14085-CONTRACT (PUEBLO).PDF

Maricopa County — Formal (2015-06-24)

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JOB ORDER CONTRACTOR (JOC) CONTRACT
MARICOPA COUNTY, ARIZONA
HVAC JOB ORDER CONTRACTOR
Office of Procurement Services
Serial # 14085J0C
C-
Facilities Management, Maricopa County Arizona

IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the day and date first
above written, in counterparts, each of which shall, without proof or accounting for the other counterparts,
be deemed an original contract.
HVAC JOB ORDER CONTRACTOR
14085-JOC
2/6/15
Principal (Signature) Date
Steve Barry 86-1027390
Printed Name Federal Tax Identification Number
Vice-President / General Manager CR-39 #176640 / CR-74 #260462 / B-01 #173953
Title License Number
Net 30 914-84
Vendor Terms NIGP Commodity Code (Advantage)
COUNTY OF MARICOPA, ARIZONA
RECOMMENDED BY: ACCEPTED AND APPROVED:
Department Head Date Chairman, Board of Supervisors Date
ATTEST:
Clerk of the Board Date
LEGAL REVIEW
Approved as to form and within the powers and
authority granted under the laws of the State of
Arizona to Maricopa County.
By:
Attorney for the Board of Supervisors
Date:
General Conditions for JOC 7

Division 0- Bidding & Contract Requirements
Section Description Number of Pages
00005 Table of Contents 1
00500 Construction Contract 4
00610 Payment Bond and Performance Bond 3
00700 General Conditions Table of Contents 6
00700 General Conditions to the Construction Contract 43
Exhibit A — Definitions to the General Conditions ....... ........ ..... 3
Exhibit B — Alternate Dispute Resolution 5
Exhibit C — Legal Worker Certification 1
Exhibit D — Request for Proposal for Task Order 1
Exhibit E — Performance Bond and Payment Bond Forms 2
Exhibit F — SBE Reporting Document 1
Exhibit G — Request for Qualifications dated February 13, 2014 102
Exhibit H — Statement of Qualifications dated March 7, 2014 _.„ ...... 36
Exhibit I — Certificate of Insurance for Job Order Contract 2
Exhibit J — General Requirements for the Job Order Contracts 109
All of the exhibits above are incorporated by reference as though fully set forth herein whether or not
physically attached to this contract.
NOTE: ALL REFERENCES TO "JOC" IN THIS DOCUMENT ARE UNDERSTOOD TO MEAN
THE "HVAC JOC"
END OF SECTION
General Conditions for JOC 2

SECTION 00500
JOB ORDER CONTRACT
A. EFFECTIVE DATE:
This CONTRACT is entered into by and between the Owner and the Job Order Contractor as
Contract No. 14085-JOC, and shall be effective as of March 25, 2015.
B. OWNER:
MARICOPA COUNTY
do Facilities Management Department
401 West Jefferson Street
Phoenix, Arizona 85003
C. JOB ORDER CONTRACTOR:
Pueblo Mechanical & Controls, Inc.
6771 E. Outlook Dr.
Tucson, AZ 85756
Office: (800) 840-9170; Fax: (800) 473-4374; E-Mail: john@pueblo-mechanical.com
D. RECITALS:
The scope of work and specifications for a broad range of services will be identified in individual
Task Orders which will be issued by the Owner from time to time. See EXHIBIT D hereto.
NOW THEREFORE, intending to be legally bound and for valuable consideration, the receipt
and sufficiency of which are acknowledged, the Owner and Job Order Contractor agree as
follows:
E. AGREEMENT:
Article I. THE CONTRACT
1.1 The Task Order and other Contract Documents explained in Section 7.1 below and the
definitions which are contained Section 00700, Exhibit A, govern this Job Order Contract.
Article II. THE WORK
2.1 The Job Order Contractor shall execute the entire Work described by each Task Order,
including work which is reasonably inferable and necessary to produce the results intended
by the Contract and the Task Order.
Article III. CONTRACT TIME
3.1 The Job Order Contractor shall have access to the area of the Work effective from the date of
the Notice to Proceed for the assigned Task and shall achieve Substantial Completion and
Final Completion of the Work no later than the performance period specified in each Task
Order issued. The length of this Contract for services will be for a period of three (3) years
with two one-year options to extend the contract, but in no event will this Contract's Term
General Conditions for JOC 3

continue longer than five (5) years from the date of the Contract. The term of this Contract
shall not be extended. All Work issued hereunder must be completed in full by the final
expiration date of this Contract. Extensions to this Contract for years 4 and 5 may only be
made by an amendment signed by both parties. A permission to complete a Task Order that
extends into Year 4 or Year 5 does not extend the Contract in its entirety for the additional
year.
3.2 The Job Order Contractor shall achieve Substantial Completion of the Work (as defined in
Section 00700, Article 9.8 herein, and evidenced by a Certificate of Substantial Completion)
not later than as specified in each Task Order.
3.3 The Job Order Contractor shall achieve (as defined in Section 00700, Article 9.9 herein, and
evidenced by a Certificate of Final Completion) no later than as specified in each Task Order.
Article IV. CONTRACT SUM
4.1 The Owner shall pay the Job Order Contractor in current funds for the Job Order Contractor's
performance of individual Task Orders in an aggregate amount not to exceed Fifteen Million
Dollars ($15,000,000.00) in total, and not to exceed Five Million Dollars ($5,000,000.00) per
Fiscal Year, which Fiscal Year shall be designated by the Owner as beginning on July 1st and
ending on June 30th of the next calendar year. The single maximum value of a task issued
shall not exceed $1,000,000.00. The Owner does not guarantee a minimum Contract Sum
under this Contract, and Job Order Contractor, in accepting this Contract, does not expect a
minimum Contract Sum. Payments will be made in accordance with the sum negotiated for
each specific Task Order.
Maricopa County, at its sole discretion, may require the Job Order Contractor to purchase
from a specified or designated County supplier (i.e. Home Depot) any and/or all available
materials applied or installed by the Job Order Contractor or its subcontractors for a Task
Order. The materials purchased by the Job Order Contractor(s), or its subcontractor(s), shall
be purchased by the Job Order Contractor(s), or its subcontractor's, using their own funds
and/or credit. Any discounts offered to the JOC by the County's material supplier shall be
passed through to the County without markup. The County is not a party to these transactions
and any issue/disputes shall be resolved without the involvement of the County.
4.2 LABOR PRICE ADJUSTMENTS:
Any requests for reasonable price adjustments must be submitted sixty (60) days prior to the
Contract renewal. Requests for adjustment in cost of labor must be supported by appropriate
documentation. If County agrees to the adjusted price terms, County shall issue written
approval of the change. The reasonableness of the request will be determined by comparing
the request with the (Consumer Price Index) or by performing a market survey. This section
covers the positions of Project Manager, Superintendent and Engineer/Coordinator.
4.3 FEE AND OVERHEAD CALCULATIONS FOR CONSTRUCTION COSTS UP TO
$250,000.00
Overhead must be all inclusive and include all "costs of doing business". The County will
not pay separately for items such as, but not limited to warranty, project closeout, home
office expense, personal safety equipment, safety personnel, unless safety personnel is
specifically required for the Work being performed and approved by the Owner. The Job
General Conditions for JOC 4

Order Contractor agrees the overhead shall be no more than 8% and the fee shall be capped at
5%.
4.4 FEE AND OVERHEAD CALCULATIONS FOR CONSTRUCTION OVER $250,000.00
Overhead must be all inclusive and include all "costs of doing business". The County will
not pay separately for items such as, but not limited to warranty, project closeout, home
office expense, personal safety equipment, safety personnel, unless safety personnel is
specifically required for the Work being performed and approved by the Owner. Overhead
cost and percentages in addition to Job Order Contractor fee(s) shall be negotiated between
the Job Order Contractor and the County for any projects exceeding $250,000.00.
Article V. PROGRESS PAYMENTS
5.1 Progress payments will be made in accordance with Article 9 of the General Conditions to the
Job Order Contract.
Article VI. FINAL PAYMENT
6.1 Final Payment will be made in accordance with Article 9 of the General Conditions to the Job
Order Contract.
Article VII. CONTRACT DOCUMENTS
7.1 The Contract consists of the following documents incorporated herein by this reference:
7.1.1 The Job Order Contract — Section 00500.
7.1.2 The General Conditions to the Job Order Contract — Section 00700.
7.1.3 Permits, Change Orders, Change Directives, amendments or modifications to the
Contract.
7.1.4 Any and all documents issued during the procurement process for this Contract.
7.1.5 Task Order documents including, but not limited to, Task Orders, associated plans and
specifications.
7.1.6 Any addenda to any issued Task Orders or other Contract documents.
7.1.7 Exhibits to Section 00700:
Exhibit A — Definitions to the General Conditions
Exhibit B — Alternate Dispute Resolution
Exhibit C — Legal Worker Certification
Exhibit D — Request for Proposal for Task Order
Exhibit E — Performance Bond and Payment Bond Forms
Exhibit F — SBE Reporting Document
Exhibit G — Request for Qualifications dated February 13, 2014
Exhibit H — Statement of Qualifications dated March 07, 2014
Exhibit I — Certificate of Insurance for Job Order Contract.
Exhibit1 — General Requirements for the Job Order Contracts
General Conditions for JOC 5

All of the exhibits listed above are incorporated by reference as though fully set forth,
whether or not they are physically attached to this Contract.
7.1.8 All amendments to this Contract shall be in writing and approved/signed by both parties.
Maricopa County Office of Procurement Services shall be responsible for approving all
amendments for Maricopa County.
F. STRATEGIC ALLIANCE for VOLUME EXPENDITURES (SAVE):
The County is a member of the $AVE cooperative purchasing group. $AVE includes the State of
Arizona, many Phoenix metropolitan area municipalities, and many K-12 unified school districts.
Under the $AVE Cooperative Purchasing Agreement, and with the concurrence of the successful
Respondent under this solicitation, a member of $AVE may access a contract resulting from a
solicitation issued by the County.
General Conditions for JOC 6

Pueblo
&
#0)1irols, Inc.
800) 840-9110
PROPOSAL - Proposed Labor Rates Maricopa County HVAC .10C #14085
From: Pueblo Mechanical and Controls, Inc. Date; 1128/15
Attn: Paul Shamrock
Maricopa County Procurement Senhces
320 W. Lincoln Street
Phoenix, AZ 85003
Dear Paul,
Thank you for the opportunity to present our proposed labor rates [straight/overtime] in support
of your pending HVAC JOG RFQ #14085. The rates below are all inclusive and include all
overhead, profit, and miscellaneous labor expenses; no additional mark-up will be applied to
these labor rates.
Standard Overtime
Profetslimal/Mainb3nance/Tiades Labor Rates
Rate Rate
HR. Project Manager/Administrator : $90.00 $126.00
HR. HVAC Superintendent /Field Supervisor 1 $72.00 $101.00
HR. Project Coordinator ; $55.00 $77.00
HR_ Engineering — Services . : $125.043 175.00
HR. HVAC Sheet Metal installation $67.00 i94.66 - —
HR, Pipefitter / Steamfitter ' $80.00 $112.00
HR, Mechanical Technician IENIS/ChilleriThq 1 $80.00 $112.00
HR Electrical (By Pueblo Mech.) i $70.00 $98.00
HR General / Driver Labor 1 -S3-8.-013— $49788- - '
Exclusions: Wages above not applicable to Davis-Bacon Projects or holiday hour projects.
We look forward to providing this important service please call if you have any questions.
Sincerely,
John Neuser
Contracts Manager
JohnOpoeblo-rnectianicat oom
6771 E. Outlook Drive, Tucson, AZ 86756 • 11062 N. 24 th Avenue, Phoenix, AZ 86029
Office - (800) 840.9170 • Fax -(888) 473-4374
www.pueblo-rnechanicalcom
AZ LIG: CR-39 a ROC176840 • AZ UC: B-01 I R0C173953 • AZ LIC: CR-74 # R0C260462
Table of Contents-General Conditions 00700-i

--- 7 0 DATE (MMIDD/YYYY)
ACCPRE, CERTIFICATE OF LIABILITY INSURANCE
44.------- 2/6/2015
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 lieu of such endorsement(s).
PRODUCER CONTACT NAME: Jynessa Shaffer
Crest Insurance Group, LLC PHONE 520-881- 5760 FAX 520-618-3948
5285 East Williams Circle Suite 4500 (A/C, N, o_ Ext). (A/C. No
Tucson AZ 85711 ADDRE E-MAIL SS: ishaffer@crestcom
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A :Cincinnati Insurance Company 10677
INSURED 70PUEBMEC1 INSURER e :American Safety Indemnity 25433
Pueblo Mechanical & Controls, Inc. INSURER C:
6771 E. Outlook Drive
Tucson AZ 85756 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 581184384 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR LTR TYPE OF INSURANCE ADDL INSD SUBR VVVD POLICY NUMBER (MM/DDNYYY) POLICY EFF (MM/DD/YYYY) POLICY EXP LIMITS
A x COMMERCIAL GENERAL LIABILITY Y Y EPP0081147 6/2/2014 6/2/2015 EACH OCCURRENCE $1,000,000
DAMAGE TO RENTED
CLAIMS-MADE X OCCUR PREMISES (Ea occurrence) $500,000
X Ded: $1,000 PD MED EXP (Any one person) $10,000
PERSONAL & ADV INJURY $1,000,000
GE 'L AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $2,000,000
POLICY X E F, LOC PRODUCTS - COMP/OP AGG $2,000,000
OTHER: $
A AUTOMOBILE LIABILITY Y Y EPP0081147 6/2/2014 6/2/2015 COMBINED (Ea accident) SINGLE LIMIT $1,000,000
X ANY AUTO BODILY INJURY (Per person) $
ATOS ALL U OVVNED AUTOS SCHEDULED BODILY INJURY (Per accident) $
X HIRED AUTOS AUTOS NON-OWNED PROPERTY (Per accident) DAMAGE $
$
A X UMBRELLA LIAB X OCCUR Y Y EPP0081147 6/2/2014 6/2/2015 EACH OCCURRENCE $4,000,000
EXCESS LIAB CLAIMS-MADE AGGREGATE $4,000,000
DED RETENTION $ $
WORKERS COMPENSATION PER 0TH-
AND EMPLOYERS' LIABILITY Y / N STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE N /A E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE
If yes, describe under
DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT $
A, Installation Floater EPP0081147 6/2/2014 6/2/2015 $500,000 Limit $1,000 Ded
DI,, Pollution Liability CPL101246 4/1/2014 4/1/2015 $2,000,000 Limit $5,000 Ded
''' Professional Liability EPP0081147 6/2/2014 6/2/2015 $1,000,000 Limit $5,000 Ded
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Certificate holder, its agents, representatives, officers, directors, officials, and and and others when required in a written contract or
agreement are Additional Insured (General Liability, Automobile Liability & Umbrella Liability). Coverage is Primary & Non-Contributory
(General Liability). Waiver of Subrogation (General Liability, Automobile Liability & Umbrella Liability) applies. This form is subject to all policy
forms, terms, endorsements, conditions definitions & exclusions.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Maricopa County Office of Procurement Services ACCORDANCE WITH THE POLICY PROVISIONS.
320 W. Lincoln Street
Phoenix AZ 85003 AUTHORIZED REPRESENTATIVE
Co4 Ito-cola
1
© 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD

--- .1 0 DATE (NIM/DDIYYYY)
ACC)RE) CERTIFICATE OF LIABILITY INSURANCE
2/8/2015
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 lieu of such endorsement(s).
PRODUCER CONTACT NAME: Certificates
Minard-Ames Insurance Services PHONE (A/C No FrO : 602- 2731625 - (A/C. FAX No): 602-273-0212
4646 E. Van Buren St., #200 E-MAIL
Phoenix AZ 85008 ADDRESS: certs@INSURICA.com
INSURER(S) AFFORDING COVERAGE NA1C #
INSURER A:Acuity A Mutual Insurance Company
INSURED PUEBMECO1C INSURER B :
Pueblo Mechanical & Controls, Inc. INSURER C:
6771 E. Outlook Dr. INSURER D:
Tucson AZ 85756
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 749436160 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. NOTVVITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER (MM/DD/YYYY) POLICY EFF (MM/DD/YYYY) POLICY EXP LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTED
CLAIMS-MADE OCCUR PREMISES (Ea occurrence) $
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
POLICY JECT PRO- LOC PRODUCTS - COMP/OP AGG $
OTHER: $
AUTOMOBILE LIABILITY COMBINED (Ea accident) SINGLE LIMIT $
ANY AUTO BODILY INJURY (Per person) $
ATOOSVVNED ALL U AUTOS SCHULED ED BODILY INJURY (Per accident) $
HIRED AUTOS AUTOS NON-OWNED (Per PROPERTY accident) DAMAGE $
$
UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTION $ $
A WORKERS COMPENSATION y X46855 7/9/2014 7/9/2015 ^ , STATUTE PER OTH- ER
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE N / A E.L. EACH ACCIDENT $1,000,000
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT $1,000,000
DESCRIPTION OF OPERATIONS ! LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Waiver of subrogation applies in favor of the certificate holder on the employers liability/workers compensation if required in a written contract
and/or agreement. Per attached form: WC000313 4/84.
RE: Serial #14085-JOC, HVAC Job Order Contractor.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Maricopa County Office of Procurement Services ACCORDANCE WITH THE POLICY PROVISIONS.
320 W. Lincoln Street
Phoenix AZ 85003 AUTHORIZED REPRESENTATIVE
Ar
© 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD

Policy No: X46855
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT WC 00 03 13(4 -84)
We have the right to recover our payments from under a written contract that requires you to obtain
anyone liable for an injury covered by this policy. We this agreement from us.
will not enforce our right against the person or or- This agreement shall not operate directly or indirectly
ganization named in the Schedule. This agreement to benefit any one not named in the Schedule.
applies only to the extent that you perform work
SCHEDULE
ANY PERSON OR ORGANIZATION WITH WHOM YOU HAVE A WRITTEN
CONTRACT OR AGREEMENT IN WHICH YOU ARE REQUIRED TO WAIVE RIGHTS
OF RECOVERY UNDER THIS POLICY. SUCH CONTRACT OR AGREEMENTMUST
HAVE BEEN EXECUTED PRIOR TO THE OCCURRENCE CAUSING INJURY OR
DAMAGE.

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRIMARY / NONCONTRIBUTORY AMENDMENT OF
CONDITIONS FOR DESIGNATED ADDITIONAL
INSUREDS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL UABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization (Additional Insured):
ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE REQUIRED IN WRITTEN CONTRACT TO ADD
AS AN ADDITIONAL INSURED ON A PRIMARY AND NONCONTRIBUTORY BASIS
With respect to insurance provided the additional When this insurance is excess over any
insured shown in the Schedule, SECTION IV - other insurance, we will pay only our
COMMERCIAL GENERAL LIABILITY CONDI- share of the amount of the loss, if any,
TIONS, 5. Other Insurance is deleted in its en- that exceeds the sum of:
tirety and replaced by the following: (1) The total amount that all such other
5. Other Insurance insurance would pay for the loss in
the absence of this insurance; and
If other valid and collectible insurance is
available to the additional insured for a loss (2) The total of all deductible and self-
we cover under Coverages A or B of this insured amounts under all that other
Coverage Part, our obligations are limited as insurance.
follows: We will share the remaining loss, if any,
a. Primary Insurance with any other insurance that was not
bought specifically to apply in excess of
Where required by a written contract, this the Limits of Insurance shown in the
insurance is primary and noncontributory Declarations of this Coverage Part.
as respects any other insurance policy
issued to the additional insured. Other- c. Method of Sharing
wise, b. below applies. If all of the other insurance permits con-
b. Excess Insurance tribution by equal shares, we will follow
this method also. Under this approach
This insurance is excess over any of the each insurer contributes equal amounts
other insurance available to the additional until it has paid its applicable limit of in-
insured whether primary, excess, contin- surance or none of the loss remains,
gent or on any other basis. whichever comes first
When this insurance is excess, we will If any of the other insurance does not
have no duty under Coverages A or B to permit contribution by equal shares, we
defend any claim or "suit" that any other will contribute by limits. Under this
insurer has a duty to defend. If no other method, each insurer's share is based on
insurer defends, we will undertake to do the ratio of its applicable limit of insurance
so, but we will be entitled to the insured's to the total applicable limits of insurance
rights against all those other insurers. of all insurers.
GA 4094 10 01

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
AUTOMATIC ADDITIONAL INSURED - WHEN
REQUIRED IN CONTRACT OR AGREEMENT WITH YOU
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
1. SECTION II - WHO IS AN INSURED, 2. is 2. Conformance to Specific Written Con-
amended to include: tract or Agreement
e. Any person or organization, hereinafter If a written contract or agreement be-
referred to as ADDITIONAL INSURED: tween you and the additional insured
specifies that coverage for the additional
(1 Who or which is not specifically insured:
named as an additional insured un-
der any other provision of, or en- a. Be provided by the Insurance Ser-
dorsement added to, this Coverage vices Office additional insured form
Part; and number CG 20 10 or CG 20 37
(where edition specified); or
(2) For whom you are required to add as
an additional insured on this Cover- b. Include coverage for completed op-
age Part erations; or
under: c. Include coverage for "your work";
(1) A written contract or agreement; or and where the limits or coverage provided
to the additional insured is more restric-
(2) An oral agreement or contract where tive than was specifically required in that
a certificate of insurance showing written contract or agreement, the terms
that person or organization as an ad- of Paragraphs 3., 4.a.(2) and / or 4.13., or
ditional insured has been issued; any combination thereof, of this endorse-
but only with respect to liability arising out ment shall be interpreted as providing the
of "your work" performed for that addi- limits or coverage required by the terms
tional insured by you or on your behalf. A of the written contract or agreement, but
person or organization's status as an in- only to the extent that such limits or cov-
sured under this endorsement continues erage is included within the terms of the
for only the period of time required by the Coverage Part to which this endorsement
written contract or agreement, but in no is attached. If, however, the written con-
event beyond the expiration date of this tract or agreement specifies the Insur-
Coverage Part. If there is no written con- ance Services Office additional insured
tract or agreement, or if no period of time form number CG 20 10 but does not
is required by the written contract or specify which edition, or specifies an edi-
agreement, a person or organization's tion that does not exist, Paragraphs 3.
status as an insured under this endorse- and 4.a.(2) of this endorsement shall not
ment ends when your operations for that apply and Paragraph 4.b. of this en-
insured are completed. dorsement shall apply.
2. SECTION IV - COMMERCIAL GENERAL 3. SECTION III - LIMITS OF INSURANCE is
LIABILITY CONDITIONS is amended to in- amended to include:
clude: The limits applicable to the additional insured
1. Automatic Additional Insured Provi- are those specified in the written contract or
sion agreement or in the Dedarations of this Cov-
erage Part, whichever are less. If no limits are
The written or oral contract or agreement specified in the written contract or agreement,
must be currently in effect or become ef- or if there is no written contract or agreement,
fective during the term of this Coverage the limits applicable to the additional insured
Part. The contract or agreement also are those specified in the Declarations of this
must be executed prior to the "bodily in- Coverage Part. The limits of insurance are in-
jury", "property damage" or "personal and clusive of and not in addition to the limits of in-
advertising injury" to which this endorse- surance shown in the Declarations.
ment pertains.
Includes copyrighted material of Insurance
GA 472 10 01 Services Office, Inc., with its permission. Page 1 of 2

4. The following are added to SECTION I - C. "Bodily injury" or "property damage" aris-
COVERAGES, COVERAGE A. BODILY ing out of "your work" for which a consoli-
INJURY AND PROPERTY DAMAGE dated (wrap-up) insurance program has
LIABILITY, 2. Exclusions and SECTION I - been provided by the prime contractor /
COVERAGES, COVERAGE B. PERSONAL project manager or owner of the construc-
AND ADVERTISING INJURY LIABILITY, 2. tion project in which you are involved.
Exclusions:
5. SECTION IV - COMMERCIAL GENERAL
The insurance provided to the additional in- LIABILITY CONDITIONS, 5. Other Insur-
sured does not apply to: ance is amended to include:
a. "Bodily injury", "property damage" or "per- a. Where required by a written contract or
sonal and advertising injury" arising out of agreement, this insurance is primary and /
the: or noncontributory as respects any other
insurance policy issued to the additional
(1) Rendering of, or failure to render, any insured, and such other insurance policy
professional architectural, engineer- shall be excess and / or noncontributing,
ing or surveying services, including: whichever applies, with this insurance.
(a) The preparing, approving or fail- b. Any insurance provided by this endorse-
ing to prepare or approve maps, ment shall be primary to other insurance
shop drawings, opinions, re- available to the additional insured except:
ports, surveys, field orders,
change orders or drawings and As otherwise provided in SECTION
specifications; and IV - COMMERCIAL GENERAL
LIABILITY CONDITIONS, 5. Other
(b) Supervisory, inspection, archi- Insurance, b. Excess Insurance; or
tectural or engineering activities;
(2) For any other valid and collectible in-
(2) Sole negligence or willful misconduct surance available to the additional
of, or for defects in design furnished insured as an additional insured by
by, the additional insured or its "em- attachment of an endorsement to an-
ployees". other insurance policy that is written
b. "Bodily injury" or "property damage" aris- on an excess basis. In such case,
ing out of "your work" included in the the coverage provided under this en-
"products-completed operations hazard". dorsement shall also be excess.
Includes copyrighted material of Insurance
GA 472 10 01 Services Office, Inc., with its permission. Page 2 of 2

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CONTRACTORS' COMMERCIAL GENERAL LIABILITY
BROADENED ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. Endorsement - Table of Contents:
Coverage: Begins on Page:
1 Employee Benefit Liability Coverage 2
2. Unintentional Failure to Disclose Hazards 7
3. Damage to Premises Rented to You 8
4. Supplementary Payments 9
5. Medical Payments 9
6. Voluntary Property Damage (Coverage a.) and Care, Custody or Control
Liability Coverage (Coverage b.) 9
7. 180 Day Coverage for Newly Formed or Acquired Organizations 10
8. Waiver of Subrogation 10
9. Automatic Additional Insured - Specified Relationships: 10
• Managers or Lessors of Premises;
• Lessor of Leased Equipment;
• Vendors;
• State or Political Subdivisions - Permits Relating to Premises;
• State or Political Subdivisions - Permits; and
• Contractors' Operations
10. Broadened Contractual Liability - Work Within 50' of Railroad Property 13
11. Property Damage to Borrowed Equipment 13
12. Employees as Insureds - Specified Health Care Services: 14
• Nurses;
• Emergency Medical Technicians; and
• Paramedics
13. Broadened Notice of Occurrence 14
B. Limits of Insurance:
The Commercial General Liability Limits of Insurance apply to the insurance provided by this endorse-
ment, except as provided below:
1. Employee Benefit Liability Coverage
Each Employee Limit: $ 1,000,000
Aggregate Limit: $ 3,000,000
Deductible: $ 1,000
3. Damage to Premises Rented to You
The lesser of:
a. The Each Occurrence Limit shown in the Declarations; or
b. $500,000 unless otherwise stated $
4. Supplementary Payments
a. Bail bonds: $ 1,000
b. Loss of earnings: 350
Includes copyrighted material of Insurance
GA 233 AZ 09 09 Services Office, Inc., with its permission. Page 1 of 14

5. Medical Payments
Medical Expense Limit: $ 10,000
6. Voluntary Property Damage (Coverage a.) and Care, Custody or Control Liability Coverage
(Coverage b.)
Limits of Insurance (Each Occurrence)
Coverage a. $1,000
Coverage b. $5,000 unless otherwise stated $
Deductibles (Each Occurrence)
Coverage a. $250
Coverage b. $250 unless otherwise stated $
COVERAGE PREMIUM BASIS RATE ADVANCE PREMIUM
(a) Area (For Limits in Excess of (For Limits in Excess of
(b) Payroll $5,000) $5,000)
(c) Gross Sales
(d) Units
(e) Other
b. Care, Custody $
or Control
TOTAL ANNUAL PREMIUM $
11. Property Damage to Borrowed Equipment
Each Occurrence Limit: $ 10,000
Deductible: $ 250
C. Coverages: 2) Our right and duty to
defend ends when we
1. Employee Benefit Liability Coverage have used up the ap-
a. The following is added to SECTION I plicable limit of insur-
- COVERAGES: Employee Benefit ance in the payment of
Liability Coverage. judgments or settle-
ments.
(1) Insuring Agreement No other obligation or liabil-
(a) We will pay those sums that ity to pay sums or perform
the insured becomes legally acts or services is covered
obligated to pay as dam- unless explicitly provided for
ages caused by any act, er- under Supplementary Pay-
ror or omission of the in- ments.
sured, or of any other per- (b) This insurance applies to
son for whose acts the in- damages only if the act, er-
sured is legally liable, to ror or omission, is negli-
which this insurance ap- gently committed in the
plies. We will have the right "administration" of your
and duty to defend the in- "employee benefit pro-
sured against any "suit" gram"; and
seeking those damages.
However, we will have no 1) Occurs during the pol-
duty to defend against any icy period; or
"suit" seeking damages to
which this insurance does 2) Occurred prior to the
not apply. We may, at our effective date of this
discretion, investigate any endorsement provided:
report of an act, error or
omission and settle any a) You did not have
claim or "suit" that may re- knowledge of a
sult. But: claim or "suit" on
or before the ef-
1) The amount we will pay fective date of this
for damages is limited endorsement.
as described in SEC-
TION III - LIMITS OF You will be
INSURANCE; and deemed to have
Includes copyrighted material of Insurance
GA 233 AZ 09 09 Services Office, Inc., with its permission. Page 2 of 14

knowledge of a 1) Failure of any invest-
claim or "suit" ment to perform;
when any
"authorized repre- 2) Errors in providing in-
sentative"; formation on past per-
formance of investment
i) Reports all, or vehicles; or
any part, of the
act, error or 3) Advice given to any
omission to us person with respect to
or any other that person's decision
insurer; to participate or not to
participate in any plan
ii) Receives a included in the "em-
written or ver- ployee benefit pro-
bal demand or gram".
claim for dam-
ages because (f) Workers' Compensation
of the act, er- and Similar Laws
ror or omis- Any claim arising out of
sion; and your failure to comply with
b) There is no other the mandatory provisions of
applicable insur- any workers' compensation,
ance. unemployment compensa-
tion insurance, social secu-
(2) Exclusions rity or disability benefits law
or any similar law.
This insurance does not apply
to: (g) ERISA
(a) Bodily Injury, Property Damages for which any in-
Damage or Personal and sured is liable because of
Advertising Injury liability imposed on a fiduci-
ary by the Employee Re-
"Bodily injury", "property tirement Income Security
damage" or "personal and Act of 1974, as now or
advertising injury". hereafter amended, or by
(b) Dishonest, Fraudulent, any similar federal, state or
Criminal or Malicious Act local laws.
Damages arising out of any (h) Available Benefits
intentional, dishonest, Any claim for benefits to the
fraudulent, criminal or mali- extent that such benefits
cious act, error or omission, are available, with reason-
committed by any insured, able effort and cooperation
including the willful or reck- of the insured, from the ap-
less violation of any statute. plicable funds accrued or
(c) Failure to Perform a Con- other collectible insurance.
tract (i) Taxes, Fines or Penalties
Damages arising out of fail- Taxes, fines or penalties,
ure of performance of con- including those imposed
tract by any insurer. under the Internal Revenue
(d) Insufficiency of Funds Code or any similar state or
local law.
Damages arising out of an
insufficiency of funds to (j) Employment-Related
meet any obligations under Practices
any plan included in the Any liability arising out of
"employee benefit pro- any:
gram".
(1) Refusal to employ;
(e) Inadequacy of Perform-
ance of Investment / Ad- (2) Termination of em-
vice Given With Respect ployment;
to Participation
(3) Coercion, demotion,
Any claim based upon: evaluation, reassign-
Includes copyrighted material of Insurance
GA 233 AZ 09 09 Services Office, Inc., with its permission. Page 3 of 14

ment, discipline, defa- rectors. Your stockholders
mation, harassment, are also insureds, but only
humiliation, discrimina- with respect to their liability
tion or other employ- as stockholders.
ment-related practices,
acts or omissions; or (e) A trust, you are an insured.
Your trustees are also in-
(4) Consequential liability sureds, but only with re-
as a result of (1), (2) or spect to their duties as
(3) above. trustees.
This exclusion applies (2) Each of the following is also an
whether the insured may be insured:
held liable as an employer
or in any other capacity and (a) Each of your "employees"
to any obligation to share who is or was authorized to
damages with or repay administer your "employee
someone else who must benefit program".
pay damages because of (b) Any persons, organizations
the injury. or "employees" having
(3) Supplementary Payments proper temporary authori-
zation to administer your
SECTION I - COVERAGES, "employee benefit program"
SUPPLEMENTARY PAY- if you die, but only until your
MENTS - COVERAGES A AND legal representative is ap-
B also apply to this Coverage. pointed.
b. Who is an Insured (c) Your legal representative if
you die, but only with re-
As respects Employee Benefit Liabil- spect to duties as such.
ity Coverage, SECTION II - WHO IS That representative will
AN INSURED is deleted in its en- have all your rights and du-
tirety and replaced by the following: ties under this Coverage
(1) If you are designated in the Part.
Declarations as: (3 ) Any organization you newly ac-
(a) An individual, you and your quire or form, other than a part-
spouse are insureds, but nership, joint venture or limited
only with respect to the liability company, and over
conduct of a business of which you maintain ownership
which you are the sole or majority interest, will qualify
owner. as a Named Insured if no other
similar insurance applies to that
(b) A partnership or joint ven- organization. However, cover-
ture, you are an insured. age under this provision:
Your members, your part- (a) Is afforded only until the
ners, and their spouses are 180th day after you acquire
also insureds but only with or form the organization or
respect to the conduct of the end of the policy period,
your business. whichever is earlier; and
(c) A limited liability company, (b) Does not apply to any act,
you are an insured. Your error or omission that was
members are also insureds, committed before you ac-
but only with respect to the quired or formed the or-
conduct of your business. ganization.
Your managers are in-
sureds, but only with re- c. Limits of Insurance
spect to their duties as your
managers. As respects Employee Benefit Liabil-
ity Coverage, SECTION III - LIMITS
(d) An organization other than OF INSURANCE is deleted in its en-
a partnership, joint venture tirety and replaced by the following:
or limited liability company,
you are an insured. Your (1) The Limits of Insurance shown
"executive officers" and di- in Section B. Limits of Insur-
rectors are insureds, but ance, 1. Employee Benefit Li-
only with respect to their ability Coverage and the rules
duties as your officers or di-
Includes copyrighted material of Insurance
GA 233 AZ 09 09 Services Office, Inc., with its permission. Page 4 of 14

below fix the most we will pay reduced by the amount of
regardless of the number of: this deductible.
(a) Insureds; (b) The deductible amount
stated in the Declarations
(b) Claims made or "suits" applies to all damages
brought; sustained by any one "em-
(c) Persons or organizations ployee", including such
making claims or bringing "employee's" dependents
"suits"; and beneficiaries, because
of all acts, errors or omis-
(d) Acts, errors or omissions; or sions to which this insur-
ance applies.
(e) Benefits included in your
"employee benefit pro- (c) The terms of this insurance,
gram". including those with respect
to:
(2) The Aggregate Limit shown in
Section B. Limits of Insurance, 1) Our right and duty to
1. Employee Benefit Liability defend the insured
Coverage of this endorsement against any "suits"
is the most we will pay for all seeking those dam-
damages because of acts, er- ages; and
rors or omissions negligently
committed in the "administra- 2) Your duties, and the
tion" of your "employee benefit duties of any other in-
program". volved insured, in the
event of an act, error or
(3) Subject to the limit described in omission, or claim,
(2) above, the Each Employee apply irrespective of the
Limit shown in Section B. Limits
of Insurance, 1. Employee application of the deductible
Benefit Liability Coverage of amount.
this endorsement is the most we (d) We may pay any part or all
will pay for all damages sus- of the deductible amount to
tained by any one "employee", effect settlement of any
including damages sustained by claim or "suit" and, upon
such "employee's" dependents notification of the action
and beneficiaries, as a result of: taken, you shall promptly
(a) An act, error or omission; or reimburse us for such part
of the deductible amount as
(b) A series of related acts, er- we have paid.
rors or omissions, regard-
less of the amount of time d. Additional Conditions
that lapses between such As respects Employee Benefit Li-
acts, errors or omissions, ability Coverage, SECTION IV -
negligently committed in the COMMERCIAL GENERAL LIABIL-
"administration" of your "em- ITY CONDITIONS is amended as
ployee benefit program". follows:
However, the amount paid un- (1) Item 2. Duties in the Event of
der this endorsement shall not Occurrence, Offense, Claim or
exceed, and will be subject to Suit is deleted in its entirety and
the limits and restrictions that replaced by the following:
apply to the payment of benefits 2. Duties in the Event of an Act, Error or
in any plan included in the "em- Omission, or Claim or Suit
ployee benefit program".
a. You must see to it that we are noti-
(4) Deductible Amount fied as soon as practicable of an act,
(a) Our obligation to pay dam- error or omission which may result in
ages on behalf of the in- a claim. To the extent possible, no-
sured applies only to the tice should include:
amount of damages in ex- (1) What the act, error or omission
cess of the deductible was and when it occurred; and
amount stated in the Decla-
rations as applicable to (2) The names and addresses of
Each Employee. The limits anyone who may suffer dam-
of insurance shall not be
Includes copyrighted material of Insurance
GA 233 AZ 09 09 Services Office, Inc., with its permission. Page 5 of 14

ages as a result of the act, error method described in b.
or omission. below.
b. If a claim is made or "suit" is brought b. Method of Sharing
against any insured, you must:
If all of the other insur-
(1) Immediately record the specifics ance permits contribu-
of the claim or "suit" and the tion by equal shares,
date received; and we will follow this
method also. Under
(2) Notify us as soon as practicable. this approach each in-
You must see to it that we receive surer contributes equal
written notice of the claim or "suit" as amounts until it has
soon as practicable. paid its applicable limit
of insurance or none of
c. You and any other involved insured the loss remains,
must: whichever comes first
(1) Immediately send us copies of If any of the other in-
any demands, notices, sum- surance does not per-
monses or legal papers re- mit contribution by
ceived in connection with the equal shares, we will
claim or "suit"; contribute by limits.
Under this method,
(2) Authorize us to obtain records each insurer's share is
and other information; based on the ratio of its
(3) Cooperate with us in the investi- applicable limit of in-
gation or settlement of the claim surance to the total ap-
or defense against the "suit"; plicable limits of insur-
and ance of all insurers.
(4) Assist us, upon our request, in c. No Coverage
the enforcement of any right This insurance shall not
against any person or organiza- cover any loss for
tion which may be liable to the which the insured is
insured because of an act, error entitled to recovery un-
or omission to which this insur- der any other insur-
ance may also apply. ance in force previous
d. No insured will, except at that in- to the effective date of
sured's own cost, voluntarily make a this Coverage Part.
payment, assume any obligation, or e. Additional Definitions
incur any expense without our con-
sent. As respects Employee Benefit Li-
ability Coverage, SECTION V -
(2) Item 5. Other Insurance is de- DEFINITIONS is amended as fol-
leted in its entirety and replaced lows:
by the following:
( 1 ) The following definitions are
5. Other Insurance added:
If other valid and collectible 1. "Administration" means:
insurance is available to the
insured for a loss we cover a. Providing information to
under this Coverage Part, "employees", including
our obligations are limited their dependents and
as follows: beneficiaries, with re-
spect to eligibility for or
a. Primary Insurance scope of "employee
This insurance is pri- benefit programs";
mary except when c. b. Interpreting the "em-
below applies. If this in- ployee benefit pro-
surance is primary, our grams";
obligations are not af-
fected unless any of c. Handling records in
the other insurance is connection with the
also primary. Then, we "employee benefit pro-
will share with all that grams"; or
other insurance by the
Includes copyrighted material of Insurance
GA 233 AZ 09 09 Services Office, Inc., with its permission. Page 6 of 14

d. Effecting, continuing or c. Unemployment insur-
terminating any "em- ance, social security
ployee's" participation benefits, workers' com-
in any benefit included pensation and disability
in the "employee bene- benefits; and
fit program".
d. Vacation plans, includ-
However, "administration" ing buy and sell pro-
does not include: grams; leave of ab-
sence programs, in-
a. Handling payroll de- cluding military, mater-
ductions; or nity, family, and civil
b. The failure to effect or leave; tuition assis-
maintain any insurance tance plans; transpor-
or adequate limits of tation and health club
coverage of insurance, subsidies.
including but not limited (2) The following definitions are
to unemployment in- deleted in their entirety and re-
surance, social security placed by the following:
benefits, workers' com-
pensation and disability 21. "Suit" means a civil pro-
benefits. ceeding in which money
damages because of an
2. "Cafeteria plans" means act, error or omission to
plan authorized by applica- which this insurance applies
ble law to allow "employ- are alleged. "Suit" includes:
ees" to elect to pay for cer-
tain benefits with pre-tax a. An arbitration pro-
dollars. ceeding in which such
damages are claimed
3. "Employee benefit pro- and to which the in-
grams" means a program sured must submit or
providing some or all of the does submit with our
following benefits to "em- consent;
ployees", whether provided
through a "cafeteria plan" or b. Any other alternative
otherwise: dispute resolution pro-
ceeding in which such
a. Group life insurance; damages are claimed
group accident or and to which the in-
health insurance; den- sured submits with our
tal, vision and hearing consent; or
plans; and flexible
spending accounts; c. An appeal of a civil
provided that no one proceeding.
other than an "em-
ployee" may subscribe 8. "Employee" means a per-
to such benefits and son actively employed, for-
such benefits are made merly employed, on leave
generally available to of absence or disabled, or
those "employees" who retired. "Employee" includes
satisfy the plan's eligi- a "leased worker". "Em-
bility requirements; ployee" does not include a
"temporary worker".
b. Profit sharing plans,
employee savings 2. Unintentional Failure to Disclose Haz-
plans, employee stock ards
ownership plans, pen- SECTION IV - COMMERCIAL GENERAL
sion plans and stock LIABILITY CONDITIONS, 7. Represen-
subscription plans, tations is hereby amended by the addi-
provided that no one tion of the following:
other than an "em-
ployee" may subscribe Based on our dependence upon your
to such benefits and representations as to existing hazards, if
such benefits are made unintentionally you should fail to disclose
generally available to all such hazards at the inception date of
all "employees" who your policy, we will not reject coverage
are eligible under the under this Coverage Part based solely on
plan for such benefits; such failure.
Includes copyrighted material of Insurance
GA 233 AZ 09 09 Services Office, Inc., with its permission. Page 7 of 14

3. Damage to Premises Rented to You e) Settling, cracking,
shrinking or ex-
a. The last Subparagraph of Paragraph pansion; or
2. SECTION I - COVERAGES,
COVERAGE A. - BODILY INJURY f) Nesting or infesta-
AND PROPERTY DAMAGE, 2. LI- tion, or discharge
ABILITY Exclusions is hereby de- or release of
leted and replaced by the following: waste products or
secretions, by in-
Exclusions c. through q. do not apply sects, birds, ro-
to damage by fire, explosion, light- dents or other
ning, smoke or soot to premises animals.
while rented to you or temporarily
occupied by you with permission of (b) Loss caused directly or indi-
the owner. rectly by any of the follow-
ing:
b. The insurance provided under SEC-
TION I - COVERAGES, COVERAGE 1) Earthquake, volcanic
A. BODILY INJURY AND PROP- eruption, landslide or
ERTY DAMAGE LIABILITY applies any other earth move-
to "property damage" arising out of ment;
water damage to premises that are
both rented to and occupied by you. 2) Water that backs up or
overflows from a
(1 ) As respects Water Damage Le- sewer, drain or sump;
gal Liability, as provided in
Paragraph 3.b. above: 3) Water under the
ground surface press-
The exclusions under SECTION ing on, or flowing or
I - COVERAGES, COVERAGE seeping through:
A. BODILY INJURY AND
PROPERTY DAMAGE LIABIL- a) Foundations,
ITY, 2. Exclusions, other than i. walls, floors or
War and the Nuclear Energy paved surfaces;
Liability Exclusion, are deleted b) Basements,
and the following are added: whether paved or
This insurance does not apply not; or
to: c) Doors, windows or
(a) "Property damage": other openings.
1) Assumed in any con- (c) Loss caused by or resulting
tract; or from water that leaks or
flows from plumbing, heat-
2) Loss caused by or re- ing, air conditioning, or fire
sulting from any of the protection systems caused
following: by or resulting from freez-
ing, unless:
a) Wear and tear;
1) You did your best to
b) Rust, corrosion, maintain heat in the
fungus, decay, building or structure; or
deterioration, hid-
den or latent de- 2) You drained the
fect or any quality equipment and shut off
in property that the water supply if the
causes it to dam- heat was not main-
age or destroy it- tained.
self;
(d) Loss to or damage to:
c) Smog;
1) Plumbing, heating, air
d) Mechanical conditioning, fire pro-
breakdown in- tection systems, or
cluding rupture or other equipment or ap-
bursting caused pliances; or
by centrifugal
force; 2) The interior of any
building or structure, or
to personal property in
the building or structure
Includes copyrighted material of Insurance
GA 233 AZ 09 09 Services Office, Inc., with its permission. Page 8 of 14

caused by or resulting 5. Medical Payments
from rain, snow, sleet
or ice, whether driven The Medical Expense Limit of Any One
by wind or not. Person as stated in the Declarations is
amended to the limit shown in Section B.
c. Limit of Insurance Limits of Insurance, 5. Medical Pay-
ments of this endorsement.
The Damage to Premises Rented to
You Limit as shown in the Declara- 6. Voluntary Property Damage and Care,
tions is amended as follows: Custody or Control Liability Coverage
(2) Paragraph 6. of SECTION III - a. Voluntary Property Damage Cov-
LIMITS OF INSURANCE is erage
hereby deleted and replaced by
the following: We will pay for "property damage" to
property of others arising out of op-
6. Subject to 5. above, the erations incidental to the insured's
Damage to Premises business when:
Rented to You Limit is the
most we will pay under (1) Damage is caused by the in-
COVERAGE A. BODILY sured; or
INJURY AND PROPERTY (2) Damage occurs while in the in-
DAMAGE LIABILITY, for sured's possession.
damages because of
"property damage" to With your consent, we will make
premises while rented to these payments regardless of fault.
you or temporarily occupied
by you with permission of b. Care, Custody or Control Liability
the owner, arising out of Coverage
any one "occurrence" to SECTION I - COVERAGES, COV-
which this insurance ap- ERAGE A. BODILY INJURY AND
plies. PROPERTY DAMAGE LIABILITY, 2.
(3) The amount we will pay is lim- Exclusions, j. Damage to Property,
ited as described in Section B. Subparagraphs (3), (4) and (5) do
Limits of Insurance, 3. Dam- not apply to "property damage" to
age to Premises Rented to the property of others described
You of this endorsement. therein.
4. Supplementary Payments With respect to the insurance provided by
this section of the endorsement, the fol-
Under SECTION I - COVERAGE, SUP- lowing additional provisions apply:
PLEMENTARY PAYMENTS - COVER-
AGES A AND B: a. The Limits of Insurance shown in the
Declarations are replaced by the lim-
a. Paragraph 2. is replaced by the fol- its designated in Section B. Limits of
lowing: Insurance, 6. Voluntary Property
Damage and Care, Custody or
Up to the limit shown in Section B. Control Liability Coverage of this
Limits of Insurance, 4.a. Bail endorsement with respect to cover-
Bonds of this endorsement for cost age provided by this endorsement.
of bail bonds required because of These limits are inclusive of and not
accidents or traffic law violations in addition to the limits being re-
arising out of the use of any vehicle placed. The Limits of Insurance
to which the Bodily Injury Liability shown in Section B. Limits of Insur-
Coverage applies. We do not have to ance, 6. Voluntary Property Dam-
furnish these bonds. age and Care, Custody or Control
b. Paragraph 4. is replaced by the fol- Liability Coverage of this endorse-
lowing: ment fix the most we will pay in any
one "occurrence" regardless of the
All reasonable expenses incurred by number of:
the insured at our request to assist
us in the investigation or defense of (1) Insureds;
the claim or "suit", including actual (2) Claims made or "suits" brought;
loss of earnings up to the limit shown or
in Section B. Limits of Insurance,
4.b. Loss of Earnings of this en- (3) Persons or organizations mak-
dorsement per day because of time ing claims or bringing "suits".
off from work.
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GA 233 AZ 09 09 Services Office, Inc., with its permission. Page 9 of 14

b. Deductible Clause 9. Automatic Additional Insured - Speci-
fied Relationships
(1) Our obligation to pay damages
on your behalf applies only to a. The following is hereby added to
the amount of damages for each SECTION II - WHO IS AN INSURED:
"occurrence" which are in ex-
cess of the deductible amount (1 ) Any person or organization de-
stated in Section B. Limits of scribed in Paragraph 9.a.(2)
Insurance, 6. Voluntary Prop- below (hereinafter referred to as
erty Damage and Care, Cus- additional insured) whom you
tody or Control Liability Cov- are required to add as an addi-
erage of this endorsement. The tional insured under this Cover-
limits of insurance will not be re- age Part by reason of:
duced by the application of such (a) A written contract or
deductible amount. agreement; or
(2) Condition 2. Duties in the Event (b) An oral agreement or con-
of Occurrence, Offense, Claim tract where a certificate of
or Suit, applies to each claim or insurance showing that per-
"suit" irrespective of the amount. son or organization as an
(3) We may pay any part or all of additional insured has been
the deductible amount to effect issued,
settlement of any claim or "suit" is an insured, provided:
and, upon notification of the ac-
tion taken, you shall promptly (a) The written or oral contract
reimburse us for such part of the or agreement is:
deductible amount as has been
paid by us. 1) Currently in effect or
becomes effective
7. 180 Day Coverage for Newly Formed or during the policy pe-
Acquired Organizations riod; and
SECTION II - WHO IS AN INSURED is 2) Executed prior to an
amended as follows: "occurrence" or offense
to which this insurance
Subparagraph a. of Paragraph 4. is would apply; and
hereby deleted and replaced by the fol-
lowing: (b) They are not specifically
a. Insurance under this provision is af- named as an additional in-
forded only until the 180th day after sured under any other pro-
vision of, or endorsement
you acquire or form the organization added to, this Coverage
or the end of the policy period, Part.
whichever is earlier;
(2) Only the following persons or
8. Waiver of Subrogation organizations are additional in-
SECTION IV - COMMERCIAL GENERAL sureds under this endorsement,
LIABILITY CONDITIONS, 9. Transfer of and insurance coverage pro-
Rights of Recovery Against Others to vided to such additional in-
Us is hereby amended by the addition of sureds is limited as provided
the following: herein:
We waive any right of recovery we may (a) The manager or lessor of a
have because of payments we make for premises leased to you with
injury or damage arising out of your on- whom you have agreed per
going operations or "your work" done un- Paragraph 9.a.(1) above to
der a written contract requiring such provide insurance, but only
waiver with that person or organization with respect to liability aris-
and included in the "products-completed ing out of the ownership,
operations hazard". However, our rights maintenance or use of that
may only be waived prior to the "occur- part of a premises leased to
rence" giving rise to the injury or damage you, subject to the following
for which we make payment under this additional exclusions:
Coverage Part. The insured must do This insurance does not
nothing after a loss to impair our rights. At apply to:
our request, the insured will bring "suit" or
transfer those rights to us and help us 1) Any "occurrence"
enforce those rights. which takes place after
Includes copyrighted material of Insurance
GA 233 AZ 09 09 Services Office, Inc., with its permission, Page 10 of 14

you cease to be a ten- c) Any physical or
ant in that premises. chemical change
in the product
2) Structural alterations, made intentionally
new construction or by the vendor;
demolition operations
performed by or on be- d) Repackaging, un-
half of such additional less unpacked
insured. solely for the pur-
pose of inspection,
(b) Any person or organization demonstration,
from which you lease testing, or the
equipment with whom you substitution of
have agreed per Paragraph parts under in-
9.a.(1) above to provide in- structions from the
surance. Such person(s) or manufacturer, and
organization(s) are insureds then repackaged
solely with respect to their in the original
liability arising out of the container;
maintenance, operation or
use by you of equipment e) Any failure to
leased to you by such per- make such in-
son(s) or organization(s). spections, adjust-
However, this insurance ments, tests or
does not apply to any "oc- servicing as the
currence" which takes place vendor has
after the equipment lease agreed to make or
expires. normally under-
takes to make in
(c) Any person or organization the usual course
(referred to below as ven- of business, in
dor) with whom you have connection with
agreed per Paragraph the distribution or
9.a.(1) above to provide in- sale of the prod-
surance, but only with re- ucts;
spect to "bodily injury" or
"property damage" arising f) Demonstration, in-
out of "your products" which stallation, servic-
are distributed or sold in the ing or repair op-
regular course of the ven- erations, except
dor's business, subject to such operations
the following additional ex- performed at the
clusions: vendor's premises
in connection with
1) The insurance afforded the sale of the
the vendor does not product;
apply to:
g) Products which,
a) "Bodily injury" or after distribution or
"property damage" sale by you, have
for which the ven- been labeled or
dor is obligated to relabeled or used
pay damages by as a container,
reason of the as- part or ingredient
sumption of liabil- of any other thing
ity in a contract or or substance by or
agreement. This for the vendor.
exclusion does not
apply to liability for 2) This insurance does
damages that the not apply to any in-
vendor would sured person or or-
have in the ab- ganization:
sence of the con-
tract or agree- a) From whom you
ment; have acquired
such products, or
b) Any express war- any ingredient,
ranty unauthorized part or container,
by you; entering into, ac-
Includes copyrighted material of Insurance
GA 233 AZ 09 09 Services Office, Inc., with its permission. Page 11 of 14

companying or 2) This insurance does
containing such not apply to "bodily in-
products; or jury", "property dam-
age" or "personal and
b) When liability in- advertising injury" aris-
cluded within the ing out of operations
"products- performed for the state
completed opera- or political subdivision.
tions hazard" has
been excluded (f) Any person or organization
under this Cover- with which you have agreed
age Part with re- per Paragraph 9.a.(1)
spect to such above to provide insurance,
products. but only with respect to li-
ability caused, in whole or in
(d) Any state or political subdi- part, by your ongoing op-
vision with which you have erations performed for that
agreed per Paragraph additional insured by you or
9.a.(1) above to provide in- on your behalf. A person or
surance, subject to the fol- organization's status as an
lowing additional provision: insured under this provision
This insurance applies only of this endorsement ends
with respect to the following when your operations for
hazards for which the state that insured are completed.
or political subdivision has (3) Any insurance provided to an
issued a permit in connec- additional insured designated
tion with premises you own, under Paragraph 9.a.(2):
rent or control and to which
this insurance applies: (a) Subparagraphs (e) and (f)
does not apply to "bodily
1) The existence, mainte- injury" or "property damage"
nance, repair, con- included within the "prod-
struction, erection, or ucts-completed operations
removal of advertising hazard";
signs, awnings, cano-
pies, cellar entrances, (b) Subparagraphs (a), (b), (d)
coal holes, driveways, and (e) does not apply to
manholes, marquees, "bodily injury", "property
hoist away openings, damage" or "personal and
sidewalk vaults, street advertising injury" arising
banners, or decora- out of the sole negligence
tions and similar expo- or willful misconduct of the
sures; or additional insured or their
agents, "employees" or any
2) The construction, erec- other representative of the
tion, or removal of ele- additional insured; or
vators; or
(c) Subparagraph (f) does not
3) The ownership, main- apply to "bodily injury",
tenance, or use of any "property damage" or "per-
elevators covered by sonal and advertising injury"
this insurance. arising out of:
(e) Any state or political subdi- 1) The rendering of or
vision with which you have failure to render any
agreed per Paragraph professional services
9.a.(1) above to provide in- by you or on your be-
surance, subject to the fol- half, but only with re-
lowing provisions: spect to either or both
1) This insurance applies of the following opera-
only with respect to op- tions:
erations performed by a) Providing engi-
you or on your behalf neering, architec-
for which the state or tural or surveying
political subdivision has
issued a permit. services to others;
and
Includes copyrighted material of Insurance
GA 233 AZ 09 09 Services Office, Inc., with its permission. Page 12 of 14

b) Providing or hiring plicable to the additional insured are
independent pro- those specified in the Declarations of
fessionals to pro- this Coverage Part. The limits of in-
vide engineering, surance are inclusive of and not in
architectural or addition to the limits of insurance
surveying services shown in the Declarations.
in connection with c. SECTION IV - COMMERCIAL GEN-
the construction ERAL LIABILITY CONDITIONS, 5.
work you perform. Other Insurance is hereby amended
Subject to the final as follows:
paragraph of this ex- Any insurance provided by this en-
clusion below, profes- dorsement shall be primary to other
sional services include: insurance available to the additional
insured except:
a) Preparing, ap-
proving or failing (1) As otherwise provided in SEC-
to prepare or ap- TION IV - COMMERCIAL GEN-
prove, maps, shop ERAL LIABILITY CONDITIONS,
drawings, opin- 5. Other Insurance, b. Excess
ions, reports, sur- Insurance; or
veys, field orders,
change orders or (2) For any other valid and collecti-
drawings and ble insurance available to the
specifications; and additional insured as an addi-
tional insured by attachment of
b) Supervisory or in- an endorsement to another in-
spection activities surance policy that is written on
performed as a an excess basis. In such case,
part of any archi- the coverage provided under
tectural or engi- this endorsement shall also be
neering activities. excess.
Professional services 10. Broadened Contractual Liability - Work
do not include services Within 50' of Railroad Property
within construction It is hereby agreed that Paragraph f.(1) of
means, methods, tech- Definition 12. "Insured contract" (SEC-
niques, sequences and TION V - DEFINITIONS) is deleted.
procedures employed
by you in connection 11. Property Damage to Borrowed Equip-
with construction work ment
you perform.
a. The following is hereby added to Ex-
2) "Your work" for which a clusion j. Damage to Property of
consolidated (wrap-up) Paragraph 2., Exclusions of SEC-
insurance program has TION I - COVERAGES, COVERAGE
been provided by the A. BODILY INJURY AND PROP-
prime contractor- ERTY DAMAGE LIABILITY:
project manager or Paragraphs (3) and (4) of this exclu-
owner of the construc-
tion project in which sion do not apply to tools or equip-
you are involved. ment loaned to you, provided they
are not being used to perform opera-
b. Only with regard to insurance pro- tions at the time of loss.
vided to an additional insured desig- b. With respect to the insurance pro-
nated under Paragraph 9.a.(2) Sub- vided by this section of the en-
paragraph (f) above, SECTION III - dorsement, the following additional
LIMITS OF INSURANCE is amended provisions apply:
to include:
The limits applicable to the additional (1) The Limits of insurance shown
insured are those specified in the in the Declarations are replaced
written contract or agreement or in by the limits designated in Sec-
the Declarations of this Coverage tion B. Limits of Insurance, 11.
Part, whichever are less. If no limits of this endorsement with respect
are specified in the written contract to coverage provided by this
or agreement, or if there is no written endorsement. These limits are
contract or agreement, the limits ap- inclusive of and not in addition to
the limits being replaced. The
Includes copyrighted material of Insurance
GA 233 AZ 09 09 Services Office, Inc., with its permission. Page 13 of 14

Limits of Insurance shown in 12. Employees as Insureds - Specified
Section B. Limits of Insurance, Health Care Services
11. of this endorsement fix the
most we will pay in any one "oc- It is hereby agreed that Paragraph
currence" regardless of the 2.a.(1)(d) of SECTION ll - WHO IS AN
number of: INSURED, does not apply to your "em-
ployees" who provide professional health
(a) Insureds; care services on your behalf as duly li-
censed:
(b) Claims made or "suits"
brought; or a. Nurses;
(c) Persons or organizations b. Emergency Medical Technicians; or
making claims or bring
"s u its", c. Paramedics,
(2) Deductible Clause in the jurisdiction where an "occurrence"
or offense to which this insurance applies
(a) Our obligation to pay dam- takes place.
ages on your behalf applies
only to the amount of dam- 13. Broadened Notice of Occurrence
ages for each "occurrence" Paragraph a. of Condition 2. Duties in
which are in excess of the the Event of Occurrence, Offense,
Deductible amount stated in Claim or Suit (SECTION IV - COMMER-
Section B. Limits of Insur- CIAL GENERAL LIABILITY CONDI-
ance, 11 of this endorse- TIONS) is hereby deleted and replaced
ment. The limits of insur- by the following:
ance will not be reduced by
the application of such De- a. You must see to it that we are noti-
ductible amount. fied as soon as practicable of an
(b) Condition 2. Duties in the "occurrence" or an offense which
Event of Occurrence, Of- may result in a claim. To the extent
fense, Claim or Suit, ap- possible, notice should include:
plies to each claim or "suit" (1) How, when and where the "oc-
irrespective of the amount. currence" or offense took place;
(c) We may pay any part or all (2) The names and addresses of
of the deductible amount to any injured persons and wit-
effect settlement of any nesses; and
claim or "suit" and, upon
notification of the action (3) The nature and location of any
taken, you shall promptly injury or damage arising out of
reimburse us for such part the "occurrence" or offense.
of the deductible amount as
has been paid by us. This requirement applies only when
the "occurrence" or offense is known
to an "authorized representative".
Includes copyrighted material of Insurance
GA 233 AZ 09 09 Services Office, Inc., with its permission. Page 14 of 14

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET WAIVER OF SUBROGATION - AUTO
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
This endorsement changes the policy effective on the inception date of the policy unless another date is indi-
cated below.
Endorsement Effective: Policy Number:
05-01-2012 EBA 008 11 47
Named Insured:
PUEBLO MECHANICAL & CONTROLS, INC.
Countersigned by:
(Authorized Representative)
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by the endorsement.
1. Blanket Waiver of Subrogation of payments we make for "bodily injury" or
"property damage" arising out of the operation
SECTION IV - BUSINESS AUTO CONDI- of a covered "auto" when you have assumed
TIONS, A. Loss Conditions, 5. Transfer of liability for such "bodily injury" or "property
Rights of Recovery Against Others to Us is damage" under an "insured contract", pro-
amended by the addition of the following: vided the "bodily injury" or "property damage"
We waive any right of recovery we may have occurs subsequent to the execution of the "in-
against any person or organization because sured contract".
AA 4172 09 09

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED BY CONTRACT
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
GARAGE COVERAGE FORM
This endorsement changes the policy effective on the inception date of the policy unless another date is indi-
cated below.
Endorsement Effective: Policy Number:
05-01-2012 EBA 008 11 47
Named Insured:
PUEBLO MECHANICAL & CONTROLS, INC.
Countersigned by:
(Authorized Representative)
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by the endorsement.
SECTION II - LIABILITY COVERAGE, A. Cover-
age, I. Who is an Insured is amended to include
as an insured any person or organization with
which you have agreed in a valid written contract
to provide insurance as is afforded by this policy.
This provision is limited to the scope of the valid
written contract.
This provision does not apply unless the valid
written contract has been executed prior to the
"bodily injury" or "property damage".
AA 4171 11 05