CITY OF LAWNDALE
14717 BURIN AVENUE
LAWNDALE, CALIFORNIA 90260
PH (310) 970-2100 FAX (310) 644-4556
GENERAL 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:
- General Liability
- Comprehensive Form
- Premises/Operations
- Independent Contractors Liability
- Broad Form Property Damage
- Personal Injury
- Products, Completed Operations
- Contractual
- Explosions, collapse, or underground property damage.
NOTE: If this is a Homeowner’s Policy in lieu of commercial General Liability, it shall afford coverage at least as broad as Homeowners ISO form HO II (Ed 9-70) California and shall include comprehensive personal liability.
This policy shall provide the dollar limit specified in paragraph 9 with the following additional coverage where boxes \below are checked:
____ 11. Host Liquor Liability
____ 12. Liquor Law Liability
____ 13. 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