1. 2.
CITY OF RICHMOND
STANDARD CONTRACT
Department: City Project Manager:
Public Works Clarence Johnson
City Project Manager E-mail: City Project Manager Phone No:
Clarence_Johnson@ci. richmond .ca. us (510) 231-3034
Vendor No: Contract No:
Description of Services:
Work includes system maintenance and repairs for power components such as panels, generators, and transformers, 13s well as installation and repair of street lighting, traffic signals, and solar systems. Services also support small-scale electrical needs at parks and municipal buildings, including trenching, wiring, and control systems.
The parties to this STANDARD CONTRACT do mutually agree and promise as follows:
Parties. The parties to this Contract are the City of Richmond, a municipal corporation ("the City"), and the following named Contractor:
Contractor Name: St. Francis Electric
Street Address: 975 Carden Street
City, State, Zip Code: San Leandro, CA 94577
Contact Person: Monica Kint
Telephone: (510) 639-0639 Email: [email protected]
Business License No: 335324
a A California corporation, C limited liability corporation C general partnership, r:il limited partnership, a individual, C non-profit corporation, lcil individual dba as [specify:] □ other [specify:] ____________ _
Term. The effective date of this Contract is ___________ and terminates unless terminated earlier as set forth herein.
3. Payment Limit. City's total payments to Contractor under this Contract shall not exceed $ 750,000
.00 ("Contract Payment Limit") unless a Contract Amendment has been approved by the City Council or City Manager. If this amount includes a contingency, Contractor acknowledges that any use of such contingency shall be for work beyond the original scope of services and requires prior written authorization by the City. If noted below, Compensation for work done under this Contract, shall not exceed as follows:
FY total compensation shall not exceed$
FY total compensation shall not exceed $
FY total compensation shall not exceed$
4. Contractor's Obligations. Contractor agrees to perform all work at its own cost and expense, to furnish all labor, tools, equipment, materials, except as otherwise specified, in accordance with the Service Plan set forth in Exhibit A, attached hereto and incorporated herein.
5. City Obligations. City shall make payments to the Contractor in accordance with the Payment Provisions set forth in Exhibit B, attached hereto and incorporated herein.
Contract No: ________ For the Contract between the City of Richmond and
_____________________________
EXHIBIT A
SERVICE PLAN
Contractor shall, to the satisfaction of the Project Manager ( set forth in Exhibit B) , perform the following services and be compensated as outlined below [or attach service plan if necessary]:
Duties and responsibilities of the consultant include, but are not limited to:
Troubleshooting and diagnostics of low and medium voltage systems Maintenance and repair of:
• Uninterruptible Power Supplies (UPS)
• Motor Control Centers (MCCs)
• Automatic Transfer Switches (ATS)
• HVAC systems
• Protection relays, panels, breakers, transformers
Installation and construction of:
• Power supply systems (interior and exterior)
• Electrical service connections
• Electrical wiring and trenching
• Electrical system layout and testing
Servicing of electrical and industrial equipment, including:
• Motors, pumps, battery banks
• AC/DC chargers, inverters, power converters, generators • Flashing beacons, photovoltaic (PV) and solar lighting systems Street and traffic system work:
• Street lighting
• Traffic signal systems
• CCTV and security camera installations
Electrical support in municipal buildings and facilities:
• Occupied office complexes
• Parks and recreational facilities
• Heating, ventilation, air conditioning, and refrigeration units Conduit and cabling work:
• Installing and repairing conduits
• Connecting control systems and transmission equipment Services may also include the following: :
• Preliminary documents, plans and/or reports including findings and recommendations.
• Final documents, plans and/or reports responding to City and other stakeholder comments
• Plans, Specifications and Estimates
• Handouts and graphical displays for public meetings
• Grant Applications
• Staff Reports & Resolutions
___ Exhibit F
___ Section 8
City of Richmond - Insurance Requirements - Type 2:
Professional Services
Type 2 – Page 1 of 3
Revised: September 2011
In all instances where CONTRACTOR or its representatives will provide professional services (architects, engineers, construction management, counselors, medical professionals, hospitals, clinics, attorneys, consultants, accountants, etc.) to the City of Richmond (City), the City requires the following MINIMUM insurance requirements and limits.
CONTRACTOR shall procure and maintain for the duration of the contract, agreement, or other order for work, services or supplies, insurance against claims for injuries to persons or damages to property which may arise from or in connection with the performance of the work hereunder and the results of that work by the CONTRACTOR, its agents, representatives, employees or subcontractors. Maintenance of proper insurance coverage is a material element of the contract. Failure to maintain or renew coverage or to provide evidence of renewal may be treated by the City as a material breach of contract.
CONTRACTOR agrees that in the event of loss due to any of the perils for which it has agreed to provide Commercial General Liability insurance, CONTRACTOR shall look solely to its insurance for recovery.
CONTRACTOR hereby grants to CITY, on behalf of any insurer providing Commercial General Liability insurance to either CONTRACTOR or CITY with respect to the services of CONSULTANT herein, a waiver of any right to subrogation which any such insurer of said CONTRACTOR may acquire against the CITY by virtue of the payment of any loss under such insurance.
Original, signed certificates and original, separate policy endorsements, naming the City as an additional insured for general liability coverage, as well as a waiver of subrogation for Workers’ Compensation insurance, shall be received and approved by the City before any work may begin. However, failure to do so shall not operate as a waiver of these insurance requirements.
City reserves the right to modify or require additional coverages for specific risk exposures depending on scope of CONTRACTORS work.
Minimum coverage is detailed below. The policy limits of coverage shall be made available to the full limits of the policy. The minimum limits stated herein shall not serve to reduce the policy limits of coverage of CONTRACTOR.
Minimum Scope of Insurance – the following forms shall be provided and coverage shall be at least as broad as the following:
1. Insurance Services Office Commercial General Liability coverage (ISO Occurrence Form CG 0001), and including coverage for bodily and personal injury, property damage, and products and completed operations (if applicable).
2. Insurance Services Office Automobile Liability coverage (ISO Form CA 0001, Code 1, Any Auto).
3. Original and Separate Additional Insured Endorsement for General Liability (ISO Form CG 20 10 11/85 or its equivalent) with primary and non-contributory language.
4. Workers’ Compensation Insurance as required by the State of California including Employer’s Liability coverage.
5. Original and Separate Waiver of Subrogation for Workers’ Compensation insurance.
6. Professional Liability or Errors & Omissions Liability Insurance appropriate to the CONTRACTOR’s profession (if required.)
Required Coverage Minimum Limits
Workers’ Compensation and
Employers’ Liability
Statutory limits as required by the State of California including $1 million Employers’ Liability per accident, per employee for bodily injury or disease.
If CONTRACTOR is self-insured, provide a certificate of Permission to Self- Insure, signed by the California Department of Industrial Relations and Self- Insurance. If contractor is a sole proprietor (has no employees) than contractor must sign “Contractor Release of Liability” found at:
http://www.ci.richmond.ca.us/index.aspx?nid=61.
General Liability
(primary and excess limits
combined)
$2,000,000 per occurrence for bodily injury, personal injury and property damage. If the policy includes a general aggregate, either the general aggregate shall apply separately to this project, service or location or the minimum required aggregate limit shall be twice the per occurrence limit ($4 million aggregate limit).
Policy shall be endorsed to name the City of Richmond as an additional insured per the conditions detailed below.
___ Exhibit F
___ Section 8
City of Richmond - Insurance Requirements - Type 2:
Professional Services
Type 2 – Page 2 of 3
Revised: September 2011
Automobile Liability $1,000,000 per occurrence for bodily injury and property damage.
PROJECT COST R EQUIRED LIMIT
$0 - $1 million $1 million p/o
$1 million - $5 million $2 million p/o
Over $5 million $5 million p/o
Professional Liability or Errors &
Omissions Liability –
Required for all professionals
including architects, engineers,
consultants, construction
management, counselors, medical
professionals, hospitals, clinics,
attorneys and accountants, & other
consultants as may be required by
the City.
Required Policy Conditions
Additional Insured Endorsement
Applicable to General Liability coverage.
The City of Richmond, its officers, officials, employees, agents and volunteers are to be named as additional insureds for all liability arising out of the operations by or on behalf of the named insured including bodily injury, deaths and property damage or destruction arising in any respect directly or indirectly in the performance of this contract.
ISO form CG 20 10 (11/85) or its equivalent is required. If the Contractor is supplying their product or providing a service then the endorsement must not
exclude products and completed operations
coverage. If it does, then CG 20 37 (10/01) is also required.
SAMPLE Endorsements can be found at
http://www.ci.richmond.ca.us/index.aspx?nid=61
.
Primary and Noncontributory The contractor’s insurance coverage must be primary coverage as it pertains to the City, its officers, officials, employees, agents and volunteers. Any insurance or self insurance maintained by the City is wholly separate from the insurance of the contractor and in no way relieves the contractor from its responsibility to provide insurance.
Waiver of Subrogation
Endorsement Form
Contractor’s insurer will provide a Waiver of Subrogation in favor of the City for Workers’ Compensation Insurance during the life of this contract.
SAMPLE Endorsements can be found at
http://www.ci.richmond.ca.us/index.aspx?nid=61.
Deductibles and Self-Insured
Retentions
Any deductible or self-insured retention must be declared to and approved by the City. At the option of the City either the insurer shall reduce or eliminate such deductibles or self-insured retention as respects the City or the CONTRACTOR shall procure a financial guarantee in an amount equal to the deductible or self-insured retention guaranteeing payment of losses and related investigations, claims administration and defense expenses.
Contractor is responsible for satisfaction of the deductible and/or self-insured retention for each loss.
A. M. Best Rating A:VII or Better. If the A.M. Best Rating falls below the required rating, CONTRACTOR must replace coverage immediately and provide notice to City.
Umbrella/Excess Liability Policies
If an Umbrella or Excess Liability Policy is used to meet the liability limits, coverage shall be as broad as specified for underlying coverage’s and cover those insured in the underlying policies.
___ Exhibit F
___ Section 8
City of Richmond - Insurance Requirements - Type 2:
Professional Services
Type 2 – Page 3 of 3
Revised: September 2011
Claims-Made Policies
If any insurance policy is written on a claims-made form: 1) the retroactive date must be shown, and must be before the date of the contract or the beginning of contract work. 2) Insurance must be maintained and evidence of insurance must be provided for at least five (5) years after completion of the contract of work. 3) If coverage is canceled or non-renewed, and not replaced with another claims-made policy form with a retroactive date prior to the contract effective date, the Contractor must purchase an extended period coverage for a minimum of five (5) years after completion of contract work.
Subcontractors
CONTRACTOR
shall include all subcontractors as insured under its policies or shall furnish to the City for review and approval, separate certificates and endorsements for each subcontractor. All coverage for subcontractors shall be subject to all of the requirements stated herein.
CONTRACTOR agrees to defend and indemnify the City of Richmond for any damage resulting to it from failure of either CONTRACTOR or any subcontractor to take out or maintain the required insurance policies.
The fact that
insurance is obtained by CONTRACTOR, and/or CONTRACTOR’s subcontractors, will not be deemed to release or diminish the liability of CONTRACTOR, including, without limitation, liability under the indemnity provisions of this contract. Damages recoverable by CITY from CONTRACTOR or any third party will not be limited by the amount of the required insurance coverage.
Verification of Coverage
All original certificates and endorsements shall be received and approved by the City before work may begin .
The City of Richmond reserves the right to require complete, certified copies of all required insurance policies including endorsements affecting the coverage at any time.
Original insurance certificates and required policy endorsements shall be mailed or delivered to the Designated Project Manager for the City of Richmond.
Insurance certificates and endorsements may be faxed to the Designated Project Manger. However, CONTRACTOR must mail the original certificates and endorsements to Designated Project Manager once faxed.
Continuous Coverage
CONTRACTOR shall maintain the required insurance for the life of the contract. Should the CONTRACTOR cease to have insurance as required during this time, all work by the CONTRACTOR pursuant to this agreement shall cease until insurance acceptable to the City is provided. In the event that CONTRACTOR fails to comply with the City’s insurance requirements, the City may take such action as it deems necessary to protect the City’s interests. Such action may include but is not limited to termination of the contract, withholding of payments, or other actions as the City deems appropriate.
If services or the scope of work extend beyond the expiration dates of the required insurance policies initially approved by the City, CONTRACTOR must provide updated certificates and endorsements indicating that the required coverage, terms and conditions are still in place. Renewal certificates and updated endorsements shall be mailed to the Designated Project Manager.
Cancellation
CONTRACTOR shall ensure that coverage shall not be cancelled, reduced or otherwise materially changed except after thirty (30) days’ prior written notice has been given to the City.
Reporting Requirements
Any failure to comply with reporting or other provisions of the policies including breaches of warranties shall not affect coverage provided to the City, its officers, officials, employees or volunteers.
Consistent with Public Policy
The insuring provisions, insofar as they may be judged to be against public policy shall be void and unenforceable only to the minimum extent necessary so that the remaining terms and provisions herein may be consistent with public policy and thus enforceable.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
E-MAIL
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
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).
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.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR
WVD
ADDL
INSD
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. $ $
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH-
STATUTE
PER
LIMITS(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
POLICY NUMBERTYPE OF INSURANCELTR
INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
$
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED
$PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-
JECT LOC
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
6/6/2025
Edgewood Partners Insurance Center
1390 Willow Pass Rd, Ste 800
Concord CA 94520
Sara Dorrisey
925-822-9009
925-887-6815
[email protected]
License#: 0B29370
National Union Fire Ins Co of Pittsburg
19445
STFRANC3
Allied World National Assurance Company
10690
St. Francis Electric, LLC
975 Carden Street
San Leandro, CA 94577
New Hampshire Insurance Company
23841
1069474676
A
X
2,000,000
X
500,000
25,000
2,000,000
4,000,000
X
Y
Y
GL5342018
4/1/2025
4/1/2026
4,000,000
A
2,000,000
X
Y
Y
CA4773676
4/1/2025
4/1/2026
B
X
10,000,000
X
03102673
4/1/2025
4/1/2026
10,000,000
C
X
Y
Y
WC072113167
4/1/2025
4/1/2026
2,000,000
2,000,000
2,000,000
Re: SFE Job #25-0608, on-call Electrical Construction Services 2025-2028.
Additional Insured(s): City of Richmond, its City Council, boards, commissions, officials, employees, agents, and volunteers.
When required by written contract, Additional Insured status with Primary & Non-Contributory coverage applies to General Liability and Auto Liability and Waiver of Subrogation applies to General Liability, Auto Liability and Workers Compensation, all as per the attached endorsements. 30 days notice of cancellation, as per the attached endorsements.
Excess Liability underlying policies include General Liability, Automobile Liability and Employers Liability.
City of Richmond
450 Civic Center Plaza
Richmond CA 94804
This endorsement, effective 12:01 A.M. forms a part of
policy No. issued to
by
ENDORSEMENT
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
SCHEDULE
ADDITIONAL INSURED:
87950 (10/05)
Authorized Representative or
Countersignature (in States Where
Applicable)
I. SECTION II - LIABILITY COVERAGE, A. Coverage, 1. - Who Is Insured, is amended to add:
d. Any person or organization, shown in the schedule above, to whom you become obligated to include as an additional insured under this policy, as a result of any contract or agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of use of a covered "auto". However, the insurance provided will not exceed the lesser of:
(1) The coverage and/or limits of this policy, or
(2) The coverage and/or limits required by said contract or agreement. 04/01/2025
CA 477-36-76 ST. FRANCIS ELECTRIC, LLC
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA Any person or organization for whom you are contractually bound to provide Additional Insured status but only to the extent of such person's or organization's liability arising out of the use of a covered "auto".
This endorsement,effective12:01A.M. forms a part of
policyNo. issued to
by
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
All other terms and conditions remain unchanged.
Authorized Representative or
74445 (10/99)
Countersignature (in States Where
Applicable)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
INSURANCE PRIMARY AS TO CERTAIN ADDITIONAL INSUREDS
Section IV - Business Auto Conditions, B., General Conditions, 5., Other Insurance, c., is amended by the addition of the following sentence:
The insurance afforded under this policy to an additional insured will apply as primary insurance for such additional insured where so required under an agreement executed prior to the date of accident . We will not ask any insurer that has issued other insurance to such additional insured to contribute to the settlement of loss arising out of such accident.
ENDORSEMENT
04/01/2025
CA 477-36-76 ST. FRANCIS ELECTRIC, LLC
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA POLICY NUMBER:
POLLUTION LIABILITY - BROADENED COVERAGE
FOR COVERED AUTOS - BUSINESS AUTO AND
MOTOR CARRIER COVERAGE FORMS
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
COMMERCIAL AUTO
CA 99 48 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CA 99 48 10 13 Insurance Services Office, Inc., 2011 Page 1 of 1 With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.
A. Covered Autos Liability Coverage is changed as
follows:
1. Paragraph a. of the Pollution Exclusion ap-
plies only to liability assumed under a con-
tract or agreement.
2. With respect to the coverage afforded by
Paragraph A.1. above, Exclusion B.6. Care,
Custody Or Control does not apply.
B. Changes In Definitions
For the purposes of this endorsement, Para-
graph D. of the Definitions Section is replaced
by the following:
D. "Covered pollution cost or expense" means
any cost or expense arising out of:
1. Any request, demand, order or statutory
or regulatory requirement that any "in-
sured" or others test for, monitor, clean
up, remove, contain, treat, detoxify or
neutralize, or in any way respond to, or
assess the effects of "pollutants"; or
2. Any claim or "suit" by or on behalf of a
governmental authority for damages
because of testing for, monitoring, clean-
ing up, removing, containing, treating,
detoxifying or neutralizing, or in any way
responding to or assessing the effects of
"pollutants".
"Covered pollution cost or expense" does
not include any cost or expense arising out
of the actual, alleged or threatened dis-
charge, dispersal, seepage, migration, re-
lease or escape of "pollutants":
a. Before the "pollutants" or any prop-
erty in which the "pollutants" are
contained are moved from the place
where they are accepted by the "in-
sured" for movement into or onto the
covered "auto"; or
b. After the "pollutants" or any property
in which the "pollutants" are con-
tained are moved from the covered
"auto" to the place where they are
finally delivered, disposed of or aban-
doned by the "insured".
Paragraphs a. and b. above do not apply
to "accidents" that occur away from
premises owned by or rented to an "in-
sured" with respect to "pollutants" not in
or upon a covered "auto" if:
(1) The "pollutants" or any property in
which the "pollutants" are contained
are upset, overturned or damaged as
a result of the maintenance or use of
a covered "auto"; and
(2) The discharge, dispersal, seepage, mi-
gration, release or escape of the "pol-
lutants" is caused directly by such
upset, overturn or damage.
CA 477-36-76
POLICY NUMBER: CA 477-36-76 COMMERCIAL AUTO
CA 20 70
10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
COVERAGE FOR CERTAIN OPERATIONS
IN CONNECTION WITH RAILROADS
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIERS COVERAGE FORM
Wit
h respect to coverage provided under this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.
This endorsement changes the policy effective on the inception date of the policy unless another date is indi- cated below.
SCHEDULE
Scheduled Railroad Designated Job Site
Any Railroad Organization whom has granted you.
With respect to the use of a covered "auto" in
operations for or affecting a railroad designated in
the Schedule at a Designated Job Site, the two
exceptions contained in the definition of "insured
contract" relating to construction or demolition
operations performed within 50 feet of a railroad do
not apply.
CA 20 70 10 13 Insurance Services Office, Inc., 2011 Page 1 of 1
Named Insured: St. Francis Electric,
LLC Endorsement Effective Date: 04/01/2025
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BUSINESS AUTO COVERAGE FORM
62897 (6/95)
AUTHORIZED REPRESENTATIVE
ENDORSEMENT
This endorsement, effective 12:01 A.M.
policy No. issued to
by
This endorsement modifies insurance provided under the following:
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (2)
(1)
The contract or agreement was entered into prior to any "accident" or "loss".
No waiver of the right of recovery will directly or indirectly apply to your employees or employees of the person or organization, and we reserve our rights or lien to be reimbursed from any recovery funds obtained by any injured employee.
Section IV - Business Auto Conditions, A. - Loss Conditions, 5. - Transfer of Rights of Recovery Against Others to Us, is amended to add:
The "accident" or "loss" is due to operations undertaken in accordance with the contract existing between you and such person or organization; and
However, we will waive any right of recover we have against any person or organization with whom you have entered into a contract or agreement because of payments we make under this Coverage Form arising out of an "accident" or "loss" if:
04/01/2025 forms a part of
CA 477-36-76 ST. FRANCIS ELECTRIC, LLC
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA This endorsement, effective 12:01 A.M. forms a part of
Policy No. issued to
By
LIMITED ADVICE OF CANCELLATION PROVIDED VIA E-MAIL
107414 (03/11)
Authorized Representative
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
All other terms, conditions and exclusions shall remain the same.
TO ENTITIES OTHER THAN THE FIRST NAMED INSURED
Insurer,
This policy is amended as follows:
In the event that the Insurer cancels this policy for any reason other than non-payment of premium, and
1. the cancellation effective date is prior to this policy's expiration date;
2. the First Named Insured is under an existing contractual obligation to notify a certificate holder when this policy is canceled (hereinafter, the "Certificate Holder(s)") and has provided to the Insurer, either directly or through its broker of record, the email address of a contact at each such entity; and
3. the Insurer received this information after the First Named Insured receives notice of cancellation of this policy and prior to this policy's cancellation effective date, via an electronic spreadsheet that is acceptable to the
the Insurer will provide advice of cancellation (the "Advice") via e-mail to each such Certificate Holders within 30 days after the First Named Insured provides such information to the Insurer; provided, however, that if a specific number of days is not stated above, then the Advice will be provided to such Certificate Holder(s) as soon as reasonably practicable after the First Named Insured provides such information to the Insurer.
Proof of the Insurer emailing the Advice, using the information provided by the First Named Insured , will serve as proof that the Insurer has fully satisfied its obligations under this endorsement.
This endorsement does not affect, in any way, coverage provided under this policy or the cancellation of this policy or the effective date thereof, nor shall this endorsement invest any rights in any entity not insured under this policy.
The following Definitions apply to this endorsement:
1. First Named Insured means the Named Insured shown on the Declarations Page of this policy.
2. Insurer means the insurance company shown in the header on the Declarations page of this policy.
ENDORSEMENT #
04/01/2025
CA 477-36-76 ST. FRANCIS ELECTRIC, LLC
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA POLICY NUMBER:
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
State Or Governmental Agency Or Subdivision Or Political Subdivision:
COMMERCIAL GENERAL LIABILITY
CG 20 12 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - STATE OR GOVERNMENTAL
AGENCY OR SUBDIVISION OR POLITICAL
SUBDIVISION - PERMITS OR AUTHORIZATIONS
GL 534-20-18
ANY AND ALL STATE OR POLITICAL SUBDIVISIONS CONTRACTUALLY REQUIRING ADDITIONAL
INSURED STATUS IN CONNECTION WITH ISSUANCE OF PERMITS TO YOU, RELATING TO PREMISES.
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
include as an additional insured any state or
governmental agency or subdivision or political
subdivision shown in the Schedule, subject to
the following provisions:
1. This insurance applies only with respect to
operations performed by you or on your
behalf for which the state or governmental
agency or subdivision or political subdivision
has issued a permit or authorization.
However:
a. The insurance afforded to such additional
insured only applies to the extent
permitted by law; and
b. If coverage provided to the additional
insured is 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.
2. This insurance does not apply to:
a. "Bodily injury", "property damage" or
"personal and advertising injury" arising
out of operations performed for the
federal government, state or municipality;
or
b. "Bodily injury" or "property damage"
included within the "products-completed
operations hazard".
B. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III – Limits Of Insurance:
If coverage provided to the additional insured is
required by a contract or agreement, the most
we will pay on behalf of the additional insured
is the amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable limits of
insurance;
whichever is less.
This endorsement shall not increase the
applicable limits of insurance.
CG 20 12 12 19 Page ofInsurance Services Office, Inc., 2018 1 1 /FXABBB84/FXABBB72/FXABBB73/FXABBB83/FXABBB32/FXABBB69/FXABBB78/FXABBB68/FXABBB79/FXABBB82/FXABBB83/FXABBB69/FXABBB77/FXABBB69/FXABBB78/FXABBB84/FXABBB32/FXABBB67/FXABBB72/FXABBB65/FXABBB78/FXABBB71/FXABBB69/FXABBB83/FXABBB32/FXABBB84/FXABBB72/FXABBB69/FXABBB32/FXABBB80/FXABBB79/FXABBB76/FXABBB73/FXABBB67/FXABBB89/FXABBB46/FXABBB32/FXABBB80/FXABBB76/FXABBB69/FXABBB65/FXABBB83/FXABBB69/FXABBB32/FXABBB82/FXABBB69/FXABBB65/FXABBB68/FXABBB32/FXABBB73/FXABBB84/FXABBB32/FXABBB67/FXABBB65/FXABBB82/FXABBB69/FXABBB70/FXABBB85/FXABBB76/FXABBB76/FXABBB89/FXABBB46 PRIMARY AND NONCONTRIBUTORY –
OTHER INSURANCE CONDITION
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/FXABN084/FXABN0104/FXABN0101/FXABN032 /FXABN097/FXABN0100/FXABN0100/FXABN0105/FXABN0116/FXABN0105/FXABN0111/FXABN0110/FXABN097/FXABN0108/FXABN032 /FXABN0105/FXABN0110/FXABN0115/FXABN0117/FXABN0114/FXABN0101/FXABN0100/FXABN032 /FXABN0105/FXABN0115/FXABN032 /FXABN097/FXABN032 /FXABN078/FXABN097/FXABN0109/FXABN0101/FXABN0100/FXABN032 /FXABN073/FXABN0110/FXABN0115/FXABN0117/FXABN0114/FXABN0101/FXABN0100/FXABN032/FXABN0117/FXABN0110/FXABN0100/FXABN0101/FXABN0114/FXABN032/FXABN0115/FXABN0117/FXABN099/FXABN0104/FXABN032/FXABN0111/FXABN0116/FXABN0104/FXABN0101/FXABN0114/FXABN032/FXABN0105/FXABN0110/FXABN0115/FXABN0117/FXABN0114/FXABN097/FXABN0110/FXABN099/FXABN0101/FXABN059/FXABN032/FXABN097/FXABN0110/FXABN0100/FXABN032 /FXABB040/FXABB050/FXABB041
/FXABN089/FXABN0111/FXABN0117/FXABN032 /FXABN0104/FXABN097/FXABN0118/FXABN0101/FXABN032 /FXABN097/FXABN0103/FXABN0114/FXABN0101/FXABN0101/FXABN0100/FXABN032 /FXABN0105/FXABN0110/FXABN032 /FXABN0119/FXABN0114/FXABN0105/FXABN0116/FXABN0105/FXABN0110/FXABN0103/FXABN032 /FXABN0105/FXABN0110/FXABN032 /FXABN097/FXABN032 /FXABN099/FXABN0111/FXABN0110/FXABN0116/FXABN0114/FXABN097/FXABN099/FXABN0116/FXABN032 /FXABN0111/FXABN0114/FXABN032 /FXABN097/FXABN0103/FXABN0114/FXABN0101/FXABN0101/FXABN0109/FXABN0101/FXABN0110/FXABN0116/FXABN032 /FXABN0116/FXABN0104/FXABN097/FXABN0116/FXABN032 /FXABN0116/FXABN0104/FXABN0105/FXABN0115/FXABN032 /FXABN0105/FXABN0110/FXABN0115/FXABN0117/FXABN0114/FXABN097/FXABN0110/FXABN099/FXABN0101/FXABN032 /FXABN0119/FXABN0111/FXABN0117/FXABN0108/FXABN0100/FXABN032 /FXABN098/FXABN0101/FXABN032 /FXABN0112/FXABN0114/FXABN0105/FXABN0109/FXABN097/FXABN0114/FXABN0121/FXABN032 /FXABN097/FXABN0110/FXABN0100/FXABN032 /FXABN0119/FXABN0111/FXABN0117/FXABN0108/FXABN0100/FXABN032 /FXABN0110/FXABN0111/FXABN0116/FXABN032 /FXABN0115/FXABN0101/FXABN0101/FXABN0107/FXABN032 /FXABN099/FXABN0111/FXABN0110/FXABN0116/FXABN0114/FXABN0105/FXABN098/FXABN0117/FXABN0116/FXABN0105/FXABN0111/FXABN0110/FXABN032 /FXABN0102/FXABN0114/FXABN0111/FXABN0109/FXABN032 /FXABN097/FXABN0110/FXABN0121/FXABN032 /FXABN0111/FXABN0116/FXABN0104/FXABN0101/FXABN0114/FXABN032 /FXABN0105/FXABN0110/FXABN0115/FXABN0117/FXABN0114/FXABN097/FXABN0110/FXABN099/FXABN0101/FXABN032 /FXABN097/FXABN0118/FXABN097/FXABN0105/FXABN0108/FXABN097/FXABN098/FXABN0108/FXABN0101/FXABN032/FXABN0116/FXABN0111/FXABN032/FXABN0116/FXABN0104/FXABN0101/FXABN032/FXABN097/FXABN0100/FXABN0100/FXABN0105/FXABN0116/FXABN0105/FXABN0111/FXABN0110/FXABN097/FXABN0108/FXABN032/FXABN0105/FXABN0110/FXABN0115/FXABN0117/FXABN0114/FXABN0101/FXABN0100/FXABN046 /FXABN067/FXABN079/FXABN077/FXABN077/FXABN069/FXABN082/FXABN067/FXABN073/FXABN065/FXABN076/FXABN032/FXABN071/FXABN069/FXABN078/FXABN069/FXABN082/FXABN065/FXABN076/FXABN032/FXABN076/FXABN073/FXABN065/FXABN066/FXABN073/FXABN076/FXABN073/FXABN084/FXABN089 /FXABB067/FXABB071/FXABB032/FXABB050/FXABB048/FXABB032/FXABB048/FXABB049/FXABB032/FXABB049/FXABB050/FXABB032/FXABB049/FXABB057 /FXABN0169/FXABN032/FXABN073/FXABN0110/FXABN0115/FXABN0117/FXABN0114/FXABN097/FXABN0110/FXABN099/FXABN0101/FXABN032/FXABN083/FXABN0101/FXABN0114/FXABN0118/FXABN0105/FXABN099/FXABN0101/FXABN0115/FXABN032/FXABN079/FXABN0102/FXABN0102/FXABN0105/FXABN099/FXABN0101/FXABN044/FXABN032/FXABN073/FXABN0110/FXABN099/FXABN046/FXABN044/FXABN032/FXABN050/FXABN048/FXABN049/FXABN056/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN032/FXABN080/FXABN097/FXABN0103/FXABN0101/FXABN032/FXABN049/FXABN032/FXABN0111/FXABN0102/FXABN032/FXABN049 Policy # GL 534-20-18
ENDORSEMENT
This endorsement, effective 12:01 A.M. 04/01/2025
forms a part of Policy No. GL 534-20-18
issued to ST FRANCIS ELECTRIC, LLC
by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA.
AMENDMENT OF LIMITS OF INSURANCE
(Per Project or Per Location Aggregate Limit)
$
$
$
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
I. Your policy is amended to include either a Per Project General Aggregate Limit, a Per Location General Aggregate Limit or a Per Project and Per Location General Aggregate Limit. Please select only one of the following:
[ ] Per Project General Aggregate Limit
[ ] Per Location General Aggregate Limit
[ ] Per Project and Per Location General Aggregate Limit IF NEITHER OF THESE BOXES ARE CHECKED, THIS ENDORSEMENT IS VOID. IF MORE THAN ONE OF THE THESE BOXES ARE CHECKED, THIS ENDORSEMENT IS VOID.
II. SECTION III - LIMITS OF INSURANCE , is amended to include the following:
1. The Limits of Insurance and the rules below fix the most we will pay regardless of the number of:
a. Insureds;
b. Claims made or "suits" brought; or
c. Persons or organizations making claims or bringing "suits".
2. The General Aggregate Limit is the most we will pay for the sum of:
a. Medical expenses under Coverage C;
b. Damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the products-completed operations hazard"; and c. Damages under Coverage B.
3. The Products-Completed Operations Aggregate Limit is the most we will pay under Coverage A for damages because of "bodily injury" and "property damage" included in the "products-completed operations hazard".
4. Subject to 2. above, the Personal and Advertising Injury Limit is the most we will pay under Coverage B for the sum of all damages because of all "personal and advertising injury" sustained by any one person or organization.
5. Subject to 2. or 3. above, whichever applies, the Each Occurrence Limit is the most we will pay for the sum of:
a. Damages under Coverage A; and
b. Medical expenses under Coverage C
X 4,000,000
86681 (9/04) Includes copyrighted material of Insurance Services Office, Inc. with its permission.Page 1 of 2 Authorized Representative or
Countersignature (in States Where
Applicable)
$
$
$
$
$
$
$
because of all "bodily injury" and "property damage" arising out of any one "occurrence".
6. Subject to 5. above, the Damage to Premises Rented To You Limit is the most we will pay
under Coverage A because of "property damage" to any one premises, while rented to you, or in the case of damage by fire, while rented to you or temporarily occupied by you with permission of the owner.
7. Subject to 5. above, the Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of "bodily injury" sustained by any one person.
8. Subject to 2., 4., 5., 6., and/or 7. above, the Per Project Aggregate Limit is the most we will pay under Coverages A, B, and C combined for the sum of:
a. Damages under Coverage A;
b. Damages under Coverage B; and
c. Medical Expenses under Coverage C
arising out of any single Project described above.
9. Subject to 2., 4., 5., 6., and/or 7. above, the Per Location Aggregate Limit is the most we will pay under Coverages A, B, and C combined for the sum of:
a. Damages under Coverage A;
b. Damages under Coverage B; and
c. Medical expenses under Coverage C
arising out of the any single Location described above.
The Limits of Insurance of this Coverage Part apply separately to each consecutive annual period and to any remaining period of less than 12 months, starting with the beginning of the policy period shown in the Declarations, unless the policy period is extended after issuance for an additional period of less than 12 months. In that case, the additional period will be deemed part of the last preceding period for purposes of determining the Limits of Insurance.
III. The Limits of Insurance shown in the Declarations are deleted in their entirety and replaced by
the Limits of Insurance set forth below.
Limits of Insurance
General Aggregate Limit
Each Occurrence
Products-Completed Operations Aggregate Limit
Personal & Advertising Injury Limit
Damage to Premises Rented to
Medical Expense Limit
Per Project General Aggregate Limit, Per Location
General Aggregate Limit or Per
Project and Per Location General Aggregate Limit
IV. SECTION V - DEFINITIONS
, is amended to include the following:
23. "Location" means premises involving the same or connecting lots, or premises whose connection is interrupted only by a street, roadway, waterway, or right-of-way railroad.
All other terms and conditions of this policy remain the same. 10,000,000
2,000,000
4,000,000
2,000,000
500,000
25,000
4,000,000
86681 (9/04) Includes copyrighted material of Insurance Services Office, Inc. with its permission.Page 2 of 2
primary, our obligations are not affected un-
less any of the other insurance is also
primary. Then, we will share with all that
other insurance by the method described in
Paragraph c. below.
b. Excess Insurance
(1) This insurance is excess over:
(a) Any of the other insurance, whether
primary, excess, contingent or on any
other basis:
(i) That is Fire, Extended Coverage,
Builder's Risk, Installation Risk or
similar coverage for "your work";
(ii) That is Fire insurance for premises
rented to you or temporarily occu-
pied by you with permission of the
owner;
(iii)That is insurance purchased by
you to cover your liability as a
tenant for "property damage" to
premises rented to you or tempo-
rarily occupied by you with per-
mission of the owner; or
(iv)If the loss arises out of the main-
tenance or use of aircraft, "autos"
or watercraft to the extent not
subject to Exclusion g. of Section I
- Coverage A - Bodily Injury And
Property Damage Liability.
(b) Any other primary insurance available
to you covering liability for damages
arising out of the premises or opera-
tions, or the products and completed
operations, for which you have been
added as an additional insured.
(2) When this insurance is excess, we will
have no duty under Coverages A or B to
defend the insured against any "suit" if
any other insurer has a duty to defend
the insured against that "suit". If no
other insurer defends, we will undertake
to do so, but we will be entitled to the
insured's rights against all those other
insurers.
(3) When this insurance is excess over other
insurance, we will pay only our share of
the amount of the loss, if any, that
exceeds the sum of:
(a) The total amount that all such other
insurance would pay for the loss in
the absence of this insurance; and
(b) The total of all deductible and
self-insured amounts under all that
other insurance.
(4) We will share the remaining loss, if any,
with any other insurance that is not
described in this Excess Insurance pro-
vision and was not bought specifically
to
apply in excess of the Limits of Insurance
shown in the Declarations of this
Coverage Part.
c. Method Of Sharing
If all of the other insurance permits contri-
bution by equal shares, we will follow
this
method also. Under this approach each
insurer contributes equal amounts until it
has paid its applicable limit of insurance or
none of the loss remains, whichever comes
first.
If any of the other insurance does not permit
contribution by equal shares, we will contri-
bute by limits. Under this method, each
insurer's share is based on the ratio of its
applicable limit of insurance to the total
applicable limits of insurance of all insurers.
5. Premium Audit
a. We will compute all premiums for this
Coverage Part in accordance with our rules
and rates.
b. Premium shown in this Coverage Part as
advance premium is a deposit premium only.
At the close of each audit period we will
compute the earned premium for that period
and send notice to the first Named Insured.
The due date for audit and retrospective
premiums is the date shown as the due date
on the bill. If the sum of the advance and
audit premiums paid for the policy period is
greater than the earned premium, we will
return the excess to the first Named Insured.
c. The first Named Insured must keep records
of the information we need for premium
computation, and send us copies at such
times as we may request.
6. Representations
By accepting this policy, you agree:
a. The statements in the Declarations are accu-
rate and complete;
b. Those statements are based upon re-
presentations you made to us; and
c. We have issued this policy in reliance upon
your representations.
7. Separation Of Insureds
Except with respect to the Limits of Insurance,
and any rights or duties specifically assigned in
Policy #GL 534-20-18
CG 00 01 04 13 Insurance Services Office, Inc., 2012 Page 13 of 16 this Coverage Part to the first Named Insured,
this insurance applies:
a. As if each Named Insured were the only
Named Insured; and
b. Separately to each insured against whom
claim is made or "suit" is brought.
8. Transfer Of Rights Of Recovery Against Others
To Us
If the insured has rights to recover all or part of
any payment we have made under this
Coverage Part, those rights are transferred to
us. The insured must do nothing after loss to
impair them. At our request, the insured will
bring "suit" or transfer those rights to us and
help us enforce them.
9. When We Do Not Renew
If we decide not to renew this Coverage Part,
we will mail or deliver to the first Named In-
sured shown in the Declarations written notice
of the nonrenewal not less than 30 days before
the expiration date.
If notice is mailed, proof of mailing will be suffi-
cient proof of notice.
SECTION V - DEFINITIONS
1. "Advertisement" means a notice that is broad-
cast or published to the general public or speci-
fic market segments about your goods, pro-
ducts or services for the purpose of attracting
customers or supporters. For the purposes of
this definition:
a. Notices that are published include material
placed on the Internet or on similar elec-
tronic means of communication; and
b. Regarding web sites, only that part of a web
site that is about your goods, products or
services for the purposes of attracting custo-
mers or supporters is considered an adver-
tisement.
2. "Auto" means:
a. A land motor vehicle, trailer or
semitrailer
designed for travel on public roads, including
any attached machinery or equipment; or
b. Any other land vehicle that is subject to a
compulsory or financial responsibility law or
other motor vehicle insurance law where it is
licensed or principally garaged.
However, "auto" does not include "mobile
equipment".
3. "Bodily injury" means bodily injury, sickness or
disease sustained by a person, including death
resulting from any of these at any time.
4. "Coverage territory" means:
a. The United States of America (including its
territories and possessions), Puerto Rico and
Canada;
b. International waters or airspace, but only if
the injury or damage occurs in the course of
travel or transportation between any places
included in Paragraph a. above; or
c. All other parts of the world if the injury or
damage arises out of:
(1) Goods or products made or sold by you
in the territory described in Paragraph a.
above;
(2) The activities of a person whose home is
in the territory described in Paragraph a.
above, but is away for a short time on
your business; or
(3) "Personal and advertising injury" offenses
that take place through the Internet or
similar electronic means of communi-
cation;
provided the insured's responsibility to pay
damages is determined in a "suit" on the me-
rits, in the territory described in Paragraph a.
above or in a settlement we agree to.
5. "Employee" includes a "leased worker
".
"Employee" does not include a "temporary
worker".
6. "Executive officer" means a person holding any
of the officer positions created by your charter,
constitution, bylaws or any other similar
governing document.
7. "Hostile fire" means one which becomes un-
controllable or breaks out from where it was in-
tended to be.
8. "Impaired property" means tangible
property,
other than "your product" or "your work", that
cannot be used or is less useful because:
a. It incorporates "your product" or "your
work" that is known or thought to be defec-
tive, deficient, inadequate or dangerous; or
b. You have failed to fulfill the terms of a cont-
ract or agreement;
if such property can be restored to use by the
repair, replacement, adjustment or removal of
"your product" or "your work" or your fulfilling
the terms of the contract or agreement.
9. "Insured contract" means:
a. A contract for a lease of premises. However,
that portion of the contract for a lease of
premises that indemnifies any person or
POLICY NUMBER:
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
COMMERCIAL GENERAL LIABILITY
CG 20 10 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
GL 534-20-18
ANY PERSON OR ORGANIZATION WHOM YOU
BECOME OBLIGATED TO INCLUDE AS AN
ADDITIONAL INSURED AS A RESULT OF ANY
CONTRACT OR AGREEMENT YOU HAVE ENTERED
INTO.
PER THE CONTRACT OR AGREEMENT.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
Insurance Services Office, Inc., 2018CG 20 10 12 19 Page of 1 2 A. Section II – Who Is An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury",
"property damage" or "personal and advertising
injury" caused, in whole or in part, by:
1. Your acts or omissions; or
2. The acts or omissions of those acting on
your behalf;
in the performance of your ongoing operations
for the additional insured(s) at the location(s)
designated above.
However:
1. The insurance afforded to such additional
insured only applies to the extent permitted
by law; and
2. If coverage provided to the additional
insured is 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.
B. With respect to the insurance afforded to these
additional insureds, the following additional
exclusions apply:
This insurance does not apply to "bodily injury"
or "property damage" occurring after:
1. All work, including materials, parts or
equipment furnished in connection with such
work, on the project (other than service,
maintenance or repairs) to be performed by
or on behalf of the additional insured(s) at
the location of the covered operations has
been completed; or
2. That portion of "your work" out of which
the injury or damage arises has been put to
its intended use by any person or
organization other than another contractor or
subcontractor engaged in performing
operations for a principal as a part of the
same project.
C. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III – Limits Of Insurance:
If coverage provided to the additional insured is
required by a contract or agreement, the most
we will pay on behalf of the additional insured
is the amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable limits of
insurance;
whichever is less.
This endorsement shall not increase the
applicable limits of insurance.
Insurance Services Office, Inc., 2018 CG 20 10 12 19Page of 2 2
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s)
Or Organization(s) Location And Description Of Completed Operations
COMMERCIAL GENERAL LIABILITY
CG 20 37 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
POLICY NUMBER: GL 534-20-18
ANY PERSON OR ORGANIZATION WHOM YOU
BECOME OBLIGATED TO INCLUDE AS AN
ADDITIONAL INSURED AS A RESULT OF ANY
CONTRACT OR AGREEMENT YOU HAVE ENTERED
INTO.
PER THE CONTRACT OR AGREEMENT.
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
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury" or
"property damage" caused, in whole or in part,
by "your work" at the location designated and
described in the Schedule of this endorsement
performed for that additional insured and
included in the "products-completed operations
hazard".
However:
1. The insurance afforded to such additional
insured only applies to the extent permitted
by law; and
2. If coverage provided to the additional
insured is 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.
B. With respect to the insurance afforded to
these additional insureds, the following is
added to Section III – Limits Of Insurance:
If coverage provided to the additional insured is
required by a contract or agreement, the most
we will pay on behalf of the additional insured
is the amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable limits of
insurance;
whichever is less.
This endorsement shall not increase the
applicable limits of insurance.
CG 20 37 12 19 Page ofInsurance Services Office, Inc., 2018 1 1 POLICY NUMBER:
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
COMMERCIAL GENERAL LIABILITY
CG 24 04 12 19
This endorsement modifies insurance provided under the following:
SCHEDULE
Name Of Person(s) Or Organization(s):
COMMERCIAL GENERAL LIABILITY COVERAGE PART
ELECTRONIC DATA LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES
POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
RAILROAD PROTECTIVE LIABILITY COVERAGE PART
UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS
GL 534-20-18
PURSUANT TO APPLICABLE WRITTEN CONTRACT OR AGREEMENT YOU ENTER INTO.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
The following is added to Paragraph 8. Transfer Of
Rights Of Recovery Against Others To Us of
Section IV – Conditions:
We waive any right of recovery against the
person(s) or organization(s) shown in the Schedule
above because of payments we make under this
Coverage Part. Such waiver by us applies only to
the extent that the insured has waived its right of
recovery against such person(s) or organization(s)
prior to loss. This endorsement applies only to the
person(s) or organization(s) shown in the Schedule
above.
The following is added to Paragraph 8. Transfer Of
Rights Of Recovery Against Others To Us of
Section IV – Conditions:
We waive any right of recovery against the
person(s) or organization(s) shown in the Schedule
above because of payments we make under this
Coverage Part. Such waiver by us applies only to
the extent that the insured has waived its right of
recovery against such person(s) or organization(s)
prior to loss. This endorsement applies only to the
person(s) or organization(s) shown in the Schedule
above.
CG 24 04 12 19 Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER:
CONTRACTUAL LIABILITY - RAILROADS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Scheduled Railroad: Designated Job Site:
COMMERCIAL GENERAL LIABILITY
CG 24 17 10 01
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 534-20-18
ANY RAILROAD ORGANIZATION WHOM HAS
GRANTED YOU AN EASEMENT FOR ANY JOB SITE
TO PERMIT YOU TO PERFORM WORK AS A
RESULT OF ANY CONTRACT OR AGREEMENT YOU
HAVE ENTERED INTO.
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.)
With respect to operations performed for, or
affecting, a Scheduled Railroad at a Designated
Job Site, the definition of "insured contract" in t he
Definitions section is replaced by the following:
9. "Insured Contract" means:
a. A contract for a lease of premises. However,
that portion of the contract for a lease of
premises that indemnifies any person or
organization for damage by fire to premises
while rented to you or temporarily occupied
by you with permission of the owner is not
an "insured contract";
b. A sidetrack agreement;
c. Any easement or license agreement;
d. An obligation, as required by ordinance, to
indemnify a municipality, except in
connection with work for a municipality;
e. An elevator maintenance agreement;
f. That part of any other contract or agreement
pertaining to your business (including an in-
demnification of a municipality in connection
with work performed for a municipality)
under which you assume the tort liability of
another party to pay for "bodily injury" or
"property damage" to a third person or
organization. Tort liability means a liability
that would be imposed by law in the
absence of any contract or agreement.
Paragraph f. does not include that part of any
contract or agreement:
(1) That indemnifies an architect, engineer or sur-
veyor for injury or damage arising out of:
(a) Preparing, approving or failing to prepare or
approve maps, shop drawings, opinions, re-
ports, surveys, field orders, change orders
or drawings and specifications; or
(b) Giving directions or instructions, or failing to
give them, if that is the primary cause of the
injury or damage;
(2) Under which the insured, if an architect,
engineer or surveyor, assumes liability for an in-
jury or damage arising out of the insured's
rendering or failure to render professional
services, including those listed in Paragraph (1)
above and supervisory, inspection, architectural
or engineering activities.
CG 24 17 10 01 ISO Properties, Inc., 2000 Page of 1 1
This endorsement, effective 12:01 A.M. forms a part of
Policy No. issued to
By
LIMITED ADVICE OF CANCELLATION PROVIDED VIA E-MAIL
107414 (03/11)
Authorized Representative
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
All other terms, conditions and exclusions shall remain the same.
TO ENTITIES OTHER THAN THE FIRST NAMED INSURED
Insurer,
This policy is amended as follows:
In the event that the Insurer cancels this policy for any reason other than non-payment of premium, and
1. the cancellation effective date is prior to this policy's expiration date;
2. the First Named Insured is under an existing contractual obligation to notify a certificate holder when this policy is canceled (hereinafter, the "Certificate Holder(s)") and has provided to the Insurer, either directly or through its broker of record, the email address of a contact at each such entity; and
3. the Insurer received this information after the First Named Insured receives notice of cancellation of this policy and prior to this policy's cancellation effective date, via an electronic spreadsheet that is acceptable to the
the Insurer will provide advice of cancellation (the "Advice") via e-mail to each such Certificate Holders within 30 days after the First Named Insured provides such information to the Insurer; provided, however, that if a specific number of days is not stated above, then the Advice will be provided to such Certificate Holder(s) as soon as reasonably practicable after the First Named Insured provides such information to the Insurer.
Proof of the Insurer emailing the Advice, using the information provided by the First Named Insured, will serve as proof that the Insurer has fully satisfied its obligations under this endorsement.
This endorsement does not affect, in any way, coverage provided under this policy or the cancellation of this policy or the effective date thereof, nor shall this endorsement invest any rights in any entity not insured under this policy.
The following Definitions apply to this endorsement:
1. First Named Insured means the Named Insured shown on the Declarations Page of this policy.
2. Insurer means the insurance company shown in the header on the Declarations page of this policy.
ENDORSEMENT#
04/01/2025
GL 534-20-18 ST. FRANCIS ELECTRIC, LLC
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA This endorsement, effective 12:01 AM forms a part of Policy No.
Issued to
By
LIMITED ADVICE OF CANCELLATION PROVIDED VIA E-MAIL
TO ENTITIES OTHER THAN THE NAMED INSURED
WC 99 00 56
(Ed. 04/11)
(WORKERS' COMPENSATION ONLY)
All other terms, conditions and exclusions shall remain the same.
AUTHORIZED REPRESENTATIVE
This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below.
(The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy).
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This policy is amended as follows:
In the event that the Insurer cancels this policy for any reason other than non-payment of premium, and
1. the cancellation effective date is prior to this policy's expiration date;
2. the Named Insured or, if applicable, any other employers named in Item 1 of the Information Page is under an existing contractual obligation to notify a certificate holder when this policy is canceled (hereinafter, the "Certificate Holder(s)") and the Named Insured has provided to the Insurer, either directly or through its broker of record, the email address of a contact at each such entity; and
3. the Insurer received this information after the Named Insured receives notice of cancellation of this policy and prior to this policy's cancellation effective date, via an electronic spreadsheet that is acceptable to the Insurer, the Insurer will provide advice of cancellation (the "Advice") via e-mail to each such Certificate Holders within 30 days after the Named Insured provides such information to the Insurer; provided, however, that if a specific number of days is not stated above, then the Advice will be provided to such Certificate Holder(s) as soon as reasonably practicable after the Named Insured provides such information to the Insurer.
Proof of the Insurer emailing the Advice, using the information provided by the First Named Insured , will serve as proof that the Insurer has fully satisfied its obligations under this endorsement.
This endorsement does not affect, in any way, coverage provided under this policy or the cancellation of this policy or the effective date thereof, nor shall this endorsement invest any rights in any entity not insured under this policy.
The following definitions apply to this endorsement:
1. Named Insured means the insured first named employer in Item 1 of the Information Page of this policy.
2. Insurer means the insurance company shown in the header on the Information Page of this policy. 04/01/2025 WC 072 11 3167
ST. FRANCIS ELECTRIC, LLC
NEW HAMPSHIRE INSURANCE COMPANY
BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below.
(The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy).
This endorsement, effective 12:01 AM forms a part of Policy No.
Issued to
By
We have a right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against any person or organization with whom you have a written contract that requires you to obtain this agreement from us, as regards any work you perform for such person or organization.
The additional premium for this endorsement shall be % of the total estimated workers compensation premium for this policy.
WC 04 03 61 Countersigned by ______________________________ (Ed. 11/90)
Authorized Representative
04/01/2025 WC 072 11 3167
ST. FRANCIS ELECTRIC, LLC
NEW HAMPSHIRE INSURANCE COMPANY
2.00