Agenda Item
i. Service Agreements ~ Independent Contractor Agreements (ICA) ~ Various Services ~ Alliance Fire Protection Services, Inc., BaseSix Systems, LLC, City Demolition and Abatement, Darling Ingredients, Inc., Electronic Maintenance Associates, Inc., Johnson Controls Fire Protection, Overhead Door Company of Atlanta, Section 10, Inc., Strategic Environmental Solutions, LLC (Not to exceed $820,000)
Summary: Presented by: Mr. Erick Hofstetter, Chief Operating Officer, Division of Operations
Request: It is requested that the DeKalb County School District Board of Education (“the Board”) approve the following Independent Contractor Agreements (ICAs) that exceed $50,000 with a total contract value not-to-exceed $820,000.
Alliance Fire Protection Services, Inc., ($95,000)
BaseSix Systems, LLC. ($90,000)
City Demolition and Abatement ($90,000)
Darling Ingredients, Inc. ($95,000)
Electronic Maintenance Associates, Inc ($85,000)
Johnson Controls Fire Protection ($80,000)
Overhead Door Company of Atlanta (95,000)
Section 10, Inc. ($95,000)
Strategic Environmental Solutions ($95,000)
Why: This request is to approve the above listed ICA’s to perform various services to support the Facilities/Maintenance Department through June 2026.
Approval of the Independent Contractor Agreement meets Strategic Goal Area 6: Organizational Excellence
Details: On October 18, 2021, the Board of Education approved the revision of Board Policy DJE (IV) A.2 - Independent Contractor Agreements, to require Board approval for any Independent Contractor Agreements with a total cost of $50,000 or more.
Additionally, per Board Policy -Purchasing DJE III(C)(3) - Competitive Selection of Vendors for Non-Capital Projects - Purchases or contracts totaling $5,000+ shall require at least 2 written quotes and selected based on objective criteria (performance and execution)
The board policies can be found here:
https://simbli.eboardsolutions.com/Policy/ViewPolicy.aspx?S=4054&revid=IsVaB6Z2x9NPZkwqJm84zQ==&ptid=amIgTZiB9plushNjl6WXhfiOQ==&secid=y1ZW0qRGjEafuplusqEjNeK2Q==&PG=6&IRP=0&isPndg=false
Financial impact: The budget for services is allocated from cost code (100.2600.543000.00011.7520.000.8013.040.0000) under the Operations Division General Fund Budget not to exceed $820,000.
Contact: Mr. Erick Hofstetter, Chief Operating Officer, Division of Operations, 678.676.1447
Mr. Bobby Moncrief, Director of Facilities, Division of Operations, 678-676-1478
Effective: Upon Board Approval, effective July 1, 2025
Status: Approved by the Office of Legal Affairs
ALLIFIR-01 DDINGLER
DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 3/4/2025
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).
CONTACT
PRODUCER NAME:
Brand & Britt Insurance Agency PHONE FAX
(A/C, No, Ext): (770) 963-6427 (A/C, No): (770) 995-0192
20 Grayson New Hope Rd. E-MAIL
Suite A ADDRESS: info@brandandbritt.com
Grayson, GA 30017
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A : Lloyds of London A1122
INSURED INSURER B : Columbia National 19640
Alliance Fire Protection Services, Inc. INSURER C : Bridgefield Casualty Insurance Co 10335
6100 Highway 20 INSURER D : Columbia Mutual Insurance Company 40371
Loganville, GA 30052
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
1,000,000
CLAIMS-MADE X OCCUR
X SP2240831 12/31/2024 12/31/2025 DAMAGE TO RENTED
PREMISES (Ea occurrence) $
100,000
MED EXP (Any one person) $
5,000
PERSONAL & ADV INJURY $
1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
2,000,000
POLICY X PRO-
JECT LOC PRODUCTS - COMP/OP AGG $
2,000,000
OTHER:
POLLUTION $
1,000,000
B AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
(Ea accident) $
1,000,000
X ANY AUTO X CAPGA0000031605 12/31/2024 12/31/2025 BODILY INJURY (Per person) $
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY (Per accident) $
HIRED NON-OWNED PROPERTY DAMAGE
AUTOS ONLY AUTOS ONLY (Per accident) $
$
A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $
5,000,000
EXCESS LIAB CLAIMS-MADE X SP2X240831 12/31/2024 12/31/2025 AGGREGATE $
5,000,000
DED X RETENTION $ 0 $
C WORKERS COMPENSATION X PER
STATUTE
OTH-
ER
AND EMPLOYERS' LIABILITY
Y/N 0196-59622 1/1/2025 1/1/2026 1,000,000
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? Y N/A
1,000,000
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $
If yes, describe under 1,000,000
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $
A Professional Liab SP2240831 12/31/2024 12/31/2025 Limit 1,000,000
D Property CMPGA0000031605 12/31/2024 12/31/2025 Building - RC 1,404,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Please note due to directives received from the Georgia Department of Insurance we are not permitted to include any coverage wording in the Description of
Operations box or the Additional Remarks section. The only wording we can enter in that field is the wording for which it was intended “Description of
Operations/Locations/Vehicles”.
We recommend that the certificate holder carefully review the terms and conditions of the endorsements that are included. See the list on Page 2.
Ronda Parks is excluded from Worker Compensation Coverage.
SEE ATTACHED ACORD 101
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.
1780 Montreal Rd
Tucker, GA 30084
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: ALLIFIR-01 DDINGLER
LOC #: 1
ADDITIONAL REMARKS SCHEDULE Page 1 of 1
AGENCY NAMED INSURED
Alliance Fire Protection Services, Inc.
Brand & Britt Insurance Agency 6100 Highway 20
POLICY NUMBER Loganville, GA 30052
Walton
SEE PAGE 1
CARRIER NAIC CODE
SEE PAGE 1 SEE P 1 EFFECTIVE DATE:
SEE PAGE 1
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance
Description of Operations/Locations/Vehicles:
• CG2001 (04/13) GL Blanket Primary & Noncontributory
• CG 2010 (04/13)- GL Blanket Additional Insured for Ongoing Operations
• CG 2037 (04/13)- GL Blanket Additional Insured for Completed Operations
• CG2404 (05/09) - GL Blanket Waiver of Subrogation
• CG0224 (10/93) Blanket 30 Day Notice of Cancellation
• GL-0010 (11/15) Designated Locations Aggregate Limit
• CA-500 (7-09) - BA Premier Endorsement, which Includes:
B.g. Auto Blanket Additional Insured
D.5. Auto Blanket Waiver of Subrogation
• CA 04 49 11 16 - Auto Primary Noncontributory
• WC 00 03 13 - WC Blanket Waiver of Subrogation
Umbrella Policy is Follow Form over Underlying Policies.
Cont. Certificate Holder and Additional Insured: Dekalb County School District and The Dekalb County Board of Education
ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
POLICY NUMBER: 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
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) or additional insureds, the following additional
organization(s) shown in the Schedule, but only exclusions apply:
with respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or
damage" or "personal and advertising injury" "property damage" occurring after:
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 such
2. The acts or omissions of those acting on your work, on the project (other than service,
behalf; maintenance or repairs) to be performed by or
in the performance of your ongoing operations for on behalf of the additional insured(s) at the
the additional insured(s) at the location(s) location of the covered operations has been
designated above. completed; or
However: 2. That portion of "your work" out of which the
injury or damage arises has been put to its
1. The insurance afforded to such additional intended use by any person or organization
insured only applies to the extent permitted by other than another contractor or subcontractor
law; and engaged in performing operations for a
2. If coverage provided to the additional insured is principal as a part of the same project.
required by a contract or agreement, the
insurance afforded to such additional 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
required by a contract or agreement, the most we applicable Limits of Insurance shown in the
will pay on behalf of the additional insured is the Declarations.
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
COMMERCIAL GENERAL LIABILITY
CG 20 01 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRIMARY AND NONCONTRIBUTORY –
OTHER INSURANCE CONDITION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
The following is added to the Other Insurance (2) You have agreed in writing in a contract or
Condition and supersedes any provision to the agreement that this insurance would be
contrary: primary and would not seek contribution
Primary And Noncontributory Insurance from any other insurance available to the
additional insured.
This insurance is primary to and will not seek
contribution from any other insurance available
to an additional insured under your policy
provided that:
(1) The additional insured is a Named Insured
under such other insurance; and
CG 20 01 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1
CA-500 (7-09)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BUSINESS AUTO PREMIER ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
A. COVERED AUTOS
SECTION I – COVERED AUTOS, Paragraph C. Certain Trailers, Mobile Equipment And
Temporary Substitute Autos is amended by adding the following:
If Physical Damage Coverage is provided under this Coverage form for an “auto” you own, the
Physical Damage coverages provided for that owned “auto” are extended to any “auto” you do not
own while used with the permission of its owner as a temporary substitute for the covered “auto”
you own that is out of service because of its breakdown, repair, servicing, “loss”, or destruction.
B. LIABILITY COVERAGES
SECTION II – LIABILITY COVERAGE in Paragraph A. Coverage, 1. Who Is An Insured is
amended to include the following:
d. Any legally incorporated subsidiary in which you own more than 50% of the voting stock on
the effective date of the Coverage Form. However, the Named Insured does not include any
subsidiary that is an “insured” under any other automobile policy or would be an “insured”
under such a policy but for its termination or the exhaustion of its Limit of Insurance.
e. Any organization that is acquired or formed by you, during the term of this policy and over
which you maintain majority ownership. However, the Named Insured does not include any
newly formed or acquired organization:
(1) That is a joint venture or partnership,
(2) That is an “insured” under any other policy,
(3) That has exhausted its Limit of Insurance under any other policy, or
(4) 180 days or more after its acquisition or formation by you, unless you have given us
notice of the acquisition or formation.
Coverage does not apply to “bodily injury” or “property damage” that results from an accident
that occurred before you formed or acquired the organization.
f. Any employee of yours while acting in the course of your business or your personal affairs
while using a covered “auto” you do not own, hire or borrow.
CA-500 (7-09) Page 1 of 7
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CA-500 (7-09)
g. Any person or organization whom you are required to add as an additional insured on this
policy under a written contract or agreement; but the written contract or agreement must be:
(1) Currently in effect or becoming effective during the term of this policy; and
(2) Executed prior to the “bodily injury” or “property damage”.
The additional insured status will apply only with respect to your liability for “bodily injury” or
“property damage” which may be imputed to that person(s) or organization(s) directly arising
out of the ownership, maintenance or use of the covered “autos” at the locations(s)
designated, if any.
Coverage provided by this endorsement will not exceed the limits of liability required by the
written contract or written agreement even if the limits of liability stated in the policy exceed
those limits. This endorsement shall not increase the limits stated in Section II. C. Limit of
Insurance.
For any covered “auto” you own, this Coverage Form provides primary coverage.
SECTION II – LIABILITY COVERAGE in Paragraph A. Coverage, 2. Coverage Extensions, a.
Supplementary Payments is amended to replace the following:
(2) We will pay up to $2,500 for the cost of bail bonds (including bonds for related traffic law
violations) required because of an “accident” we cover. We do not have to furnish these
bonds.
(4) We will pay all reasonable expenses incurred by the “insured” at our request, including
actual loss of earnings up to $500 a day, because of time off from work.
SECTION II – LIABILITY COVERAGE in Paragraph B. Exclusions, 6. Care, Custody Or Control
is amended by adding the following:
This Care, Custody Or Control exclusion does not apply to property not owned by any “insured”,
subject to the following:
a. The most we will pay under this exception for any one “accident” is $1,000; and
b. A deductible of $500 per “accident” applies to this exception.
C. PHYSICAL DAMAGE COVERAGES
SECTION III – PHYSICAL DAMAGE COVERAGE
Coverage is amended as follows:
Paragraph 2. Towing under A. Coverage is replaced with:
2. Towing and Labor
We will pay towing and labor costs incurred, up to the limits shown below, each time a
covered “auto” classified and rated as a private passenger type, “light truck” or “medium
truck” is disabled.
CA-500 (7-09) Page 2 of 7
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CA-500 (7-09)
(a) For private passenger type vehicles or “light trucks”, we will pay up to $75 per
disablement. “Light trucks” have a gross vehicle weight (GVW) of 10,000 pounds or
less.
(b) For “medium trucks”, we will pay up to $150 per disablement. “Medium trucks” have
a gross vehicle weight (GVW) of 10,001 lbs. to 20,000 pounds.
However, the labor must be performed at the place of disablement.
Paragraph 4. Coverage Extensions, a. Transportation Expenses under A. Coverage is
amended to provide the following limits:
We will pay up to $50 per day to a maximum of $1,500. All other terms and provisions of this
section remain applicable.
The following is added to 4. Coverage Extensions:
c. Theft Recovery Expense
If you have purchased Comprehensive Coverage on an “auto” that is stolen, we will pay
the expense of returning that stolen auto to you. The limit for this coverage extension is
$5,000.
d. Rental Reimbursement
We will provide Rental Reimbursement and Additional Expense coverage only for those
Physical Damage coverages for which a premium is shown in the Declarations or
schedule pages. Coverage applies only to a covered “auto” of the private passenger or
light truck (10,000 lbs. or less gross vehicle weight) type for which Physical Damage
coverages apply.
(1) We will pay for auto rental expense and the expense incurred by you because of
“loss” to remove and transfer your materials and equipment from a covered “auto” to
a covered “auto”. Payment applies in addition to the otherwise applicable coverage
you have on a covered “auto”. No deductible applies to this coverage.
(2) We will pay only for expenses incurred during the policy period and beginning 24
hours after the “loss” and ending, regardless of the policy’s expiration, with the
lesser of the following number of days:
(a) The number of days reasonably required to repair or replace the covered
“auto”. If “loss” is caused by theft, this number of days is added to the number
of days it takes to locate the covered “auto” and return it to you, or
(b) 30 days.
CA-500 (7-09) Page 3 of 7
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CA-500 (7-09)
(3) Our payment is limited to the lesser of the following amounts:
(a) Necessary and actual expenses incurred; or
(b) $35 per day.
(c) This coverage does not apply while there are spare or reserve “autos”
available to you for your operations.
(d) If “loss” results from the total theft of a covered “auto” of the private passenger
or light truck type, we will pay under this coverage only that amount of your
rental reimbursement expense which is not already provided for under the
SECTION III – PHYSICAL DAMAGE COVERAGE, A. Coverage, 4.
Coverage Extensions, a. Transportation Expenses.
e. Personal Effects
If you have purchased Comprehensive Coverage on this policy for an “auto” you own
and that “auto” is stolen, we will pay, without application of a deductible, up to $500 for
Personal Effects stolen with the “auto”. The insurance provided under this provision is
excess over any other collectible insurance. For this coverage extension, Personal
Effects means tangible property that is worn or carried by an “insured”. Personal Effects
does not include tools, jewelry, guns, musical instruments, money or securities.
f. Audio, Visual and Data Electronic Equipment Coverage
We will pay for “loss” to any electronic equipment that receives or transmits audio, visual
or data signals and that is not designed solely for the reproduction of sound. This
coverage applies only if the equipment is permanently installed in a covered “auto” at the
time of the “loss” or the equipment is removable from a housing unit which is
permanently installed in a covered “auto” at the time of the “loss”, and such equipment is
designed to be solely operated by use of the power from the “auto’s” electrical system, in
or upon the covered “auto”.
(1) We will pay with respect to a covered “auto” for “loss” to any accessories used with
the electronic equipment described above. However, this does not include tapes,
records or discs.
(2) In addition to the exclusions that apply to Physical Damage Coverage, with
exception of the exclusion relating to audio, visual and data electronic equipment,
the following exclusion applies:
We will not pay for any electronic equipment or accessories used with such
electronic equipment that are:
(a) Necessary for the normal operation of the covered “auto” for the monitoring of
the covered “auto’s” operating system; or
CA-500 (7-09) Page 4 of 7
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CA-500 (7-09)
(b) Both:
An integral part of the same unit housing any sound reproducing equipment
designed solely for the reproducing of sound if the sound reproducing
equipment is permanently installed in the covered “auto”; and
Permanently installed in the opening of the dash or console normally used by
the manufacturer for the installation of a radio.
(3) With respect to this coverage, the most we will pay for all “loss” of audio, visual or
data electronic equipment and any accessories used with this equipment as a result
of any one “accident” is the lesser of:
(a)The actual cash value of the damaged or stolen property as of the time of the
“loss”;
(b) The cost of repairing or replacing the damaged or stolen property with other
property of like kind and quality; or $1,000;
minus a deductible of $100.
An adjustment for depreciation and physical condition will be made in determining
actual cash value at the time of loss. If a repair or replacement results in better than
like kind or quality, we will not pay for the amount of the betterment.
If there is other coverage provided for audio, visual and data electronic equipment, the
coverage provided herein is excess over any other collectible insurance.
Paragraph 3. under B. Exclusions is amended by adding the following language:
If you have purchased Comprehensive or Collision Coverage under this policy, this exclusion
does not apply to mechanical breakdown relating to the accidental discharge of an air bag.
This coverage applies only to a covered auto you own and is excess of any other collectible
insurance or warranty. No deductible applies to this coverage.
Paragraph C. Limit of Insurance is amended by adding the following language:
4. In the event of a total “loss” to a covered “auto” shown in the Schedule pages, subject at
the time of the “loss” to a loan or lease, we will pay any unpaid amount due on the lease
or loan for a covered “auto” less:
a. The amount paid under the Physical Damage Coverage Section of the policy;
and
b. Any:
(1) Overdue lease / loan payments at the time of the “loss”;
(2) Financial penalties imposed under a lease for excessive use, abnormal wear
and tear or high mileage;
(3) Security deposits not returned by the lessor;
CA-500 (7-09) Page 5 of 7
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CA-500 (7-09)
(4) Costs for extended warranties, Credit Life Insurance, Health, Accident or
Disability Insurance purchased with the loan or lease; and
(5) Carry-over balances from previous loans or leases.
Paragraph D. Deductible is amended by adding the following:
Any deductible shown in the Declarations as applicable to the covered “auto” will not apply to
glass breakage if the damaged glass is repaired, rather than replaced.
D. CONDITIONS
SECTION IV – BUSINESS AUTO CONDITIONS, Subsection A., Loss Conditions
Coverage is amended as follows:
The following is added to paragraph 2. Duties In The Event of Accident, Suit or Loss:
d. Knowledge of any “accident”, “claim”, “suit” or “loss” will be deemed knowledge by you
when notice of such “accident”, “claim”, “suit” or “loss” has been received by:
(1) You, if you are an individual;
(2) Any partner or insurance manager if you are a partnership
(3) An executive officer or insurance manager, if you are a corporation;
(4) Your members, managers or insurance manager, if you are a limited liability
company; or
(5) Your officials, trustees, board members or insurance manager, if you are a not-for-
profit organization.
The following language is added to 5. Transfer of Rights of Recovery Against Others to Us:
However, we waive any rights of recovery we may have against the person or organization
with whom you have agreed in writing in a contract, agreement or permit, to provide insurance
such as is afforded under the policy to which this endorsement is attached. This provision
does not apply unless the written contract or written agreement has been executed, or permit
has been issued, prior to the “bodily injury” or “property damage”.
SECTION IV – BUSINESS AUTO CONDITIONS, Subsection B. General Conditions
Coverage is amended as follows:
The following is added to 2. Concealment Misrepresentation or Fraud:
Your unintentional error is disclosing or failing to disclose any material fact existing at the
effective date of this Coverage Form, or during the policy period in connection with any
additional hazards, will not prejudice your rights under this Coverage Form.
CA-500 (7-09) Page 6 of 7
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CA-500 (7-09)
Paragraph 5.b. of 5. Other Insurance is replaced by the following:
b. (1) For “Comprehensive” and “Collision” Auto Physical Damage provided by this
endorsement, the following are deemed to be covered “autos” you own:
(a) Any covered “auto” you lease, hire, rent or borrow; and
(b) Any covered “auto” hired or rented by your “employee” under a contract in that
individual “employee’s” name, with your permission, while performing duties
related to the conduct of your business.
However, any “auto” that is leased, hired, rented or borrowed with a driver is not a covered
“auto”.
(2) Limit of Insurance For This Section
The most we will pay for any one “loss” is the lesser of the following:
(a) $50,000 per accident, or
(b) actual cash value at the time of loss, or
(c) cost of repair.
minus a $500 deductible. An adjustment for depreciation and physical condition
will be made in determining actual cash value in the event of a total loss. No
deductible applies to “loss” caused by fire or lightning.
(3) This Hired Auto Physical Damage coverage is excess over any other collectible
insurance.
(4) Definitions For This Section
(a) Comprehensive Coverage: from any cause except the covered “auto’s”
collision with another object or the covered “auto’s” overturn. We will pay
glass breakage, “loss” caused by hitting a bird or animal and “loss” caused by
falling objects or missiles.
(b) Collision Coverage: caused by the covered “auto’s” collision with another
object or by the covered “auto’s” overturn.
E. DEFINITIONS
SECTION V – DEFINITIONS, Paragraph C. is replaced by the following:
“Bodily injury” means bodily injury, sickness or disease sustained by a person including death
resulting from any of these. The definition of “bodily injury” is amended to include mental anguish
resulting from any bodily injury, sickness or disease sustained by a person.
CA-500 (7-09) Page 7 of 7
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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".
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