2025-2026_-_Arizona_Game___Fish_Department.pdf

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

1/2/2025

(800) 944-1367 55117

14303

Reconyx, Inc.

3828 Creekside Lane, Suite 2 Holmen, WI 54636

A 1,000,000

CPP2773110 1/1/2025 1/1/2026 300,000

10,000

1,000,000 2,000,000 2,000,000

1,000,000A

CA 2773112 1/1/2025 1/1/2026

8,000,000A

CUP2773115 1/1/2025 1/1/2026 8,000,000

A

WCP2773113 1/1/2025 1/1/2026 100,000

100,000 500,000

B Cyber Liability CYP 3272562-04 12/6/2024 1,000,000

Contract #AGFD17-161604 See remarks on page 2.

State of Arizona, and its departments, agencies, boards, commissioners, universities, officers, officials, agents and employees are included as additional insureds on a primary and non-contributory basis on the general liability, automobile liability and umbrella policies per forms CG94 0620, CA74 0121 and CU100 0111 to the extent provided therein. Waivers of subrogation apply in favor of the additional insureds on the general liability, workers compensation and umbrella policies per forms CG94 0620, WC000313 0484 and CU92 1012 to the extent provided therein.

Arizona Game & Fish Department 5000 W. Carefree Hwy Phoenix, AZ 85086

RECOINC-01 NZHU

The Insurance Center 701 Sand Lake Road Onalaska, WI 54650-2442

Shelly Statz sstatz@ticinsurance.com

Integrity Mutual Insurance Co Great American Fidelity Insurance Company

X

12/6/2025

X X

X X

X

X

X

X

FORM NUMBER:

EFFECTIVE DATE:

The ACORD name and logo are registered marks of ACORD

ADDITIONAL REMARKS

ADDITIONAL REMARKS SCHEDULE

FORM TITLE:

Page of

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

ACORD 101 (2008/01)

AGENCY CUSTOMER ID:

LOC #:

AGENCY NAMED INSURED

POLICY NUMBER

CARRIER NAIC CODE

© 2008 ACORD CORPORATION. All rights reserved.

The Insurance Center

RECOINC-01

SEE PAGE 1

SEE PAGE 1

ACORD 25 Certificate of Liability Insurance

SEE P 1

Reconyx, Inc.

3828 Creekside Lane, Suite 2 Holmen, WI 54636

SEE PAGE 1

NZHU

Remarks Our agency has, upon your request, issued this certificate based on the information you provided. If you provided a contract, we reviewed only the insurance requirements portion of the contract. In performing this review, our Agency is not providing legal advice or a legal opinion concerning any portion of the contract. In addition, our Agency is not undertaking to identify all potential liabilities that may arise under this contract. This review is provided for your information, and should not be relied upon by third parties. Upon your authorization, we will make the necessary changes in your insurance program.

POLICY NUMBER: GENERAL LIABILITY

CG 94 06 20

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CG 94 06 20 Includes copyrighted material of Insurance Services Office, Inc., with its permission Page 1 of 14

MANUFACTURERS GENERAL LIABILITY OPTIMUM

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE FORM

The following is a summary of the coverage modifications, extensions and additions provided in this endorsement.

The limits shown below, unless stated otherwise, apply at each designated location. If a limit is shown elsewhere in the policy for any of these coverages, then that limit applies in addition to the limits shown below. If a different deductible amount is shown in the policy for any of these coverages, then that deductible will be the applicable deductible. For complete details of the coverages provided, refer to the specific policy language.

Coverage Description Limit Of Insurance

1. Expected Or Intended Injury INCL

2. Coverage For Injury To Leased Workers INCL

3. Non-Owned Watercraft Redefined To 51 Feet INCL

4. Non-owned Aircraft Hired, Chartered Or Loaned With Paid Crew INCL

5. Property Damage To Customer Goods $25,000

6. Property Damage to Borrowed Equipment $25,000

7. Damage To Your Products $25,000

8. Damage To Premises Rented To You Increased Perils INCL

8. Damage To Premises Rented To You Increased Coverage $300,000

9. Supplementary Payments Increased Limits Bonds $2,500 9 Supplementary Payments Increased Limits Earnings $500 Per Day

10. Broad Form Named Insured INCL

11. Additional Insured Lessor Of Leased Equipment INCL

12. Additional Insured Managers Or Lessor of Premises INCL

13. Additional Insured Required by Contract INCL

14. Additional Insured Vendors INCL

15. Incidental Medical Malpractice INCL

16. Newly Formed Or Acquired Organizations 180 Days To Report INCL

17. Medical Payments $10,000

18. Duties In The Event Of Occurrence, Offense, Claim Or Suit Redefined INCL

19. Blanket Primary And Noncontributory INCL

20. Waiver Of Transfer Of Rights Of Recovery Against Others To Us INCL

21. Mobile Equipment Redefined to 1,000 Pounds INCL

22. Unintentional Failure To Disclose Hazards INCL

23. Lost Key Coverage $5,000 Each Occurrence

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Coverage Description Limit Of Insurance

23. Limited, Care, Custody Or Control Coverage $25,000 Each Occurrence/ $50,000 Aggregate

24. Voluntary Property Damage $5,000 Each Occurrence $25,000 Aggregate

25. Aggregate Limit Per Location INCL

26. Electronic Data Liability $10,000

27. Liberalization Clause INCL

A. The following changes apply to Section I - Coverages, Coverage A Bodily Injury And Property Damage

Liability unless otherwise noted:

1. Expected Or Intended Injury Exclusion 2.a. under Paragraph 2. Exclusions is replaced with the following:

intended from the standpoint of the insured. This to protect persons or property.

2. Coverage For Injury To Leased Workers With respect to Exclusion 2.e. under Paragraph 2. Exclusions Section V

Definitions 5.

4. Non-owned Aircraft Hired, Chartered Or Loaned With Paid Crew

a. Exclusion g. under Paragraph 2. Exclusions does not apply to an aircraft:

(1) Not owned by any insured; and

(2) Hired, chartered or loaned with a paid crew.

b. The insurance afforded by this provision 4. does not apply if the insured has any other insurance for insurance is primary, excess or any other basis.

4. Non-owned Watercraft

Exclusion g. (2) is replaced with the following:

(2) A watercraft you do not own that is:

(a) Less than 51 feet long; and

(b) Not being used to carry persons or property for a charge.

5. Property Damage To Customers Goods

a. Exclusion j. Paragraphs (3), (4) and (6) of Section I Coverage A Bodily Injury And Property

Damage Liability

b. The insurance afforded by this provision 5. is excess over any valid and collectible property insurance available to the insured.

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c. The following is added to Section V Definitions:

(1) Worked on; or

(2) Used in your manufacturing process.

d.

regardless of the number of:

(1) Insureds;

(2) Claims made or suits brought; or

(3) $25,000 is the most we will pay this provision during each consecutive annual period starting with the beginning of the policy period.

6. Damage To Your Products

a. Exclusion k. under Paragraph 2. Exclusions of Section I Coverage A Bodily Injury and Property Damage Liability is replaced with the following:

k.

b. The following additional exclusions apply to this provision 5.

(1) Delay in the performance required by any contract or agreement;

(2) Loss of market;

(3) Loss caused intentionally or at the direction of any insured;

(4) Wear, tear, gradual deterioration, adulteration, contamination, decomposition, chemical change, rust, corrosion, fungus, mold, decay, bacteria or virus;

(5)

(6) Dishonesty, fraudulent, criminal or malicious acts of any insured whether acting alone or in collusion with others.

(1) installed, is not installed by any insured; or (2)

7. Property Damage To Customers Goods

a. Exclusion j. Paragraphs (3), (4) and (6) of Section I Coverage A Bodily Injury And Property

Damage Liability

b. The insurance afforded by this provision 5. is excess over any valid and collectible property insurance available to the insured.

(1) Worked on; or

(2) Used in your manufacturing process.

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d. is provision is $25,000 regardless of the number of:

(1) Insureds;

(2) Claims made or suits brought; or

(3) this provision during each consecutive annual period starting with the beginning of the policy period.

8. Damage To Premises Rented To You Increased Perils, Increased Coverage Exclusion j., first paragraph following Paragraph (6) is replaced by the following:

Paragraphs (1), (3) and (4) fire, lightning, explosion, smoke or leakage from automatic fire protection systems) to premises including the contents of such premises, rented to you for a period of seven or fewer consecutive days. A separate limit of insurance applies to Damage To Premises Rented To You as Described in Section III Limits of Insurance.

The last paragraph of Paragraph 2. Exclusions is replace by the following:

Exclusions c. through n. do not apply to damage by fire, lightning, explosion, smoke or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with the permission of the owner. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section III Limits of Insurance.

Section III Limits of Insurance, Paragraph 6. is replaced by the following:

6. Subject to Paragraph 5. above, the Damage To Premises Rented To You Limit is the most we will rented to you, or in the case of damage by fire, lightning, explosion, smoke or leakage from automatic fire protection systems, while rented to you or temporarily occupied by you with the permission of the owner. The limit is the greater of:

a. $300,000; or

b. The amount shown in the Declarations for Damage To Premises Rented To You Limit.

explosion, smoke, or leakage from automatic fire

1. Condition 4. b. (1) (a) (ii) of Section IV Commercial General Liability Conditions; and

2. 9.a. of Section V -Definitions.

9. Supplementary Payments Increased Limits Under Section Supplementary Payments Coverage A and B :

Paragraph 1. b. is replaced with the following:

b. Up to $2,500 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 with the following:

d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or work.

CG 94 06 20 Includes copyrighted material of Insurance Services Office, Inc., with its permission Page 5 of 14

10. Broad Form Named Insured Section II Who is an insured is amended to include as a Named Insured any organization or subsidiary thereof which is a legally incorporated entity of which you own a financial interest of more than 50 percent of the voting stock on the effective date of this endorsement.

This provision 6.

respect to which a Named Insured under this policy is also a Named Insured under another policy or would be a Named Insured under such policy but for its termination or upon exhaustion of its limits of insurance.

11. Additional Insured Lessor of Leased Equipment Automatic Status When Required in Lease Agreement With You

a. Section II Who is an Insured is amended to include as an additional insured any person(s) or organization(s) from whom you lease equipment when you and such person(s) or organization(s) have agreed in writing in a contract or agreement that such person(s) or organization(s) be added as an additional insured on your policy. Such person(s) or organization(s) is an additional insured only with whole or in part, by your maintenance, operation or use of equipment leased to you by such person(s) or organization(s).

11. ends when their contract or agreement with you for such leased equipment ends.

This provision 8. does not apply to any person or organization included as an additional insured by an endorsement issued by us and made a part of the Coverage Form.

b. With respect to the insured afforded to these additional insureds, this insurance does not apply to any

12. Additional Insured Managers or Lessors Of Premises When Required in Written Lease

Agreement With You

Section II Who is an Insured is amended to include as an additional insured when required in a written lease agreement, any person(s) or organization(s) from whom you have leased premises, 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.

b. Structural alterations, new construction or demolition operations performed by or on behalf of the manager or the lessor.

With respect to the insurance afforded to these additional insureds in provision 11., 12. or 13., the following is added:

a. The insurance afforded to such additional insured:

(1) Only applies to the extend permitted by law; and

(2) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured.

(3) Does not apply unless the written lease

CG 94 06 20 Includes copyrighted material of Insurance Services Office, Inc., with its permission Page 6 of 14

b. The following is added to Section III Limits Of Insurance:

The most we will pay on behalf of the additional insured is the amount of insurance:

(1) Required by the written contract or agreement; or

(2) Available under the applicable Limits Of Insurance shown in the Declarations, whichever is less.

Provisions 12., 13., and 14. shall not increase the applicable Limits Of Insurance shown in the Declarations and do not apply to any person or organization included as an additional insured by an endorsement issued by us and made a part of the Coverage Form.

13. Additional Insured Required by Contract

a. 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. Such person or organization is an additional insured only with respect to liability by:

(1) Your acts or omissions; or

(2) The acts or omissions of those acting on your behalf;

in the performance of your ongoing operations for the additional insured.

endorsement ends when your operations for that additional insured are completed.

b. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply:

This insurance does not apply:

(1) of, or the failure to render, any professional architectural, engineering or surveying services including:

(a) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or

(b) 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, of the architectural, engineering or surveying services.

(2)

(a) 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

(b) the injury or damage arise 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 part of the same project.

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14. Additional Insured Vendors

a. Section II Who is an insured is amended to include as an additional insured any person(s) or which are distributed or sold in the regular

If coverage provided to the vendor is required by a contract or agreement, the insurance afforded to such vendor will not be broader than that which you are required by the contract or agreement to provide for such vendor.

b. With respect to the insurance afforded to these vendors, the following additional exclusions apply:

(1) The insurance afforded the vendor does not apply to:

(a) or 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 or damages that the vendor would have in the absence of the contract or agreement;

(b) Any 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

(e) 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) r 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:

i. The exceptions contained in paragraphs (d) or (f); or

ii. 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.

(2) 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.

The Additional Insureds added by this endorsement shall not increase the applicable Limits of Insurance shown in the Declarations and do not apply to any person or organization included as an additional insured by an endorsement issued by us and made a part of the Coverage Form.

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15. Incidental Medical Malpractice Paragraph 2. a. (1) (d) of Section II Who Is An Insured, provide professional health care services on your behalf as duly licensed:

a. Nurses;

b. Emergency Medical Technicians; or

c. Paramedics insurance applies takes place. This coverage does not apply if you are in the business or occupation of providing any such professional services.

16. Newly Formed Or Acquired Organizations As Named Insureds

Paragraph 3. of Section II Who Is An Insured is replaced by the following:

3. Any organization you newly acquire or form during the policy period, other than a partnership or joint venture, and over which you maintain an ownership interest of more than 50 percent of such organization, will qualify as a Named Insured if there is no other similar insurance available to that organization.

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. that occurred before you acquired or formed the organization;

c. committed before you acquired or formed the organization; and d.

formed the organization.

An additional premium will apply in accordance with our rules and rates in effect on the date you acquired or formed the organization.

The last paragraph of Section II Who Is An Insured does not apply to this provision to the extent that such paragraph would conflict with this provision.

17. Medical Payments Increased Limits

The Medical Expense Limit shown in the Declarations is increased to $10,000.

18. Duties In The Event Of Occurrence, Offense, Claim Or Suit Redefined The requirement in Condition 2. a. of Section IV Commercial General Liability Conditions that you known to:

a. You, if you are an individual;

b. A partner, if you are a partnership;

c. An officer of the corporation if you are a corporation;

d. Your members and managers, if you are a limited liability company;

e. Your insurance manager; or

f. The trustee, if you are a trust.

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The requirement in Condition 2.b. of Section IV Commercial General Liability Conditions that you must see to it that we receive written notice of a claim or "suit" as soon as practicable will not be considered breached unless the breach occurs after such claim or "suit" is known to:

a. You, if you are an individual;

b. A partner, if you are a partnership;

c. An officer of the corporation, if you are a corporation;

d. Your members and managers, if you are a limited liability company;

e. Your insurance manager; or

f. The trustee, if you are a trust.

19. Blanket Primary And Noncontributory Other Insurance Condition Paragraph a. Primary Insurance of Paragraph 4. Other Insurance of Section IV Commercial General

Liability Conditions, is amended by the following additional paragraph:

However, this insurance is primary to and will not seek contribution from any other insurance available to an additional insured added to this policy by provisions 7., 8., and 9. subject to the following conditions:

a. The additional insured is a Named Insured under such other insurance; and

b. 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 the additional insured.

20. Waiver Of Transfer Of Rights Of Recovery Against Others To Us When Required Within A Written

Agreement With You Blanket Section IV Commercial General Liability Conditions, Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us is amended by the addition of the following:

We waive any right of recovery we may have because of payments we make for injury or damage arising out of:

a.

-completed opera

b. The ownership, maintenance or use of that part of the premises leased to you.

The waiver applies only to a person or organization with whom you have a written contract or agreement in which you are required to waive the rights of recovery under this policy, but only to the extend that subrogation is waived prior to any injury or damage under a contract with that person or organization. The insured must do nothing after a loss to impair our rights. At our request, the insured will br

21. Mobile Equipment Redefined

Paragraph 12. f. (1)., of Section V Definitions does not apply to self-propelled vehicles of less than 1000 pounds gross vehicle weight.

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22. Unintentional Failure To Disclose Hazards Any unintentional error or omission in the description of, or failure to completed describe, any premises or operations intended to be covered by this Coverage Form will not invalidate or affect coverage for those premises or operations. However, you must report such error or omission to us as soon as practicable after its discovery. This provision does not affect our right to collect additional premium as a result of an unintentional error or omission. In addition, this provision does not affect our rights of cancellation or nonrenewal in accordance with applicable insurance laws or regulations.

23. Lost Key Coverage a.

extended as follows:

(1) We will pay those sums that you become legally obligated to pay as damages due to loss of keys by an insured in the course of your business. The keys must be loaned to the insured or in the care, custody or control of the insured.

(2) The additional insurance provided by this endorsement does not apply to:

(a) Misappropriation

(b) Secretion

(c) Conversion

(d) Infidelity; or

(e) Any dishonest act on the part of the insured.

b. 18. is $5,000.

c. A deductible of $100 applies to any one loss or damage re notification of the action taken, you shall promptly reimburse us for such part of the deductible amount that has been paid by us.

d. This coverage extension is subject to the following:

(1) Exclusion j. Damage To Property, Paragraph j. (3) and j. (4) of Section I Coverage A Bodily Injury And Property Damage Liability do not apply to the loss of keys by an insured.

(2) Paragraph 2. a. (2) of Section II Who Is An Insured does not apply to this additional insurance.

24. Limited Care, Custody Or Control Liability Coverage

a. Insuring Agreement With respect to the coverage provided by 24. Limited Care, Custody or Control Liability Coverage, the following is added to Paragraph 1. a. of Section I Coverage A Bodily Injury And Property Damage Liability:

to property of others while in the care, custody or control of the insured.

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b. Exclusions With respect to the coverage provided by this coverage extension:

(1) Exclusion 2. j. (4) and 2. j. (5) of Section I Coverage A Bodily Injury And Property Damage Liability do not apply; and

(2) The following additional exclusions are added to Section I Coverage A Bodily Injury And Property Damage Liability:

(a) Held by the insured for sale of entrusted to the insured for storage or safekeeping;

(b) Owned or occupied by, rented or leased to, or loaned to any insured;

(c) s-

(d) Arising from errors or mistakes in design, plans or specifications committed by or on behalf of the insured.

c. Limit of Insurance With respect to the coverage provided by 19. Limited Care, Custody or Control Liability Coverage, the following is added to Section III Limit of Insurance:

(1) coverage is $25,000. However, the most we will pay for the sum of all coverage is $50,000. These limits are part of, and not in addition to, the Each Occurrence and General Aggregate limits.

(2) deductible shown under d.

of the deductible, up to the applicable limit of insurance.

d. Deductible

(1) deductible amo upon notification of the action taken, you shall promptly reimburse us for such part of the deductible amount as has been paid by us.

(3) The terms of this insurance, including those with respect to:

(a)

(b) apply irrespective of the application of the deductible amount.

e. Excess Insurance This insurance is excess over any other collectible insurance available to the insured.

f. Additional Definition

The following is added to Section V Definitions:

disappearance, abstraction or theft.

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25. Voluntary Property Damage Coverage

a. Insuring Agreement With respect to the coverage provided by 20. Voluntary Property Damage Coverage, the following is added to Paragraph 1. a. of Section I Coverage A Bodily Injury And Property Damage Liability:

possession, arising out of your business operations and occurring during the policy period even if you are not legally liable, if such property is otherwise subject to this coverage.

b. Exclusions With respect to the Voluntary Property Damage Coverage:

(1) Exclusions 2. j.(4) and 2. j. (5) of Section I Coverage A Bodily Injury And Property Damage

Liability do not apply.

(2) The following additional exclusions are added to Section I Coverage A Bodily Injury And

Property Damage:

This

(a) Held by the insured for sale or entrusted to the insured for storage or safekeeping;

(b) Owned or occupied by, rented or leased to, or loaned to any insured;

(c) Included in the -

(d) Arising from errors or mistakes in design, plans or specifications committed by or on behalf of the insured.

c. Limit of Insurance With respect to Voluntary Property Damage Coverage, the following is added to Section III Limit of

Insurance:

(1) coverage is $25,000. These limits are part of, and not in addition to, the Each Occurrence and General Aggregate limits.

(2) deductible shown under d.

deductible, up to the applicable limit of insurance.

d. Deductible

(1) With respect to Voluntary real or personal upon notification of the action taken; you shall promptly reimburse us for such part of the deductible amount as has been paid by us.

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e. Excess insurance This insurance is excess over any other collectible insurance available to the insured.

f. Additional Definition The following is added to Section V Definitions:

theft.

19. Limited, Care, Custody or Control Liability Coverage unless you

19. Limited Care Custody or Control Liability and 20.

coverages combined is $30,000.

26. Aggregate Limit Per Location

For all sums which the insured becomes legally obligated under Section I Coverage A Bodily Injury And Property Damage Liability, and for all medical expenses caused by accidents under Section I Coverage C Medical Payments, which can be a.

the amount of the General Aggregate Limit shown in the Declarations.

b. The Location General Aggregate Limit is the most we will pay for the sum of all damages under included in regardless of the number of:

(1) Insureds;

(2) (3)

c. Any payments made under Coverage A for damages or under Coverage C for medical expenses reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other

d. The limits shown in the Declarations for Each Occurrence, Damage To Premises Rented To You and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Location General Aggregate Limit.

e. Section V Definitions is amended to included:

onnecting lots, or premises whose connection is interrupted only by a street, roadway, waterway or right-of-way of a railroad.

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27. Electronic Data Liability

a. Exclusion 2. p. of Coverage A Bodily Injury And Property Damage Liability in Section I

Coverages is replaced by the following:

2. Exclusions

This insurance does not apply to:

p. Electronic Data

Damages arising out of the loss of, loss of use of, damage to, corruption of, inability to tangible property.

b. The following paragraph is added to Section III Limits of Insurance:

8. subject to 5. above, the Loss of Electronic Data Limit of $10,000 is the most we will pay under

c. The following definition is added to the Section V Definitions:

transmitted to or from computer software (including systems and applications software), hard or floppy disks, CD-ROMs, tapes, drives, cells, data processing devices or any other media which are used with electronically controlled equipment.

d. For the purpose of the coverage provided by this provision 22.

Section V Definitions is replaced by the following:

17.

a.

such loss of use shall be deemed to occur at the time of the physical injury that caused it;

b. Loss of use of tangible property that is not physical injured. All such loss of use shall be

c. Loss of, loss of use, damage to, corruption of, inability to access, or inability to properly it.

For the purposes of this insuranc

28. Liberalization Clause

If we revise this Restaurant General Liability Optimum to provide more coverage without additional premium charge, your policy will automatically provide the additional coverage as of the day the revision is effective in your state.

POLICY NUMBER: COMMERCIAL AUTO

CA 74 01 21

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY

CA 74 01 21 Includes copyrighted material of Insurance Services Office, Inc., with its permission Page 1 of 10

BUSINESS AUTO OPTIMUM PLUS

This endorsement modifies insurance provided under the following:

COMMERCIAL AUTO COVERAGE FORM

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

SECTION I-COVERED AUTOS

1. Physical Damage for Temporary Substitutes

SECTION I-COVERED AUTOS, C. Certain Trailers, Mobile Equipment and Temporary Substitute Autos is amended by adding the following paragraph:

If Physical Damage Coverage is provided by the Business Auto Coverage Form, any “auto” you did not own while used with permission of its owner as a temporary substitute for a covered “auto” you own that is out of service because of its breakdown, repair, servicing, “loss” or destruction is also a covered “auto” for Physical Damage Coverage. The coverage provided for the temporary “auto” will be the same coverage and deductible as the “auto” it replaces.

SECTION II- COVERED AUTOS LIABILITY COVERAGE

2. Newly Formed Or Acquired Organizations

SECTION II- COVERED AUTOS LIABILITY COVERAGE, A. Coverage., Paragraph 1. Who Is An Insured, is amended to include the following as an “insured”:

d. Any legally incorporated entity of which you own more than 50 percent of the voting stock during the period for which this endorsement is effective, if there is not similar insurance available to that organization. However:

(1) The Named Insured does not include any organization:

a. That is a partnership or joint venture; or

b. That is an insured under any other policy or has exhausted its Limit of Insurance under any other policy.

Paragraph d. (1) a. above does not apply to a policy written to apply specifically in excess of this policy.

(2) Coverage for newly acquired or formed organizations is afforded only for 180 days from the date of acquisition or formation or the end of the policy period, whichever is earlier.

(3) Coverage does not apply to “bodily injury” or “property damage” that results from an “accident” that occurred before you formed or acquired that organization.

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3. Employees as Insureds

SECTION II- COVERED AUTOS LIABILITY COVERAGE, A. Coverage, Paragraph 1. Who Is An Insured is amended to include the following as an “insured”:

e. Any employee of yours is an “insured” while using a covered “auto” you don’t own, hire or borrow in your business or your personal affairs.

4. Employee Hired Autos SECTION II- COVERED AUTOS LIABILITY COVERAGE, A. Coverage, Paragraph 1. Who Is An Insured is amended to include the following as an “insured”:

f. Any “employee” of yours is an “insured” while operating an “auto” hired or rented under a contract of agreement in that “employee’s name, with your permission, while performing duties related to the conduct of your business.

5. Blanket Additional Insured

SECTION II- COVERED AUTOS LIABILITY COVERAGE, A. Coverage., Paragraph 1. Who Is An Insured, is amended to include the following as an “insured”:

g. Any person or organization whom you are required in a written contract or agreement to include as an additional “insured” with respect to your ownership, maintenance or use of a covered “auto”.

This provision only applies to written contracts or agreements that are signed prior to any “bodily injury” or “property damage” to which coverage applies.

Coverage under this provision shall be primary and noncontributory with respect to the person or organization included as an “insured” under this provision g. but only if the written contract or agreement requires coverage to be primary and noncontributory.

6. Increased Supplementary Payments SECTION II- COVERED AUTOS LIABILITY COVERAGE, 2. Coverage Extensions, Paragraphs 2.a.(2) and

(4) of Supplementary Payments are replaced by the following:

(2) Up to $5000 for the cost of bail bonds (including bonds for related traffic law violations) required because of an “accident” we cover. We do not have to furnish these bonds.

(4) All reasonable expenses incurred by the “insured” at our request, including actual loss of earning up to $500 a day because of time off from work.

7. Amended Fellow Employee Exclusion

SECTION II- COVERED AUTOS LIABILITY COVERAGE, B. Exclusions, Paragraph 5. Fellow Employee does not apply if the “bodily injury” results from the use of a covered “auto” you own or hire.

The insurance provided under this provision is excess over any other collectible insurance.

SECTION III – PHYSICAL DAMAGE COVERAGE

8. Towing

SECTION III - PHYISCAL DAMAGE COVERAGE, A. COVERAGE, Paragraph 2. Towing is being deleted and replaced with the following:

We will pay towing and labor costs incurred, up to the limits shown below, each time a covered “auto” classified and rated as a private passenger type, “light truck” or “medium truck” is disabled. We will pay up to the amount for disablement stated below for the following types:

a. Private passenger type vehicles - $75 per disablement

b. “Light trucks”- $75 per disablement. “Light trucks” are trucks that have a gross vehicle weight

(GVW) of 10,000 pounds or less.

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c. “Medium trucks” - $175 per disablement. “Medium trucks” are trucks that have a gross vehicle weight (GVW) of 10,001 – 20,000 pounds.

However, the labor must be performed at the place of disablement.

9. Rental Reimbursement SECTION III - PHYISCAL DAMAGE COVERAGE, A. Coverage, adding the following paragraphs:

a. We will pay up to $60 per day for rental reimbursement expenses incurred by you for the rental of an

“auto” because of an “accident” for which we also pay a “loss” under Comprehensive, Specified Causes of Loss or Collision Coverages.

b. We will pay for rental reimbursement expenses incurred by you for the rental of an “auto” because of “loss” to a covered “auto”. Payment applies in addition to the otherwise applicable amount of each coverage you have on a covered “auto”. No deductible applies to this coverage.

c. We will only pay for those expenses incurred during the policy period beginning 24 hours after the “loss” and ending, regardless of the policy’s expiration date, at a maximum of 30 days.

d. Our payment is limited to the lesser of the following amounts:

(1) Necessary and actual expenses incurred.

(2) A maximum payment of $60 per day.

e. This coverage does not apply while there are spare or reserve “autos” available to you for your operations.

If “loss” results from the total theft of a covered “auto” of the private passenger type, we will pay under this coverage only that amount of your rental reimbursement expenses which is not already provided under SECTION III-PHYSICAL DAMAGE COVERAGE paragraph 4. Coverage Extensions.

No deductible applies to this coverage.

The insurance provided under this extension is excess over any other collectible insurance.

If Rental Reimbursement Coverage is endorsed to a covered “auto”, the coverage provided by this provision is in addition to the coverage you purchased.

10. Personal Effects Coverage SECTION III - PHYISCAL DAMAGE COVERAGE, A. Coverage, adding the following paragraph:

Physical Damage Coverage afforded to a covered "auto" may be extended to cover "loss" to your "personal effects" or, if you are an individual, the "personal effects" of a family member, that is in a covered "auto" at the time of "loss". The most we will pay for any one "loss" is $600.

The insurance provided under this extension if excess over any other collectible insurance.

Additional definitions for this provision:

“Personal Effects” means tangible property that is worn or carried by an “insured”. “Personal Effects” does not include tools, equipment, jewelry, money or securities.

This extension of coverage is in addition to physical damage coverage already provided by the unendorsed policy.

11. Fire Department Service

We will pay up to $1,000 for your liability for fire department charges resulting from a covered “loss”, providing that your liability for such charges is:

a. Assumed by a written contract or agreement prior to the “loss”; or

b. Required by law or ordinance.

No deductible applies to this coverage.

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12. Fire Extinguisher Recharge

We will pay the lesser of the actual cost of recharging or replacing fire extinguishers kept in your covered “auto” that are discharged intentionally attempting to extinguish a fire.

No deductible applies to this coverage.

13. Fuel In Vehicle Coverage

SECTION III - PHYISCAL DAMAGE COVERAGE, A. Coverage, adding the following paragraph:

A. Coverage With respect to a covered "loss" for a covered “auto”, we will also pay the actual "loss" sustained for the "loss" of fuel used to operate your "auto". You must provide documentation supporting your claim for "loss".

B. Deductible

1. If “loss” to the fuel is the result of a “loss” under the SECTION III-PHYSICAL Comprehensive or Collision Coverage, then payment for “loss” will be reduced by the applicable deductible shown in the declarations for the covered “auto”. In the event of “loss” due to fire or lightning, no deductible will apply.

2. If “loss” to the fuel is the result of a “loss” under the SECTION III-PHYSICAL DAMAGE COVERAGE,

b. Specified Causes Of Loss Coverage, then payment for “loss” will be reduced by the applicable deductible of $100.

3. If “loss” occurs solely to fuel, then our obligation to pay will be reduced by the applicable deductible of $100 for this coverage.

In the event more than one deductible applies to the “loss”, only the highest deductible will apply. In no event will more than one deductible apply.

14. Miscellaneous Equipment

SECTION III - PHYISCAL DAMAGE COVERAGE, A. COVERAGE, adding the following paragraph:

A. Coverage

We will pay the lesser of the actual cash value, cost to repair or replacement cost for “loss” to your miscellaneous equipment, consisting of hand trucks, dollies, pads, pallets, covers, binders, tarps, tie-downs, chains and other similar equipment used for handling property transported by your covered “auto”. The most we will pay for any “loss” is $1500.

The extension of coverage is in addition to physical damage coverage already provided by the unendorsed policy.

B. Exclusions We will not pay for loss caused by:

1. Theft, unless there are visible signs or marks of forcible entry in the covered “auto” and the theft is reported to law enforcement authorities; or

2. Mysterious disappearance.

C. Deductible

1. If “loss” to the miscellaneous equipment is the result of a “loss” under the SECTION III- PHYSICAL DAMAGE COVERAGE, a. Comprehensive Coverage or c. Collision Coverage, then payment for “loss” will be reduced by the applicable deductible shown in the declarations for the covered “auto”. In the event of “loss” due to fire or lightning, no deductible will apply.

2 If “loss” to the miscellaneous equipment is the result of a “loss” under the SECTION III- PHYSICAL DAMAGE COVERAGE, b. Specified Causes Of Loss Coverage, then payment for “loss” will be reduced by the applicable deductible of $100.

3. If “loss” occurs solely to the miscellaneous equipment, then for each covered “auto” payment for “loss” will be reduced ty the applicable deductible of $100 for this coverage.

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In the event more than one deductible applies to the “loss”, only the highest deductible will apply. In no event will more than one deductible apply.

15. Locked Vehicle Coverage COVERAGE SECTION III - PHYISCAL DAMAGE COVERAGE, A. COVERAGE adding the following paragraph:

We will pay to have your covered “auto” unlocked if your vehicle’s keys are locked inside your covered “auto”.

Collision, Specified Causes of Loss and Comprehensive deductibles do not apply to this coverage.

16. Audio, Visual And Data Electronic Equipment

SECTION III - PHYISCAL DAMAGE COVERAGE, A. Coverage, adding the following:

a. We will pay with respect to any covered "auto" covered under Paragraph A.1. of SECTION III -

PHYISCAL DAMAGE COVERAGE for "loss" to any electronic equipment that receives or transmits audio, visual or data signals that is not designed solely for the reproduction of sound.

This coverage only applies if the equipment is permanently installed in or upon the covered "auto" at the time of "loss" or the equipment is removable from a housing unit which is permanently installed in or upon the covered "auto" at the time of "loss", and such equipment is designed to be solely operated by use of the power from the "auto's" electrical system, in or upon the covered "auto".

b. We will pay for "loss" to any accessories used with electronic equipment described in Paragraph A.1. of this provision. However, this does not include tapes, records or discs.

SECTION III-PHYSICAL DAMAGE COVERAGE, B. Exclusions are amended as follows:

Exclusions 4. and 5. are deleted in its entirety and replaced with the following:

4. We will not pay for "loss" to any device designed or used to detect speed-measuring equipment, such as radar or laser detectors, and any jamming apparatus intended to elude or disrupt speed-measuring equipment.

5. We will not pay under this extension for any equipment or accessories used with such electronic equipment that is:

a. Necessary for the normal operation of the covered "auto" or the monitoring of the covered "auto's" operating system; or

b. Both:

i. An integral part of the same unit housing any reproducing equipment designed solely for the reproduction of sound if the sound reproducing equipment is permanently installed in the covered “auto”; and

ii. Permanently installed in the opening of the dash or console normally used by the manufacturer for the installation of a radio.

SECTION III-PHYSICAL DAMAGE COVERAGE, C. Limit of Insurance is being replaced with the following:

1. The most we will pay for all "loss" to audio, visual or data electronic equipment and any accessories used with this equipment as a result of any one "accident" is the lesser of:

a. The actual cash value of the damaged or stolen property as of the time of the "loss"; or

b. The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality.

2. An adjustment for depreciation and physical condition will be made in determining actual cash value at the time of the "loss".

3. We may deduct for betterment if:

a. The deductions reflect a measurable decrease in market value attributable to the poorer condition of, or prior damage to the vehicle.

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b. The deductions are for prior wear and tear, missing parts and rust damage that is reflective of the general overall condition of the vehicle considering its age. In this event, deductions may not exceed $500.

SECTION III-PHYSICAL DAMAGE COVERAGE, D. DEDUCTIBLE, is replaced with the following:

1. If "loss" occurs solely to the audio, visual or data electronic equipment or accessories used with this equipment the for each covered "auto" our obligation to pay for, repair, return or replace damaged or stolen property will be reduced by the applicable deductible of $100 for this coverage.

2. In the event that there is more than one applicable deductible, only the highest deductible will apply.

In no event will more than one deductible apply.

17. Increased Transportation Expenses…