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HomeMy WebLinkAbout2023-4423 - Ordinance - 03/23/2023Contract No. 23300358
Dumpster Collection Franchise Ordinance Page 1 of 16
ORDINANCE NO.
DUMPSTER COLLECTION FRANCHISE AGREEMENT
AN ORDINANCE GRANTING CONTRACTOR, DROP AND GO DUMPSTERS, ITS
SUCCESSORS AND ASSIGNS, A NON-EXCLUSIVE FRANCHISE FOR THE
PRIVILEGE AND USE OF PUBLIC STREETS, ALLEYS, AND PUBLIC RIGHTS OF
WAY WITHIN THE CORPORATE LIMITS OF THE CITY OF COLLEGE STATION
(“CITY”) FOR THE PURPOSE OF PROVIDING COLLECTION OF DEMOLITION
AND CONSTRUCTION DEBRIS, RECYCABLES, AND ORGANIC WASTE FROM
COMMERCIAL, INDUSTRIAL, AND MULTI-FAMILY SITES; PRESCRIBING THE
TERMS, CONDITIONS, OBLIGATIONS, AND LIMITATIONS UNDER WHICH SAID
FRANCHISE SHALL BE EXERCISED; PROVIDING FOR THE CONSIDERATION;
FOR THE PERIOD OF THE GRANT; FOR ASSIGNMENT; FOR THE METHOD OF
ACCEPTANCE; FOR REPEAL OF CONFLICTING ORDINANCES; FOR PARTIAL
INVALIDITY.
WHEREAS, the City, by ordinance, exclusively provides all solid waste collection and disposal
services for solid waste aggregated from within the City limits including, but not limited to
Recyclables; and
WHEREAS, the City pursuant to City Charter Article XI, may grant franchises to entities for use
of public streets, alleys, and highways for collection of Solid Waste and Recyclables generated
within the City limits; and
WHEREAS, the City of College Station desires to exercise the Charter’s authority and grant a
non-exclusive franchise to Contractor for collection of demolition and construction debris and
other waste for disposal using roll off containers, and recyclable materials, and organic waste from
multifamily and commercial locations for the purpose of recycling.
NOW, THEREFORE, BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF
COLLEGE STATION, TEXAS,
2023-4423
Contract No. 23300358
Dumpster Collection Franchise Ordinance Page 2 of 16
Table of Contents
Article I. Definitions ..................................................................................................................3
Article II. Grant of Authority and Acceptance ............................................................................4
Article III. Payment and Term ....................................................................................................4
Article IV. Access to Records & Reporting ................................................................................6
Article V. Rates to be Charged by Contractor .............................................................................6
Article VI. Appearance of Personnel and Equipment ..................................................................6
Article VII. Collection and Transport of Recyclables .................................................................7
Article VIII. Placement of Receptacles .......................................................................................7
Article IX. Service Complaints ...................................................................................................7
Article X. Disposal and Processing.............................................................................................8
Article XI. Violation and Penalty ...............................................................................................8
Article XII. Insurance .................................................................................................................8
Article XIII. Indemnification and Release ..................................................................................9
Article XIV. Disputes and Mediation .........................................................................................9
Article XV. General Terms ...................................................................................................... 10
Exhibit A. Schedule of Rates .................................................................................................... 13
Exhibit B. Insurance Requirements .......................................................................................... 14
I)Standard Insurance Policies Required: ............................................................................ 14
II)General Requirements Applicable to All Policies: .......................................................... 14
III)Commercial General Liability ..................................................................................... 14
IV)Business Automobile Liability .................................................................................... 15
V)Workers’ Compensation Insurance .............................................................................. 15
Exhibit C. Certificates of Insurance .......................................................................................... 16
Contract No. 23300358
Dumpster Collection Franchise Ordinance Page 3 of 16
ARTICLE I. DEFINITIONS
1.1 Agreement means this Franchise Agreement adopted by City Ordinance between City
and Contractor for the collection of Recyclables within the City limits.
1.2 Approved Customers means those designated premises located within the City that
generate Recyclables.
1.3 Brazos Valley Solid Waste Management Agency, Inc. (BVSWMA, Inc.) means the
permitted municipal solid waste landfill and compost facility owned and operated by a
Texas local government corporation.
1.4 City Council or Council means the governing body of the City of College Station,
Texas.
1.5 City means the City of College Station, a Texas Home Rule Municipal Corporation.
1.6 City's Representative means the Recycling & Environmental Compliance Manager or
the Manager’s designated appointee.
1.7 Collection means the scheduled aggregation of Recyclables by Contractor.
1.8 Construction and Demolition Debris means buildings material waste resulting from
demolition, remodeling, repairs, or construction, as well as materials discarded during
periodic temporary facility clean-up generated within the City.
1.9 Contaminated means Recyclables mixed with solid waste or altered in a way that results
in materials being unrecyclable or un-compostable.
1.10 Contractor means the Contractor franchised for the collection of Recyclables.
1.11 Customers means the locations designated by the City as a Commercial Business or
Multifamily Residence.
1.12 Organic Waste means waste of biological origin recovered from the solid waste stream
for the purposes of reuse, reclamation, or compost. Organic Waste is not solid waste,
unless it is abandoned or disposed of, rather than reprocessed into another product.
1.13 Receptacle means a weatherproof container easily identifiable and designated for
recycling or organic waste collection and shall not be made of any temporary materials.
1.14 Recyclables or Recyclable Materials mean materials, including construction and
demolition debris recovered from the solid waste stream for the purpose of reuse or
reclamation, a substantial portion of which are consistently used in the manufacture of
products that may otherwise be produced using raw or virgin materials. Recyclable
materials are not solid waste unless they are abandoned or disposed of as garbage rather
than reprocessed into another product.
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Dumpster Collection Franchise Ordinance Page 4 of 16
1.15 Residue means the materials regularly associated with and attached to Recyclables, as a
part of the original packaging or usage of that material that is not recyclable or
compostable.
1.16 Roll-Off / Compactor means a container of varying capacity used for Recyclables
collection.
1.17 TAC means the Texas Administrative Code now and as amended.
1.18 TCEQ means the Texas Commission on Environmental Quality.
ARTICLE II. GRANT OF AUTHORITY AND ACCEPTANCE
2.1 Non-Exclusive. City grants Contractor a non-exclusive franchise to operate and establish
Recyclables collection from designated Customers. Nothing in this Agreement shall be
construed as granting an exclusive franchise or right. City grants Contractor passage and
rights-of-way on, along, and across City streets, highways, alleys, public places and all
other real property for collecting demolition and construction debris, recyclables and
organic waste from commercial, industrial, multifamily and residential construction sites
for the purpose of disposal and/or recycling within the jurisdictional limits of the City.
Contractor is expressly prohibited from collecting any recyclables from completed
residences that are covered by the City’s residential single stream recycling contract and
program. All collection, work, activity, and undertakings by Contractor are subject to this
Agreement and City’s governmental and police powers.
2.2 Acceptance. By accepting this Agreement, Contractor represents it has, by careful
examination, satisfied itself as to the nature and location of the services, character,
quality, and quantity of services to be performed, the character of the equipment and
facilities necessary to fulfill obligations under this Agreement, as well as the general and
local conditions and all other matters affecting services performed under this Agreement.
2.3 Option to Market Materials. If City develops services or programs resulting in
materials that may be recycled or composted, including but not limited to residential
construction sites, multifamily, or commercial recycling or composting, the City shall
have the option to market those to any contractor.
2.4 Contract with City. If City and Contractor contract for the collection and recycling or
composting of materials, those terms will be incorporated into this Agreement by
amendment.
ARTICLE III. PAYMENT AND TERM
3.1 Franchise Fee. For and in consideration of the grant of the franchise herein, Contractor
agrees and will pay a Franchise Fee during the term of this Agreement, a sum based on
the following graduated fee schedule depending on the percentage of aggregate recycling
or composting accomplished:
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Dumpster Collection Franchise Ordinance Page 5 of 16
a.A fee is required, equivalent to five percent (5%) of Contractor's monthly gross
revenues, delivery revenues, and hauling revenues; including rates as described in
Exhibit A, generated from Contractor's provision of Recyclables collection
services within the City if Contractor reports aggregate recycling or composting
of at least sixty percent (60%) of Recyclables collected.
b.A fee is required, equivalent to six and one half percent (6.5%) of Contractor's
monthly gross revenues, delivery revenues, and hauling revenues; including rates
as described in Exhibit A, generated from Contractor’s provision of Recyclables
collection services within the City if Contractor reports aggregate recycling or
composting of at least fifty-five percent (55%) but less than sixty percent (60%)
of Recyclables collected.
c.A fee is required, equivalent to eight percent (8%) of Contractor's monthly gross
revenues, delivery revenues, and hauling revenues; including rates as described in
Exhibit A, generated from Contractor’s provision of Recyclables collection
services within the City if Contractor reports aggregate recycling or composting
less than fifty-five percent (55%) of Recyclables collected.
3.2 Payments. Revenue received by Contractor from this Agreement is subject to the
Franchise Fee and shall be computed into Contractor's monthly gross revenues, delivery
revenues, hauling revenues, and rates, as described in Exhibit A. Payment will be paid
quarterly to the City, and shall be due by the twentieth (20th) day of the month following
the end of the previous calendar quarter. Payment after that date shall incur a ten percent
(10%) late fee on the outstanding account balance under Article V.
3.3 Failure to Pay. Failure by Contractor to pay any amount due under this franchise
constitutes a Failure to Perform under this contract and is subject to the provisions of
Article XV. General Terms of this Agreement (Termination for Cause).
3.4 Franchise Fee Requirements. Payments must state on a form approved by the City:
a.The number and type of Customers collected from, for the previous quarter, for
Customers included in this Agreement.
b.The total tons landfilled, recycled or composted, within the jurisdictional limits of
the City, for the previous quarter.
c.The total gross revenues for the previous calendar quarter, for revenues generated
under this agreement.
d.The total payment amount.
3.5 Term. The term of this Agreement shall be for a period of five (5) years, beginning on
the date of acceptance and approval by City Council.
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Dumpster Collection Franchise Ordinance Page 6 of 16
ARTICLE IV. ACCESS TO RECORDS & REPORTING
4.1 Facilities. The City shall have the right to inspect the Contractor’s facilities, equipment,
personnel, and operations to ensure compliance with this Agreement.
4.2 Records. The City shall have the right to inspect Contractor’s records, receipts, and all
documentation relating to the performance of this Agreement. Those records include, but
are not limited to, information concerning the quality and quantity of Recyclables
collected, processed, and sold; number of Customers served, gross amounts paid to and
paid by Contractor from the sale/processing of Recyclables. The City agrees to notify the
Contractor at least twenty-four (24) hours prior to such inspection of operations and/or
records.
4.3 Records Retention. Contractor shall retain all records associated with this Agreement
for a period of four (4) years. City shall have access to information regarding
Contractor’s markets and prices paid for each type of material’s return/cost; all
information obtained by City marked confidential or proprietary shall remain confidential
or proprietary pursuant to the Texas Open Records Act.
4.4 Activity Report. Contractor shall provide a Monthly Recycling Activity Report, on a
form approved by the City, summarizing the previous month’s collection. This report is
due to the City’s Representative no later than the twentieth (20th) calendar day of each
month. Contractor’s report shall include the following information:
a.The Customer collection count, itemized by customer type.
b.Total tonnage of materials collected, recycled, composted and/or landfilled,
itemized by type of material, within the jurisdictional limits of the City.
c.Any other information concerning the collections as required by the City’s
Representative.
ARTICLE V. RATES TO BE CHARGED BY CONTRACTOR
5.1 The Contractor shall follow the Schedule of Rates attached hereto as Exhibit A for the
services described herein. The rates provided shall be kept current and made available to
the City’s Representative within thirty (30) days of an adopted rate change. The
Contractor agrees to use due diligence to keep costs from increasing.
ARTICLE VI. APPEARANCE OF PERSONNEL AND EQUIPMENT
6.1 Equipment. Contractor shall ensure all collection equipment and vehicles are
attractively painted, well maintained and are in good working condition. Equipment must
be washed at least one time per week. Equipment and vehicles must have sufficient
carrying capacity for safe and efficient collection. The City shall have the right to inspect
and approve the appearance of collection equipment. A standby vehicle shall be
available at all times for collection.
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Dumpster Collection Franchise Ordinance Page 7 of 16
6.2 Signage. Contractor’s vehicles shall at all times be clearly labeled with Contractor’s
name and phone number in visible letters and numbers not less than three (3) inches in
height. Signage must be on both sides of the vehicle and placed in a conspicuous place.
Only labeled vehicles shall perform collection activities under this Agreement.
Contractor’s roll-offs, compactors, and receptacles must be clearly marked as used for
collection in letters at least twelve inches (12”) in height on each side of the container.
6.3 Personnel. All collection personnel shall wear a City-approved uniform to include, at
minimum, matching labeled shirts with denim jeans or other standard work attire.
ARTICLE VII. COLLECTION AND TRANSPORT
7.1 Transport. The Contractor shall only transport collected materials for storage,
processing, disposal, or other necessary handling to locations in a manner permitted by
the terms of this Agreement as well as federal, state, and local law. This Agreement does
not authorize Contractor to utilize the streets, alleys, and public ways to dispose of
municipal solid waste or any other type of waste intended for disposal from any other
project.
7.2 Cover. During transport of materials all vehicles shall be covered to prevent release of
litter.
ARTICLE VIII. PLACEMENT OF RECEPTACLES
8.1 Placement. All roll-offs, compactors, and receptacles placed in service shall be located in
such a manner so as not to be a safety or traffic hazard. Under no circumstances shall
Contractor place roll-offs, compactors, or receptacles on public streets, alleys, or
thoroughfares without prior approval of the City’s Representative. City reserves the right
to designate the exact location of any or all roll-offs, compactors, or containers placed in
service in the City.
8.2 City Collection. Collections shall not interfere with the City’s collection of municipal
solid waste. Under no circumstances shall contractor place roll-offs, compactors, or
receptacles in existing enclosures designated for City roll-offs, compactors, and
receptacles.
ARTICLE IX. SERVICE COMPLAINTS
9.1 Nature of Complaint. Contractor shall handle directly any complaints pertaining to
customer service, property damage, or personal injury from their commercial business
and multifamily Recyclables collection service.
9.2 Intake. Contractor shall develop written practices and procedures for receiving and
resolving Customer complaints and collection issues. Any complaint received by the
City shall be forwarded to the Contractor within one (1) business day of receipt.
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Dumpster Collection Franchise Ordinance Page 8 of 16
9.3 Response. Contractor shall respond to all complaints within one (1) business day of
receiving a complaint from a Customer or notice of complaint from the City. Regardless
of the nature of the complaint, Contractor shall report the action taken to the City in
accordance with Article IV. Access to Records & Reporting.
9.4 Complaint Charges. Upon receipt of ten (10) Customer complaints within a forty-five
(45) day period, Contractor shall be assessed a charge of Three Hundred Dollars
($300.00). Complaints are to be verified by the Contractor and the City’s Representative.
The City shall invoice the Contractor such charges.
ARTICLE X. DISPOSAL AND PROCESSING
10.1 Disposal Site. Unless approved otherwise in writing by the City, Contractor shall utilize
BVSWMA, Inc. Landfill for the disposal of all non-recyclable waste material collected
by Contractor within the corporate limits of the City.
10.2 Processing Facility. Contractor shall only use a City-approved recycling or composting
facility for processing of all Recyclables collected by Contractor within the corporate
limits of the City under this Agreement.
ARTICLE XI. VIOLATION AND PENALTY
11.1 Fine. It shall be unlawful for any person, firm or corporation to violate any provision or
term of this Agreement and they shall receive a citation and fine not to exceed $2,000.00
per offense per day. Each and every day a violation continues constitutes a separate
offense.
11.2 Remedies. In addition to any rights set out elsewhere in this Agreement, or other rights
the City may possess at law or equity, the City reserves the right to apply any remedies,
alone or in combination, in the event Contractor violates any provision of this
Agreement. The remedies provided for in this Agreement are cumulative and not
exclusive; the exercise of one remedy shall not prevent the exercise of another, or any
rights of the City at law or equity.
ARTICLE XII. INSURANCE
12.1 The Contractor shall procure and maintain, at its sole cost and expense for the term of
this Agreement, insurance against claims for injuries to persons or damages to property
that may arise from or in connection with the performance of the services performed by
the Contractor, its agents, representatives, volunteers, employees, or subcontractors.
12.2 The Contractor's insurance shall list the City of College Station, its employees, agents,
volunteers, and officials as additional insureds. Insurance requirements are attached in
Exhibit B. Certificates of insurance evidencing the required insurance coverages are
attached in Exhibit C.
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Dumpster Collection Franchise Ordinance Page 9 of 16
ARTICLE XIII. INDEMNIFICATION AND RELEASE
13.1 Indemnification. Contractor shall indemnify, hold harmless, and defend the City,
its officers, agents, volunteers, and employees from and against any and all claims,
losses, damages, causes of action, suits, and liability of every kind, including all
expenses of litigation, court costs, and attorney's fees, for injury to or death of any
person or for damage to any property arising out of or in connection with the work
and services done by the Contractor under this Agreement. Such indemnity shall
apply regardless of whether the claims, losses, damages, causes of action, suits, or
liability arise in whole or in part from the negligence of the City, any other party
indemnified hereunder, the Contractor, or any third party.
13.2 Release. The Contractor assumes full responsibility for the work to be performed
hereunder and hereby releases, relinquishes, and discharges the City, its officers,
agents, volunteers, and employees from all claims, demands, and causes of action of
every kind and character, including the cost of defense thereof, for any injury to or
death of any person and any loss of or damage to any property caused by, alleged to
be caused by, arising out of, or in connection with the Contractor's work and
services to be performed hereunder. This release shall apply regardless of whether
said claims, demands, and causes of action are covered in whole or in part by
insurance and regardless of whether such injury, death, loss, or damage was caused
in whole or in part by the negligence of the City, any other party released
hereunder, the Contractor, or any third party.
ARTICLE XIV. DISPUTES AND MEDIATION
14.1 Disputes. If a dispute arises between City and Contractor during this Agreement, the
dispute shall first be referred to the operational officers or representatives designated by
the parties having oversight of the Agreement’s administration. The officers or
representatives shall meet within thirty (30) days of either party’s request for a meeting,
whichever request is first, and the parties shall make a good faith effort to achieve a
resolution of the dispute.
14.2 Mediation. If the parties are not able to resolve the dispute under the procedure in this
article, then the parties agree the matter shall be referred to non-binding mediation. The
parties shall mutually agree upon a mediator to assist in resolving their differences. If the
parties cannot agree upon a mediator, the parties shall jointly obtain a list of three (3)
mediators from a reputable dispute resolution organization and alternate striking
mediators on that list until one remains. A coin toss shall determine who may strike the
first name. If a party fails to notify the other party of which mediator it has stricken
within two (2) business days, the other party shall select the mediator from those
mediators remaining on the list. The parties shall pay their own expenses of any
mediation and will share the cost of the mediator’s services.
14.3 Other Remedies. If the parties fail to achieve a resolution of the dispute through
mediation, either party may then pursue any available judicial remedies.
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Dumpster Collection Franchise Ordinance Page 10 of 16
ARTICLE XV. GENERAL TERMS
15.1 Performance. Contractor, its employees, associates, or subcontractors shall perform all
the services in a professional manner and be fully qualified and competent to perform
those services.
15.2 Termination.
a.For Convenience. At any time, the City or Contractor may terminate this
Agreement for convenience, in writing with thirty (30) days’ written notice. City
shall be compensated for outstanding Franchise Fees.
b.For Cause. City may terminate this Agreement if Contractor materially breaches
or otherwise fails to perform, comply with or otherwise observe any of the terms
and conditions of this Agreement, or fails to maintain all required licenses and
approvals from federal, state, and local jurisdictions, and fails to cure such breach
or default within thirty (30) days of City providing Contractor written notice, or,
if not reasonably capable of being cured within thirty (30) calendar days, within
such other reasonable period of time upon which the parties may agree.
c.Hearing. This Agreement shall not be terminated except upon a majority vote of
the City Council, after giving reasonable notice to Contractor. The Contractor will
have an opportunity to be heard, provided if exigent circumstances necessitate
immediate termination, the hearing may be held as soon as possible after the
termination.
15.3 Venue. This Contract has been made under and shall be governed by the laws of the
State of Texas. The parties agree that performance and all matters related thereto shall be
in Brazos County, Texas.
15.4 Amendment. This Agreement may only be amended by written instrument approved
and executed by the parties.
15.5 Taxes. The City is tax exempt and is not responsible for the payment of any taxes.
15.6 Compliance with Laws. The Contractor will comply with all applicable federal, state,
and local statutes, regulations, ordinances, and other laws, including but not limited to the
Immigration Reform and Control (IRCA). The Contractor may not knowingly obtain the
labor or services of an undocumented worker. The Contractor, not the City, must verify
eligibility for employment as required by IRCA.
15.7 Waiver of Terms. No waiver or deferral by either party of any term or condition of this
Contract shall be deemed or construed to be a waiver of deferral of any other term or
condition or subsequent waiver or deferral of the same term or condition.
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Dumpster Collection Franchise Ordinance Page 11 of 16
15.8 Assignment. This Agreement and the rights and obligations contained herein may not be
assigned by the Contractor without the prior written approval of City.
15.9 Invalid Provisions. If any provision of this Agreement shall be held to be invalid or
unenforceable for any reason, the remaining provisions shall continue to be valid and
enforceable. If a court of competent jurisdiction finds that any provision of this
Agreement is invalid or unenforceable, and if by limiting that provision, the Agreement
may become valid and enforceable, then such provision shall be deemed to be written,
construed, and enforced as so limited.
15.10 Entire Agreement. This Agreement represents the entire agreement between the City
and Contractor and supersedes all prior negotiations, representations, or agreements,
either written or oral.
15.11 Agree to Terms. The parties’ state they have read the terms and conditions of this
Agreement and agree to the terms and conditions. Contractor shall evidence its
unconditional written acceptance of all the terms and conditions of this Agreement by the
execution of this Agreement.
15.12 Effective Date. According to City Charter, Section 105, after passage, approval and
legal publication of this Agreement as provided by law, and provided it has been duly
accepted by Contractor as herein above provided, this Agreement shall not take effect
until sixty (60) days after its adoption on its second and final reading.
15.13 N otice. Any official notice under this Agreement will be sent to the following addresses:
City of College Station
Attn: Caroline Ask
PO Box 9960
College Station, TX 77842
Drop and Go Dumpsters
Attn: Tyler RJ Smith
6517 FM 974, Bryan TX 77 802
info@dropandgodumpster.com
cask@cstx.gov
15.14 List of Exhibits. All exhibits to this Agreement are incorporated and made part of this
Agreement for all purposes.
A. Schedule of Rates
B. Insurance Requirements
C. Certificates of Insurance
15.15 Public Meetings and Readings. This Agreement was passed, adopted and approved
according to Texas Government Code Chapter 551.
a.First Consideration & Approval on the day of , 2023.
b.Second Consideration & Approval on the day of , 2023.
9th
23rd March
March
Contract No. 23300358
Dumpster Collection Franchise Ordinance Page 12 of 16
DROP AND GO DUMPSTERS CITY OF COLLEGE STATION
By: By:
Mayor
Printed Name:
Title: Owner/Member Date: ________________
Date:
ATTEST:
City Secretary
Date: _____________
APPROVED:
City Manager
Date: _____________
City Attorney
Date: _____________
Assistant City Manager/CFO
Date: _____________
3/12/2023
Tyler R J Smith
3/21/2023
3/21/2023
3/24/2023
3/24/2023
3/24/2023
Contract No. 23300358
Dumpster Collection Franchise Ordinance Page 13 of 16
EXHIBIT A. SCHEDULE OF RATES
I. Contractor’s base dumpster haul rates are:
12 Yard; $275
20 Yard; $300
30 Yard; $325
40 Yard; $350
per month and may increase, depending on a variety of conditions, including but not
limited to:
a.Location of Customer
b.Impact on Existing Routes
c.Ingress and Egress Capabilities
d.Special Requests by Customers
e.Frequency of Collections
f.Volume of Materials
g.Type of Materials
h.External Contributing Conditions of Market Costs
i.Number of Loads
j.Can Availability
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Dumpster Collection Franchise Ordinance Page 14 of 16
EXHIBIT B. INSURANCE REQUIREMENTS
Throughout the term of this Agreement the Contractor must comply with the following:
I. Standard Insurance Policies Required:
a.Commercial General Liability
b.Business Automobile Liability
c.Workers' Compensation
II.General Requirements Applicable to All Policies:
a.Certificates of Insurance shall be prepared and executed by the insurance
company or its authorized agent.
b.Certificates of Insurance and endorsements shall be furnished on the most current
State of Texas Department of Insurance-approved forms to the City's
Representative at the time of execution of this Agreement; shall be attached to
this Agreement as Exhibit C; and shall be approved by the City before work
begins.
c.Contractor shall be responsible for all deductibles on any policies obtained in
compliance with this Agreement. Deductibles shall be listed on the Certificate of
Insurance and are acceptable on a per-occurrence basis only.
d.The City will accept only licensed Insurance Carriers authorized to do business in
the State of Texas.
e.The City will not accept "claims made" policies.
f.Coverage shall not be suspended, canceled, non-renewed or reduced in limits of
liability before thirty (30) days written notice has been given to the City.
III.Commercial General Liability
a.General Liability insurance shall be written by a carrier rated "A: VIII" or better
under the current A. M. Best Key Rating Guide.
b.Policies shall contain an endorsement listing the City as Additional Insured and
further providing "primary and non-contributory" language with regard to self-
insurance or any insurance the City may have or obtain.
c.Limits of liability must be equal to or greater than $500,000 per occurrence for
bodily injury and property damage, with an annual aggregate limit of $1,000,000.
Limits shall be endorsed to be per project.
d.No coverage shall be excluded from the standard policy without notification of
individual exclusions being submitted for the City's review and acceptance
e.The coverage shall include, but not be limited to the following:
premises/operations with separate aggregate; independent contracts;
products/completed operations; contractual liability (insuring the indemnity
provided herein) Host Liquor Liability, and Personal & Advertising Liability.
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IV.Business Automobile Liability
a.Business Automobile Liability insurance shall be written by a carrier rated "A:
VIII" or better under the current A. M. Best Key Rating Guide.
b.Policies shall contain an endorsement listing the City as Additional Insured and
further providing "primary and non-contributory" language with regard to self-
insurance or any insurance the City may have or obtain
c.Combined Single Limit of Liability not less than $1,000,000 per occurrence for
bodily injury and property damage.
d.The Business Auto Policy must show Symbol 1 in the Covered Autos Portion of
the liability section in Item 2 of the declarations page
e.The coverage shall include any autos, owned autos, leased or rented autos,
non-owned autos, and hired autos.
V. Workers’ Compensation Insurance
a.Workers compensation insurance shall include the following terms:
i.Employer's Liability minimum limits of liability not less than $500,000 for
each accident/each disease/each employee are required
ii."Texas Waiver of Our Right to Recover From Others Endorsement, WC
42 03 04" shall be included in this policy
iii.TEXAS must appear in Item 3A of the Workers' Compensation coverage
or Item 3C must contain the following: "All States except those listed in
Item 3A and the States of NV, ND, OH, WA, WV, and WY"
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Dumpster Collection Franchise Ordinance Page 16 of 16
EXHIBIT C. CERTIFICATES OF INSURANCE
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
INSR ADDL SUBR
LTR INSD WVD
PRODUCER CONTACT
NAME:
FAXPHONE
(A/C, No):(A/C, No, Ext):
E-MAIL
ADDRESS:
INSURER A :
INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY)
AUTOMOBILE LIABILITY
UMBRELLA LIAB
EXCESS LIAB
WORKERS COMPENSATION
AND 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-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person)$
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $
PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT
OTHER:$
COMBINED SINGLE LIMIT
$(Ea accident)
ANY AUTO BODILY INJURY (Per person)$
OWNED SCHEDULED
BODILY INJURY (Per accident)$AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE
$AUTOS ONLY AUTOS ONLY (Per accident)
$
OCCUR EACH OCCURRENCE
CLAIMS-MADE AGGREGATE $
DED RETENTION $
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below
INSURER(S) AFFORDING COVERAGE NAIC #
COMMERCIAL GENERAL LIABILITY
Y / N
N / A
(Mandatory in NH)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE 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 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.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
COVERAGES CERTIFICATE NUMBER:REVISION NUMBER:
CERTIFICATE HOLDER CANCELLATION
© 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03)
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
$
$
$
$
$
The ACORD name and logo are registered marks of ACORD
2/2/2023
(979) 774-6283 (979) 774-5372
20230
Chunk My Junk LLC DBA Drop And Go Dumpsters
6517 FM 974
Bryan, TX 77808
A 1,000,000
CLP 8958649 9/12/2022 9/12/2023 300,000
5,000
1,000,000
2,000,000
2,000,000
1,000,000A
BAP 8958650 9/12/2022 9/12/2023
City of College Station is included as an Additional Insured on the General Liability and Auto policies per attached forms. Waiver of Subrogation is included
on the General Liability and Auto policies per attached forms.
City of College Station
Attn: Risk Management
PO Box 9960
College Station, TX 77842
CHUNMYJ-01 WENDYH
ANCO Insurance
PO Box 3889
Bryan, TX 77805
Wendy Harrod
harrod@anco.com
Central Mutual Insurance Company
X
X
X
X
8-1932 07 14 Page 1 of 12
8-1932 07 14
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
TEXAS GENERAL LIABILITY PLUS ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
This endorsement amends the policy by adding the following; please read each section carefully.
EMPLOYEE BENEFITS LIABILITY COVERAGE
ADDITIONAL INSURED - OWNERS, LESSEES, OR CONTRACTORS - AUTOMATIC STATUS
ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES - AUTOMATIC STATUS
ADDITIONAL INSURED - LESSOR OF LEASED EQUIPMENT - AUTOMATIC STATUS
ADDITIONAL INSURED - VENDORS - AUTOMATIC STATUS
INCLUDE DIRECTORS OR TRUSTEES ON COMMITTEES AS EMPLOYEES
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHER TO US
NEWLY FORMED OR ACQUIRED ORGANIZATIONS
NOTICE OF OCCURRENCE, KNOWLEDGE OF OCCURRENCE, UNINTENTIONAL OMISSION
VOLUNTARY PROPERTY DAMAGE
NON-OWNED WATERCRAFT AND NON-OWNED AIRCRAFT LIABILITY
FIRE, SPRINKLER LEAKAGE OR EXPLOSION
POLLUTION COVERAGE FOR UPSET OF MOBILE EQUIPMENT
AGGREGATE LIMITS OF INSURANCE AMENDMENT
SUPPLEMENTARY PAYMENTS - HIGHER LIMITS
REASONABLE FORCE EXPANSION - PROPERTY DAMAGE
LOST KEY COVERAGE
PERSONAL AND ADVERTISING INJURY DEFINITION AMENDED
These modifications are subject to the terms and conditions applicable to coverage in the policy except as
provided below.
A.Employee Benefits Liability Coverage
The following is added to Section I - Coverages: EMPLOYEE BENEFITS LIABILITY COVERAGE.
1.Insuring Agreement.
a.We will pay those sums that the insured becomes legally obligated to pay as damages because
of any act, error or omission of the insured, or of any other person for whose acts the insured is
legally liable, to which this insurance applies. We will have the right and duty to defend the
insured against any “suit” seeking those damages. However, we will have no duty to defend the
insured against any “suit” seeking damages to which this insurance does not apply. We may, at
our discretion, investigate any report of an act, error or omission and settle any “claim” or “suit”
that may result. But:
1)The amount we will pay for damages is limited as described in SECTION III LIMITS OF
INSURANCE for Employee Benefits Liability Coverage and
2)Our right and duty to defend end when we have used up the applicable limit of insurance in
the payment of judgments or settlements.
No other obligation or liability to pay sums or perform acts or services is covered unless
explicitly provided for under Supplementary Payments.
b.This insurance applies to damages only if:
1)The act, error or omission is negligently committed in the “administration” of your
“employee benefit program”;
2)The act, error or omission is caused by an “occurrence” that takes place in the
“coverage territory”; and
3)The act, error or omission occurs during the policy period.2.Exclusions
This insurance does not apply to:
a.Dishonesty or Fraud
8-1932 07 14 Page 2 of 12
Damages arising out of any dishonest, fraudulent or malicious act or omission, committed by any
insured, including the willful or reckless violation of any statute.
b.Bodily Injury, Property Damage, or Personal and Advertising Injury
“Bodily injury,” “property damage” or “personal and advertising injury.”
c.Failure to Perform a Contract
Damages arising out of failure of performance of contract by any insurer.
d.Insufficiency of Funds
Damages arising out of an insufficiency of funds to meet any obligations under any plan included
in the “employee benefit program.”
e.Inadequacy of Performance of Investment/Advice Given to Participate
Any “claim” or “suit” based upon:
1) Failure of any investment to perform;
2) Errors in providing information on past performance of investment vehicles; or
3) Advice given to any person to participate or not to participate in any plan included in the
“employee benefit program.”
f.Workers Compensation and Similar Laws
Damages arising out of any “claim” related to any workers compensation, unemployment
compensation insurance, social security or disability benefits law or any similar law.
g.ERISA
Damages for which the insured is liable because of liability imposed on a fiduciary by the
Employee Retirement Income Security Act of 1974, as now or hereafter amended, or any similar
federal, state or local laws.
h.Available Benefits
Any “claim” for benefits to the extent that such benefits are available, with reasonable effort and
cooperation of the insured, from the applicable funds accrued or other collectible insurance.
i.Taxes, Fines or Penalties
1)Taxes, fines or penalties, including those imposed under the Internal Revenue Code or any
similar state or local law; or
2) Loss or damages arising out of the imposition of such taxes, fines or penalties.
j.Employment-Related Practices
Damages arising out of wrongful termination of employment, discrimination, or other
employment-related practices.
3.Supplementary Payments - Coverages A and B
For the purposes of the coverage provided by Employee Benefits Liability Coverage, the
Supplementary Payments - Coverages A and B apply except for Paragraphs 1.b. and 2.
SECTION II - WHO IS AN INSURED, Paragraphs 2. and 3. are replaced by the following for Employee Benefits
Liability Coverage:
2.Each of the following is also an insured:
a.Each of your “employees” who is or was authorized to administer your “employee benefit
program.”
b.Any persons, organizations or “employees” having proper temporary authorization to administer
your “employee benefit program” if you die, but only until your legal representative is appointed.
c.Your legal representative if you die, but only with respect to duties as such. That representative
will have all your rights and duties under this Endorsement.
3.Any organization you newly acquire or form, other than a partnership, joint venture or limited liability
company, and over which you maintain ownership or majority interest, will qualify as a Named Insured
if there is no other similar insurance available to that organization. However:
a.Coverage under this provision is afforded only until the 180th day after you acquire or form the
organization or the end of the policy period, whichever is earlier.
b.Coverage under this provision does not apply to any act, error or omission that occurred before
you acquired or formed the organization.
8-1932 07 14 Page 3 of 12
SECTION III - LIMITS OF INSURANCE is replaced by the following for the Employee Benefits Liability
Coverage:
1)The Limits of Insurance shown below and the rules below fix the most we will pay
regardless of the number of:
a) Insureds;
b) “Claims” made or “suits” brought;
c) Persons or organizations making “claims” or bringing “suits”;
d) Acts, error or omissions which result in loss; or
e) Benefits included in your “employee benefit program.”
2)$2,000,000 is the most we will pay for all damages because of acts, errors or omissions
committed in the “administration” of your “employee benefit program.”
3)Subject to the above Limit, $1,000,000 is the most we will pay for all damages sustained by
any one “employee,” including damages sustained by such “employee’s” dependents and
beneficiaries, as a result of:
a) An act, error or omission; or
b) A series of acts, errors or omissions
negligently committed in the “administration” of your “employee benefit program.”
However, the amount paid under this endorsement shall not exceed, and will be subject to,
the limits and restrictions that apply to the payment of benefits in any plan included in the
“employee benefit program.”
The Limits of Insurance of this endorsement 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 of the policy to which this endorsement is attached, 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.
4.Deductible
a.Our obligation to pay damages on behalf of the insured applies only to the amount of damages in
excess of $1,000. The limits of insurance shall not be reduced by the amount of this deductible.
b.The deductible amount applies to all damages sustained by any one “employee,” including such
“employee’s” dependents and beneficiaries, because of all acts, errors or omissions to which this
insurance applies.
c. The terms of this insurance, including those with respect to:
1)Our right and duty to defend any “suits” seeking those damages; and
2)Your duties, and the duties of any other involved insured, in the event of an act, error or
omission, “claim” or “suit”
apply irrespective of the application of the deductible amount.
d.We may pay any part or all of the deductible amount to effect settlement of any “claim” or “suit”
and, upon notification of the action taken, you shall promptly reimburse us for such part of the
deductible amount as we have paid.
SECTION IV - CONDITIONS, Paragraphs 2. and 4. are replaced by the following for the Employee Benefits
Liability Coverage:
2.Duties In The Event Of An Act, Error or Omission, “Claim” Or “Suit”
a.You must see to it that we are notified as soon as practicable of an act, error or omission which
may result in a “claim.” To the extent possible, notice should include:
1)What the act, error or omission was and when it occurred; and
2)The names and addresses of anyone who may suffer damages as a result of the act, error
or omission.
b.If a “claim” is made or “suit” is brought against any insured, you must:
1)Immediately record the specifics of the “claims” or “suit” and the date received; and
2)Notify us as soon as practicable.
You must see to it that we receive written notice of the “claim” or “suit” as soon as practicable.
8-1932 07 14 Page 4 of 12
c.You and any other involved insured must:
1)Immediately send us copies of any demands, notices, summonses or legal papers received
in connection with the “claim” or “suit”;
2)Authorize us to obtain records and other information;
3)Cooperate with us in the investigation or settlement of the “claim” or defense against the
“suit”; and
4)Assist us, upon our request, in the enforcement of any right against any person or
organization which may be liable to the insured because of an act, error or omission to
which this insurance may also apply.
d.No insured will, except at the insured’s own cost, voluntarily make a payment, assume any
obligation or incur any expense without our consent.
4.Other Insurance
If other valid and collectible insurance is available to the insured for a loss we cover under this
endorsement, our obligations are limited as follows:
a.Primary Insurance
This insurance is primary except when b. below applies. If this insurance is primary, our
obligations are not affected unless any of the other insurance is also primary. Then, we will share
with all that other insurance by the method described in c. below.
b.Excess Insurance
Any other primary insurance available to you covering acts, errors or omissions for which you
have been added as an additional insured.
When this insurance is excess, we will have no duty 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 may undertake to do so, but we will be entitled to the insured’s rights against all those other
insurers.
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:
1)The total amount that all such other insurance would pay for the loss in absence of this
insurance; and
2) The total of all deductible and self-insured amounts under all that other insurance.
We will share the remaining loss, if any, with any other insurance that is not described in this
Excess Insurance provision and was not bought specifically to apply in excess of the Limits of
Insurance shown.
c.Method of Sharing
If all of the other insurance permits contribution 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 contribute by
limits. Under this method, each insurer’s share is based on the ratio of its applicable limits of
insurance of all insurers.
SECTION V - DEFINITIONS is amended by adding the following definitions for Employee Benefits Liability
Coverage:
1.“Administration” means:
a.Providing information to “employees,” including their dependents and beneficiaries, with respect
to eligibility for or scope of “employee benefit programs”;
b.Handling records in connection with the “employee benefit program”; or
c.Effecting, continuing or terminating any “employee’s” participation in any benefit included in the
“employee benefit program.”
However, “administration” does not include handling payroll deductions.
2.“Cafeteria plans” means plans authorized by the applicable law to allow employees to elect to pay for
certain benefits with pre-tax dollars.
8-1932 07 14 Page 5 of 12
3.“Claim” means any demand, or “suit,” made by an “employee” or an “employee’s” dependents and
beneficiaries, for damages as the result of an act, error or omission.
4.“Employee benefit program” means a program providing some or all of the following benefits to
“employees,” whether provided through a “cafeteria plan” or otherwise.
a.Group life insurance; group accident or health insurance; dental, vision and hearing plans; and
flexible spending accounts; provided that no one other than an “employee” may subscribe to
such benefits and such benefits are made generally available to those “employees” who satisfy
the plan’s eligibility requirements;
b.Profit sharing plans, employee savings plans, employee stock ownership plans, pension plans
and stock subscription plans, provided that no one other than an “employee” may subscribe to
such benefits and such benefits are made generally available to all “employees” who are eligible
for such benefits;
c.Unemployment insurance, social security benefits, workers compensation and disability benefits;
d.Vacation plans, including buy and sell programs; leave of absence programs, including military,
maternity, family and civil leave; tuition assistance plans; transportation and health club
subsidies.
SECTION V - DEFINITIONS - the definition of “employee” and “suit” is replaced for Employee Benefits Liability
Coverage by the following:
“Employee” means a person actively employed, formerly employed, on leave of absence or disabled,
or retired. “Employee” includes a “leased worker.” “Employee” does not include a “temporary worker.”
“Suit” means a civil proceeding in which damages because of an act, error or omission to which this
insurance applies are alleged. “Suit” includes:
a.An arbitration proceeding in which such damages are claimed and to which the insured must
submit or does submit with our consent; or
b.Any other alternative dispute resolution proceeding in which such damages are claimed and to
which the insured submits with our consent.
B.Additional Insured - Owners, Lessees, or Contractors - Automatic Status (not applicable to
Employee Benefits Liability Coverage)
1.Section II - Who Is An Insured is amended to include as an additional insured any person or
organization for whom you are performing operations when you and such person or organization have
agreed in writing in a contract or agreement that such person or organization be added as an
additional insured on your policy and any other person or organization you are required to add as an
additional insured under the contract or agreement. Such person or organization is an additional
insured only with respect to liability for “bodily injury,” “property damage” or “personal and advertising
injury” caused, in whole or in part, by:
a. Your acts or omissions; or
b. The acts or omissions of those acting on your behalf;
in the performance of your ongoing operations for the additional insured.
Except as provided for in the exception to 2.b. below, a person’s or organization’s status as an
additional insured under this endorsement ends when your operations for that additional insured are
completed.
However, the insurance afforded to such additional insured described above:
a.only applies to the extent permitted by law; and
b.will not be broader than that which you are required by the contract or agreement to provide for
such additional insured.
2.With respect to the insurance afforded to these additional insureds, the following additional exclusions
apply:
This insurance does not apply to:
a.“Bodily injury,” “property damage” or “personal and advertising injury” arising out of the rendering
of, or the failure to render, any professional architectural, engineering or surveying services,
including:
1)The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions,
8-1932 07 14 Page 6 of 12
reports, surveys, field orders, change orders or drawings and specifications; or
2)Supervisory, inspection, architectural or engineering activities.
This exclusion applies even if the claims against any insured allege negligence or other
wrongdoing in the supervision, hiring, employment, training or monitoring of others by that
insured, if the “occurrence” which caused the “bodily injury” or “property damage”, or the offense
which caused the “personal and advertising injury”, involved the rendering of, or failure to render,
any professional architectural, engineering or surveying services.
b. “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.
However, exclusion b. does not apply when in conflict with the requirements of a written contract
or agreement.
3.The most we will pay on behalf of the additional insured is the amount of insurance required by the
contract or agreement you have entered into with the additional insured or the amount of insurance
available under the applicable Limits of Insurance shown in the Declarations or Change Endorsement,
whichever is less. These Limits of Insurance are inclusive and not in addition to the Limits of
Insurance shown in the Declarations or Change Endorsement.
C.Additional Insured - Managers or Lessors of Premises - Automatic Status (not applicable to
Employee Benefits Liability Coverage)
1.Section II - Who Is An Insured is amended to include as an insured any person or organization when
you and such person or organization have agreed in writing in a contract or agreement that such
person or organization be added as an additional insured on your policy, but only with respect to
liability arising out of the ownership, maintenance or use of that part of the premises leased to you and
subject to the following additional exclusions:
This insurance does not apply to:
a. Any “occurrence” which takes place after you cease to be a tenant in that premises.
b.Structural alterations, new construction or demolition operations performed by or on behalf of the
additional insured.
However, the insurance afforded to such additional insured described above:
a.only applies to the extent permitted by law; and
b.will not be broader than that which you are required by the contract or agreement to provide for
such additional insured.
2.The most we will pay on behalf of the additional insured is the amount of insurance required by the
contract or agreement you have entered into with the additional insured or the amount of insurance
available under the applicable Limits of Insurance shown in the Declarations or Change Endorsement,
whichever is less. These Limits of Insurance are inclusive and not in addition to the Limits of
Insurance shown in the Declarations or Change Endorsement.
D.Additional Insured - Lessor of Leased Equipment - Automatic Status (not applicable to
Employee Benefits Liability Coverage)
1.Section II - Who Is An Insured is amended to include as an additional insured any person or
organization from whom you lease equipment when you and such person or organization have agreed
in writing in a contract or agreement that such person or organization be added as an additional
insured on your policy. Such person or organization is an insured only with respect to liability for
“bodily injury,” “property damage” or “personal and advertising injury” caused, in whole or in part, by
your maintenance, operation or use of equipment leased to you by such person or organization.
However, the insurance afforded to such additional insured described above:
a.only applies to the extent permitted by law; and
b.will not be broader than that which you are required by the contract or agreement to provide for
8-1932 07 14 Page 7 of 12
such additional insured.
A person’s or organization’s status as an additional insured under this endorsement ends when their
contract or agreement with you for such leased equipment ends.
2.With respect to the insurance afforded to these additional insureds, this insurance does not apply to
any “occurrence” which takes place after the equipment lease expires.
3.The most we will pay on behalf of the additional insured is the amount of insurance required by the
contract or agreement you have entered into with the additional insured or the amount of insurance
available under the applicable Limits of Insurance shown in the Declarations or Change Endorsement,
whichever is less. These Limits of Insurance are inclusive and not in addition to the Limits of
Insurance shown in the Declarations or Change Endorsement.
E.Additional Insured Vendors - Automatic Status (not applicable to Employee Benefits
Liability Coverage)
1.Section II - Who Is An Insured is amended to include as an insured any person or organization
(referred to below as vendor) when you and such person or organization have agreed in writing in a
contract or agreement that such person or organization be added as an additional insured on your
policy, but only with respect to “bodily injury” or “property damage” arising out of “your products”
shown in the Schedule, Declarations or Change Endorsement which are distributed or sold in the
regular course of the vendor’s business.
However, the insurance afforded to such additional insured described above:
a.only applies to the extent permitted by law; and
b.will not be broader than that which you are required by the contract or agreement to provide for
such additional insured.
2. With respect to the insurance afforded to these vendors, the following additional exclusions apply:
a.“Bodily injury” or “property damage” for which the vendor is obligated to pay damages by reason
of the assumption of liability in a contract or agreement. This exclusion does not apply to liability
for damages that the vendor would have in the absence of the contract or agreement;
b.An express warranty unauthorized by you;
c.Any physical or chemical change in the product made intentionally by the vendor;
d.Repackaging, except when unpacked solely for the purpose of inspection, demonstration,
testing, or the substitution of parts under instructions from the manufacturer, and then
repackaged in the original container;
e.Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed
to make or normally undertakes to make in the usual course of business, in connection with the
distribution or sale of the products;
f.Demonstration, installation, servicing or repair operations, except such operations performed at
the vendor’s premises in connection with the sale of the product;
g.Products which, after distribution or sale by you, have been labeled or relabeled or used as a
container, part or ingredient of any other thing or substance by or for the vendor; or
h.“Bodily injury” or “property damage” arising out of the sole negligence of the vendor for its own
acts or omissions or those of its employees or anyone else acting on its behalf. However, this
exclusion does not apply to:
1)The exceptions contained in Sub-paragraphs d. or f.; or
2)Such inspections, adjustments, tests or servicing as the vendor has agreed to make or
normally undertakes to make in the usual course of business, in connection with the
distribution or sale of the products.
3.This insurance does not apply to any insured person or organization, from whom you have acquired
such products, or any ingredient, part or container, entering into, accompanying or containing such
products.
4.The most we will pay on behalf of the vendor is the amount of insurance required by the contract or
agreement you have entered into with the additional insured or the amount of insurance available
under the applicable Limits of Insurance shown in the Declarations or Change Endorsement,
whichever is less. These Limits of Insurance are inclusive and not in addition to the Limits of
Insurance shown in the Declarations or Change Endorsement.
F.Include Directors Or Trustees On Committees As Employees (not applicable to Employee
Benefits Liability Coverage)
8-1932 07 14 Page 8 of 12
SECTION V - DEFINITIONS is amended by the addition of the following to definition 5.:
“Employee” also includes any of your directors or trustees acting as a member of any of your elected or
appointed committees to perform on your behalf specific, as distinguished from general, directorial acts.
G.Waiver Of Transfer Of Rights Of Recovery Against Others To Us
The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US, SECTION IV CONDITION 8.,
is amended by the addition of the following:
We waive any right of recovery we may have against any person or organization because of payments we
make for injury or damage arising out of your ongoing operations or “your work” done under a contract with
that person or organization and included in the “products-completed operations hazard.” This waiver
applies only to the person or organization which, before the loss, you have agreed in writing to waive your
right of recovery.
H.Newly Formed or Acquired Organizations (not applicable to Employee Benefits Liability Coverage)
SECTION II - WHO IS AN INSURED is amended to include any organization you newly acquire or form,
other than a partnership or joint venture, and over which you maintain ownership or majority interest, will
qualify as a Named Insured if there is no other similar insurance available to that organization. However:
1.Coverage under this provision is afforded only until 180 days after you acquire or form theorganization
or the end of the policy period, whichever is earlier.
2.Coverage A does not apply to “bodily injury” or “property damage” that occurred before you acquired
or formed the organization; and
3.Coverage B does not apply to “personal injury and advertising injury” arising out of an offense
committed before you acquired or formed the organization.
I.Notice Of Occurrence, Knowledge of Occurrence, Unintentional Omission
The following is added to SECTION IV.2. - DUTIES IN THE EVENT OF OCCURRENCE, OFFENSE,
CLAIM OR SUIT:
e. Notice of Accident/Occurrence
When you report to your Workers Compensation carrier the occurrence of any accident which
later develops into a liability claim covered under this policy, failure to report the accident to us at
the time of occurrence is not in violation of the Conditions of this policy. However, as soon as you
are definitely made aware of the fact that the particular accident is a liability claim rather than a
Workers Compensation claim prompt notification must be given to us.
f. Unintentional Errors and Omissions
The insurance afforded by this policy is not invalidated by any unintentional errors, omissions or
improper description of premises or your unintentional failure to disclose all hazards existing at
inception date of the policy.
g. Knowledge of Accident/Occurrence
Knowledge of an accident/occurrence by your agent, servant or employee is not knowledge by
you unless an executive officer of your Corporation received such notice from its agent, servant
or employee.
J.Voluntary Property Damage
1.We will pay, at your request, for loss due to “Property Damage” to property of others caused by you,
or while in your possession, arising out of your business operations.
2.“Loss” means unintentional damage or destruction but does not include disappearance, theft, or loss
of use.
3.Limits of Insurance - The most we will pay for “loss” under the Voluntary Property Damage is $2,500
for each “occurrence.” The most we will pay for the sum of all damages because of “Property
Damage” is an annual policy aggregate limit of $25,000.
4. Deductible - We will not pay for “loss” in any one “occurrence” until the amount of “loss” exceeds $250.
We may pay any part or all of the deductible amount to effect settlement of any “claim” or “suit” and,
upon notification of the action taken, you shall promptly reimburse us for such part of the deductible
amount as we have paid.
5. The insurance under the Voluntary Property Damage shall not apply:
8-1932 07 14 Page 9 of 12
a. To “loss” of property at premises owned, rented, leased, operated, or used by you;
b. To “loss” of property while in transit;
c. To “loss” of property owned by, rented to, leased to, borrowed by or used by you;
d.To the cost of repairing or replacing (1) any work defectively or incorrectly done, (2) any product
manufactured, sold or supplied by you, unless the “Property Damage” is caused directly by you
after delivery of the product or completion of the work and resulting from a subsequent
undertaking;
e.To “loss” of property included within the “Products/Completed Operations Hazard”;
f.To “loss” of property which is an “auto” or “mobile equipment.”
g.To “loss” of property caused by “pollutants.”
6.In the event of “loss” covered by this endorsement, you shall, if requested by us, replace the property
or furnish the labor and materials necessary for repairs thereto at your actual cost, excluding profit or
overhead charges.
K.Non-Owned Watercraft Liability and Non-Owned Aircraft Liability
SECTION I - COVERAGE A, exclusion 2.g. is replaced by the following:
g.“Bodily injury” or “property damage” arising out of the ownership, maintenance, use or
entrustment to others of any aircraft, “auto” or watercraft owned or operated by or rented or
loaned to any insured. Use includes operations and “loading or unloading.” This exclusion
applies even if the claims against any insured allege negligence or other wrongdoing in the
supervision, hiring, employment, training or monitoring of others by that insured, if the
“occurrence” which caused the “bodily injury” or “property damage” involved the ownership,
maintenance, use or entrustment to others of any aircraft, “auto” or watercraft that is owned or
operated by or rented or loaned to any insured.
This exclusion does not apply to:
1)A watercraft while ashore on premises you own or rent;
2)A watercraft you do not own that is:
a)Less than 60 feet long; and
b)Not being used to carry persons or property for a charge;
3)Parking an “auto” on, or on the ways next to, premises you own or rent, provided that
“auto” is not owned by or rented or loaned to you or the insured;
4)Liability assumed under any “insured contract” for the ownership, maintenance or use of
aircraft or watercraft; or
5)“Bodily injury” or “property damage” arising out of:
a)The operation of machinery or equipment that is attached to, or part of, a land
vehicle that would qualify under the definition of “mobile equipment” if it were not
subject to a compulsory or financial responsibility law or other motor vehicle
insurance law where it is licensed or principally garaged; or
b)The operation of any of the machinery or equipment listed in paragraph f.2) or
f.3) of the definition of “mobile equipment.”
L.Fire, Sprinkler Leakage Or Explosion
1. SECTION I - GENERAL LIABILITY COVERAGES is amended as follows:
a. The last paragraph of 2. Exclusions under A. Bodily Injury and Property Damage Liability is
replaced by the following:
Exclusions c. through q. do not apply to damage by fire, sprinkler leakage or explosion to
premises while rented to you or temporarily occupied by you with permission of the owner.
A separate limit of insurance applies to this coverage as described in Section III - Limits of
Insurance.
But the Limit for Damage to Premises Rented To You shown in the Declaration will apply to all
damage proximately caused by the same event, whether such damage results from fire, sprinkler
leakage or explosion or any combination of the three.
b. Section III - Limits of Insurance is amended to replace paragraph 6. with the following:
6. Subject to Paragraph 5. above, the Damage To Premises Rented to You Limit is the most we
will pay under Paragraph A. Bodily Injury And Property Damage Liability for damages
8-1932 07 14 Page 10 of 12
because of "property damage" to any one premises, while rented to you, or in the case of
damage by fire, sprinkler leakage, or explosion, while rented to you or temporarily occupied
by you with permission of the owner.
But the Limit of Insurance shown in the Declaration will apply to all damage proximately caused
by the same event whether such damage results from fire, sprinker leakage or explosion or any
combination of the three.
2. The Damage to Premises Rented To You Limit is $300,000 unless a higher limit is shown on the
declaration or change endorsement.
3.Paragraph 4.b. of the Other Insurance is amended as follows:
The term "Fire" in Paragraph B. (1)(a)(i) is replaced by "Fire, Sprinkler Leakage, or Explosion"
4. Section 9.a. under SECTION V - DEFINITIONS is amended as follows:
The term "fire" is replaced by "fire, sprinkler leakage, or explosion"
M.Pollution Coverage For Upset of Mobile Equipment
The Insuring Agreement for “property damage” liability with respect to your operations is extended as
follows:
1.We will pay those sums which you become legally obligated to pay for “property damage” caused
directly by immediate, abrupt and accidental upset, overturn or collision of your “mobile equipment”
while transporting “pollutants” which are intended for and normally used in your operations. The
operations must be in compliance with local, state, and federal ordinances and laws.
2.EXCLUSIONS
a.With regard only to the coverage provided by this extension K., SECTION I - COVERAGES,
COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, f. is
deleted and replaced by the following for this extension only:
f.Pollution
Any loss, cost or expense arising out of any:
1)Request, demand, order or statutory or regulatory requirement that any insured 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)Claim or suit by or on behalf of a governmental authority for damages because of
testing for, monitoring, cleaning up, removing, containing, treating, detoxifying or
neutralizing, or in any way responding to, or assessing the effects of “pollutants.”
3)Premises, site or location which is or was at any time owned, rented or loaned to any
insured.
N.Aggregate Limits Of Insurance (not applicable to Employee Benefits Liability Coverage)
The General Aggregate Limit under SECTION III - LIMITS OF INSURANCE, Paragraph 2. applies
separately to each of your “location(s)” owned by or rented to you or “project(s)” away from “location(s)”
owned by or rented to you.
“Location” and/or “project” means premises involving the same or connecting lots, or premises whose
connection is interrupted only by a street, roadway, waterway or right-of-way of a railroad.
O.Supplementary Payments - Higher Limits
Under SECTION I - SUPPLEMENTARY PAYMENTS - COVERAGES A AND B:
Paragraph 1.b. is replaced by the following:
Up to $2000 for cost of bail bonds required because of accidents or traffic law violations arising out of
the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish
these bonds.
Paragraph 1.d. is replaced by the following:
All reasonable expenses incurred by the insured at our request to assist us in the investigation or
defense of the claim or “suit,” including actual loss of earnings up to $400 a day because of time off
from work.
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P.Reasonable Force Expansion - Property Damage
Exclusion 2.a. of Coverage A is replaced with the following:
a.Expected Or Intended Injury
“Bodily injury” or “property damage” expected or intended from the standpoint of the insured. This
exclusion does not apply to “bodily injury” or “property damage” resulting from the use of reasonable
force to protect persons or property.
Q.Lost Key Coverage
1.SECTION I - COVERAGES
COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY
Exclusion 2.j.4) Personal property in the care, custody or control of the insured is amended to add:
However, coverage for property of others in the care, custody or control of the insured is provided for
the loss of keys which are in the possession of the insured or his “employees” subject to the following
additional provisions:
a.The insurance afforded with respect to Lost Key Coverage shall not apply to “property damage”
caused by misappropriation, secretion, conversion, infidelity or any dishonest act on the part of
any insured or his employees or agents;
b.Our liability for all damages because of “property damage” to which this coverage applies shalbe
limited to the actual cost of keys, adjustment of locks to accept new keys or, if required, new
locks including cost of their installation. Subject to such limitation, our total liability for all
damages as the result of any one occurrence shall not exceed $25,000. Each claim is subject to
a $250 deductible.
2.SECTION II - WHO IS AN INSURED
The following is added to item 2.a.2)b):
However, coverage is provided for the loss of keys which are in the possession of the
insured or his“employees,” subject to the following additional provisions:
a.The insurance afforded with respect to Lost Key Coverage shall not apply to “property damage”
caused by misappropriation, secretion, conversion, infidelity or any dishonest act on the part of
any insured or his “employees” or agents;
b.Our liability for all damages because of “property damage” to which this coverage applies shall
be limited to the actual cost of keys, adjustment of locks to accept new keys or, if required, new
locks including cost of their installation. Subject to such limitation, our total liability for all
damages as the result of any one occurrence shall not exceed $25,000. Each claim is subject to
a $250 deductible.
R.Personal and Advertising Injury Definition
Under SECTION V – DEFINITIONS, 14.c. is replaced with the following:
The wrongful eviction from, wrongful entry into, or invasion of the right of private occupancy of a room,
dwelling or premises that a person or organization occupies, committed by or on behalf of its owner,
landlord or lessor.
S. The following is added to SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, 4.
OTHER INSURANCE:
When this General Liability Plus endorsement provides coverage and such coverage is also provided by
any other provision of this policy:
a.There shall be no duplication of the Limits of Insurance.
b.Any loss payment made under such other provisions shall reduce by such loss payments the Limits of
Insurance available under the General Liability Plus endorsement.
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T. SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS is amended by adding:
LIBERALIZATION
If we adopt a change in our Comprehensive General Liability Coverage forms or rules that would
broaden the coverage without extra charge, the broader coverage will apply to this Coverage Form. It
will apply when the change becomes effective in your state.
8-1834 12 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
AMENDMENT OF PRIMARY AND EXCESS PROVISIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
Any coverage provided hereunder shall be excess over any other valid and collectible insurance available to the
additional insured whether primary,excess,contingent or on any other basis unless a contract specifically
requires that this insurance be either primary or primary and noncontributing. Where required by contract, we will
consider any other insurance maintained by the additional insured for injury or damage covered by this
endorsement to be excess and noncontributing with this insurance.
8-1834 12 04
IL0275 11 13 Copyright Insurance Services Office, Inc., 2013 Page 1 of 2
IL0275 11 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
TEXAS CHANGES – CANCELLATION AND NONRENEWAL PROVISIONS FOR
CASUALTY LINES AND COMMERCIAL PACKAGE POLICIES
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
COMMERCIAL LIABILITY UMBRELLA COVERAGE PART
EMPLOYMENT-RELATED PRACTICES LIABILITY
FARM COVERAGE PART – FARM LIABILITY COVERAGE FORM
LIQUOR LIABILITY COVERAGE PART
POLLUTION LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
This endorsement also modifies insurance provided under the following when written as part of a Commercial
Package Policy:
CAPITAL ASSETS PROGRAM (OUTPUT POLICY) COVERAGE PART
COMMERCIAL GENERAL LIABILITY COVERAGE PART
COMMERCIAL INLAND MARINE COVERAGE PART
COMMERCIAL LIABILITY UMBRELLA COVERAGE PART
COMMERCIAL PROPERTY COVERAGE PART
CRIME AND FIDELITY COVERAGE PART
EMPLOYMENT-RELATED PRACTICES LIABILITY
EQUIPMENT BREAKDOWN COVERAGE PART
FARM COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
POLLUTION LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
A.Paragraph 2. of the Cancellation Common Policy Condition is replaced by the following:
2.We may cancel this policy:
a.By mailing or delivering to the first Named Insured written notice of cancellation, stating the reason for
cancellation, at least 10 days before the effective date of cancellation.
However, if this policy covers a condominium association, and the condominium property contains at least
one residence or the condominium declarations conform with the Texas Uniform Condominium Act, then
the notice of cancellation, as described above, will be provided to the first Named Insured 30 days before
the effective date of cancellation. We will also provide 30 days' written notice to each unit-owner to whom
we issued a certificate or memorandum of insurance, by mailing or delivering the notice to each last
mailing address known to us.
b.For the following reasons, if this policy does not provide coverage to a governmental unit, as defined
under 28 TEX. ADMIN. CODE, Section 5.7001 or on one- and two- family dwellings:
(1)If this policy has been in effect for 60 days or less, we may cancel for any reason except that, under
the provisions of the Texas Insurance Code, we may not cancel this policy solely because the
policyholder is an elected official.
(2)If this policy has been in effect for more than 60 days, or if it is a renewal or continuation of a policy
issued by us, we may cancel only for one or more of the following reasons:
(a)Fraud in obtaining coverage;
(b)Failure to pay premiums when due;
IL0275 11 13 Copyright Insurance Services Office, Inc., 2013 Page 2 of 2
(c)An increase in hazard within the control of the insured which would produce an increase in rate;
(d)Loss of our reinsurance covering all or part of the risk covered by the policy; or
(e)If we have been placed in supervision, conservatorship or receivership and the cancellation is
approved or directed by the supervisor, conservator or receiver.
c.For the following reasons, if this policy provides coverage to a governmental unit, as defined under 28
TEX. ADMIN. CODE, Section 5.7001 or on one- and two-family dwellings:
(1)If this policy has been in effect for less than 90 days, we may cancel coverage for any reason.
(2)If this policy has been in effect for 90 days or more, or if it is a renewal or continuation of a policy
issued by us, we may cancel coverage, only for the following reasons:
(a)If the first Named Insured does not pay the premium or any portion of the premium when due;
(b)If the Texas Department of Insurance determines that continuation of this policy would result in
violation of the Texas Insurance Code or any other law governing the business of insurance in
Texas;
(c)If the Named Insured submits a fraudulent claim; or
(d)If there is an increase in the hazard within the control of the Named Insured which would
produce an increase in rate.
B.The following condition is added and supersedes any provision to the contrary:
Nonrenewal
1.We may elect not to renew this policy except that, under the provisions of the Texas Insurance Code, we
may not refuse to renew this policy solely because the policyholder is an elected official.
2.This paragraph, 2., applies unless the policy qualifies under Paragraph 3. below.
If we elect not to renew this policy, we may do so by mailing or delivering to the first Named Insured, at the
last mailing address known to us, written notice of nonrenewal, stating the reason for nonrenewal, at least
60 days before the expiration date. If notice is mailed or delivered less than 60 days before the expiration
date, this policy will remain in effect until the 61st day after the date on which the notice is mailed or
delivered. Earned premium for any period of coverage that extends beyond the expiration date will be
computed pro rata based on the previous year's premium.
3.If this policy covers a condominium association, and the condominium property contains at least one
residence or the condominium declarations conform with the Texas Uniform Condominium Act, then we
will mail or deliver written notice of nonrenewal, at least 30 days before the expiration or anniversary date
of the policy, to:
a.The first Named Insured; and
b.Each unit-owner to whom we issued a certificate or memorandum of insurance.
We will mail or deliver such notice to each last mailing address known to us.
4.If notice is mailed, proof of mailing will be sufficient proof of notice.
5.The transfer of a policyholder between admitted companies within the same insurance group is not
considered a refusal to renew.
3-2546 03 15
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BAP PLUS COVERAGE ENDORSEMENT
This endorsement modifies insurance provided under the:
BUSINESS AUTO COVERAGE FORM
These coverages are subject to the terms and conditions applicable to coverage in this policy except as provided
below.
A.Hired Auto Physical Damage Coverage
1.If hired “autos” are covered “autos” for Liability Coverage in this policy or another policy provided by us
and if Comprehensive,Specified Causes of Loss or Collision coverages are provided under this
coverage form for any “auto” you own, then the Physical Damage Coverages provided are extended to
“autos” you hire, subject to the following limit.
The most we will pay for “loss”to any hired “auto”is $75,000 or Actual Cash Value or Cost of Repair,
whichever is smallest,minus a deductible.The deductible will be equal to the largest deductible
applicable to any owned “auto”for that coverage.No deductible applies to “loss”caused by fire or
lightning.Subject to the above limit,and deductible,we will provide coverage equal to the broadest
coverage applicable to any covered “auto” you own.
2.Changes In Liability Coverage:
The following is added to the Who Is An Insured Provision:
An “employee”of yours is an “insured”while operating an “auto”hired or rented under a contract or
agreement in that “employee’s”name,with your permission,while performing duties related to the
conduct of your business.
3.Changes In General Conditions:
Paragraph 5.b.of the Other Insurance Condition in the Business Auto and Business Auto Physical
Damage Coverage Forms are replaced by the following:
For Hired Auto Physical Damage Coverage, the following are deemed to be covered “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 that individual
“employee’s”name,with your permission,while performing duties related to the conduct of your
business.
However, any “auto” that is leased, hired, rented or borrowed with a driver is not a covered “auto.”
B.Hired Auto Physical Damage - Additional Loss of Use Expenses
Paragraph A.4.b.of Section III -Physical Damage Coverage is amended to provide a limit of $85 per day
and a maximum limit of $1,350.
C.Physical Damage - Additional Transportation Expense Coverage
Paragraph A.4.a.of SECTION III -PHYSICAL DAMAGE COVERAGE is amended to provide a limit of $50
per day and a maximum limit of $1,000.
D.Towing and Labor Costs Coverage
We will pay up to $75 for towing and labor costs incurred each time an owned “auto” is disabled.However,
the labor must be performed at the place of disablement.
E.Parked Auto Collision Coverage (Waiver of Deductible)
The deductible does not apply to “loss” caused by collision to such covered “auto” while it is:
1.In the charge of an “insured”;
2.Legally parked; and
3.Unoccupied.
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The total amount of the damage to the covered “auto”must exceed the deductible shown in the Declarations
or Change Endorsement.
This provision does not apply to any “loss”if the covered “auto”is in the charge of any person or
organization engaged in the automobile business.
F.Rental Reimbursement Coverage
When there is a “loss”to a covered “auto,”we will pay for rental reimbursement expenses incurred by you for
the rental of an “auto.”Payment applies in addition to the otherwise applicable amount of each coverage you
have on a covered “auto.” No deductibles apply to this coverage.
This coverage applies only:
1.For those expenses incurred during the policy period beginning 24 hours after the loss;
2.To necessary and actual expenses incurred;
3.To a “loss”for which we also pay a “loss”under Physical Damage Coverage -Comprehensive
Coverage, Specified Causes of Loss Coverage or Collision Coverage; and
4.If there are no spare or reserve “autos” available to you for your operations.
Our payment will be limited to that period of time reasonably required to repair or replace the covered
“auto.” We will pay up to $75 per day to a maximum of $1,500.
If “loss” results from total theft of a covered “auto” we will pay under this coverage only that amount of rental
reimbursement expenses which are not already provided under the Physical Damage Coverage Extension.
G.Difference in Value Coverage - Loan/Lease Gap
In the event of a total “loss”to a covered “auto,” the Limit of Insurance provision in SECTION III, PHYSICAL
DAMAGE COVERAGE, is replaced by the following:
LIMIT OF INSURANCE
1.The most we will pay for “loss” in any one “accident” is the greater of:
a.The amount due under the terms of the loan/lease to which a covered “auto” is subject,but not to
include:
i)Overdue loan/lease payments,
ii)Financial penalties imposed under the lease due to high mileage,excessive use or abnormal
wear and tear,
iii)Security deposits not refunded by the lessor,
iv)Cost of extended warranties,Credit Life Insurance,Accident or Disability Insurance
purchased with the loan or lease, or
v)Carry-over balances from previous loans or leases.
b.The actual cash value of the damaged or stolen property as of the time of the “loss.”
2.An adjustment for depreciation and physical condition will be made in determining actual cash value at
the time of “loss.”
For the purposes of this coverage, physical damage resulting in total “loss” means a “loss” in which the cost
of repairs plus the salvage value exceeds the actual cash value.
This coverage shall apply only to the original lease written on a covered “auto” not previously titled.
H.Glass Repair - Waiver of Deductible
Under Paragraph D.-Deductible of SECTION III -PHYSICAL DAMAGE COVERAGE,the following is added:
No deductible applies to glass damage if the glass is repaired rather than replaced.
I.Employees as Insureds
Paragraph A.1 - Who is an Insured of SECTION II - COVERED AUTOS LIABILITY COVERAGE is amended to add:
d.Any employee of yours while using a covered “auto”you don't own,hire or borrow in your
business or your personal affairs. Coverage is excess over any other collectible insurance.
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3-2546 03 15 Page 3 of 4
J. Fellow Employee Coverage
The Fellow Employee Exclusion contained in SECTION II - COVERED AUTOS LIABILITY COVERAGE
does not apply.
K. Doubled Automobile Medical Payments Coverage
If you have purchased Automobile Medical Payments Coverage, the limit of insurance for that coverage as
shown in the Declarations or Change Endorsement will be doubled in the event an “insured” is injured in an
“accident” while within an “auto” and is:
1. Wearing a seat belt; or
2. The “auto” is equipped with passive restraints.
L. Waiver Of Transfer Of Rights Of Recovery Against Others To Us
The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US, SECTION IV CONDITION 5., is
amended by the addition of the following:
We waive the right of recovery we may have against any person or organization because of payments we
make for injury or damage arising out of the ownership, maintenance or use of a covered auto. This waiver
applies only to the person or organization which, before the loss, you have agreed in writing to waive your
right of recovery.
M. Additional Insured - Automatic Status
1. Any “leased auto” will be considered a covered “auto” you own and not a covered “auto” you hire or
borrow.
2. Paragraph A.1 - Who is an Insured of SECTION II - COVERED AUTOS LIABILITY COVERAGE is
amended to include as an insured any person or organization (called additional insured) whom you are
required to add as an additional insured on this policy under:
A written contract, permit or agreement, and
a. Currently in effect or becoming effective during the term of this policy; and
b. Executed prior to the “bodily injury,” “property damage,” “personal injury and advertising injury.”
3. The insurance provided to the additional insured is limited as follows:
a. The Limits of Insurance applicable to the additional insured are those specified in the written
contract or agreement or in the Declarations for this policy, whichever is less. These Limits of
Insurance are inclusive and not in addition to the Limits of Insurance shown in the Declarations.
4. Additional Definition
As used in this endorsement:
“Leased auto” means an “auto” leased or rented to you, including any substitute, replacement or extra
“auto” needed to meet seasonal or other needs, under a leasing or rental agreement that requires you
to provide direct primary insurance for the lessor.
N. Loss Payee - Lessor
1. We will pay, as interest may appear, you and the lessor for “loss” to a “leased auto.”
2. The insurance covers the interest of the lessor unless the “loss” results from fraudulent acts or omission
on your part.
3. If we make any payment to the lessor, we will obtain his or her rights against any other party.
4. Additional Definition
As used in this endorsement:
“Leased auto” means an “auto” leased or rented to you, including any substitute, replacement or extra
“auto” needed to meet seasonal or other needs, under a leasing or rental agreement that requires you
to provide direct primary insurance for the lessor.
3-2546 03 15 Page 4 of 4
O. Tapes, Records and Discs Coverage SECTION III - PHYSICAL
DAMAGE COVERAGE is amended as follows:
1. The exclusion referring to tapes, records, discs or other similar audio, visual or data electronic devices
designed for use with audio, visual or data electronic equipment does not apply.
2. The following is added to Paragraph A. Coverage:
Under Comprehensive Coverage we will pay for “loss” to tapes, records, discs or other similar devices
used with audio, visual or data electronic equipment. We will pay only if the tapes, records, discs or
other similar audio, visual or data electronic devices:
a. Are your property or that of a family member, and
b. Are in a covered “auto” at the time of “loss.”
3. The most we will pay for “loss” is $250.
4. No Physical Damage Coverage deductible applies to this coverage.
P. Audio, Visual and Data Electronic Equipment Coverage SECTION
III - PHYSICAL DAMAGE COVERAGE is amended as follows:
1. The sublimit in Paragraph C.1.b. of the Limit Of Insurance provision is increased to $2,500.
CA0449 11 16 Copyright, Insurance Services Office, Inc., 2016
CA0449 11 16
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRIMARY AND NONCONTRIBUTORY – OTHER INSURANCE CONDITION
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by the endorsement.
A.The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other
Insurance – Primary And Excess Insurance Provisions in the Motor Carrier Coverage Form and
supersedes any provision to the contrary:
This Coverage Form's Covered Autos Liability Coverage is primary to and will not seek contribution from any
other insurance available to an "insured" under your policy provided that:
1.Such "insured" is a Named Insured under such other insurance; and
2.You have agreed in writing in a contract or agreement that this insurance would be primary and would not
seek contribution from any other insurance available to such "insured".
B.The following is added to the Other Insurance Condition in the Auto Dealers Coverage Form and supersedes
any provision to the contrary:
This Coverage Form's Covered Autos Liability Coverage and General Liability Coverages are primary to and
will not seek contribution from any other insurance available to an "insured" under your policy provided that:
1.Such "insured" is a Named Insured under such other insurance; and
2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not
seek contribution from any other insurance available to such "insured".
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CA0243 11 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
TEXAS CHANGES – CANCELLATION AND NONRENEWAL
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by the endorsement.
A.Paragraphs 2. and 5. of the Cancellation Common Policy Condition contained in Endorsement IL 00 17 are
replaced by the following:
2.We may cancel this policy:
a.By mailing or delivering to the first Named Insured written notice of cancellation, stating the reason for
cancellation, at least 10 days before the effective date of cancellation.
b.For the following reasons, if this policy does not provide coverage to a governmental unit, as defined
under 28 TEX. ADMIN. CODE, Section 5.7001:
(1)If this policy has been in effect for 60 days or less, we may cancel for any reason except, that under
the provisions of the Texas Insurance Code, we may not cancel this policy solely because the
policyholder is an elected official.
(2)If this policy has been in effect for more than 60 days, or if it is a renewal or continuation of a policy
issued by us, we may cancel only for one or more of the following reasons:
(a)Fraud in obtaining coverage;
(b)Failure to pay premiums when due;
(c)An increase in hazard within the control of the insured which would produce an increase in rate;
(d)Loss of reinsurance covering all or part of the risk covered by the policy; or
(e)If we have been placed in supervision, conservatorship or receivership and the cancellation is
approved or directed by the supervisor, conservator or receiver.
c.For the following reasons, if this policy provides coverage to a governmental unit, as defined under 28
TEX. ADMIN. CODE, Section 5.7001:
(1)If this policy has been in effect for less than 90 days, we may cancel this policy for any reason.
(2)If this policy has been in effect for 90 days or more, or if it is a renewal or continuation of a policy
issued by us, we may cancel this policy, only for the following reasons:
(a)If the first Named Insured does not pay the premium or any portion of the premium when due;
(b)If the Texas Department of Insurance determines that continuation of this policy would result in
violation of the Texas Insurance Code or any other law governing the business of insurance in
Texas;
(c)If the Named Insured submits a fraudulent claim; or
(d)If there is an increase in the hazard within the control of the Named Insured which would
produce an increase in rate.
5.If this policy is canceled, we will send the first Named Insured any premium refund due. The refund will be
pro rata, subject to the policy minimum premium. The cancellation will be effective even if we have not
made or offered a refund.
B.The following condition is added:
Nonrenewal
CA0243 11 13 Copyright, Insurance Services Office, Inc., 2013 Page 2 of 2
1.We may elect to renew this policy except that under the provisions of the Texas Insurance Code, we may
not refuse to renew this policy solely because the policyholder is an elected official.
2.If we elect not to renew this policy, we may do so by mailing or delivering to the first Named Insured, at the
last mailing address known to us, written notice of nonrenewal, stating the reason for nonrenewal, at least
60 days before the expiration date. If notice is mailed or delivered less than 60 days before the expiration
date, this policy will remain in effect until the 61st day after the date on which the notice is mailed or
delivered. Earned premium for any period of coverage that extends beyond the expiration date will be
computed pro rata based on the previous year's premium.
REQUEST FOR EXCEPTION TO WORKERS ' COMPENSATION REQUIREMENT
I. the unders igned , am the sole owner, shareholder, princ ipal or partner d o ing business as
Qr7 a,./ Gd D V>K~'7 I h erei n verify o..,.., /11Ml Ga pv,.,1'-hr.s does
not have p aid employees or subcontractors, nor do es it conduct business in any way that would
require it to have Workers' Compensation coverage when p erforming for the City of Co llege
Station under the above-referenc ed contract. Based on this, I request an exception to the City's
Workers ' Co mp ensation contract insurance requirement b e granted for thi s project.
I understand if P"f r1,..J Go 011mft•r> hires any employees or does an ythin g to
change it s obligations under s tate law with r espe ct to carrying Workers' Compensation insurance
when perfonning for the City, it will promptly do so and notify the City of sam e.
OrtjJ fJ.,.J G.c o .... ~sfe-a assumes full responsibility for its obligations, if any,
under applicab le law relating to workers comp e nsation .
Name of Busi ness: Pt""f ,;J (J.o Ov--t~J
SSN/FEIN No. e ~ -'1 l 'l/6'c</ Telephone No . !"'?/-tf• 7 -~s :?::(
Address/P.O. Box: (p ::YI 7 F,.,_
City: 15t'J "~ State: (/<. Zip Code: _1;_1:._:_J.._J_
Signature ~f Owner: ..... ~~~--,Z'~p,......~7L--'fTX-'-'0:tf-~' ____ Date: P.p/fl.$
Witnessed by: ~ iJwfu., JlMi
RETURN SIGNED FORM TO __________ _, OR
FAX TO~-------~~--