instructions to Bidders
5. Drawings
6. Payment and Performance Bonds
' IN WITNESS W1 REOF, the parties hereto have executed this Agreement on
this day of , 2011.
. , ' , Ci t ont
C.11 1911 \ '�_JJL'
V Harold S. Turville, Jr., ayor
j " Attdst:
Pluul "` r • 11
Tracy A foyd, City Clerk
Allstate Pavin: Inc.
; I fi r r—# 111111111.1....m
/0..•, D � :hillips , President
i J
w ?
%.,. Attest: I' C�
-'IT •LI
, Corporate Sec 4 ry
EXHIBIT A
Agog-
SECTION — C Allstate Paving, Inc. -
REVISED PRICE SCHEDULE 6284 Patch Road
Oriunob, mama 32822
Final Completion Lump Sum Price (as per construction documents)
(Words)
(Figures) $ 5 ` Q "�
Contractor's Days to Final Completion: 90 Calendar Days.
Not to Exceed: Ninety (90) Calendar Days from Notice To Proceed.
By signing below, the respondent agrees to all terms, conditions, and specifications as stated In this solicitation, and
Is acting In an authorized capacity to execute this response. The respondent also certifies that h can and will provide
ahid make available, at a minimum, the items set forth in this solicitation.
Respondent Information and Signature
• •• .wrar►
Company Name (print): r ►
;, hg, no.
Street Address: 5284 Paic a 6.• •
• ando, Florida 32822 f
Malting Address (f different):
Telephone: "4 Ji r Z "11 - Z 1 t 7 Fax r 2ti 41'71 t# d
Email: 1-
a Lea ' • .e ' , , ' �i . Payment Perms: 1 °Y6 days, netTZ
FEIN: 9 - .• 2,, 2 -' Professional. License No.: L c � �. AP
Signature: ANY Date: 1 .41 •►
Print Name: i (0 1 I _
Does the respondent accept payment using the City's MASTERCARD? ❑ Yes :, No
END OF SECTION — C
RFB No: 11-023
Page 11 of 41
Vity 01 L4Crinont Ow I-U
SECTION — M Al latulb Paving, inc,
5284 Patch Road
SCHEDULE OF UNIT PRICES
- ��� Florida tori 32822
The schedule of unit prices below must be submitted with the response. Failure to do
so may deem RFB as non - responsive.
LS = Lump Sum LF = Linear Feet CY = Cubic Yard
EA = Each 5Y = Square Yard
� ltern Description Qty. Unit Unit Price Amount
A. SITE WORK
A.1 MOBILIZATION ` LS $ - S �.D
A2 REMOVE OF EXISTING ASPHALT ` LS $ �S.rt.s $ S...A� ---
A.3 REMOVE OF EXISTING LIMEROCK LS $ ` tee
r �
A.4 REMOVE OF EXISTING CONCRETE DRIVEWAY r LS $ 1 $
A.5 REMOVE OF EXISTING CURB ' LS $ 15. $ 1
A.6 SHEET PILE INSTALLED & REMOVED LF $ 712- $ 1 t (6;S,'
A.7 TYPE -III SILT FENCE 6 LF $ 1 $ 1 2 2 1 ,
A.8 EARTHWORK -CUT
154.2a CY $ -* $
A.9 EARTHWORK -FILL 60� CY $ Z r - $ ' ,
A.10 RIGHT OF WAY GRADING
EA $ $
A.11 SODDING I Sao SY $ 2. r $
A.12 REMOVE AND RELOCATE MAILBOXES i L5 $ 5v r $
A.13 MAINTENANCE OF TRAFFIC I LS $ r ULM,
■
A.14 CONSTRUCTION STAKING ( LS $ $
A.15 AS -BUILT DRAWINGS LS $ $
V
A.16 REMOVE AND REPLACE EXISTING SIGNS
LS $ 14 $ ts
A.17 PAYMENT AND PERFORMANCE BOND LS $ d) $ CituA.R..9
B. ROADS
B.1 12° STABILIZED SUBGRADE r + SY $ $
B.2 & LIMEROCK, PRIMED ( 35 SY $ 1 3 $ 55,0
B.3 2° TYPE S -III ASPHALT (VIRGIN) 1357 SY $ 16 $ 2 f G
RFB No: 11 -023
Page 38 of 41
VIl'vl VIGIIIIVI11 OIV 1 I - 1LO
SECTION - M
SCHEDULE OF UNIT PRICES
B.4 TYPE "F° CURB 725 LF $ t 4 r- $ (c),' cJ
B.5 TRANSITION CURB 5 LF $ 12 0— $ eststst, /-
B.6 SPILLOUT CURB SO LF $ , 4 r $ -7%,-.., °--
B.7 DROP CURB ‘, O LF $ 1 4' p- $ 1, 4.0
8.8 CONCRETE DRIVEWAYS i' d SY $ 4.. $ L6 gr; J
i
B.9 STREET SIGN 1 EA $ 15. $ t r,7
B.10 STOP SIGN 3 EA $ 7so $ °lux." '"---
-
B.11 STOP BAR (THERMO) e3 EA $ 25%-, r $ '7 5 o
B.12 REGULATORY SIGNS f EA $ 2.A-7--- $ 2
B.13 5' SIDEWALK I , SY $ $ c'r
B.14 HANDICAP RAMPS Wl TRUNCATED DOMES 2- EA $ " S J $ % 54,..,
C. STORM DRAINAGE
C.1 REMOVE OF EXISTING INLETS LS $ I t� ®/' $ ,� ��'
C.2 REMOVE OF EXISTING PIPES 1 LS $ r' $ •
t�ry Ifr2 df)
C.3 TYPE 6 MODIFIED INLET 6 ?•+s9a r $ tgs.22 aa
C.4 STORM MANHOLE v EA $ 1 5 ' $ 131..2_7m
C.5 DOG HOUSE MANHOLE r EA $ 7.o'a7,r $ '®
C.6 STORM CAPTURE BOXES V E EA $ 3 $ 1 2 �c.32.1
C.7 TYPE 6 MODIFIED INLET W/ WEIR 1 EA $ 2S1�."- $ 2
C.8 18" RCP 2. LF $ 3J " $
•
C.9 BAFFLE BOXES _ "3 EA $ Ill 5 fir-$ s 2 S ... C.10 BRICK & MORTER EX. 18" RCP I 9- EA $ ! 2 S J r $ 59
D. WATER DISTRIBUTION SYSTEM
D.1 8" PVC WATER MAIN 1 LF $ 2 P- $ c t„ o
D.2 8" DIP WATER MAIN INDER ROADWAYS 4 0 LF $ ?a ' $ t 2,..12,
D.3 8° GATE VALVE AND BOX 3 EA $22..e7.--'s 6jp0
!77
RFB No: 11 - 023
Page 39 of 41
1
city 01 ciermont nia i-uta
Allstate Paving, Inc.
SECTION — M 6284 Patch Road
SCHEDULE OF UNIT PRICES Orlando, Florida 32822
D.4 REMOVE 6' AC WM , 1 6r' LF $ 5' $ 62g
0.5 REMOVE 8' AC WM LF $ 5r $ ' r�-
0.6 REMOVE WATER SERVICE EA $ � '• $ Su
D.7 REMOVE & REPLACE FIRE HYDRANT ASSEMBLY t EA $ 25 $ g
D.8 6" X 8" REDUCER e EA $ Sr I $ 3(t?
D.9 FITTINGS 1 LS $ 2 —� $ 1 2
1.10 SINGLE SERVICE I EA $ g� $ �Q
0.11 IRRIGATION RESTORATION ( LS $ $ s� P^-
D.12 PRESSURE TEST / BACT -T TEST EA $C' $ �"
D.13 CONNECT TO EXISTING - INSTALL DEADMAN 1 LS $ C $
D.14 TEMPORARY JUMPER LS $ 1 $ t >
f r
0.15 6' GATE VALVE AND BOX EA $ $ Ci f u.P P" - F. SANITARY SEWER SYSTEM
F.1 REMOVE SEWER LATERAL ` EA $ 25.="" $ �'�
F.2 SINGLE LATERAL EA. $ t' uSt2' $ 1 13 ,s=--
END OF SECTION M
RFB No: 11 -023
Page 40 of 41
Exhibit `B"
SPECIFICATION SAFETY REQUIREMENTS
The following safety requirements are comprehensive in nature with some site
specificity; therefore, not all sections are applicable to every Agreement. Please apply
those safety requirements as site or situation dictate. NOTE: All CONTRACTORs
and /or engineers who assume responsibility for contract management will be responsible
for insuring compliance with these safety requirements by all CONTRACTOR and any
Subcontractors.
I. GENERAL
A. The CONTRACTOR shall comply with Federal /State Occupational Safety
and Health Act (OSHA) Standards and any other rules and regulations
applicable to construction and /or maintenance activities in the State of
Florida. The CONTRACTOR shall also comply with Chapter 442,
Florida Statutes (Toxic Substances in the Workplace), and any county, or
city, or any other agency's rules and regulations regarding safety.
B. The CITY'S safety personnel or any supervisor may, but is not required
to, order that the work be stopped if a condition of immediate danger is
found to exist. Nothing contained herein shall be construed to shift
responsibility or risk of loss for injuries or damage sustained as a result of
a violations of this Article from the CONTRACTOR to the CITY; and the
CONTRACTOR shall remain solely and exclusively responsible for
compliance with all safety requirements and for the safety of all persons
and property at the project site.
C. The parties hereto expressly agree that the obligation to comply with
applicable safety provisions is a material provision of this Agreement and
a duty of the CONTRACTOR. The CITY reserves the right to require
demonstration of compliance with the safety provisions of this Agreement.
The parties agree that such failure is deemed to be a material breach of this
Agreement; and the CONTRACTOR agrees upon such breach, all work
pursuant to the Agreement shall terminate until demonstration to the CITY
that the safety provisions of this Agreement have been complied with. In
no event shall action or failure to act on the part of the CITY be construed
as a duty to enforce the safety provisions of this Agreement, nor shall it be
construed to create liability for the CITY for any act or failure to act in
respect to the safety provisions of this Agreement.
II. SAFETY EQUIPMENT
All CITY safety regulations will be strictly adhered to and enforced by the CITY, which
may include work stoppage or removal of CONTRACTOR and /or personnel. These
safety regulations include, but are not limited to:
A. All persons on CITY property will wear industrial safety glasses with
affixed side shields at all times, except, when in an office building or
construction trailer, in the enclosed cab of a motor vehicle, or during a
break period when all work has stopped.
B. All persons on CITY property will wear an approved hard hat in good
repair at all times, except when in an office building or construction
trailer, in the enclosed cab of a motor vehicle, or during a break period
when all work has stopped. Bump hats are not acceptable at any time.
C. All persons on CITY property and in an area where the noise level
exceeds 85db, must wear hearing protection that complies with ANSI
S3.19 -74 (ear muffs and /or approved earplugs). This includes areas where
noisy equipment is in use (i.e. jack hammers, electric or air drills, heavy
equipment with open cabs, pipe cutting saw, etc.) and in the plant where
posted.
D. Sport or athletic -type style shoes are NOT considered a suitable work shoe
and are not acceptable as work shoes at this location.
E. Work conducted in an elevated position will require that:
1. Any person on CITY property working on or in an elevated
location (four feet above ground level) and unprotected by
handrails or guardrails must wear a safety belt or safety harness
and be tied off with a lanyard to a fixed object or support that will
restrict that person's fall to a "minimum distance."
2. Any person working from an electrical -line bucket truck will have
in use the appropriate fall protection device.
3. Any person on a pole or tree will have in use the appropriate gaffs,
belts, and /or harness.
4. Compliance with 29CFR 1910.269 is required.
F. Any person on CITY property, in an area where tools are being used that
cause or may cause flying particles or an area where there is a potential of
excessive dust or airborne particles, must wear, in addition to and over the
industrial safety glasses, either soft -sided goggles or a full face
shield /protector, and the appropriate respiratory protection equipment.
G. Where vehicular and /or pedestrian traffic is affected:
1. Maintenance of Traffic
The CONTRACTOR shall conduct his work so as to interfere as
little as possible with public travel, whether vehicular or
pedestrian. Whenever it is necessary to cross, obstruct, or close
roads, driveways, and walks, whether public or private, the
CONTRACTOR shall, at his own expense, provide and maintain
suitable and safe detours or other temporary expedients for the
accommodation of public and private travel, and shall give
reasonable notice to owners of private drives before interfering
with them. Such maintenance of traffic will not be required when
the CONTRACTOR has obtained permission from the owner and
tenant of private property, or from the authority having jurisdiction
over public property involved, to obstruct traffic at the designated
point.
2. Barricades and Lights
All streets, roads, highways, and other public thoroughfares, which
are closed to traffic, shall be protected by effective barricades on
which shall be placed acceptable warning signs. Barricades shall
be located at the nearest intersecting public highway or street on
each side of the blocked section and all other positions required by
applicable standards.
All barricades and obstructions shall be illuminated by means of
warning lights from sunset to sunrise. Materials stored upon or
alongside public streets and highways shall be so placed, and the
work at all times shall be so conducted, as to cause the minimum
obstruction and inconvenience to the traveling public.
All barricades, signs, lights, and other protective devices shall be
installed and maintained in conformity with applicable statutory
requirements and, where within railroad and highway rights -of-
way, as required by the authority having jurisdiction thereover.
All CONTRACTOR owned or controlled vehicles and /or
equipment, which will be operated on or within ten (10) feet of the
roadway will be equipped with a minimum of one amber 360
degree Class I warning device. This device must meet minimum
standards for utility construction purposes such as a minimum of
500,000 candlepower and visible from 360 degrees of mounting.
The warning device(s) must be in operation at all times that a
vehicle /equipment is on the roadway or within the ten (10) feet of
runoff area and not in a "normal" travel status.
3. Damage to Existing Property
The CONTRACTOR will be held responsible for any damage to
existing structures, work, materials, or equipment because of his
operations and shall repair or replace any damaged structures,
work, materials, or equipment to the satisfaction of, and at no
additional cost to, the CITY, unless otherwise addressed in the
Agreement.
III. TOXIC SUBSTANCES
The CONTRACTOR shall be responsible for compliance with Chapter 442,
Florida Statutes, "Toxic Substances in the Workplace" (Right -To- Know -Law) for
its employees and the employees of any and all subcontractors the
CONTRACTOR brings on or causes to be on the project site.
The CONTRACTOR shall, between receiving the Agreement and coming on the
project site to begin work, provide the CITY'S field representative with affidavits
stating that ALL personnel the CONTRACTOR brings on, or causes to be on the
project site, have been given training on any toxic substances said personnel will
be working with or may be exposed to while working at the job site.
The CONTRACTOR shall provide /give to the CITY'S field representative a copy
of manufacturer's MSDS for ANY and ALL "Toxic Chemicals" used by or
brought on the project site by the CONTRACTOR or subcontractor prior to the
substance(s) being delivered to the CITY'S property.
The CONTRACTOR and /or subcontractor must be provided MSDS(s) which
is /are in the possession of the CITY upon receipt of a written request. The CITY
may establish reasonable procedures for acting upon such requests to avoid
interruption of normal work operations.
Before any work shall begin, the CONTRACTOR shall arrange a meeting to
advise CITY'S field representative about safety and any dangers CITY employees
will be subjected to, due to the presence of chemicals on the project site.
IV. TRENCHING AND EXCAVATION
Trenching and excavation operations shall comply with the OSHA 29CFR 1926
Subpart P final rule.
A. Where CONTRACTOR work may interfere with other utilities, the CITY
shall be notified prior to encroachment unless otherwise addressed in the
Agreement.
B. The CITY has identified certain areas within its operations, which are
regulated by OSHA 29CFR 1910 Subpart Z. If the CONTRACTOR'S
work involves these affected areas, the CITY requires prior to
commencement of CONTRACTOR work that applicable and acceptable
written compliance programs and documented certification/qualifications
be provided to the CITY, management, and safety personnel.
V. CONTRACTOR OPERATIONS SHALL COMPLY WITH OSHA 29CFR
1910.269. Further CONTRACTOR operations shall comply with 29CFR
1910.252 and NFPA 51B for cutting and welding procedures.
VI. CONTRACTOR SHALL, WITHIN THIRTY (30) CALENDAR DAYS of
notification of award of Contract, and prior to commencement of work, provide to
the CITY, the CONTRACTOR'S written safety compliance program(s).
VII. CURRENT INDEPENDENT CERTIFICATION for any CONTRACTOR -
provided bucket truck to be for the provision of services of this Agreement shall
be provided to the CITY prior to use of said bucket truck.
.------.1 OP ID TO
A tt�._ ° R O � CERTIFICATE OF LIABILITY INSURANCE DA 11 /04,
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the
certificate holder In Ileu of such endorsement(s).
PRODUCER 407- 869 -0962 NA AR
E Marilyn Praytor
SIHLE INSURANCE GROUP, INC. 407 -774 -0936 PHONF 4 07-389 -3525 FAX 407 -389 -0425
P. O BOX 160398 (AIC, No, Ext) (AIC, No)
ALTAMONTE SPRINGS, FL 32716 E-M AIL RESS MPraytor @sihle.com
Allen Foster PRODUCER
CUSTOMER IDI ALLST -6
INSURERS) AFFORDING COVERAGE NAIC f
INSURED Allstate Paving, Inc. INSURERA Westfield Insurance Group 24112
5284 Patch Road INSURER B Bridgefield Employers Ins Co. 31267
Orlando, FL 32822
INSURER C
INSURER D
INSURER E
INSURER F
COVERAGES CERTIFICATE NUMBER REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR ADDL SIAM POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM1DDIYYYY) (MMIDDIYYYY) LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $ 1,000,000
A X COMMERCIAL GENERAL LIABILITY CMM3145071 04/03/11 04/03/12 DAMAG ET( O Eaoccurr D ence) $ 100,000
CLAIMS -MADE I X OCCUR MED EXP (Any one person) $ 5,000
X Contractual Liab PERSONAL 8 ADV INJURY $ 1,000,000
X XCU GENERAL AGGREGATE $ 2,000,000
GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS- COMP /OP AGG $ 2,000,000
7 POLICY DO , 1 LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ _1,000,000
A X ANY AUTO
CMM3145071 04/03/11 04/03/12 (Eaacaden[)
BODILY INJURY (Per person) $
ALL OWNED AUTOS
BODILY INJURY (Per accident) $
SCHEDULED AUTOS
PROPERTY DAMAGE
A X HIRED AUTOS CMM3145071 04/03/11 04/03/12 (Per accident) $
A X NON OWNED AUTOS CMM3145071 04/03/11 04/03/12 $
X UMBRELLA LIAB X OCCUR EACH OCCURRENCE _ $ 5,000,000
EXCESS LIAB ,CLAIMS -MADE AGGREGATE $ 5,000,000
-
_ DEDUCTIBLE
X RETENTION $ 10,000 $
WORKERS COMPENSATION WCSTATUTH
AND EMPLOYERS' LIABILITY X TORY LIMIT S I O-
ER
B ANY PROPRIETORIPARTNER/EXECUTIVE YIN 830 -46659 01/01/11 01/01/12 EL EACH ACCIDENT $ 1,000,000
OFFICER/MEMBER EXCLUDED? I N 1 A
(Mandatory In NH)
Ryes des nder E L DISEASE - EA EMPLOYEE $ 1,000,000
DESCRIP u O OPERATIONS below E L DISEASE - POLICY LIMIT $ 1,000,000
DESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required)
Job RFB #11 -023 Dlsston Avenue Storm Water Improvements
City of Clermont, Its elected officials and employees are named as
additional insured for Automobile Liability and General Liability including
Ongoing and Completed Operations where required by written contract The
General Liability insurance evidenced by this certificate shall be (cont'd)
CERTIFICATE HOLDER CANCELLATION
CITYCLI
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Clermont THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS
Attn. Wayne Saunders,
City Manager
AUTHORIZED REPRESENTATNE
685 W Montrose Street
Clermont, FL 34711 7'r = , /
i
1988 -2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD
NOTEPAD: HOLDER CODE CITYCLI ALLST -6 PAGE 2
INSURE D'S NAME Allstate Paving, Inc. OP ID: TO DATE 11/04/11
Primary nd Non- Qontnbut to any other insurance available to the
additional ial insured s) named above A Waiver o subrogation in favor of the
City of Clermont, i its elected officials and employees applies to the
Automobile Liability, General Liability and Workers Compensation policies
where required bywntten contract.
Policy Number: CI 1M3145071 COMMERCIAL GENERAL LIABILITY
CG 20 33 07 04
THIS ENDORSEMENT CHANGES THE PJLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - AUTOMATIC STATUS WHEN
REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU
This endorsement modifies insurance provided under the bllowmg
COMMERCIAL GENERAL LIABILITY COVERAGE PAR1
A. Section II - Who Is An Insured is amended to in- B. With respect to the insurance afforded to these ad-
clude as an additional insured any person or ditional insureds, the following additional exclu-
organization for whom you are performing opera- sions apply
bons when you and such person or organization This insurance does not apply to
have agreed in writing in a contract or agreement
that such person or organization be added as an 1. "Bodily injury", "property damage" or "personal
additional insured on your policy Such person or and advertising injury" arising out of the ren-
organization is an additional insured only with re- dering of, or the failure to render, any profes-
spect to liability for "bodily injury", "property dam- sional architectural, engineering or surveying
age" or "personal and advertising injury" caused, in services, including
whole or in part, by a. The preparing, approving, or failing to pre -
1. Your acts or omissions, or pare or approve, maps, shop drawings,
opinions, reports, surveys, field orders,
2. The acts or omissions of those acting on your change orders or drawings and specifica-
Lo` lull, bons, or
in the performance of your ongoing operations for b. Supervisory, inspection, architectural or
the additional insured engineering activities
A person's or organization's status as an additional 2. "Bodily injury" or "property damage" occurring
insured under this endorsement ends when your after
operations for that additional insured are com-
pleted a. All work, including materials, parts or
equipment furnished in connection with
such work, on the project (other than serv-
ice, maintenance or repairs) to be per-
formed by or on behalf of the additional
insured(s) at the location of the covered
operations has been completed, or
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 or-
ganization other than another contractor
or subcontractor engaged in performing
operations for a principal as a part of the
same project
CG 20 33 07 04 Copyright, ISO Properties, Inc , 2004 Page 1 of 1
INSURE)
Policy Number: CA1M31•5071 COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS LESSEES OR
CONTRACTORS - AUTOMATIC STATUS WHEN
REQUIRED IN CONSTRUCTION AGREEMENT -
COMPLETEID OPERATIONS
This endorsement modifies insurance provided tinier the following
COMMERCIAL GENERAL LIABILITY COVEFAGE PART
A. Section 11 • Who Is An Insured is amended to This insurance does not apply to:
include as an additional insured any person
or organization when you and such person 1. "Bodily injury", "property damage" or
or organization have agreed in writing in a "personal and advertising injury" caused,
contract or agreement that such person or in whole or in part by the rendering of,
organization be added as an additional in- or the failure to render, any professional
sured on your policy Such person or organ- architectural, engineering. or surveying
ization is an additional insured only with services, including:
respect to liability caused, in whole or in part,
by "your work" performed for that insured and
included in the "products - completed oper a. The preparing, approving, or failing
to prepare or approve, maps, shop
ations" hazard. drawings, opinions. reports. surveys,
The coverage afforded to the Additional In - field orders, change orders, or
sured is solely limited to liability specifically drawing and specifications, and
resulting from the conduct of the Named In-
sured, which may be imputed to the Addi- b. Supervisory, inspection, archrtec-
tional Insured tural, or engineering activities
B. This endorsement provides no coverage to 2. Willful misconduct of, or for defects in
Ma Qrlrlrtrnnal InceerarI fnr liability naiicari in J. ,ry„ r.., ,,i i . J IrJ, ii,. uJJlllv„ul I„
whole or in part, out of the claimed sured or its "employees ".
negligence of the Additional Insured, other
than which may be imputed to the Additional As a condition of coverage, the additional in-
Insured by virtue of the conduct of the Named sured shall be obligated to tender the defense
Insured and indemnity of every claim or suit to all
C. With respect to the insurance afforded these other Insurers that may provide coverage to
additional insureds, the following additional the additional insured. whether contingent,
exclusion applies. excess or primary.
Includes Copyrighted Material of Insurance
Services Office, Inc , with Its permission CG 70 87 01 05
•
Policy Number: C_' UM:H -15071 COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
OTHER INSURANCE CONDITION AMENDED
This endorsement modifies insurance provided unier the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
When required by written contract with any addi- to Exclusion g. of Section I - Cover-
bona' insured owner. lessee, or contractor to age A
provide insurance on a primary and noncontrib-
utory basis. Condition 4. of Section IV - Commer- (4) If the loss is caused by the sole
cial General Liability Conditions is deleted and negligence of any additional insured,
replaced by the following owner, lessee, or contractor.
4. Other Insurance When this insurance is excess, we will
have no duty under Coverages A or B to
If other valid and collectible insurance is defend the insured against any "suit" if
available for a loss we cover under Cover- any other insurer has a duty to defend
ages A or B of this Coverage Part, our obli- the insured against that "suit " If no
gations are limited as follows. other insurer defends. we will undertake
to do so, but we will be entitled to the
a. Primary Insurance insured's rights against all those other
Thls Insurance Is primary and non-
insurers
contributory except when b. below ap- When this Insurance Is excess over other
plies. insurance. we will pay only our share of
b. Excess Insurance the amount of loss, if any. that exceeds
the sum of
This insurance is excess over any of the
other insurance, whether primary, ex- (1) The total amount that all such other
insurance would nay for the loss in
the absence of this insurance, and
(1) That is Fire. Extended Coverage,
Builder's Risk, Installation Risk, or (2) The total of all deductible and self -
similar coverage for your work," Insured amounts under all that other
insurance
(2) That is Fire insurance for premises
rented to you or temporarily occu- We will share the remaining loss, if any,
pied by you with permission of the with any other insurance that is not de-
owner. or scribed in this Excess Insurance pro-
vision and was not bought specifically to
(3) If the loss arises out of the mainte- apply in excess of the Limits of Insurance
nance or use of aircraft, "autos," or shown in the Declarations of this Cover -
watercraft to the extent not subject age Part.
CG 70 55 12 98
POLICY NUMBER C'1\1M3145071 COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE P LICY. PLEASE READ IT CAREFULLY.
WAIVER OF TRANSFER O RIGHTS OF RECOVERY
AGAINST OTTERS TO US
This endorsement modifies insurance provided undE the following
COMMERCIAL GENERAL LIABILITY COVERAE PART
PRODUCTS /COMPLETED OPERATIONS LIAEITY COVERAGE PART
SCHEULE
Name Of Person Or Organization:
Any person or organization for whom you are req red in a written contract or agreement to include
a waiver of transfer of rights of recovery against otars to us provided the "bodily injury" or "property
damage" occurs subsequent to the execution of thEwritten agreement
Information required to complete this Schedule if nt shown above will be shown in the Declarations
The following is added to Paragraph 8 Transfer Of Ights Of Recovery Against Others To Us of Section
IV - Conditions
We waive any right of recovery we may have again the person or organization shown in the Schedule
above because of payments we mdke for injury orlamage arising out of your ongoing operations or
your work" done under a contract with that per_n or organization and included in the "products -
completed operations hazard" This waiver applie only to the person or organization shown in the
Schedule above
V Insurance Services Office Inc 2008 CG 24 04A U5 U9
WORKERS COMPENSATION AND EMPLOYERS LIABILIY INSURANCE POLICY WC 00 03 13
(Ed. 4-84)
WAIVER OF OUR RIGHT TO RECOER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyoe liable for an injury covered by thls policy. We will
not enforce our right against the person or organizatlolnamed in the Schedule. (This agreement applies only
to the extent that you perform work under a written catract that requires you to obtain this agreement from
us.)
This agreement shall not operate directly or indirectly benefit anyone not named in the Schedule.
Schad°
*Blanket Waiver of Sulogation Applies*
This endorsement changes the policy to which it is attached ai is effective on the date issued unless otherwise stated.
Date Prepared: December 16, 2010
Carrier: Bridgefield Employers Insurance Company
Effective Date of Endorsement January 1, 2011
Policy Number. 830 -46669 Courersigned
Insured: Allstate Paving, Inc.
WC 00 03 13 (Ed. 4 -84)
'Includes copyright material of the National Council on Compensationlsurance, Inc. used with rts permission. Copyright 1983 NCCI°
Polk) Number: CMINI3145071 COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BUSINESS AUTO EXPANDED PLUS COVERAGE ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
1. BUSINESS AUTO COVERAGE FORM CA 0001 SECTION II - LIABILITY COVERAGE. sub -
IS MODIFIED AS FOLLOWS: paragraphs (2) and (4) of item A. 2. a. Cover-
age Extensions, Supplementary Payments are
SECTION II - LIABILITY COVERAGE, item A. deleted and replaced with the following
1 Coverage, Who Is An Insured is amended
to include the following additional para- (2) Up to $5,000 for cost of bail bonds (in-
graphs: eluding bonds for related traffic law vio-
lations) required because of an
d. Any legally incorporated subsidiary of "accident" we cover. We do not have to
yours in which you own more than 50% furnish these bonds.
of the voting stock on the effective date
of this coverage form (4) All reasonable expenses incurred by the
However, "Insured" does not include any "insured" at our request, including actual
subsidiary that is an "insured" under any loss of earnings up to $500 per day be
other liability policy or would be an "in cause of time off from work
sured" under such a policy but for its SECTION II - LIABILITY COVERAGE, B. Ex-
termination or the exhaustion of its limits elusions, 5. Fellow Employee does not apply
of insurance if the "bodily injury" results from the use of a
e. Any organization you newly acquire or covered "auto" you own or hire
form, other than a partnership or joint SECTION III - PHYSICAL DAMAGE COVER -
venture, and over which you maintain AGE is amended as follows
ownership or a majority Interest , How- Item A. 4. Coverage, Covers a Extension Is
ever. coverage under this provision 9 g
deleted and replaced with the tollowing
(1) Does not apply if the organization 4 Gvveraye exleiniuiu
you acquire or form is an "Insured"
under another liability policy or
would be "insured" under such a a. Transportation Expenses
policy but for its termination or the We will pay up to $50 per day to a
exhaustion of its limits of insurance, maximum of $1,000 for transporta-
tion expense incurred by you be-
(2) Does not apply to "bodily injury" or cause of the total theft of a covered
"property damage" that occurred "auto" of the private passenger type
before you acquired or formed the We will pay only for those covered
organization, and "autos" for which you carry either
(3) Is afforded only for the first 180 days Comprehensive or Specified Causes
after you acquire or form the organ- of Loss Coverage We will pay for
ization or until the end of the policy transportation expenses incurred
period, whichever comes first during the period beginning 48 hours
after the theft and ending, regardless
f. Any person or organization with whom of the policy's expiration, when the
you agreed In writing in a contract. covered "auto" is returned to use or
agreement or permit, to provide Insur- we pay for its "loss "
ance such as is afforded under this pol
icy b. Personal Effects
This provision only applies if the We will pay up to $500 for the "loss"
written contract or agreement has of your personal effects that are
been executed or permit has been contained in a covered "auto" due to
issued. prior to the "bodily injury" or the total theft of the covered "auto "
"property damage" We will pay only for those personal
effects that are contained in covered
g. Any "employees" of yours while using a "autos" for which you carry either
covered "auto" you do not own. hire or Comprehensive or Specified Causes
borrow that "auto" of Loss Coverage
CA 70 68 08 05
Page 1 of 3
Our payment for Toss of or damage trical system, in or upon the covered
to personal effects will apply only on "auto ".
an excess basis over other collect-
ible insurance Item C. Limits Of Insurance, is amended to
include the following
Item A. Coverage, is amended to include the
following additional coverage items. 3. For those businesses not shown in the
Declarations as "auto" dealerships, the
We will pay the expense of returning a stolen following provisions also apply.
covered "auto" to you
a. In the event of a total loss to a cov-
5. Hired Auto Physical Damage ered "auto ", secured by an original
If Comprehensive, Specified Causes of lease or loan agreement, in which
Loss, or Collision coverages are pro- the cost of repairs plus the salvage
vided under this policy, then we will pro- value exceeds the actual cash value
vide the same coverage(s) for those
at the time of "loss ", the most we will
"autos" that you lease, hire, rent or bor-
pay is the greater of:
row from others. The most we will pay (1) The actual cash value of the
for any one "accident" or "loss" is $50,000 covered "auto" at the time of
or Actual Cash Value or Cost of Repair, "loss ", or
whichever is less. minus a deductible for
each covered "auto" that is equal to the (2) The amount you owe under the
largest deductible on the schedule of terms or the original lease or
"autos" applicable to any owned "auto" loan agreement to which the
for that coverage. No deductible applies covered "auto" is subject, re-
to "loss" caused by fire or lightning duced by.
6. Fire Department Service Charge (a) Overdue payments and as-
sociated financial penalties
When a tire department Is called to save as of the date of "loss ",
or protect a covered "auto ", its equip-
ment, its contents, or occupants from a (b) The transfer or rollover of a
covered cause of loss, we will pay up to previous outstanding lease
$1,000 for your liability for fire depart- or loan balance from an-
ment service charges other vehicle to the original
(1) Assumed by contract or agreement ered loan for the cov-
e
prior to loss, or ered "aua to
(2) Required by local ordinance (c) The dollar amount of any
unrepaired damage which
No deductible applies to this additional occurred prior to the date
coverage of a total loss, in which the
cost of repairs plus the sal -
Under Paragraph B. Exclusions the following vage value exceeds the ac-
is added. tual cash value,
Mechanical breakdown does not apply to (d) All refunds paid or payable
the accidental discharge of an airbag. to you as a result of the
Item B. Exclusions, is amended to include the early termination of the
followin lease or loan agreement or,
g to the extent financed. as a
Exclusions 4.c. and 4.d. do not apply to. result of the early termi-
nation of any warranty or
c. Cellular telephones and accessories extended service agree -
used with such equipment, provided ment on the covered "auto ".
such equipment is permanently in-
stalled in the covered "auto" at the (e) Financial penalties imposed
time of the "loss" or such equipment under the lease agreement
is removable from a housing unit for high mileage, excessive
which is permanently installed in the use or abnormal wear and
covered "auto" at the time of the tear, and
"loss', and such equipment is de (f) Nonrefundable security de-
signed to be solely operated by use posits
of the power from the "auto's" elec-
CA 70 68 08 05
Page 2 of 3
Item D. Deductible is deleted and replaced SECTION IV - BUSINESS AUTO CONDITIONS
with the following: is amended as follows
D. Deductible Item A. Loss Conditions, 2. a. Duties In The
Event Of Accident, Claim, Suit Or Loss Is
For each covered "auto ", our obligation amended to Include the following paragraph:
to pay for, repair, return or replace dam- This requirement applies when the "acci-
aged or stolen property will be reduced dent," claim. "suit" or "loss" is first known to
by the applicable deductible shown in the
Declarations (1) You, if you are an individual,
1. Any Comprehensive Coverage (2) A partner, if you are a partnership, or
deductible shown In the Declarations (3) An executive officer or insurance man -
does not apply to "loss" caused by ager, if you are a corporation.
fire or lightning
The following is added to Item 5. Transfer Of
2. Any Collision Coverage deductible Rights Of Recovery Against Others To Us
amount shall not apply to loss
caused by collision between your We waive any right or recovery we may have
" "auto", against any person or organization for whom
"auto" auto and an other you are required in a written contract or
than a covered "auto ", provided. agreement to include a waiver of transfer of
a. The loss to the covered "auto" rights of recovery against others to us, be-
is greater than the deductible cause of payments we make for injury or
amount, and damage done under a contract with that per-
son or organization.
b. The owner or operator of such Item B. 2. General Conditions, Concealment,
other "auto" has been identified, Misrepresentation Or Fraud is amended to
and include the following additional paragraph
c. The owner or operator of such If you unintentionally fall to disclose any haz-
other "auto" is legally liable for arc's existing at the Inception date of your
the loss to your covered "auto," policy, we will not deny coverage under this
and Coverage Part because of such failure
d. There is a valid Property Dam- Item B. 7. General Conditions, Policy Period,
age Liability Insurance Policy Coverage Territory is amended to include the
applicable at the time of the ac- following additional paragraph
cadent with respects to the per- e. For short-term (30 days or less) hlred
con or organization legally autos, the coverage territory is anywnere
responsible for such loss to the in the world, provided that if the in-
covered "auto " sured's responsibility to pay damages is
3 No deductible shall apply to glass determined in a "suit," that "suit" is
damage if the glass is repaired brought in the territory described in
items 7.a. - d.
rather than replaced
CA 70 68 08 05
Page 3 of 3
r