ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED?
INSR ADDLSUBRLTR INSDWVD
PRODUCER CONTACTNAME: FAXPHONE(A/C, No):(A/C, No, Ext):E-MAILADDRESS:INSURER A :INSURED INSURER B :INSURER C :INSURER D :INSURER E :INSURER F :
POLICY NUMBERPOLICY EFFPOLICY EXPTYPE OF INSURANCELIMITS(MM/DD/YYYY)(MM/DD/YYYY)
AUTOMOBILE LIABILITY
UMBRELLA LIABEXCESS LIABWORKERS COMPENSATIONAND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
AUTHORIZED REPRESENTATIVE
EACH OCCURRENCE$DAMAGE TO RENTEDCLAIMS-MADEOCCUR $PREMISES (Ea occurrence)MED EXP (Any one person)$PERSONAL & ADV INJURY$GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$PRO-POLICYLOC PRODUCTS - COMP/OP AGGJECT OTHER: $COMBINED SINGLE LIMIT$(Ea accident)ANY AUTO BODILY INJURY (Per person)$OWNEDSCHEDULEDBODILY INJURY (Per accident)$AUTOS ONLYAUTOSHIREDNON-OWNEDPROPERTY DAMAGE$AUTOS ONLYAUTOS ONLY(Per accident)$OCCUR EACH OCCURRENCECLAIMS-MADEAGGREGATE$DEDRETENTION$ PEROTH-STATUTEERE.L. EACH ACCIDENTE.L. DISEASE - EA EMPLOYEE$If yes, describe underE.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGENAIC #
COMMERCIAL GENERAL LIABILITY
Y / NN / A(Mandatory in NH)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE 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 onthis certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
COVERAGESCERTIFICATE NUMBER:REVISION NUMBER:
CERTIFICATE HOLDERCANCELLATION
© 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03)
CERTIFICATE OF LIABILITY INSURANCEDATE (MM/DD/YYYY)
$
$$$$
The ACORD name and logo are registered marks of ACORD
5/28/2025
License # 0757776(415) 276-2801(951) 231-257225682GSE Construction Company, Inc.7633 Southfront Road, Suite 160Livermore, CA 9455125674 A 1,000,000XXDT22-CO-3R384155-TCT-2410/1/202410/1/2025500,0005,0001,000,0002,000,0002,000,0001,000,000B XX810-3R088526-24-26-G10/1/202410/1/2025Ded: 0 10,000,000B CUP-6S907461-24-2610/1/202410/1/202510,000,00010,000B XUB-3R384512-24-26-G10/1/202410/1/20251,000,000N 1,000,0001,000,000 Excess Liability – 2nd Layer | Insurance Company: Starstone Specialty Insurance CompanyPolicy Term: 10/1/24-10/1/25 | Policy No. CSX90200165P-00 | Limit: $5,000,000RE: On-Call Construction Services Agreement for City of Bakersfield Water DepartmentCity of Bakersfield, its mayor, council, officers, agents, employees and volunteers are Additional Insured with regard to General Liability when required bywritten contract per the attached endorsement form CGD246 04/19. Primary & Non - Contributory wording applies with regard to General Liability whenrequired by written contract per the attached endorsement form CGT100 02/19. Waiver of Subrogation with regard to General Liability applies when requiredSEE ATTACHED ACORD 101 City of BakersfieldWater DepartmentAttn: Dillon O’Donohue1000 Buena Vista RdBakersfield, CA 93311 GSECONS-01NCHUNG
HUB International Insurance Services Inc.3000 Executive ParkwaySuite 300San Ramon, CA 94583Allison [email protected] Travelers Indemnity Company of ConnecticutTravelers Property Casualty Company of America X
X XXXXX XXXX
FORM NUMBER:
EFFECTIVE DATE:
The ACORD name and logo are registered marks of ACORD
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE
FORM TITLE:
Page of
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, ACORD 101 (2008/01)
AGENCY CUSTOMER ID:LOC #:
AGENCY NAMED INSUREDPOLICY NUMBERCARRIER NAIC CODE
© 2008 ACORD CORPORATION. All rights reserved.
HUB International Insurance Services Inc.
GSECONS-01
SEE PAGE 1
1 SEE PAGE 1ACORD 25Certificate of Liability Insurance
License # 07577760
SEE P 1GSE Construction Company, Inc.7633 Southfront Road, Suite 160Livermore, CA 94551SEE PAGE 1 NCHUNG1
Description of Operations/Locations/Vehicles:by written contract per the attached endorsement form CGD316 02/19. Additional Insured with regard to Auto Liability when required by written contract per the attached endorsement form CAT499 02/16, Primary & Non -Contributory included. Waiver of Subrogation with regard to Auto Liability applies when required by written contract per the attached endorsement form CAT353 02/15. Waiver of Subrogation with regard to Workers Compensation applies when required by written contract per the attached endorsement form WC990376(A)-001.
CG D2 46 04 19 Page 1 of 2 © 2018 The Travelers Indemnity Company. All rights reserved.
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED
(Includes Products-Completed Operations If Required By Contract) This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PROVISIONS (1) Any "bodily injury", "property damage" or The following is added to SECTION II – WHO IS AN
INSURED:
"personal injury" arising out of the providing,
or failure to provide, any professional
Any person or organization that you agree in a architectural, engineering or surveying written contract or agreement to include as an services, including:
additional insured on this Coverage Part is an (a) The preparing, approving, or failing to insured, but only: prepare or approve, maps, shop
a. With respect to liability for "bodily injury" or drawings, opinions, reports, surveys, "property damage" that occurs, or for "personal field orders or change orders, or the injury" caused by an offense that is committed, preparing, approving, or fa iling to subsequent to the signing of that contract or prepare or approve, drawings and agreement and while that part of the contract or specifications; and agreement is in effect; and (b) Supervisory, inspection, architectural or b. If, and only to the extent that, such injury or engineering activities. damage is caused by acts or omissions of you or
your subcontractor in the performance of "your (2) Any "bodily injury" or "property damage" work" to which the written contract or agreement caused by "your work" and included in the applies. Such person or organization does not "products-completed operations hazard" qualify as an additional insured with respect to unless the written contract or agreement the independent acts or omissions of such specifically requires you to provide such person or organization. coverage for that additional insured during The insurance provided to such additional insured is
subject to the following provisions:
the policy period.
c. The additional insured must comply with the
a. If the Limits of Insurance of this Coverage Part following duties:
shown in the Declarations exceed the minimum (1) Give us written notice as soon as practicablelimits required by the written contract or agreement, the insurance provided to the of an "occurrence" or an offense which may additional insured will be limited to such result in a claim. To the extent possible, such minimum required limits. For the purposes of notice should include:
determining whether this limitation applies, the (a) How, when and where the "occurrence" minimum limits required by the written contract or or offense took place; agreement will be considered to include the
minimum limits of any Umbrella or Excess (b) The names and addresses of any injured liability coverage required for the additional persons and witnesses; and insured by that written contract or agreement. (c) The nature and location of any injury or This provision will not increase the limits of damage arising out of the "occurrence" insurance described in Section III – Limits Of
Insurance.
b. The insurance provided to such additional
insured does not apply to:
or offense.
(2) If a claim is made or "suit" is brought against
the additional insured:
32/,&<180%(5
DT22-CO-3R384155-TCT-24
CG D2 46 04 19 Page 2 of 2 © 2018 The Travelers Indemnity Company. All rights reserved.
COMMERCIAL GENERAL LIABILITY
(a) Immediately record the specifics of the (4) Tender the defense and indemnity of any claim or "suit" and the date received; and claim or "suit" to any provider of other (b) Notify us as soon as practicable and see
to it that we receive written notice of the
insurance which would cover such additional
i
nsured for a loss we cover. However, this
claim or "suit" as soon as practicable. condition does not affect whether the insurance provided to such additional
(3) Immediately send us copies of all legal insured is primary to other insurance papers received in connection with the claim available to such additional insured which or "suit", cooperate with us in the covers that person or organization as a investigation or settlement of the claim or named insured as described in Paragraph 4., defense against the "suit", and otherwise
comply w
ith all policy conditions.
Other Insurance, of Section IV – Commercial
General Liability Conditions.
CG D3 16 02 19 Page 1 of 3 © 2017 The Travelers Indemnity Company. All rights reserved.
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
XTEND ENDORSEMENT FOR CONTRACTORS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
GENERAL DESCRIPTION OF COVERAGE – This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excl uded or limited by such an endorsement. The following listing is a g eneral coverage description only. Read all the provisions of this endorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered.
A. Who Is An Insured – Unnamed Subsidiaries C. Incidental Medical Malpractice B. Blanket Additional Insured – Governmental
Entities – Permits Or Authorizations Relating To
Operations
D. Blanket Waiver Of Subrogation
E. Contractual Liability – Railroads
F. Damage To Premises Rented To You
PROVISIONS a. An organization other than a partnership, joint A. WHO IS AN INSURED – UNNAMED venture or limited liability company; or
SUBSIDIARIES
The following is added to SECTION II – WHO IS
b. A trust;
as indicated in its name or the documents that
AN INSURED: govern its structure.
Any of your subsidiaries, other than a partnership, B. BLANKET ADDITIONAL INSURED – joint venture or limited liability company, that is GOVERNMENTAL ENTITIES – PERMITS OR not shown as a Named Insured in the AUTHORIZATIONS RELATING TO OPERATIONS Declarations is a Named Insured if:
a. You are the sole owner of, or maintain an The following is added to SECTION II – WHO IS ownership interest of more than 50% in, such
subsidiary on the first day of the policy period;
AN INSURED:
Any governmental entity that has issued a permit
and or authorization with respect to operations
b. Such subsidiary is not an insured under performed by you or on your behalf and that you similar other insurance. are required by any ordinance, law, building code or written contract or agreement to include as an
No such subsidiary is an insured for "bodily injury" additional insured on this Coverage Part is an or "property damage" that occurred, or "personal insured, but only with respect to liability for "bodily and advertising injury" caused by an offense
committed:
a. Before you maintained an ownership interest
of more than 50% in such subsidiary; or
injury", "property damage" or "personal and
advertising injury" arising out of such operations.
The insurance provided to such governmental
entity does not apply to:
b. After the date, if any, during the policy period a. Any "bodily injury", "property damage" or that you no longer maintain an ownership "personal and advertising injury" arising out of interest of more than 50% in such subsidiary. operations performed for the governmental entity; or
For purposes of Paragraph 1. of Section II – Who b. Any "bodily injury" or "property damage" Is An Insured, each such subsidiary will be deemed to be designated in the Declarations as: included in the "products-completed operations hazard".
POLICY NUMBER: DT22-CO-3R384155-TCT-24
CG D3 16 02 19 Page 2 of 3 © 2017 The Travelers Indemnity Company. All rights reserved.
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
COMMERCIAL GENERAL LIABILITY
C. INCIDENTAL MEDICAL MALPRACTICE pharmaceuticals committed by, or with the
1. The following replaces Paragraph b. of the knowledge or consent of, the insured. definition of "occurrence" in the 5. The following is added to the DEFINITIONS DEFINITIONS Section: Section:
b. An act or omission committed in providing "Incidental medical services" means:or failing to provide "incidental medical a. Medical, surgical, dental, laboratory, x-ray services", first aid or "Good Samaritan
services" to a person, unless you are in or nursing service or trea tment, advice or the business or occupation of providing instruction, or the related furnishing of professional health care services.
2. The following replaces the last paragraph of
food or beverages; or
b. The furnishing or dispensing of drugs or
Paragraph 2.a.(1) of SECTION II – WHO IS medical, dental, or surgical supplies or AN INSURED:
Unless you are in the business or occupation
appliances.
6. The following is added to Paragraph 4.b.,
of providing professional health care services,
Paragr
aphs (1)(a), (b), (c) and (d) above do
Excess Insurance , of SECTION IV –
COMMERCIAL GENERAL LIABILITY
not apply to "bodily injury" arising out of CONDITIONS:
providing or failing to provide: This insurance is excess over any valid and (a) "Incidental medical services" by any of collectible other insurance, whether primary, your "employees" who is a nurse, nurse excess, contingent or on any other basis, that assistant, emergency medical technician is available to any of your "employees" for or paramedic; or
(b) First aid or "Good Samaritan services" by
"bodily injury" that arises out of providing or
fa
iling to provide "incidental medical services"
any of your "employees" or "volunteer to any person to the extent not subject to workers", other than an employed or
volunteer doctor. Any such "employees "
or "volunteer workers" providing or failing
to provide first aid or "Good Samaritan
services" during their work hours for you
Paragraph
2.a.(1) of Section II – Who Is An
Insured.
D. BLANKET WAIVER OF SUBROGATION
The following is added to Paragraph 8., Transfer
will be deemed to be acting within the Of Rights Of Recovery Against Others To Us, scope of their employment by you or of SECTION IV – COMMERCIAL GENERAL performing duties related to the conduct
of your business.
LIABILITY CONDITIONS:
If the insured has agreed in a contract or
3. The following replaces the last sentence of agreement to waive that insured's right of Paragraph 5. of SECTION III – LIMITS OF recovery against any person or organization, we INSURANCE: waive our right of recovery against such person or For the purposes of determining the organization, but only for payments we make applicable Each Occurrence Limit, all related because of:
acts or omissions committed in providing or a. "Bodily injury" or "property damage" that failing to provide "incidental medical occurs; orservices", first aid or "Good Samaritan services" to any one person will be deemed to
be one "
occurrence".
b. "Personal and advertising injury" caused by
an offense that is committed;
4. The following exclusion is added to subsequent to the execution of the contract or Paragraph 2., Exclusions, of SECTION I –
COVERAGES – COVERAGE A – BODILY
agreement.
E. CONTRACTUAL LIABILITY – RAILROADS
INJURY AND PROPERTY DAMAGE
LIABILITY: 1. The following replaces Paragraph c. of the Sale Of Pharmaceuticals definition of "insured contract" in the "Bodily injury" or "property damage" arising DEFINITIONS Section:
out of the violation of a penal statute or c. Any easement or license agreement; ordinance relating to the sale of
CG D3 16 02 19 Page 3 of 3 © 2017 The Travelers Indemnity Company. All rights reserved.
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
COMMERCIAL GENERAL LIABILITY
2. Paragraph f.(1) of the definition of "insured a. Any premises while rented to you or contract" in the DEFINITIONS Section is temporarily occupied by you with permission deleted. of the owner; or
F. DAMAGE TO PREMISES RENTED TO YOU b. The contents of any premises while such The following replaces the definition of "premises premises is rented to you, if you rent such damage" in the DEFINITIONS Section: premises for a period of seven or fewer "Premises damage" means "property damage" to:
consecutive days.
POLICY NUMBER: DT22-CO-3R384155-TCT-24
COMM E RCI AL AUTO
T HIS E NDORS E ME NT CH ANGES T HE P OLIC Y . PL E A S E RE AD I T C AREFULLY .
BL ANKET ADDITION AL INSURED – PRIM A RY AN D
NON-CONTRIBUTO RY WI TH O THE R INSURAN CE –
CONTR ACTORS
T h is en d o rs e m en t mo difi e s i n s u ra n c e p ro v ided und er the f ol lo w ing :
BUS INE SS A UTO COV ERAGE F O R M
P RO VISION S 2. The f ol lo w ing i s ad ded to P ar agr aph B .5. , O the r In su r ance of SE CTION IV – BU SI N ES S A UT O1. The f ol low ing is a dded t o P a r ag rap h c. in A.1. , COND I T ION S:Wh o Is A n Insur ed, of SE CTION Il – COVERED A U T OS LIA B I LIT Y CO VE R AGE: R e gar dle ss o f the prov i s ions o f pa rag raph a. and pa rag raph d. of this par t 5. O ther Insur ance, thi sThi s i ncludes any p e r s on or or ganization w h o yo u i nsuran c e i s pr im a ry to and n on-contr i butory w it har e requi r ed un der a w r it ten c o ntr a ct o r appl i cab le oth e r in s ur anc e un der w hich anag ree ment, t h at is s igned b y y ou b efore t h e addi tional insured p er s on o r or gan iza tion is a"bodi ly inj ury" o r " p roper ty d am age " o ccur s and name d i ns ured w hen a w r it ten c o ntr a ct o rthat i s i n e f f e ct dur ing the p oli c y per iod, t o n am e ag ree ment w ith you, th a t i s s igned b y you be for ea s an ad dit ional i ns ur ed fo r C ov er ed A uto s the " b odily inj ur y " or "pr oper ty dama ge" o cc ur sLia bil ity C o v e r ag e, bu t only for d a mages t o w hi ch and th at i s in effec t d u rin g t h e p o l ic y p e ri od ,th i s ins uran c e applie s and only t o the ex tent o f r eq u ires t h is i n s uran c e to b e pr im ar y an d non-that p er s on 's or o r g aniza tio n's l iabi li ty fo r th e cont r ibutor y .conduct o f anothe r " in su red".
CA T4 99 02 16 ú 2 01 6 T h e T r a ve l e r s I ndemni t y Co m pa n y . A l l righ ts res e rv e d . Pa ge 1 of 1 I nc lud es co py rig ht e d ma te ria l o f I nsur a nce Se rv ice s O f f ice , I nc. w i t h its pe rm is sio n . 32/,&<180%(5
810-3R088526-24-26-G
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BUSINESS AUTO EXTENSION ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
GENERAL DESCRIPTION OF COVERAGE – This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered.
A. BROAD FORM NAMED INSURED
B. BLANKET ADDITIONAL INSURED
C. EMPLOYEE HIRED AUTO
D. EMPLOYEES AS INSURED
E. SUPPLEMENTARY PAYMENTS – INCREASED
LIMITS
F. HIRED AUTO – LIMITED WORLDWIDE COV-
ERAGE – INDEMNITY BASIS
G. WAIVER OF DEDUCTIBLE – GLASS
PROVISIONS
A. BROAD FORM NAMED INSURED
The following is added to Paragraph A.1., Who Is
An Insured, of SECTION II – COVERED AUTOS
LIABILITY COVERAGE:
Any organization you newly acquire or form dur-
ing the policy period over which you maintain
50% or more ownership interest and that is not
separately insured for Bu siness Auto Coverage.
Coverage under this provision is afforded only un-
til the 180th day after you acquire or form the or-
ganization or the end of the policy period, which-
ever is earlier.
B. BLANKET ADDITIONAL INSURED
The following is added to Paragraph c. in A.1.,
Who Is An Insured , of SECTION II – COVERED
AUTOS LIABILITY COVERAGE:
Any person or organization who is required under
a written contract or agreement between you and
that person or organization, that is signed and
executed by you before the "bodily injury" or
"property damage" occurs and that is in effect
during the policy period, to be named as an addi-
tional insured is an "insured" for Covered Autos
Liability Coverage, but only for damages to which
H. HIRED AUTO PHYSICAL DAMAGE – LOSS OF
USE – INCREASED LIMIT
I. PHYSICAL DAMAGE – TRANSPORTATION
EXPENSES – INCREASED LIMIT
J. PERSONAL PROPERTY
K. AIRBAGS
L. NOTICE AND KNOWLEDGE OF ACCIDENT OR
LOSS
M. BLANKET WAIVER OF SUBROGATION
N. UNINTENTIONAL ERRORS OR OMISSIONS
this insurance applies and only to the extent that
person or organization qualifies as an "insured"
under the Who Is An Insured provision contained
in Section II.
C. EMPLOYEE HIRED AUTO
1. The following is added to Paragraph A.1.,
Who Is An Insured , of SECTION II – COV-
ERED AUTOS LIABILITY COVERAGE:
An "employee" of yours is an "insured" while
operating an "auto" hired or rented under a
contract or agreement in an "employee's"
name, with your permission, while performing
duties related to the conduct of your busi-
ness.
2. The following replaces Paragraph b. in B.5.,
Other Insurance, of SECTION IV – BUSI-
NESS AUTO CONDITIONS:
b. For Hired Auto Physical Damage Cover-
age, the following are deemed to be cov-
ered "autos" you own:
(1) Any covered "auto" you lease, hire,
rent or borrow; and
(2) Any covered "auto" hired or rented by
your "employee" under a contract in
an "employee's" name, with your
CA T3 53 02 15 © 2015 The Travelers Indemnity Company. All rights reserved. Page 1 of 4 32/,&<180%(5
810-3R088526-24-26-G
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
COMMERCIAL AUTO
permission, while performing duties
related to the conduct of your busi-
ness.
However, any "auto" t hat is leased, hired,
rented or borrowed with a driver is not a
covered "auto".
D. EMPLOYEES AS INSURED
The following is added to Paragraph A.1.,
Who Is
An Insu
red, of SECTION II – COVERED AUTOS
LIABILI
TY COVERAGE:
Any "emplo
yee" of yours is an "insured" while us-
ing a covered "auto" you don't own, hire or borro w
in you
r business or your personal affairs.
E. SUPPLEMENTARY PAYMENTS – INCREA SED
LIMIT
S
1. The following replaces Paragraph A.2.a.(2),
of SEC
TION II – COVERED AUTOS LIABIL-
ITY COVERAGE:
(2) Up to $3
,000 for cost of bail bonds (in-
cluding bonds for related traffic law viola-
tions) required because of an "acciden t"
we co
ver. We do not have to furn ish
these
bonds.
2. The following replaces Paragraph A.2.a.(4),
of SEC
TION II – COVERED AUTOS LIABIL-
ITY COVERAGE:
(4) All reasona
ble expenses incurred by the
"insured" at our request, including actual
loss of earnings up to $500 a day be-
cause of time off from work.
F. HIRED
AUTO – LIMITED WORLDWIDE COV-
ERAGE – INDEMNITY BASIS
The following replaces Subparagraph (5) in Para-
graph B.7., Policy Period, Coverage Territory ,
of SECT
ION IV – BUSINESS AUTO CONDI-
TI
ONS:
(5) Anywhe
re in the world, except any country or
jurisdiction while any trade sanction, em-
bargo, or similar regulation imposed by the
United States of America applies to and pro-
hibits the transaction of business with or
within such country or jurisdiction, for Cov-
ered Autos Liability Coverage for any covered
"auto" that you lease, hire, rent or borrow
without a driver for a period of 30 days or le
ss
and that is n
ot an "auto" 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.
(a) With respect to any claim made or "suit"
brought outside the United States of
America, the territories and possessions
of the United
States of America, Puerto
Rico and
Canada:
(i) You must arrange to defend the "in-
sured" against, and investigate or set-
tle any such claim or "suit" and keep
us advised of all proceedings and ac-
tions.
(ii) Neither you nor any other involv
ed
"insured" will make any settlement
without ou
r consent.
(iii) We may, at our discretion, participa te
in defen
ding the "insured" against, or
in the settlement of, any claim or
"suit".
(iv) We will reimburse the "insured" for
sums that the "insured" legally must
pay as damages because of "bodily
injury" or "property damage" to which
this insurance applies, that the "in-
sured" pays with our consent, but
only up to the limit described in Para-
graph C., Limits Of Insurance, of
SECTION II – COVERED AUTOS
LIABILITY COVERAGE.
(v) We
will reimburse the "insured" for
the reasonable expenses incurred
with our consent for your investiga-
tion of such claims and your de
fense
of the "insu
red" against any such
"suit", but only up to and included
within the limit described in Para-
graph C., Limits Of Insurance, of
SECTION II – COVERED AUTOS
LIABILITY COVERAGE, and not in
addition to such limit. Our duty to
make such payments ends when we
have used up the applicable limit of
insurance in payments for damage
s,
set
tlements or defense expenses.
(b) This insurance is excess over any valid
and collectible other insurance availabl e
to
the "insured" whether primary, excess ,
contin
gent or on any other basis.
(c) This insurance is not a substitute for re-
quired or compulsory insurance in any
country outside the United States, its ter-
ritories and possessions, Puerto Rico and
Canada.
© 2015 The Travelers Indemnity Company. All rights reserved. CA T3 53 02 15 Includes copyrighted material of Insurance Services Office, Inc. with its permission.
COMMERCIAL AUTO
You agree to maintain all required or
compulsory insurance in any such coun-
try up to the minimum limits required by
local law. Your failure to comply with
compulsory insurance requirements will
not invalidate the coverage afforded by
this policy, but we will only be liable to the
same extent we would have been liable
had you complied with the compulsory in-
surance requirements.
(d) It is understood that we are not an admit-
ted or authorized insurer outside the
United States
of America, its territories
and posse
ssions, Puerto Rico and Can-
ada. We assume no responsib ility for the
furnishing of
certificates of insurance, or
for compliance in any
way with the la ws
of other count
ries relating to insurance.
G. WAIVER OF DEDUCTIBLE – GLASS
The following is added to Paragraph D., Deducti-
ble, of SECTION III – PHYSICAL DAMAGE
COVERAGE:
No d
eductible for a covered "auto" will apply to
glass damage if the glass is repaired rather than
replaced.
H. HIRED AUTO PHYSICAL DAMAGE – LOSS OF
USE – INCREASED LIMIT
The following replaces the last sentence of Para-
graph A.4.b., Loss Of Use Expenses , of SEC-
TION III – PHYSICAL DAMAGE COVERAGE:
Ho
wever, the most we will pay for any expenses
for loss of use is $65 per day, to a maximum of
$750 for any one "accident".
I. PHYSICAL DAMAGE – TRANSPORTATI ON
EXPENSES – INCREASE
D LIMIT
The following replaces the first sentence in Para-
graph A.4.a., Transportation Expenses , of
SECT
ION III – P HYSICAL DAMAGE COVER-
AGE:
We will p
ay up to $50 per day to a maximum of
$1,500 for temporary transportation expense in-
curred by you because of the total theft of a cov-
ered "auto" of the private passenger type.
J. PERSONAL PROPERTY
The following is added to Paragraph A.4., Cover-
age Extensions, of SECTI ON III – PHYSICAL
DAM
AGE COVERAGE:
Personal Pr
operty
We will pay up to $400 for "loss" to wearing ap-
parel and other personal property which is:
(1) Owned by an "insured"; and
(2) In or on your covered "auto".
This coverage applies only in the event of a total
theft of your covered "auto".
No deductibles apply to this Personal Property
coverage.
K. AIRBAGS
The following is added to Paragraph B.3., Exclu-
sions, of SECTION III – PHYSICAL DAMAGE
COVERAGE:
E
xclusion 3.a. does not apply to "loss" to one or
more airbags in a covered "auto" you own that in-
flate due to a cause other than a cause of "loss"
set forth in Paragraphs A.1.b. and A.1.c., but
only:
a. If that "auto" is a co
vered "auto" for Compre-
hensive Coverage under this policy;
b. The airbag
s are not covered under any war-
ranty; and
c. The airbags were not intentionally inflated.
We will pay up to a maximum of $1,000 for any
one "loss".
L. NOTICE AND KNOWLEDGE OF ACCIDENT OR
LOSS
The following is added to Paragraph A.2.a., of
SECTION IV – BUSINESS AUTO CONDITIONS:
Your dut
y to give us or our authorized representa-
tive prompt notice of the "accident" or "loss" ap-
plies only when the "accident" or "loss" is known
to:
(a) You (if you are an individual);
(b) A partner (if you are a partnership);
(c) A member (if you are a limited liability com-
pany);
(d) An executive officer, director or insuranc e
manag
er (if you are a corporation or other or-
ganization); or
(e) Any "employee" authorized by you to give no-
tice of the "accident" or "loss".
M. BLANKET WAIVER OF SUBROGATION
The following replaces Paragraph A.5., Transfer
Of Rights Of Recovery Against Others To Us ,
of SEC
TION IV – BUSINESS AUTO COND I-
TI
ONS :
5. Transfer Of Rights Of Recovery Against
Others To Us
We waive any right of recovery we may have
against any person or organization to the ex-
tent required of you by a written contract
signed and executed prior to any "accident"
or "loss", provided that the "accident" or "loss"
arises out of operations contemplated by
CA T3 53 02 15
© 2015 The Travelers Indemnity Company. All rights reserved. Page 3 of 4 Includes copyrighted material of Insurance Services Office, Inc. with its permission.
COMMERCIAL AUTO
such contract. The waiver applies only to the
person or organization designated in such
contract.
N. UNINTENTIONAL ERRORS OR OMISSIONS
The following is added to Paragraph B.2., Con-
cealment, Misrepresentation, Or Fraud
, of
SECT
ION IV – BUSINESS AUTO CONDITIONS:
The unintent
ional omission of, or unintentional
error in, any information given by you shall not
prejudice your rights under this insurance. How-
ever this provision does not affect our right to col-
lect additional premium or exercise our right of
cancellation or non-renewal.
UB-3R384512-24-26-G
UB-3R384512-24-26-G10-01-24
GSE Construction Company, Inc.