Southeastern Stages COI and Acceptance Letter

AID 1620600 · View on Simbli

Agenda Item

ii. RFP 20-472, Charter Bus Services Contract Extension Ratification and Approval, Allstate Tours, American Coach Lines, Coast to Coast Tours, LLC, Friendship Tours, LLC, Harmon Brothers, Kelly Tours, Inc., Kingsmen Coach Lines, R&W Motorcoach, Inc., Samson Tours, Inc., Southeastern Stages, Inc., and We Care Charters (Fourth (4th) of four (4) One-Year Contract Renewal Options)

Summary: Presented by: Mr. Erick Hofstetter, Chief Operating Officer, Division of Operations
Request: It is requested that the Board of Education ratify and approve the contract extension for RFP 20-472, Charter Bus Services to Allstate Tours, American Coach Lines, Coast to Coast Tours, LLC, Friendship Tours, LLC, Harmon Brothers, Kelly Tours, Inc., Kingsmen Coach Lines, R&W Motorcoach, Inc., Samson Tours, Inc., Southeastern Stages, Inc., and We Care Charters for one additional year through December 31, 2024. This recommendation is for the fourth (4th) of four (4) one-year contract renewal options.
Why: An extension of this bid will allow the District to provide services that require travel outside the 75-mile radius limitation of the DCSD Transportation Department for student activities.
Details: DCSD requested proposals from qualified commercial carriers to provide charter bus services as needed. On October 7, 2019, the Board of Education approved A National Limousine Services, American Coach Lines, Atlantic Transportation & Coaches, Coast to Coast Tours, LLC, Allstate Tours, LLC dba Elite Tours of Atlanta, Friendship Tours, LLC, Georgia Coach Lines, Inc., Harmon Brothers Charter Service, Inc., Kelly Tours, Inc., Kingsmen Coach Lines, R & W Motor Coach, Samson Tours, Inc., and Southeastern Stages, Inc., and We Care Charters as the most responsive and responsible firms to provide charter bus services on an as-needed basis. On December 9, 2019, the Board of Education approved adding We Care Charters to the previously approved list after determining that their vehicles passed the on-site inspection. With the exception of A National Limousine Services, Atlantic Transportation & Coaches, and Georgia Coach Lines, Inc., all the above vendors are being recommended for their contract renewal option.
Financial impact: These services are paid for by the local school or department utilizing the service and will be paid for from multiple charge codes.
Contact: Mr. Erick Hofstetter, Chief Operating Officer, Division of Operations, 678.676.1475

Mr. Keith Singleton, Director of Business Services, Division of Operations, 678.676.1422
Effective: Upon Board Approval
Status: Approved by General Counsel
                                                                                                                                                                            DATE (MM/DD/YYYY)
                                               CERTIFICATE OF LIABILITY INSURANCE                                                                                              11/30/2023
  THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
  CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
  BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
  REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
  IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
  If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
  this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER                                                                                      CONTACT       Lisa Lewis
                                                                                              NAME:
PointeNorth Insurance Group, LLC                                                              PHONE            (770) 858-7540                              FAX             (770) 858-7545
                                                                                              (A/C, No, Ext):                                              (A/C, No):
PO Box 724728                                                                                 E-MAIL        lisa.lewis@pninsurance.com
                                                                                              ADDRESS:
                                                                                                                   INSURER(S) AFFORDING COVERAGE                                       NAIC #
Atlanta                                                                 GA 31139              INSURER A :   National Interstate Insurance                                              32620
INSURED                                                                                       INSURER B :   Bridgefield Casualty Ins                                                   10335
                 Southeastern Stages, Inc.                                                    INSURER C :
                 260 University Avenue, S.W.                                                  INSURER D :

                                                                                              INSURER E :
                 Atlanta                                                GA 30315-2125         INSURER F :
COVERAGES                                    CERTIFICATE NUMBER:              23-24 MASTER                                             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 SUBR                                          POLICY EFF      POLICY EXP
 LTR                TYPE OF INSURANCE               INSD WVD              POLICY NUMBER               (MM/DD/YYYY)    (MM/DD/YYYY)                                LIMITS
           COMMERCIAL GENERAL LIABILITY                                                                                                EACH OCCURRENCE                  $    5,000,000
                                                                                                                                       DAMAGE TO RENTED                      100,000
               CLAIMS-MADE          OCCUR                                                                                              PREMISES (Ea occurrence)         $

                                                                                                                                       MED EXP (Any one person)         $    5,000
 A                                                   Y     Y    GLR 0110541-05                         12/01/2023      12/01/2024      PERSONAL & ADV INJURY            $    5,000,000

       GEN'L AGGREGATE LIMIT APPLIES PER:                                                                                              GENERAL AGGREGATE                $    5,000,000
                        PRO-                                                                                                                                                 5,000,000
           POLICY       JECT          LOC                                                                                              PRODUCTS - COMP/OP AGG           $

           OTHER:                                                                                                                                                       $

       AUTOMOBILE LIABILITY                                                                                                            COMBINED SINGLE LIMIT            $    5,000,000
                                                                                                                                       (Ea accident)
           ANY AUTO                                                                                                                    BODILY INJURY (Per person)       $

 A         OWNED                 SCHEDULED           Y     Y    CAR 0110541-05                         12/01/2023      12/01/2024      BODILY INJURY (Per accident)     $
           AUTOS ONLY            AUTOS
           HIRED                 NON-OWNED                                                                                             PROPERTY DAMAGE                  $
           AUTOS ONLY            AUTOS ONLY                                                                                            (Per accident)
                                                                                                                                       Assault and Battery              $    50,000
                                                                                                                                       Liability
           UMBRELLA LIAB            OCCUR                                                                                              EACH OCCURRENCE                  $    5,000,000
 A         EXCESS LIAB              CLAIMS-MADE                 EXR 0110541-05                         12/01/2023      12/01/2024      AGGREGATE                        $    5,000,000

               DED          RETENTION $                                                                                                                                 $
       WORKERS COMPENSATION                                                                                                                 PER              OTH-
       AND EMPLOYERS' LIABILITY                                                                                                             STATUTE          ER
                                              Y/N
       ANY PROPRIETOR/PARTNER/EXECUTIVE                                                                                                E.L. EACH ACCIDENT               $    1,000,000
 B     OFFICER/MEMBER EXCLUDED?               Y     N/A    Y    196-54237                              12/01/2023      12/01/2024
       (Mandatory in NH)                                                                                                               E.L. DISEASE - EA EMPLOYEE       $    1,000,000
       If yes, describe under
       DESCRIPTION OF OPERATIONS below                                                                                                 E.L. DISEASE - POLICY LIMIT      $    1,000,000




DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)




CERTIFICATE HOLDER                                                                            CANCELLATION

                                                                                                 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
                                                                                                 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
                 DeKalb County School District                                                   ACCORDANCE WITH THE POLICY PROVISIONS.

                 1701 Mountain Industrial Blvd.
                                                                                              AUTHORIZED REPRESENTATIVE


                 Stone Mountain                                         GA 30083

                                                                                                                     © 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03)                                        The ACORD name and logo are registered marks of ACORD
                                                                               AGENCY CUSTOMER ID: 00040096
                                                                                                   LOC #:

                                              ADDITIONAL REMARKS SCHEDULE                                                                     Page       of

AGENCY                                                                                 NAMED INSURED
PointeNorth Insurance Group, LLC                                                       Southeastern Stages, Inc.
POLICY NUMBER



CARRIER                                                                 NAIC CODE
                                                                                       EFFECTIVE DATE:

ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER:         25            FORM TITLE: Certificate of Liability Insurance: Notes
CERTIFICATE HOLDER CONTINUED:

DeKalb County School District and DeKalb County Board of Education with respect to operations of the insured




ACORD 101 (2008/01)                                                                                                © 2008 ACORD CORPORATION. All rights reserved.
                                                The ACORD name and logo are registered marks of ACORD
                                                     ADDITIONAL COVERAGES
Ref #     Description                                                              Coverage Code    Form No.             Edition Date
          Specified perils- PP/Service
Limit 1                 Limit 2            Limit 3       Deductible Amount   Deductible Type        Premium
                                                             1,000

Ref #     Description                                                              Coverage Code    Form No.             Edition Date
          UM/UIM Property Damage                                                       UUPD
Limit 1                 Limit 2            Limit 3       Deductible Amount   Deductible Type        Premium
25,000

Ref #     Description                                                              Coverage Code    Form No.             Edition Date
          COLLISION- PP/Service
Limit 1                 Limit 2            Limit 3       Deductible Amount   Deductible Type        Premium
                                                             1,000

Ref #     Description                                                              Coverage Code    Form No.             Edition Date
          Specified perils- Charter Bus
Limit 1                 Limit 2            Limit 3       Deductible Amount   Deductible Type        Premium
                                                             10,000

Ref #     Description                                                              Coverage Code    Form No.             Edition Date
          COLLISION- Charter Bus
Limit 1                 Limit 2            Limit 3       Deductible Amount   Deductible Type        Premium
                                                             10,000

Ref #     Description                                                              Coverage Code    Form No.             Edition Date
          Uninsured/Underinsured Motorist BI                                           UMUIM
Limit 1                 Limit 2            Limit 3       Deductible Amount   Deductible Type        Premium
25,000                  50,000

Ref #     Description                                                              Coverage Code    Form No.             Edition Date
          Premium discount                                                             PDIS
Limit 1                 Limit 2            Limit 3       Deductible Amount   Deductible Type        Premium
                                                                                                               -$1,633.31

Ref #     Description                                                              Coverage Code    Form No.             Edition Date
          Increased employer's liability                                               INEL
Limit 1                 Limit 2            Limit 3       Deductible Amount   Deductible Type        Premium
1,000,000                                                                                                      $601.01

Ref #     Description                                                              Coverage Code    Form No.             Edition Date
          Waiver of Subrogation                                                        WVSUB
Limit 1                 Limit 2            Limit 3       Deductible Amount   Deductible Type        Premium
                                                                                                               $259.72

Ref #     Description                                                              Coverage Code    Form No.             Edition Date
          Drug Free Credit                                                             DRUGF
Limit 1                 Limit 2            Limit 3       Deductible Amount   Deductible Type        Premium
                                                                                                               -$669.42

Ref #     Description                                                              Coverage Code    Form No.             Edition Date
          Waiver of Subrogation                                                        WVSUB
Limit 1                 Limit 2            Limit 3       Deductible Amount   Deductible Type        Premium
                                                                                                               $1,092.75

OFADTLCV                                                                                           Copyright 2001, AMS Services, Inc.
                                                     ADDITIONAL COVERAGES
Ref #     Description                                                              Coverage Code    Form No.             Edition Date
          Premium discount                                                             PDIS
Limit 1                 Limit 2            Limit 3       Deductible Amount   Deductible Type        Premium
                                                                                                               -$6,781.50

Ref #     Description                                                              Coverage Code    Form No.             Edition Date
          Experience Mod Factor 1                                                      EXP01
Limit 1                 Limit 2            Limit 3       Deductible Amount   Deductible Type        Premium
1,000,000                                                                                                      $1,526.27

Ref #     Description                                                              Coverage Code    Form No.             Edition Date
          Expense constant                                                             EXCNT
Limit 1                 Limit 2            Limit 3       Deductible Amount   Deductible Type        Premium
                                                                                                               $230.00

Ref #     Description                                                              Coverage Code    Form No.             Edition Date
          Schedule rate adjustment                                                     SRA
Limit 1                 Limit 2            Limit 3       Deductible Amount   Deductible Type        Premium
                                                                                                               $3,154.55

Ref #     Description                                                              Coverage Code    Form No.             Edition Date
          Experience Mod Factor 1                                                      EXP01
Limit 1                 Limit 2            Limit 3       Deductible Amount   Deductible Type        Premium
1,000,000                                                                                                      $6,759.75

Ref #     Description                                                              Coverage Code    Form No.             Edition Date
          Increased employer's liability                                               INEL
Limit 1                 Limit 2            Limit 3       Deductible Amount   Deductible Type        Premium
1,000,000                                                                                                      $142.84

Ref #     Description                                                              Coverage Code    Form No.             Edition Date
          Schedule rate adjustment                                                     SRA
Limit 1                 Limit 2            Limit 3       Deductible Amount   Deductible Type        Premium
                                                                                                               $1,709.42

Ref #     Description                                                              Coverage Code    Form No.             Edition Date


Limit 1                 Limit 2            Limit 3       Deductible Amount   Deductible Type        Premium



Ref #     Description                                                              Coverage Code    Form No.             Edition Date


Limit 1                 Limit 2            Limit 3       Deductible Amount   Deductible Type        Premium



Ref #     Description                                                              Coverage Code    Form No.             Edition Date


Limit 1                 Limit 2            Limit 3       Deductible Amount   Deductible Type        Premium



Ref #     Description                                                              Coverage Code    Form No.             Edition Date


Limit 1                 Limit 2            Limit 3       Deductible Amount   Deductible Type        Premium



OFADTLCV                                                                                           Copyright 2001, AMS Services, Inc.
Policy CAR 0110541-05
POLICY NUMBER:GLR 0110541-05                                             COMMERCIAL GENERAL LIABILITY
                                                                                            CG 20 10 04 13

       THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

         ADDITIONAL INSURED – OWNERS, LESSEES OR
           CONTRACTORS – SCHEDULED PERSON OR
                       ORGANIZATION
This endorsement modifies insurance provided under the following:

    COMMERCIAL GENERAL LIABILITY COVERAGE PART


                                                  SCHEDULE

        Name Of Additional Insured Person(s)
                Or Organization(s)                               Location(s) Of Covered Operations
     ON FILE WITH THE COMPANY




Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

A. Section II – Who Is An Insured is amended to           B. With respect to the insurance afforded to these
   include as an additional insured the person(s)            additional insureds, the following additional
   or organization(s) shown in the Schedule, but             exclusions apply:
   only with respect to liability for "bodily injury",       This insurance does not apply to "bodily injury"
   "property damage" or "personal and adver-                 or "property damage" occurring after:
   tising injury" caused, in whole or in part, by:
                                                             1. All work, including materials, parts or
   1. Your acts or omissions; or                                 equipment furnished in connection with
   2. The acts or omissions of those acting on                   such work, on the project (other than
        your behalf;                                             service, maintenance or repairs) to be
   in the performance of your ongoing operations                 performed by or on behalf of the additional
   for the additional insured(s) at the location(s)              insured(s) at the location of the covered
   designated above.                                             operations has been completed; or
   However:                                                  2. That portion of "your work" out of which
                                                                 the injury or damage arises has been put to
   1. The insurance afforded to such additional                  its intended use by any person or organiz a-
        insured only applies to the extent permitted             tion other than another contractor or sub-
        by law; and                                              contractor engaged in performing opera-
   2. If coverage provided to the additional in-                 tions for a principal as a part of the same
        sured is required by a contract or agree-                project.
        ment, the insurance afforded to such addi-
        tional insured will not be broader than that
        which you are required by the contract or
        agreement to provide for such additional
        insured.




CG 20 10 04 13                      © Insurance Services Office, Inc., 2012                      Page 1 of 2
C. With respect to the insurance afforded to these         2. Available under the applicable Limits of
   additional insureds, the following is added to              Insurance shown in the Declarations;
   Section III – Limits Of Insurance:                      whichever is less.
   If coverage provided to the additional insured is       This endorsement shall not increase the appli-
   required by a contract or agreement, the most           cable Limits of Insurance shown in the Declara-
   we will pay on behalf of the additional insured         tions.
   is the amount of insurance:
   1. Required by the contract or agreement; or




Page 2 of 2                       © Insurance Services Office, Inc., 2012                CG 20 10 04 13
Policy #GLR0110541-05
Policy# CAR 0110541-05


                                                                                           COMMERCIAL AUTO
                                                                                               CA 04 49 11 16

         THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

                         PRIMARY AND NONCONTRIBUTORY –
                           OTHER INSURANCE CONDITION
   This endorsement modifies insurance provided under the following:

      AUTO DEALERS COVERAGE FORM
      BUSINESS AUTO COVERAGE FORM
      MOTOR CARRIER COVERAGE FORM

   With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
   modified by the endorsement.


   A. The following is added to the Other Insurance          B. The following is added to the Other Insurance
      Condition in the Business Auto Coverage Form              Condition in the Auto Dealers Coverage Form and
      and the Other Insurance – Primary And Excess              supersedes any provision to the contrary:
      Insurance Provisions in the Motor Carrier                 This Coverage Form's Covered Autos Liability
      Coverage Form and supersedes any provision to             Coverage and General Liability Coverages are
      the contrary:                                             primary to and will not seek contribution from any
      This Coverage Form's Covered Autos Liability              other insurance available to an "insured" under
      Coverage is primary to and will not seek                  your policy provided that:
      contribution from any other insurance available to        1. Such "insured" is a Named Insured under such
      an "insured" under your policy provided that:                other insurance; and
      1. Such "insured" is a Named Insured under such           2. You have agreed in writing in a contract or
         other insurance; and                                      agreement that this insurance would be
      2. You have agreed in writing in a contract or               primary and would not seek contribution from
         agreement that this insurance would be                    any other insurance available to such
         primary and would not seek contribution from              "insured".
         any other insurance available to such
         "insured".




   CA 04 49 11 16                      © Insurance Services Office, Inc., 2016                       Page 1 of 1
Policy #CAR0110541-05


                                                                                              COMMERCIAL AUTO
                                                                                                  CA 00 01 10 13

                        BUSINESS AUTO COVERAGE FORM
   Various provisions in this policy restrict coverage.       SECTION I – COVERED AUTOS
   Read the entire policy carefully to determine rights,      Item Two of the Declarations shows the "autos" that
   duties and what is and is not covered.                     are covered "autos" for each of your coverages. The
   Throughout this policy the words "you" and "your"          following numerical symbols describe the "autos" that
   refer to the Named Insured shown in the Declarations.      may be covered "autos". The symbols entered next to
   The words "we", "us" and "our" refer to the company        a coverage on the Declarations designate the only
   providing this insurance.                                  "autos" that are covered "autos".
   Other words and phrases that appear in quotation           A. Description Of Covered Auto Designation
   marks have special meaning. Refer to Section V –              Symbols
   Definitions.

    Symbol                           Description Of Covered Auto Designation Symbols
      1       Any "Auto"
      2       Owned "Autos"     Only those "autos" you own (and for Covered Autos Liability Coverage any
              Only              "trailers" you don't own while attached to power units you own). This includes
                                those "autos" you acquire ownership of after the policy begins.
       3      Owned Private     Only the private passenger "autos" you own. This includes those private
              Passenger         passenger "autos" you acquire ownership of after the policy begins.
              "Autos" Only
       4      Owned             Only those "autos" you own that are not of the private passenger type (and for
              "Autos" Other     Covered Autos Liability Coverage any "trailers" you don't own while attached to
              Than Private      power units you own). This includes those "autos" not of the private passenger
              Passenger         type you acquire ownership of after the policy begins.
              "Autos" Only
       5      Owned "Autos"     Only those "autos" you own that are required to have no-fault benefits in the state
              Subject To        where they are licensed or principally garaged. This includes those "autos" you
              No-fault          acquire ownership of after the policy begins provided they are required to have no-
                                fault benefits in the state where they are licensed or principally garaged.
       6      Owned "Autos"     Only those "autos" you own that because of the law in the state where they are
              Subject To A      licensed or principally garaged are required to have and cannot reject Uninsured
              Compulsory        Motorists Coverage. This includes those "autos" you acquire ownership of after the
              Uninsured         policy begins provided they are subject to the same state uninsured motorists
              Motorists Law     requirement.
       7      Specifically      Only those "autos" described in Item Three of the Declarations for which a
              Described         premium charge is shown (and for Covered Autos Liability Coverage any "trailers"
              "Autos"           you don't own while attached to any power unit described in Item Three).
       8      Hired "Autos"     Only those "autos" you lease, hire, rent or borrow. This does not include any "auto"
              Only              you lease, hire, rent or borrow from any of your "employees", partners (if you are a
                                partnership), members (if you are a limited liability company) or members of their
                                households.
       9      Non-owned         Only those "autos" you do not own, lease, hire, rent or borrow that are used in
              "Autos" Only      connection with your business. This includes "autos" owned by your "employees",
                                partners (if you are a partnership), members (if you are a limited liability company)
                                or members of their households but only while used in your business or your
                                personal affairs.




   CA 00 01 10 13                      © Insurance Services Office, Inc., 2011                          Page 1 of 12
    19       Mobile            Only those "autos" that are land vehicles and that would qualify under the definition
             Equipment         of "mobile equipment" under this policy if they were not subject to a compulsory or
             Subject To        financial responsibility law or other motor vehicle insurance law where they are
             Compulsory Or     licensed or principally garaged.
             Financial
             Responsibility
             Or Other Motor
             Vehicle
             Insurance Law
             Only

B. Owned Autos You Acquire After The Policy                  SECTION II – COVERED AUTOS LIABILITY
   Begins                                                    COVERAGE
   1. If Symbols 1, 2, 3, 4, 5, 6 or 19 are entered          A. Coverage
      next to a coverage in Item Two of the                     We will pay all sums an "insured" legally must pay
      Declarations, then you have coverage for                  as damages because of "bodily injury" or "property
      "autos" that you acquire of the type described            damage" to which this insurance applies, caused
      for the remainder of the policy period.                   by an "accident" and resulting from the ownership,
   2. But, if Symbol 7 is entered next to a coverage            maintenance or use of a covered "auto".
      in Item Two of the Declarations, an "auto" you            We will also pay all sums an "insured" legally must
      acquire will be a covered "auto" for that                 pay as a "covered pollution cost or expense" to
      coverage only if:                                         which this insurance applies, caused by an
         a. We already cover all "autos" that you own           "accident" and resulting from the ownership,
            for that coverage or it replaces an "auto"          maintenance or use of covered "autos". However,
            you previously owned that had that                  we will only pay for the "covered pollution cost or
            coverage; and                                       expense" if there is either "bodily injury" or
      b. You tell us within 30 days after you acquire           "property damage" to which this insurance applies
         it that you want us to cover it for that               that is caused by the same "accident".
         coverage.                                              We have the right and duty to defend any
C. Certain Trailers, Mobile Equipment And                       "insured" against a "suit" asking for such damages
   Temporary Substitute Autos                                   or a "covered pollution cost or expense". However,
                                                                we have no duty to defend any "insured" against a
   If Covered Autos Liability Coverage is provided by           "suit" seeking damages for "bodily injury" or
   this Coverage Form, the following types of                   "property damage" or a "covered pollution cost or
   vehicles are also covered "autos" for Covered                expense" to which this insurance does not apply.
   Autos Liability Coverage:                                    We may investigate and settle any claim or "suit"
   1. "Trailers" with a load capacity of 2,000 pounds           as we consider appropriate. Our duty to defend or
       or less designed primarily for travel on public          settle ends when the Covered Autos Liability
       roads.                                                   Coverage Limit of Insurance has been exhausted
   2. "Mobile equipment" while being carried or                 by payment of judgments or settlements.
      towed by a covered "auto".                                1. Who Is An Insured
   3. Any "auto" you do not own while used with the                 The following are "insureds":
      permission of its owner as a temporary                        a. You for any covered "auto".
      substitute for a covered "auto" you own that is
      out of service because of its:                                b. Anyone else while using with your
                                                                       permission a covered "auto" you own, hire
      a. Breakdown;                                                    or borrow except:
      b. Repair;                                                      (1) The owner or anyone else from whom
      c. Servicing;                                                        you hire or borrow a covered "auto".
      d. "Loss"; or                                                        This exception does not apply if the
      e. Destruction.                                                      covered "auto" is a "trailer" connected to
                                                                           a covered "auto" you own.




Page 2 of 12                          © Insurance Services Office, Inc., 2011                       CA 00 01 10 13
        (2) Your "employee" if the covered "auto" is                These payments will not reduce the Limit of
            owned by that "employee" or a member                    Insurance.
            of his or her household.                             b. Out-of-state Coverage Extensions
        (3) Someone using a covered "auto" while                     While a covered "auto" is away from the
            he or she is working in a business of                    state where it is licensed, we will:
            selling, servicing, repairing, parking or
            storing "autos" unless that business is                 (1) Increase the Limit of Insurance for
            yours.                                                      Covered Autos Liability Coverage to
                                                                        meet the limits specified by a
        (4) Anyone other than your "employees",                         compulsory or financial responsibility
            partners (if you are a partnership),                        law of the jurisdiction where the covered
            members (if you are a limited liability                     "auto" is being used. This extension
            company) or a lessee or borrower or                         does not apply to the limit or limits
            any of their "employees", while moving                      specified by any law governing motor
            property to or from a covered "auto".                       carriers of passengers or property.
        (5) A partner (if you are a partnership) or a               (2) Provide the minimum amounts and
            member (if you are a limited liability                      types of other coverages, such as no-
            company) for a covered "auto" owned by                      fault, required of out-of-state vehicles by
            him or her or a member of his or her                        the jurisdiction where the covered "auto"
            household.                                                  is being used.
      c. Anyone liable for the conduct of an                         We will not pay anyone more than once for
         "insured" described above but only to the                   the same elements of loss because of
         extent of that liability.                                   these extensions.
   2. Coverage Extensions                                  B. Exclusions
      a. Supplementary Payments                               This insurance does not apply to any of the
         We will pay for the "insured":                       following:
        (1) All expenses we incur.                            1. Expected Or Intended Injury
        (2) Up to $2,000 for cost of bail bonds                  "Bodily injury" or "property damage" expected
            (including bonds for related traffic law             or intended from the standpoint of the
            violations) required because of an                   "insured".
            "accident" we cover. We do not have to            2. Contractual
            furnish these bonds.
                                                                 Liability assumed     under any contract or
        (3) The cost of bonds to release                         agreement.
            attachments in any "suit" against the
            "insured" we defend, but only for bond               But this exclusion does not apply to liability for
            amounts within our Limit of Insurance.               damages:
        (4) All reasonable expenses incurred by the              a. Assumed in a contract or agreement that is
            "insured" at our request, including actual              an "insured contract", provided the "bodily
            loss of earnings up to $250 a day                       injury" or "property damage" occurs
            because of time off from work.                          subsequent to the execution of the contract
                                                                    or agreement; or
        (5) All court costs taxed against the
            "insured" in any "suit" against the                  b. That the "insured" would have in the
            "insured" we defend. However, these                     absence of the contract or agreement.
            payments do not include attorneys' fees           3. Workers' Compensation
            or attorneys' expenses taxed against the
                                                                 Any obligation for which the "insured" or the
            "insured".
                                                                 "insured's" insurer may be held liable under
        (6) All interest on the full amount of any               any workers' compensation, disability benefits
            judgment that accrues after entry of the             or unemployment compensation law or any
            judgment in any "suit" against the                   similar law.
            "insured" we defend, but our duty to pay
            interest ends when we have paid,
            offered to pay or deposited in court the
            part of the judgment that is within our
            Limit of Insurance.




CA 00 01 10 13                       © Insurance Services Office, Inc., 2011                        Page 3 of 12
   4. Employee Indemnification And Employer's                    b. After it is moved from the covered "auto" to
      Liability                                                     the place where it is finally delivered by the
      "Bodily injury" to:                                           "insured".
      a. An "employee" of the "insured" arising out           8. Movement Of Property By Mechanical
         of and in the course of:                                Device
        (1) Employment by the "insured"; or                      "Bodily injury" or "property damage" resulting
                                                                 from the movement of property by a
         (2) Performing the duties related to the                mechanical device (other than a hand truck)
              conduct of the "insured's" business; or            unless the device is attached to the covered
      b. The spouse, child, parent, brother or sister            "auto".
          of that "employee" as a consequence of              9. Operations
          Paragraph a. above.
                                                                 "Bodily injury" or "property damage" arising out
      This exclusion applies:                                    of the operation of:
         (1) Whether the "insured" may be liable as              a. Any equipment listed in Paragraphs 6.b.
              an employer or in any other capacity;                  and 6.c. of the definition of "mobile
              and                                                    equipment"; or
         (2) To any obligation to share damages with             b. Machinery or equipment that is on, attached
              or repay someone else who must pay                     to or part of a land vehicle that would
              damages because of the injury.                         qualify under the definition of "mobile
      But this exclusion does not apply to "bodily                   equipment" if it were not subject to a
      injury" to domestic "employees" not entitled to                compulsory or financial responsibility law or
      workers' compensation benefits or to liability                 other motor vehicle insurance law where it
      assumed by the "insured" under an "insured                     is licensed or principally garaged.
      contract". For the purposes of the Coverage            10. Completed Operations
      Form, a domestic "employee" is a person
      engaged in household or domestic work                      "Bodily injury" or "property damage" arising out
      performed principally in connection with a                 of your work after that work has been
      residence premises.                                        completed or abandoned.
   5. Fellow Employee                                            In this exclusion, your work means:
      "Bodily injury" to:                                        a. Work or operations performed by you or on
                                                                    your behalf; and
      a. Any fellow "employee" of the "insured"
         arising out of and in the course of the fellow          b. Materials, parts or equipment furnished in
         "employee's"     employment       or     while             connection with such work or operations.
         performing duties related to the conduct of             Your       work    includes       warranties    or
         your business; or                                       representations made at any time with respect
      b. The spouse, child, parent, brother or sister            to the fitness, quality, durability or performance
         of that fellow "employee" as a consequence              of any of the items included in Paragraph a. or
         of Paragraph a. above.                                  b. above.
   6. Care, Custody Or Control                                   Your work will be deemed completed at the
                                                                 earliest of the following times:
      "Property damage" to or "covered pollution cost
      or expense" involving property owned or                       (1) When all of the work called for in your
      transported by the "insured" or in the                            contract has been completed;
      "insured's" care, custody or control. But this                (2) When all of the work to be done at the
      exclusion does not apply to liability assumed                     site has been completed if your contract
      under a sidetrack agreement.                                      calls for work at more than one site; or
   7. Handling Of Property                                          (3) When that part of the work done at a job
      "Bodily injury" or "property damage" resulting                    site has been put to its intended use by
      from the handling of property:                                    any person or organization other than
                                                                        another contractor or subcontractor
      a. Before it is moved from the place where it is                  working on the same project.
         accepted by the "insured" for movement
         into or onto the covered "auto"; or




Page 4 of 12                         © Insurance Services Office, Inc., 2011                      CA 00 01 10 13
      Work that may need service, maintenance,                    Paragraphs b. and c. above of this exclusion
      correction, repair or replacement, but which is             do not apply to "accidents" that occur away
      otherwise complete, will be treated as                      from premises owned by or rented to an
      completed.                                                  "insured" with respect to "pollutants" not in or
  11. Pollution                                                   upon a covered "auto" if:
      "Bodily injury" or "property damage" arising out                  (a) The "pollutants" or any property in
      of the actual, alleged or threatened discharge,                       which the "pollutants" are contained
      dispersal, seepage, migration, release or                             are upset, overturned or damaged as
      escape of "pollutants":                                               a result of the maintenance or use of
                                                                            a covered "auto"; and
      a. That are, or that are contained in any
         property that is:                                              (b) The discharge, dispersal, seepage,
                                                                            migration, release or escape of the
         (1) Being transported or towed by, handled                         "pollutants" is caused directly by
             or handled for movement into, onto or                          such upset, overturn or damage.
             from the covered "auto";
                                                              12. War
         (2) Otherwise in the course of transit by or
             on behalf of the "insured"; or                       "Bodily injury" or "property damage" arising
                                                                  directly or indirectly out of:
         (3) Being stored, disposed of, treated or
             processed in or upon the covered                     a. War, including undeclared or civil war;
             "auto";                                              b. Warlike action by a military force, including
      b. Before the "pollutants" or any property in                  action in hindering or defending against an
         which the "pollutants" are contained are                    actual or expected attack, by any
         moved from the place where they are                         government, sovereign or other authority
         accepted by the "insured" for movement                      using military personnel or other agents; or
         into or onto the covered "auto"; or                      c. Insurrection, rebellion, revolution, usurped
      c. After the "pollutants" or any property in                   power or action taken by governmental
         which the "pollutants" are contained are                    authority in hindering or defending against
         moved from the covered "auto" to the place                  any of these.
         where they are finally delivered, disposed of        13. Racing
         or abandoned by the "insured".                           Covered "autos" while used in any professional
      Paragraph a. above does not apply to fuels,                 or organized racing or demolition contest or
      lubricants, fluids, exhaust gases or other                  stunting activity, or while practicing for such
      similar "pollutants" that are needed for or result          contest or activity. This insurance also does
      from the normal electrical, hydraulic or                    not apply while that covered "auto" is being
      mechanical functioning of the covered "auto" or             prepared for such a contest or activity.
      its parts if:                                         C. Limit Of Insurance
          (1) The "pollutants" escape, seep, migrate           Regardless of the number of covered "autos",
              or are discharged, dispersed or released         "insureds", premiums paid, claims made or
              directly from an "auto" part designed by         vehicles involved in the "accident", the most we
              its manufacturer to hold, store, receive         will pay for the total of all damages and "covered
              or dispose of such "pollutants"; and             pollution cost or expense" combined resulting from
          (2) The "bodily injury", "property damage" or        any one "accident" is the Limit Of Insurance for
              "covered pollution cost or expense"              Covered Autos Liability Coverage shown in the
              does not arise out of the operation of           Declarations.
              any equipment listed in Paragraphs 6.b.
              and 6.c. of the definition of "mobile
              equipment".




CA 00 01 10 13                        © Insurance Services Office, Inc., 2011                       Page 5 of 12
   All "bodily injury", "property damage" and "covered         3. Glass Breakage – Hitting A Bird Or Animal –
   pollution cost or expense" resulting from                      Falling Objects Or Missiles
   continuous or repeated exposure to substantially               If you carry Comprehensive Coverage for the
   the same conditions will be considered as                      damaged covered "auto", we will pay for the
   resulting from one "accident".                                 following under Comprehensive Coverage:
   No one will be entitled to receive duplicate                   a. Glass breakage;
   payments for the same elements of "loss" under
   this Coverage Form and any Medical Payments                    b. "Loss" caused by hitting a bird or animal;
   Coverage endorsement, Uninsured Motorists                         and
   Coverage endorsement or Underinsured Motorists                 c. "Loss" caused by falling objects or missiles.
   Coverage endorsement attached to this Coverage
                                                                  However, you have the option of having glass
   Part.
                                                                  breakage caused by a covered "auto's"
SECTION III – PHYSICAL DAMAGE COVERAGE                            collision or overturn considered a "loss" under
A. Coverage                                                       Collision Coverage.
   1. We will pay for "loss" to a covered "auto" or its        4. Coverage Extensions
      equipment under:                                            a. Transportation Expenses
      a. Comprehensive Coverage                                      We will pay up to $20 per day, to a
         From any cause except:                                      maximum       of     $600,  for    temporary
                                                                     transportation expense incurred by you
         (1) The covered "auto's" collision with                     because of the total theft of a covered
             another object; or                                      "auto" of the private passenger type. We
        (2) The covered "auto's" overturn.                           will pay only for those covered "autos" for
      b. Specified Causes Of Loss Coverage                           which you carry either Comprehensive or
                                                                     Specified Causes Of Loss Coverage. We
         Caused by:                                                  will pay for temporary transportation
         (1) Fire, lightning or explosion;                           expenses incurred during the period
                                                                     beginning 48 hours after the theft and
         (2) Theft;
                                                                     ending, regardless of the policy's expiration,
         (3) Windstorm, hail or earthquake;                          when the covered "auto" is returned to use
         (4) Flood;                                                  or we pay for its "loss".
         (5) Mischief or vandalism; or                            b. Loss Of Use Expenses
         (6) The sinking, burning, collision or                       For Hired Auto Physical Damage, we will
             derailment     of    any    conveyance                   pay expenses for which an "insured"
             transporting the covered "auto".                         becomes legally responsible to pay for loss
                                                                      of use of a vehicle rented or hired without a
       c. Collision Coverage
                                                                      driver under a written rental contract or
          Caused by:                                                  agreement. We will pay for loss of use
         (1) The covered "auto's" collision with                      expenses if caused by:
             another object; or                                      (1) Other than collision only if the
        (2) The covered "auto's" overturn.                               Declarations        indicates  that
                                                                         Comprehensive Coverage is provided
   2. Towing                                                             for any covered "auto";
      We will pay up to the limit shown in the                       (2) Specified Causes Of Loss only if the
      Declarations for towing and labor costs                            Declarations indicates that Specified
      incurred each time a covered "auto" of the                         Causes Of Loss Coverage is provided
      private passenger type is disabled. However,                       for any covered "auto"; or
      the labor must be performed at the place of
      disablement.




Page 6 of 12                          © Insurance Services Office, Inc., 2011                     CA 00 01 10 13
        (3) Collision only if the Declarations                    b. Any device designed or used to detect
            indicates that Collision Coverage is                     speed-measuring equipment, such as radar
            provided for any covered "auto".                         or laser detectors, and any jamming
         However, the most we will pay for any                       apparatus intended to elude or disrupt
         expenses for loss of use is $20 per day, to                 speed-measuring equipment.
         a maximum of $600.                                       c. Any electronic equipment, without regard to
B. Exclusions                                                        whether this equipment is permanently
                                                                     installed, that reproduces, receives or
   1. We will not pay for "loss" caused by or resulting              transmits audio, visual or data signals.
      from any of the following. Such "loss" is
      excluded regardless of any other cause or                   d. Any accessories used with the electronic
      event that contributes concurrently or in any                  equipment described in Paragraph c.
      sequence to the "loss".                                        above.
      a. Nuclear Hazard                                        5. Exclusions 4.c. and 4.d. do not apply to
                                                                  equipment designed to be operated solely by
        (1) The explosion of any weapon employing                 use of the power from the "auto's" electrical
            atomic fission or fusion; or                          system that, at the time of "loss", is:
         (2) Nuclear reaction or radiation, or                    a. Permanently installed in or        upon the
             radioactive contamination, however                      covered "auto";
             caused.
                                                                  b. Removable from a housing unit which is
      b. War Or Military Action                                      permanently installed in or upon the
        (1) War, including undeclared or civil war;                  covered "auto";
         (2) Warlike action by a military force,                  c. An integral part of the same unit housing
             including action in hindering or                        any electronic equipment described in
             defending against an actual or expected                 Paragraphs a. and b. above; or
             attack, by any government, sovereign or              d. Necessary for the normal operation of the
             other authority using military personnel                covered "auto" or the monitoring of the
             or other agents; or                                     covered "auto's" operating system.
         (3) Insurrection,     rebellion,   revolution,        6. We will not pay for "loss" to a covered "auto"
             usurped power or action taken by                     due to "diminution in value".
             governmental authority in hindering or
             defending against any of these.                C. Limits Of Insurance
   2. We will not pay for "loss" to any covered "auto"         1. The most we will pay for:
      while used in any professional or organized                 a. "Loss" to any one covered "auto" is the
      racing or demolition contest or stunting activity,             lesser of:
      or while practicing for such contest or activity.              (1) The actual cash value of the damaged
      We will also not pay for "loss" to any covered                     or stolen property as of the time of the
      "auto" while that covered "auto" is being                          "loss"; or
      prepared for such a contest or activity.
                                                                     (2) The cost of repairing or replacing the
   3. We will not pay for "loss" due and confined to:                    damaged or stolen property with other
      a. Wear and tear, freezing, mechanical or                          property of like kind and quality.
          electrical breakdown.                                   b. All electronic equipment that reproduces,
      b. Blowouts, punctures or other road damage                    receives or transmits audio, visual or data
         to tires.                                                   signals in any one "loss" is $1,000, if, at the
      This exclusion does not apply to such "loss"                   time of "loss", such electronic equipment is:
      resulting from the total theft of a covered                    (1) Permanently installed in or upon the
      "auto".                                                            covered "auto" in a housing, opening or
   4. We will not pay for "loss" to any of the                           other location that is not normally used
      following:                                                         by the "auto" manufacturer for the
                                                                         installation of such equipment;
      a. Tapes, records, discs or other similar audio,
         visual or data electronic devices designed
         for use with audio, visual or data electronic
         equipment.




CA 00 01 10 13                        © Insurance Services Office, Inc., 2011                        Page 7 of 12
        (2) Removable from a permanently installed                   (2) The "insured's" name and address; and
             housing unit as described in Paragraph                  (3) To the extent possible, the names and
             b.(1) above; or                                             addresses of any injured persons and
        (3) An integral part of such equipment as                        witnesses.
             described in Paragraphs b.(1) and b.(2)              b. Additionally, you and any other involved
             above.                                                  "insured" must:
   2. An adjustment for depreciation and physical                    (1) Assume no obligation, make no
      condition will be made in determining actual                       payment or incur no expense without
      cash value in the event of a total "loss".                         our consent, except at the "insured's"
   3. If a repair or replacement results in better than                  own cost.
      like kind or quality, we will not pay for the                  (2) Immediately send us copies of any
      amount of the betterment.                                          request,   demand,       order, notice,
D. Deductible                                                            summons or legal paper received
   For each covered "auto", our obligation to pay for,                   concerning the claim or "suit".
   repair, return or replace damaged or stolen                       (3) Cooperate with us in the investigation or
   property will be reduced by the applicable                            settlement of the claim or defense
   deductible shown in the Declarations. Any                             against the "suit".
   Comprehensive Coverage deductible shown in the                    (4) Authorize us to obtain medical records
   Declarations does not apply to "loss" caused by                       or other pertinent information.
   fire or lightning.
                                                                     (5) Submit to examination, at our expense,
SECTION IV – BUSINESS AUTO CONDITIONS                                    by physicians of our choice, as often as
The following conditions apply in addition to the                        we reasonably require.
Common Policy Conditions:                                         c. If there is "loss" to a covered "auto" or its
A. Loss Conditions                                                   equipment, you must also do the following:
   1. Appraisal For Physical Damage Loss                             (1) Promptly notify the police if the covered
      If you and we disagree on the amount of "loss",                    "auto" or any of its equipment is stolen.
      either may demand an appraisal of the "loss".                  (2) Take all reasonable steps to protect the
      In this event, each party will select a competent                  covered "auto" from further damage.
      appraiser. The two appraisers will select a                        Also keep a record of your expenses for
      competent and impartial umpire. The                                consideration in the settlement of the
      appraisers will state separately the actual cash                   claim.
      value and amount of "loss". If they fail to agree,             (3) Permit us to inspect the covered "auto"
      they will submit their differences to the umpire.                  and records proving the "loss" before its
      A decision agreed to by any two will be                            repair or disposition.
      binding. Each party will:
                                                                     (4) Agree to examinations under oath at our
      a. Pay its chosen appraiser; and                                   request and give us a signed statement
      b. Bear the other expenses of the appraisal                        of your answers.
          and umpire equally.                                  3. Legal Action Against Us
      If we submit to an appraisal, we will still retain          No one may bring a legal action against us
      our right to deny the claim.                                under this Coverage Form until:
   2. Duties In The Event Of Accident, Claim, Suit                a. There has been full compliance with all the
      Or Loss                                                        terms of this Coverage Form; and
      We have no duty to provide coverage under                   b. Under Covered Autos Liability Coverage,
      this policy unless there has been full                         we agree in writing that the "insured" has an
      compliance with the following duties:                          obligation to pay or until the amount of that
      a. In the event of "accident", claim, "suit" or                obligation has finally been determined by
          "loss", you must give us or our authorized                 judgment after trial. No one has the right
          representative prompt notice of the                        under this policy to bring us into an action
          "accident" or "loss". Include:                             to determine the "insured's" liability.
         (1) How, when and where the "accident" or
              "loss" occurred;




Page 8 of 12                          © Insurance Services Office, Inc., 2011                    CA 00 01 10 13
   4. Loss Payment – Physical Damage                          5. Other Insurance
      Coverages                                                  a. For any covered "auto" you own, this
      At our option, we may:                                        Coverage      Form      provides    primary
      a. Pay for, repair or replace damaged or                      insurance. For any covered "auto" you don't
         stolen property;                                           own, the insurance provided by this
                                                                    Coverage Form is excess over any other
      b. Return the stolen property, at our expense.                collectible insurance. However, while a
         We will pay for any damage that results to                 covered "auto" which is a "trailer" is
         the "auto" from the theft; or                              connected to another vehicle, the Covered
      c. Take all or any part of the damaged or                     Autos Liability Coverage this Coverage
         stolen property at an agreed or appraised                  Form provides for the "trailer" is:
         value.                                                     (1) Excess while it is connected to a motor
      If we pay for the "loss", our payment will                        vehicle you do not own; or
      include the applicable sales tax for the                      (2) Primary while it is connected to a
      damaged or stolen property.                                       covered "auto" you own.
   5. Transfer Of Rights Of Recovery Against                     b. For Hired Auto Physical Damage Coverage,
      Others To Us                                                  any covered "auto" you lease, hire, rent or
      If any person or organization to or for whom we               borrow is deemed to be a covered "auto"
      make payment under this Coverage Form has                     you own. However, any "auto" that is
      rights to recover damages from another, those                 leased, hired, rented or borrowed with a
      rights are transferred to us. That person or                  driver is not a covered "auto".
      organization must do everything necessary to               c. Regardless of the provisions of Paragraph
      secure our rights and must do nothing after                   a. above, this Coverage Form's Covered
      "accident" or "loss" to impair them.                          Autos Liability Coverage is primary for any
B. General Conditions                                               liability assumed under an "insured
                                                                    contract".
   1. Bankruptcy
                                                                 d. When this Coverage Form and any other
      Bankruptcy or insolvency of the "insured" or the
                                                                    Coverage Form or policy covers on the
      "insured's" estate will not relieve us of any
      obligations under this Coverage Form.                         same basis, either excess or primary, we
                                                                    will pay only our share. Our share is the
   2. Concealment, Misrepresentation Or Fraud                       proportion that the Limit of Insurance of our
      This Coverage Form is void in any case of                     Coverage Form bears to the total of the
      fraud by you at any time as it relates to this                limits of all the Coverage Forms and
      Coverage Form. It is also void if you or any                  policies covering on the same basis.
      other "insured", at any time, intentionally             6. Premium Audit
      conceals or misrepresents a material fact
      concerning:                                                a. The estimated premium for this Coverage
                                                                    Form is based on the exposures you told us
      a. This Coverage Form;                                        you would have when this policy began. We
      b. The covered "auto";                                        will compute the final premium due when
                                                                    we determine your actual exposures. The
      c. Your interest in the covered "auto"; or
                                                                    estimated total premium will be credited
      d. A claim under this Coverage Form.                          against the final premium due and the first
   3. Liberalization                                                Named Insured will be billed for the
                                                                    balance, if any. The due date for the final
      If we revise this Coverage Form to provide                    premium or retrospective premium is the
      more coverage without additional premium                      date shown as the due date on the bill. If
      charge, your policy will automatically provide                the estimated total premium exceeds the
      the additional coverage as of the day the                     final premium due, the first Named Insured
      revision is effective in your state.                          will get a refund.
   4. No Benefit To Bailee – Physical Damage                     b. If this policy is issued for more than one
      Coverages                                                     year, the premium for this Coverage Form
      We will not recognize any assignment or grant                 will be computed annually based on our
      any coverage for the benefit of any person or                 rates or premiums in effect at the beginning
      organization holding, storing or transporting                 of each year of the policy.
      property for a fee regardless of any other
      provision of this Coverage Form.



CA 00 01 10 13                       © Insurance Services Office, Inc., 2011                       Page 9 of 12
   7. Policy Period, Coverage Territory                       2. Any other land vehicle that is subject to a
      Under this Coverage Form, we               cover           compulsory or financial responsibility law or
      "accidents" and "losses" occurring:                        other motor vehicle insurance law where it is
                                                                 licensed or principally garaged.
      a. During the policy period shown in the
         Declarations; and                                    However, "auto" does not include "mobile
                                                              equipment".
      b. Within the coverage territory.
                                                           C. "Bodily injury" means bodily injury, sickness or
      The coverage territory is:                              disease sustained by a person, including death
        (1) The United States of America;                     resulting from any of these.
        (2) The territories and possessions of the         D. "Covered pollution cost or expense" means any
            United States of America;                         cost or expense arising out of:
        (3) Puerto Rico;                                      1. Any request, demand, order or statutory or
                                                                 regulatory requirement that any "insured" or
         (4) Canada; and
                                                                 others test for, monitor, clean up, remove,
         (5) Anywhere in the world if a covered                  contain, treat, detoxify or neutralize, or in any
               "auto" of the private passenger type is           way respond to, or assess the effects of,
               leased, hired, rented or borrowed                 "pollutants"; or
               without a driver for a period of 30 days
                                                              2. Any claim or "suit" by or on behalf of a
               or less,
                                                                 governmental authority for damages because
      provided that the "insured's" responsibility to            of testing for, monitoring, cleaning up,
      pay damages is determined in a "suit" on the               removing, containing, treating, detoxifying or
      merits, in the United States of America, the               neutralizing, or in any way responding to, or
      territories and possessions of the United States           assessing the effects of, "pollutants".
      of America, Puerto Rico or Canada, or in a
      settlement we agree to.                                 "Covered pollution cost or expense" does not
                                                              include any cost or expense arising out of the
      We also cover "loss" to, or "accidents"                 actual, alleged or threatened discharge, dispersal,
      involving, a covered "auto" while being                 seepage, migration, release or escape of
      transported between any of these places.                "pollutants":
   8. Two Or More Coverage Forms Or Policies                     a. That are, or that are contained in any
      Issued By Us                                                  property that is:
      If this Coverage Form and any other Coverage                  (1) Being transported or towed by, handled
      Form or policy issued to you by us or any                         or handled for movement into, onto or
      company affiliated with us applies to the same                    from the covered "auto";
      "accident", the aggregate maximum Limit of
      Insurance under all the Coverage Forms or                     (2) Otherwise in the course of transit by or
      policies shall not exceed the highest applicable                  on behalf of the "insured"; or
      Limit of Insurance under any one Coverage                     (3) Being stored, disposed of, treated or
      Form or policy. This condition does not apply to                  processed in or upon the covered
      any Coverage Form or policy issued by us or                       "auto";
      an affiliated company specifically to apply as             b. Before the "pollutants" or any property in
      excess insurance over this Coverage Form.                     which the "pollutants" are contained are
SECTION V – DEFINITIONS                                             moved from the place where they are
                                                                    accepted by the "insured" for movement
A. "Accident" includes continuous or repeated
   exposure to the same conditions resulting in                     into or onto the covered "auto"; or
   "bodily injury" or "property damage".                         c. After the "pollutants" or any property in
                                                                    which the "pollutants" are contained are
B. "Auto" means:
                                                                    moved from the covered "auto" to the place
   1. A land motor vehicle, "trailer" or semitrailer                where they are finally delivered, disposed of
      designed for travel on public roads; or                       or abandoned by the "insured".




Page 10 of 12                        © Insurance Services Office, Inc., 2011                     CA 00 01 10 13
      Paragraph a. above does not apply to fuels,              5. That part of any other contract or agreement
      lubricants, fluids, exhaust gases or other                  pertaining to your business (including an
      similar "pollutants" that are needed for or result          indemnification of a municipality in connection
      from the normal electrical, hydraulic or                    with work performed for a municipality) under
      mechanical functioning of the covered "auto" or             which you assume the tort liability of another to
      its parts, if:                                              pay for "bodily injury" or "property damage" to a
          (1) The "pollutants" escape, seep, migrate              third party or organization. Tort liability means
              or are discharged, dispersed or released            a liability that would be imposed by law in the
              directly from an "auto" part designed by            absence of any contract or agreement; or
              its manufacturer to hold, store, receive         6. That part of any contract or agreement entered
              or dispose of such "pollutants"; and                 into, as part of your business, pertaining to the
         (2) The "bodily injury", "property damage" or             rental or lease, by you or any of your
             "covered pollution cost or expense"                   "employees", of any "auto". However, such
             does not arise out of the operation of                contract or agreement shall not be considered
             any equipment listed in Paragraph 6.b.                an "insured contract" to the extent that it
             or 6.c. of the definition of "mobile                  obligates you or any of your "employees" to
             equipment".                                           pay for "property damage" to any "auto" rented
                                                                   or leased by you or any of your "employees".
      Paragraphs b. and c. above do not apply to
      "accidents" that occur away from premises                An "insured contract" does not include that part of
      owned by or rented to an "insured" with respect          any contract or agreement:
      to "pollutants" not in or upon a covered "auto"              a. That indemnifies a railroad for "bodily injury"
      if:                                                              or "property damage" arising out of
            (a) The "pollutants" or any property in                    construction or demolition operations, within
                 which the "pollutants" are contained                  50 feet of any railroad property and
                 are upset, overturned or damaged as                   affecting any railroad bridge or trestle,
                 a result of the maintenance or use of                 tracks, roadbeds, tunnel, underpass or
                 a covered "auto"; and                                 crossing;
            (b) The discharge, dispersal, seepage,                 b. That pertains to the loan, lease or rental of
                migration, release or escape of the                    an "auto" to you or any of your
                "pollutants" is caused directly by                     "employees", if the "auto" is loaned, leased
                such upset, overturn or damage.                        or rented with a driver; or
E. "Diminution in value" means the actual or                       c. That holds a person or organization
   perceived loss in market value or resale value                      engaged in the business of transporting
   which results from a direct and accidental "loss".                  property by "auto" for hire harmless for your
                                                                       use of a covered "auto" over a route or
F. "Employee"      includes   a    "leased   worker".                  territory that person or organization is
   "Employee" does not include a "temporary                            authorized to serve by public authority.
   worker".
                                                            I. "Leased worker" means a person leased to you by
G. "Insured" means any person or organization                  a labor leasing firm under an agreement between
   qualifying as an insured in the Who Is An Insured           you and the labor leasing firm to perform duties
   provision of the applicable coverage. Except with           related to the conduct of your business. "Leased
   respect to the Limit of Insurance, the coverage             worker" does not include a "temporary worker".
   afforded applies separately to each insured who is
   seeking coverage or against whom a claim or              J. "Loss" means direct and accidental loss or
   "suit" is brought.                                          damage.
H. "Insured contract" means:                                K. "Mobile equipment" means any of the following
                                                               types of land vehicles, including any attached
   1. A lease of premises;                                     machinery or equipment:
   2. A sidetrack agreement;                                   1. Bulldozers, farm machinery, forklifts and other
   3. Any easement or license agreement, except in                vehicles designed for use principally off public
      connection with construction or demolition                  roads;
      operations on or within 50 feet of a railroad;           2. Vehicles maintained for use solely on or next to
   4. An obligation, as required by ordinance, to                 premises you own or rent;
      indemnify a municipality, except in connection           3. Vehicles that travel on crawler treads;
      with work for a municipality;




CA 00 01 10 13                        © Insurance Services Office, Inc., 2011                        Page 11 of 12
   4. Vehicles, whether self-propelled or not,               However, "mobile equipment" does not include
      maintained primarily to provide mobility to            land vehicles that are subject to a compulsory or
      permanently mounted:                                   financial responsibility law or other motor vehicle
      a. Power cranes, shovels, loaders, diggers or          insurance law where it is licensed or principally
         drills; or                                          garaged. Land vehicles subject to a compulsory or
                                                             financial responsibility law or other motor vehicle
      b. Road construction or resurfacing equipment          insurance law are considered "autos".
         such as graders, scrapers or rollers;
                                                          L. "Pollutants" means any solid, liquid, gaseous or
   5. Vehicles not described in Paragraph 1., 2., 3.         thermal irritant or contaminant, including smoke,
      or 4. above that are not self-propelled and are        vapor, soot, fumes, acids, alkalis, chemicals and
      maintained primarily to provide mobility to            waste. Waste includes materials to be recycled,
      permanently attached equipment of the                  reconditioned or reclaimed.
      following types:
                                                          M. "Property damage" means damage to or loss of
      a. Air compressors, pumps and generators,              use of tangible property.
         including spraying, welding, building
         cleaning, geophysical exploration, lighting      N. "Suit" means a civil proceeding in which:
         and well-servicing equipment; or                    1. Damages because of "bodily injury"           or
      b. Cherry pickers and similar devices used to             "property damage"; or
         raise or lower workers; or                          2. A "covered pollution cost or expense";
   6. Vehicles not described in Paragraph 1., 2., 3.         to which this insurance applies, are alleged.
      or 4. above maintained primarily for purposes          "Suit" includes:
      other than the transportation of persons or
      cargo. However, self-propelled vehicles with              a. An arbitration proceeding in which such
      the following types of permanently attached                  damages or "covered pollution costs or
      equipment are not "mobile equipment" but will                expenses" are claimed and to which the
      be considered "autos":                                       "insured" must submit or does submit with
                                                                   our consent; or
      a. Equipment designed primarily for:
                                                                b. Any other alternative dispute resolution
        (1) Snow removal;                                          proceeding in which such damages or
        (2) Road maintenance, but not construction                 "covered pollution costs or expenses" are
            or resurfacing; or                                     claimed and to which the insured submits
        (3) Street cleaning;                                       with our consent.
      b. Cherry pickers and similar devices mounted       O. "Temporary worker" means a person who is
         on automobile or truck chassis and used to          furnished to you to substitute for a permanent
         raise or lower workers; and                         "employee" on leave or to meet seasonal or short-
                                                             term workload conditions.
      c. Air compressors, pumps and generators,
         including spraying, welding, building            P. "Trailer" includes semitrailer.
         cleaning, geophysical exploration, lighting
         or well-servicing equipment.




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