CITY OF LAWNDALE
14717 BURIN AVENUE
LAWNDALE, CALIFORNIA 90260
TEL (310) 970-2100 FAX (310) 644-4556
AUTO INSURANCE ENDORSEMENT
This endorsement is issued in consideration of the policy premium.
Notwithstanding any inconsistent expression in the policy to which this endorsement
is attached, or in any other endorsement now or hereafter attached thereto,
or made a part thereof, the protection afforded by said policy shall include
the following:
- Additional Insured. With respect to such insurance as is afforded by this
policy, the City of Lawndale and its officers, employees, elected officials,
volunteers, and members of boards and commissions shall be named as additional
insured. This additional insured coverage only applies with respect to liability
of the named insured or other parties acting on their behalf arising out
o f the activities of the undertaking specified in paragraph NO. 5 below
(Indemnification Clause).
- Cross Liability Clause. The insurance afforded applies separately to each
insured against whom claims is made or suit is brought, except with respect
to the limits of the company’s liability.
- Occurrence Based Policy. This policy shall be an "occurrence
based policy".
- Primary Insurance. For the risks covered by this endorsement this insurance
shall provide primary insurance to the City to the exclusion of any other
insurance or self-insurance program the City may carry with respect to the
claims and injuries arising out of activities of the Contractor or otherwise
insured hereunder.
- Indemnification Clause. The underwriters acknowledge that the
named insured shall indemnify and save harmless the City of Lawndale against
any and all claims resulting from the wrongful or negligent acts of omissions
of the named insured or other parties acting on their behalf in the undertaking
specified as (list activity location and date(s) of event to include set-up
and cleanup dates).
- Investigation and Defense Costs. Said hold harmless assumption on the
part of the named insured shall include all reasonable costs necessary to
defend a lawsuit including attorney fees, investigators, filing fees, transcripts,
court reporters, and other reasonable costs of investigation and defense.
- Reporting Provisions. Any failure to comply with the reporting
provisions of the policy shall not affect coverage provided to the City.
- Cancellation. This policy shall not be canceled except by written notice
to the City Manager at : City of Lawndale, 14717 Burin Avenue, Lawndale,
California 90260 at least thirty (30) days prior to the date of such cancellation.
- Limits of Liability. This policy shall provide minimum limits of liability
of $_________________, combined single limit coverage against any injury,
death, loss or damage as a result of wrongful or negligent acts or omissions
by the named insured.
- Comprehensive Coverage. This policy shall afford coverage at least as
broad as Commercial General Liability "Occurrences" Form CG0001
and shall include the following:
- Auto Liability
-
Any auto
-
All owned autos (Private Passengers)
-
All owned autos (other than Private Passengers)
-
Hired autos
-
Non-owned autos (for business purposes)
-
Other ________________________________________________________
The limits of liability as stated in this endorsement apply
to the insurance afforded by this endorsement notwithstanding that the policy
may have lower limits of liability elsewhere in the policy.
This endorsement is effective __________________________ at
12:01a.m. and forms a part of Policy No. ______________.
Named Insured _______________________________________________________________________
Name of Insurance Company ______________________________________________________
I, _________________________________________________(print/type
name), warrant that I have authority to bind the above listed insurance company,
and by my signature hereon do so bind this company.
By _____________________________________________________________________
Signature of Authorized Representative
Approved ________________________________________________________________
City Manager Date
PLEASE ATTACH CERTIFICATE OF INSURANCE
Rev. 10/25/99