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Exhibit A
INSURANCE REQUIREMENTS FOR PROFESSIONAL SERVICES
A Certificate of Insurance is to be sent to the Risk Management Department of Mesquite Productions, Inc. reflecting the following insurance coverages (or the equivalent thereof):
Commercial General Liability - $1,000,000. per occurrence $1,000,000. aggregate Automobile Liability - $1,000,000. CSL Automobile Physical Damage Professional Liability - $1,000,000. per occurrence (Re: Contractor Expertise/Advice) $1,000,000. Aggregate
For all of these coverages, provide an endorsement naming Mesquite Productions, Inc., its parent(s), subsidiaries, successors, licensees, related & affiliated companies, their officers, directors, employees, agents, representatives & assigns as Additional Insureds as their interests may appear and as Loss Payees as their interests may appear.
All endorsements required above must indicate that Named Insured's insurance is primary and any insurance maintained by the Additional Insureds is non-contributing to any of the Named Insured’s insurance. A Thirty (30) Day written Notice of Cancellation. non-renewal or material reduction in coverage
The insurance carriers must be licensed in the state in which services are rendered & have an A.M. Best Guide Rating of at least A:VII
CERTIFICATE HOLDER: Mesquite Productions, Inc.
10202 W. Washington Blvd., Culver City, CA 90232, Attn: Risk Management
CERTIFICATE HOLDER
© 1988-2010 ACORD CORPORATION. All rights reserved.ACORD 25 (2010/05)
AUTHORIZED REPRESENTATIVE
CANCELLATION
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE
LOCJECTPRO-
POLICY
GEN'L AGGREGATE LIMIT APPLIES PER:
OCCURCLAIMS-MADE
COMMERCIAL GENERAL LIABILITY
GENERAL LIABILITY
PREMISES (Ea occurrence) $DAMAGE TO RENTEDEACH OCCURRENCE $
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG $
$RETENTIONDED
CLAIMS-MADE
OCCUR
$
AGGREGATE $
EACH OCCURRENCE $UMBRELLA LIAB
EXCESS LIAB
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
INSRLTR TYPE OF INSURANCE POLICY NUMBER
POLICY EFF(MM/DD/YYYY)
POLICY EXP(MM/DD/YYYY) LIMITS
WC STATU-TORY LIMITS
OTH-ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
$
$
$
ANY PROPRIETOR/PARTNER/EXECUTIVE
If yes, describe underDESCRIPTION OF OPERATIONS below
(Mandatory in NH)OFFICER/MEMBER EXCLUDED?
WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY Y / N
AUTOMOBILE LIABILITY
ANY AUTOALL OWNED SCHEDULED
HIRED AUTOSNON-OWNED
AUTOS AUTOS
AUTOS
COMBINED SINGLE LIMIT
BODILY INJURY (Per person)
BODILY INJURY (Per accident)PROPERTY DAMAGE $
$
$$
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.
INSRADDL
WVDSUBR
N / A
$
$
(Ea accident)
(Per accident)
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject tothe terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to thecertificate holder in lieu of such endorsement(s).
The ACORD name and logo are registered marks of ACORD
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
INSURED
PHONE(A/C, No, Ext):
PRODUCER
ADDRESS:E-MAIL
FAX(A/C, No):
CONTACTNAME:
NAIC #
INSURER A :
INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
INSURER(S) AFFORDING COVERAGE
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.
INS025 (201005).01
2/20/2014
Smith Watson Parker Insurance2590 Hollywood Blvd
Hollywood FL 33020
Certificate Department(954)925-2590 (954)925-7004
Norman F. Bray P.E. Inc.2131 Hollywood Blvd
Hollywood FL 33020
Travelers Property & Casualty 36161CNA Insurance
14-15 Master
AX
X
X
I660705X953A-14 1/31/2014 1/31/2015 500,000100,0005,000
500,0001,000,0001,000,000
AX
XX UM
X
BA608D3795-14 1/31/2014 1/31/2015 1,000,000
Medical payments 5,000
B Professional Liability SFH008228719 11/20/2013 11/20/2014 Per Claim 1,000,000Aggregate 1,000,000
Jett Pinkney/KMB
Mesquite Productions, Inc. Att: Risk Management 10202 W. Washington Blvd. Culver City, CA 90232
COMMENTS/REMARKS
COPYRIGHT 2000, AMS SERVICES INC.OFREMARK
Mesquite Productions, Inc, its parent(s), subsidiaries, successors, licensees, related & affiliated companies, their officers, directors, employees, agents, representatives & assigns are additional insureds as their interests may appear and as Loss Payees as their interests may appear. Named Insured's insurance is primary and any insurance maintained by the Additional Insured is non-contributing to any of the Named Insured's insurance.
CERTIFICATE HOLDER
© 1988-2010 ACORD CORPORATION. All rights reserved.ACORD 25 (2010/05)
AUTHORIZED REPRESENTATIVE
CANCELLATION
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE
LOCJECTPRO-
POLICY
GEN'L AGGREGATE LIMIT APPLIES PER:
OCCURCLAIMS-MADE
COMMERCIAL GENERAL LIABILITY
GENERAL LIABILITY
PREMISES (Ea occurrence) $DAMAGE TO RENTEDEACH OCCURRENCE $
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG $
$RETENTIONDED
CLAIMS-MADE
OCCUR
$
AGGREGATE $
EACH OCCURRENCE $UMBRELLA LIAB
EXCESS LIAB
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
INSRLTR TYPE OF INSURANCE POLICY NUMBER
POLICY EFF(MM/DD/YYYY)
POLICY EXP(MM/DD/YYYY) LIMITS
WC STATU-TORY LIMITS
OTH-ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
$
$
$
ANY PROPRIETOR/PARTNER/EXECUTIVE
If yes, describe underDESCRIPTION OF OPERATIONS below
(Mandatory in NH)OFFICER/MEMBER EXCLUDED?
WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY Y / N
AUTOMOBILE LIABILITY
ANY AUTOALL OWNED SCHEDULED
HIRED AUTOSNON-OWNED
AUTOS AUTOS
AUTOS
COMBINED SINGLE LIMIT
BODILY INJURY (Per person)
BODILY INJURY (Per accident)PROPERTY DAMAGE $
$
$$
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.
INSRADDL
WVDSUBR
N / A
$
$
(Ea accident)
(Per accident)
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject tothe terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to thecertificate holder in lieu of such endorsement(s).
The ACORD name and logo are registered marks of ACORD
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
INSURED
PHONE(A/C, No, Ext):
PRODUCER
ADDRESS:E-MAIL
FAX(A/C, No):
CONTACTNAME:
NAIC #
INSURER A :
INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
INSURER(S) AFFORDING COVERAGE
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.
INS025 (201005).01
2/26/2014
Smith Watson Parker Insurance2590 Hollywood Blvd
Hollywood FL 33020
Certificate Department(954)925-2590 (954)925-7004
Norman F. Bray P.E. Inc.2131 Hollywood Blvd
Hollywood FL 33020
Travelers Property & Casualty 36161CNA Insurance
14-15 Master
AX
X
X
I660705X953A-14 1/31/2014 1/31/2015 500,000100,0005,000
500,0001,000,0001,000,000
AX
XX UM
X
BA608D3795-14 1/31/2014 1/31/2015 1,000,000
Medical payments 5,000
B Professional Liability SFH008228719 11/20/2013 11/20/2014 Per Claim 1,000,000Aggregate 1,000,000
Certificate Holder is included as additional insured with respects to General Liability only.
Jett Pinkney/KMB
Jackson Family Investments, Inc. 1001 West Mowry Drive Homestead, FL 33020
1
Allen, Louise
From: Allen, LouiseSent: Friday, February 28, 2014 11:21 AMTo: 'chris kocses'; Barnes, Britianey; Luehrs, Dawn; Zechowy, Linda; Herrera, Terri; Wasney,
CynthiaCc: greer yeaton; Pamela Holdridge; [email protected]: RE: Untitled KZK - Terms & Conditions (Norman F. Bray, P.E. Consulting Engineer)Attachments: Norman F Bray Contract & Insur.pdf
Thanks Chris! Please remember to keep Exhibit A with the agreement as it forms part of the agreement. Also, we received revised insurance certificates and endorsement. Attached is the full agreement and final approved insurance for your files.
Louise Allen Risk Management T: (519) 273‐3678
From: chris kocses [mailto:[email protected]] Sent: Thursday, February 27, 2014 10:30 AM To: Allen, Louise; Barnes, Britianey; Luehrs, Dawn; Zechowy, Linda; Herrera, Terri; Wasney, Cynthia Cc: greer yeaton; Pamela Holdridge; [email protected] Subject: Re: Untitled KZK - Terms & Conditions (Norman F. Bray, P.E. Consulting Engineer) Hi Everyone, Attached please find the Fully Executed Agreement between Mesquite Producitos, Inc. & Norman F. Bray, P.E. Consulting Engineer. The following documents are attached: - Fully Executed Agreement - COI for Mesquite Productions, Inc. - COI for Jackson Family Investments, Inc. (adding landlord as additionally insured) - Broward County Local Business Tax Receipt - State of Florida, Board of Professional Engineers License - CBE Certification Any questions please contact me. Thank you. Chris Kocses Production Secretary "Untitled KZK Project" Mesquite Productions Inc.
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Allen, Louise
From: Allen, LouiseSent: Friday, February 21, 2014 3:58 PMTo: chris kocses; Wasney, CynthiaCc: greer yeaton; Pamela Holdridge; Luehrs, Dawn; Zechowy, Linda; Barnes, Britianey; Herrera,
TerriSubject: RE: Mesquite Productions - Untitled KZK Project (Insurance requirements) - Norman F Bray
Chris … based on our conversations, we will accept this revised insurance paperwork. Here is the revised agreement and insurance exhibit. Both parties should initial the two changes and production should sign. Please email us a signed initialed copy for our files.
Thanks, Louise Allen Risk Management T: (519) 273‐3678
From: Katherine M. Beers [mailto:[email protected]] Sent: Friday, February 21, 2014 3:15 PM To: chris kocses Cc: greer yeaton; Pamela Holdridge; Allen, Louise Subject: RE: Mesquite Productions - Untitled KZK Project (Insurance requirements) Please see attached revised certificate of insurance along with endorsements.
Regards, Katherine M Beers Account Executive
Smith Watson Parker Insurance A PRIVATELY OWNED INDEPENDENT INSURANCE AGENCY. WE SERVE OUR CLIENTS, NOT OUR SHAREHOLDERS! AT YOUR SERVICE SINCE 1934 AND POSITIONED TO PROVIDE THE INSURANCE PROTECTION THAT SOUTH FLORIDA NEEDS
TM. 2590 Hollywood Boulevard. Hollywood, Florida, 33020 Direct: (954)-924-3041 Office: 954-925-2590 Toll Free: 800-741-8266 Fax:954-920-5233 http://www.SWPinsurance.com [email protected] BBB Accredited Business. Follow us on Facebook, Twitter and LinkedIn. Do you need home, car or business insurance? Smith Watson Parker offers an array of product lines for your personal and commercial insurance needs. Call us for a quote today! NOTICE: Coverage is not altered or bound unless confirmed by an agent. This e-mail and its attachments are confidential and are intended for the addressee only. If you are not the intended recipient, the use, copying or disclosure of this communication is strictly prohibited; return to sender and delete all copies. Is it really necessary to print this message or its attachments?
2
From: chris kocses [mailto:[email protected]] Sent: Friday, February 21, 2014 1:01 PM To: Katherine M. Beers Cc: greer yeaton; Pamela Holdridge; Louise Allen Subject: Mesquite Productions - Untitled KZK Project (Insurance requirements) Hi Kathy, I am forwarding risk managements new requirements for a revised insurance cert. If you have anymore questions you can contact Louise Allen directly, her number is (519.273.3678) OK … please request a revised cert evidencing the maximum general liability limits and professional liability limits that the vendor carries as well as the description of operations wording. We also require the endorsements; the insurance Exhibit does create a contractual obligation. Once I have the revised cert/endorsement, I will revise the Exhibit further to match the insurance paperwork. As the vendor has no employees, the work comp requirements will be waived. The limits are lower than we would normally accept but, as this is the building owner’s preferred vendor, we will accept what the vendor has. Thanks, Louise Allen Risk Management T: (519) 273-3678 Chris Kocses Production Secretary "Untitled KZK Project" Mesquite Productions Inc. 305.242.0019 - O 305.242.0020 - F
1
Exhibit A
INSURANCE REQUIREMENTS FOR PROFESSIONAL SERVICES
A Certificate of Insurance is to be sent to the Risk Management Department of Mesquite Productions, Inc. reflecting the following insurance coverages (or the equivalent thereof):
Commercial General Liability - $1,000,000. per occurrence $1,000,000. aggregate Automobile Liability - $1,000,000. CSL Automobile Physical Damage Professional Liability - $1,000,000. per occurrence (Re: Contractor Expertise/Advice) $1,000,000. Aggregate
For all of these coverages, provide an endorsement naming Mesquite Productions, Inc., its parent(s), subsidiaries, successors, licensees, related & affiliated companies, their officers, directors, employees, agents, representatives & assigns as Additional Insureds as their interests may appear and as Loss Payees as their interests may appear.
All endorsements required above must indicate that Named Insured's insurance is primary and any insurance maintained by the Additional Insureds is non-contributing to any of the Named Insured’s insurance. A Thirty (30) Day written Notice of Cancellation. non-renewal or material reduction in coverage
The insurance carriers must be licensed in the state in which services are rendered & have an A.M. Best Guide Rating of at least A:VII
CERTIFICATE HOLDER: Mesquite Productions, Inc.
10202 W. Washington Blvd., Culver City, CA 90232, Attn: Risk Management
1
Allen, Louise
From: Allen, LouiseSent: Friday, February 21, 2014 12:30 PMTo: 'chris kocses'; Barnes, Britianey; Luehrs, Dawn; Zechowy, Linda; Herrera, Terri; Wasney,
CynthiaCc: greer yeaton; Pamela HoldridgeSubject: RE: Untitled KZK - Terms & Conditions (Norman F. Bray, P.E. Consulting Engineer)
OK … please request a revised cert evidencing the maximum general liability limits and professional liability limits that the vendor carries as well as the description of operations wording. We also require the endorsements; the insurance Exhibit does create a contractual obligation. Once I have the revised cert/endorsement, I will revise the Exhibit further to match the insurance paperwork. As the vendor has no employees, the work comp requirements will be waived. The limits are lower than we would normally accept but, as this is the building owner’s preferred vendor, we will accept what the vendor has.
Thanks, Louise Allen Risk Management T: (519) 273‐3678
From: chris kocses [mailto:[email protected]] Sent: Friday, February 21, 2014 11:13 AM To: Allen, Louise; Barnes, Britianey; Luehrs, Dawn; Zechowy, Linda; Herrera, Terri; Wasney, Cynthia Cc: greer yeaton; Pamela Holdridge Subject: Re: Untitled KZK - Terms & Conditions (Norman F. Bray, P.E. Consulting Engineer) Hi Louise, Per our last conversation on the phone, please see below the following conversation I had with the Consulting Engineers Insurance Agency: Here are the changes that we require to the insurance paperwork …
1. Evidence of excess/umbrella liability insurance $2M per occurrence & aggregate 2. Evidence of work comp with statutory limits and employer’s liability with $1M limits. If the company has no employees and therefore is not required by law to maintain this coverage, we just need an email from the vendor confirming that is the case. If that is the case, the work comp wording underlined in item #4 below may be omitted. 3. Professional liability limits are insufficient as we require $5M. The higher limits may be supplied via an excess/umbrella policy. 4. This wording should be added to the Description of Operations box … Mesquite Productions, Inc., its parent(s), subsidiaries, successors, licensees, related & affiliated companies, their officers, directors, employees, agents, representatives & assigns are added as Additional Insureds as their interests may appear and as Loss Payees as their interests may appear. The Named Insured’s policies are primary and any insurance maintained by the Additional Insureds is non-contributory. As respects Worker’s Compensation coverage, a waiver of
1
Allen, Louise
From: Allen, LouiseSent: Friday, February 21, 2014 11:51 AMTo: Luehrs, DawnCc: Zechowy, Linda; Herrera, Terri; Barnes, BritianeySubject: RE: Untitled KZK - Terms & Conditions (Norman F. Bray, P.E. Consulting Engineer)
OK … he has the coverages, just not the limits, and is willing to provide the wording/endorsements we want. I will proceed.
Thanks, Louise Allen Risk Management T: (519) 273‐3678
From: Luehrs, Dawn Sent: Friday, February 21, 2014 11:45 AM To: Allen, Louise Cc: Zechowy, Linda; Herrera, Terri; Barnes, Britianey Subject: RE: Untitled KZK - Terms & Conditions (Norman F. Bray, P.E. Consulting Engineer) Doesn’t sound like we have a choice. If this is who the landlord wants and it’s only a $2,500 contract, I can see why the vendor is unwilling to bend. As long as we can get the types of coverage we requested plus additional insured status w/endorsements, I think we will have to agree. .d Dawn Luehrs Director, Risk Management Production (310) 244-4230 - Direct Line (310) 244-6111 - Fax (310) 487-9690 - Cell
From: Allen, Louise Sent: Friday, February 21, 2014 8:39 AM To: Luehrs, Dawn Cc: Zechowy, Linda; Herrera, Terri; Barnes, Britianey Subject: FW: Untitled KZK - Terms & Conditions (Norman F. Bray, P.E. Consulting Engineer) Do you think the $1M coverage for GL & Prof Liab enough? According to Chris, this is the preferred vendor of the property owner. The vendor, an electrical engineer, doesn’t want to purchase additional coverage as the job is only $2500 so it isn’t worth the extra premium.
2
The vendor is preparing specs/designs for air conditioning units, stage panels which will increase power for lighting, & electrical service for power to run the higher capacity air conditioning units. A contractor will then do the actual work/installation based on the designs. See email string below. Limits sound a little low to me but doesn’t sound like there are other options as this is the guy the building owner wants. The only other thought I have is to get the building owner to hire him and we reimburse the cost?
Thanks, Louise Allen Risk Management T: (519) 273‐3678
From: chris kocses [mailto:[email protected]] Sent: Friday, February 21, 2014 11:13 AM To: Allen, Louise; Barnes, Britianey; Luehrs, Dawn; Zechowy, Linda; Herrera, Terri; Wasney, Cynthia Cc: greer yeaton; Pamela Holdridge Subject: Re: Untitled KZK - Terms & Conditions (Norman F. Bray, P.E. Consulting Engineer) Hi Louise, Per our last conversation on the phone, please see below the following conversation I had with the Consulting Engineers Insurance Agency: Here are the changes that we require to the insurance paperwork …
1. Evidence of excess/umbrella liability insurance $2M per occurrence & aggregate 2. Evidence of work comp with statutory limits and employer’s liability with $1M limits. If the company has no employees and therefore is not required by law to maintain this coverage, we just need an email from the vendor confirming that is the case. If that is the case, the work comp wording underlined in item #4 below may be omitted. 3. Professional liability limits are insufficient as we require $5M. The higher limits may be supplied via an excess/umbrella policy. 4. This wording should be added to the Description of Operations box … Mesquite Productions, Inc., its parent(s), subsidiaries, successors, licensees, related & affiliated companies, their officers, directors, employees, agents, representatives & assigns are added as Additional Insureds as their interests may appear and as Loss Payees as their interests may appear. The Named Insured’s policies are primary and any insurance maintained by the Additional Insureds is non-contributory. As respects Worker’s Compensation coverage, a waiver of subrogation is granted in favor of Mesquite Productions, Inc., its parent(s), subsidiaries, successors, licensees, related & affiliated companies, their officers, directors, employees, agents, representatives & assigns. 5. Endorsements: We require either blanket endorsements that are already part of the policies or customized endorsements with the wording above.
(a) Additional Insured Endorsement (b) Primary/Non Contributory Endorsement (c) On work comp, Waiver of Subrogation Endorsement. This last endorsement is only required if work comp is required by law.
3
____________________________________________________________________________ Chris, Please see responses below to each question:
1) Does not have Umbrella coverage. In order to provide this coverage the General Liability Primary Limits must be increased to $1,000,000 Occurrence/$2,000,000 Aggregate which will increase his premium. 2) Insured does not have WC insurance with our agency. If he has never carried WC it will be difficult to place coverage due to “No Prior” 3) Professional Liability limits are $1,000,000. Not sure we can provide up to $5,000,000. It has to be submitted to the carrier for approval. We would have to issue an Umbrella for the Excess over the $1,000,000, but we’d have to increase the GL first as stated above. 4) Description of Operations Wording is ok. 5) Insured does have Blanket Additional Insured Endorsement and Primary/Non Contributory but must have a written contractor with Vendor. To clarify the following services Mesquite Productions will require from our Consulting Engineer, who will provide electrical engineering design services for our Studio/Stages @ (1001 West Mowry Dr. Homestead FL, 33030), please review the following:
6 - 25 ton AC units (Installing AC Units) 4 - 400 Amp Studio Services (Installing Stage Panels which will increase the power for proper stage lighting, since power is not sufficient) 1 - Back Feed Original Service (This will be installing a new electrical service in order to have enough power for running the 6 x 25 ton AC units). Chris Kocses Production Secretary "Untitled KZK Project" Mesquite Productions Inc. 305.242.0019 - O 305.242.0020 - F
On Thursday, February 20, 2014 4:10 PM, "Allen, Louise" <[email protected]> wrote: Here are the changes that we require to the insurance paperwork … 1. Evidence of excess/umbrella liability insurance $2M per occurrence & aggregate 2. Evidence of work comp with statutory limits and employer’s liability with $1M limits. If the company has no employees and therefore is not required by law to maintain this coverage, we just need an email from the vendor confirming that is the case. If that is the case, the work comp wording underlined in item #4 below may be omitted.
1
Allen, Louise
From: Allen, LouiseSent: Thursday, February 20, 2014 4:10 PMTo: 'chris kocses'; Barnes, Britianey; Luehrs, Dawn; Zechowy, Linda; Herrera, Terri; Wasney,
CynthiaSubject: RE: Untitled KZK - Terms & Conditions (Norman F. Bray, P.E. Consulting Engineer)
Here are the changes that we require to the insurance paperwork …
1. Evidence of excess/umbrella liability insurance $2M per occurrence & aggregate 2. Evidence of work comp with statutory limits and employer’s liability with $1M limits. If the company has no
employees and therefore is not required by law to maintain this coverage, we just need an email from the vendor confirming that is the case. If that is the case, the work comp wording underlined in item #4 below may be omitted.
3. Professional liability limits are insufficient as we require $5M. The higher limits may be supplied via an excess/umbrella policy.
4. This wording should be added to the Description of Operations box … Mesquite Productions, Inc., its parent(s), subsidiaries, successors, licensees, related & affiliated companies, their officers, directors, employees, agents, representatives & assigns are added as Additional Insureds as their interests may appear and as Loss Payees as their interests may appear. The Named Insured’s policies are primary and any insurance maintained by the Additional Insureds is non-contributory. As respects Worker’s Compensation coverage, a waiver of subrogation is granted in favor of Mesquite Productions, Inc., its parent(s), subsidiaries, successors, licensees, related & affiliated companies, their officers, directors, employees, agents, representatives & assigns.
5. Endorsements: We require either blanket endorsements that are already part of the policies or customized endorsements with the wording above.
(a) Additional Insured Endorsement (b) Primary/Non Contributory Endorsement (c) On work comp, Waiver of Subrogation Endorsement. This last endorsement is only required if work
comp is required by law. Please request revised insurance paperwork.
Thanks, Louise Allen Risk Management T: (519) 273‐3678
From: chris kocses [mailto:[email protected]] Sent: Thursday, February 20, 2014 3:44 PM To: Allen, Louise; Barnes, Britianey; Luehrs, Dawn; Zechowy, Linda; Herrera, Terri; Wasney, Cynthia Subject: Re: Untitled KZK - Terms & Conditions (Norman F. Bray, P.E. Consulting Engineer) Hi Louise, Attached please find Insurance Certificate from Norman F. Bray, P.E. Consulting Engineer. It looks like he left workers comp blank. Will this need to be revised?
1
Allen, Louise
From: Allen, LouiseSent: Thursday, February 20, 2014 1:43 PMTo: 'chris kocses'; Barnes, Britianey; Herrera, Terri; Wasney, Cynthia; Zechowy, Linda; Luehrs,
DawnCc: greer yeaton; Pamela Holdridge; Clements, John; Kawa, JasonSubject: RE: Untitled KZK - Terms & Conditions (Norman F. Bray, P.E. Consulting Engineer)
In that case, we won’t require evidence of auto coverage or property coverage from the vendor. We will require evidence of the general liability, work comp and professional liability coverage.
Thanks, Louise Allen Risk Management T: (519) 273‐3678
From: chris kocses [mailto:[email protected]] Sent: Thursday, February 20, 2014 11:15 AM To: Allen, Louise; Barnes, Britianey; Herrera, Terri; Wasney, Cynthia; Zechowy, Linda; Luehrs, Dawn Cc: greer yeaton; Pamela Holdridge; Clements, John; Kawa, Jason Subject: Re: Untitled KZK - Terms & Conditions (Norman F. Bray, P.E. Consulting Engineer) Hi Louise, Concerning the additional information required by Sony regarding how our vendor will be rendering services, our Consulting Engineer will not be on premise since he has already been here and all work will be executed from his office. Chris Kocses Production Secretary "Untitled KZK Project" Mesquite Production 305.242.0019 - Office 305.242.0020 - Fax
On Wednesday, February 19, 2014 4:46 PM, "Allen, Louise" <[email protected]> wrote: See mark-up and our standard insurance exhibit for professional service providers attached. Risk Mgmt should review and approve the insurance before any services are rendered. Please provide additional information on how this vendor will be rendering services? For example, will the vendor be driving onto our premises? Will the vendor be using any of our property? Or will the vendor be working exclusively from their own offices?
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Allen, Louise
From: Allen, LouiseSent: Thursday, February 20, 2014 1:30 PMTo: 'chris kocses'; Wasney, Cynthia; Barnes, Britianey; Luehrs, Dawn; Herrera, Terri; Zechowy,
LindaCc: Coss, Renee; Huizar, JavierSubject: RE: Untitled KZK - Terms & Conditions (Norman F. Bray, P.E. Consulting Engineer)
Thanks Chris. I skimmed the lease. Note that, under paragraph 10 …
you must submit any plans for changes and get consent/approval from the landlord in writing
the contractor must be licensed/insured in FL
the terms and limits of the contractor’s insurance must be acceptable to the landlord and must add landlord as additional insured
the contractor must supply a copy of its license and insurance policies to the landlord before work commences You should check with the landlord to see if what it will require from Norman F Bray.
Thanks, Louise Allen Risk Management T: (519) 273‐3678
From: chris kocses [mailto:[email protected]] Sent: Wednesday, February 19, 2014 11:36 PM To: Allen, Louise; Wasney, Cynthia; Barnes, Britianey; Luehrs, Dawn; Herrera, Terri; Zechowy, Linda Cc: Coss, Renee Subject: Re: Untitled KZK - Terms & Conditions (Norman F. Bray, P.E. Consulting Engineer) Hi Louise, My apologies, I realized I only attached the fully executed memorandum and did not attached the fully executed lease. Attached please find the fully executed lease for (1001 Mowry Drive, Homestead, Miami Dade County, Florida 33030). Thanks, Chris Kocses Production Secretary "Untitled KZK Project" Mesquite Production 305.242.0019 - Office 305.242.0020 - Fax
On Wednesday, February 19, 2014 6:10 PM, chris kocses <[email protected]> wrote:
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Hi Louise, Attached please find the contract for lessor of (1001 West Mowry Drive, Homestead, Miami-Dade County, Florida). I am still waiting to hear back from the vendor on the additional information you require.
On Wednesday, February 19, 2014 4:28 PM, "Allen, Louise" <[email protected]> wrote: Please send the contract with the lessor or owner of that premises. Thanks, Louise Allen Risk Management T: (519) 273-3678 From: chris kocses [mailto:[email protected]] Sent: Wednesday, February 19, 2014 4:26 PM To: Allen, Louise; Wasney, Cynthia; Barnes, Britianey; Luehrs, Dawn; Herrera, Terri; Zechowy, Linda Cc: Pamela Holdridge; greer yeaton; Coss, Renee Subject: Re: Untitled KZK - Terms & Conditions (Norman F. Bray, P.E. Consulting Engineer) 1001 West Mowry Dr. Homestead FL, 33030 Thanks! Chris Kocses Production Secretary "Untitled KZK Project" Mesquite Production 305.242.0019 - Office 305.242.0020 - Fax
On Wednesday, February 19, 2014 4:02 PM, "Allen, Louise" <[email protected]> wrote: Where will this vendor be supplying services? We will require additional insurance from this vendor. We will prepare an insurance exhibit and send it out shortly. Thanks, Louise Allen Risk Management T: (519) 273-3678 From: Wasney, Cynthia Sent: Wednesday, February 19, 2014 3:53 PM To: chris kocses; Barnes, Britianey; Luehrs, Dawn; Allen, Louise; Herrera, Terri; Zechowy, Linda Cc: Pamela Holdridge; greer yeaton; Coss, Renee Subject: RE: Untitled KZK - Terms & Conditions (Norman F. Bray, P.E. Consulting Engineer)
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Allen, Louise
From: Clements, JohnSent: Wednesday, February 19, 2014 4:47 PMTo: Allen, Louise; chris kocses; Wasney, Cynthia; Barnes, Britianey; Luehrs, Dawn; Herrera,
Terri; Zechowy, LindaCc: Pamela Holdridge; greer yeaton; Coss, Renee; Kawa, JasonSubject: RE: Untitled KZK - Terms & Conditions (Norman F. Bray, P.E. Consulting Engineer)
Importance: High
Adding Jason Kawa to this conversation. Jason will be the Production Safety lead on this show. Thanks! John N. Clements, CSP Executive Director, Production Safety Security, Environmental, Health and Safety (SEHS) Sony Pictures Entertainment 310 244‐4458 310 628‐7364 (mobile) 310 244‐2345 (fax)
From: Allen, Louise Sent: Wednesday, February 19, 2014 1:46 PM To: chris kocses; Wasney, Cynthia; Barnes, Britianey; Luehrs, Dawn; Herrera, Terri; Zechowy, Linda Cc: Pamela Holdridge; greer yeaton; Coss, Renee; Clements, John Subject: RE: Untitled KZK - Terms & Conditions (Norman F. Bray, P.E. Consulting Engineer) See mark‐up and our standard insurance exhibit for professional service providers attached. Risk Mgmt should review and approve the insurance before any services are rendered. Please provide additional information on how this vendor will be rendering services? For example, will the vendor be driving onto our premises? Will the vendor be using any of our property? Or will the vendor be working exclusively from their own offices? Based on the answers to these questions as well as the terms of the agreement with the landlord/owner of the property, we may have to increase or we may be able to reduce the insurance requirements set forth in the exhibit. Also, cc’ing Sony Safety in case they have any comments.
Thanks, Louise Allen
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Risk Management T: (519) 273‐3678
From: Allen, Louise Sent: Wednesday, February 19, 2014 4:28 PM To: 'chris kocses'; Wasney, Cynthia; Barnes, Britianey; Luehrs, Dawn; Herrera, Terri; Zechowy, Linda Cc: Pamela Holdridge; greer yeaton; Coss, Renee Subject: RE: Untitled KZK - Terms & Conditions (Norman F. Bray, P.E. Consulting Engineer) Please send the contract with the lessor or owner of that premises.
Thanks, Louise Allen Risk Management T: (519) 273‐3678
From: chris kocses [mailto:[email protected]] Sent: Wednesday, February 19, 2014 4:26 PM To: Allen, Louise; Wasney, Cynthia; Barnes, Britianey; Luehrs, Dawn; Herrera, Terri; Zechowy, Linda Cc: Pamela Holdridge; greer yeaton; Coss, Renee Subject: Re: Untitled KZK - Terms & Conditions (Norman F. Bray, P.E. Consulting Engineer) 1001 West Mowry Dr. Homestead FL, 33030 Thanks! Chris Kocses Production Secretary "Untitled KZK Project" Mesquite Production 305.242.0019 - Office 305.242.0020 - Fax
On Wednesday, February 19, 2014 4:02 PM, "Allen, Louise" <[email protected]> wrote: Where will this vendor be supplying services? We will require additional insurance from this vendor. We will prepare an insurance exhibit and send it out shortly. Thanks, Louise Allen Risk Management T: (519) 273-3678 From: Wasney, Cynthia Sent: Wednesday, February 19, 2014 3:53 PM To: chris kocses; Barnes, Britianey; Luehrs, Dawn; Allen, Louise; Herrera, Terri; Zechowy, Linda Cc: Pamela Holdridge; greer yeaton; Coss, Renee Subject: RE: Untitled KZK - Terms & Conditions (Norman F. Bray, P.E. Consulting Engineer)
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No comments from TV Legal. From: chris kocses [mailto:[email protected]] Sent: Wednesday, February 19, 2014 11:02 AM To: Barnes, Britianey; Luehrs, Dawn; Allen, Louise; Herrera, Terri; Wasney, Cynthia; Zechowy, Linda Cc: Pamela Holdridge; greer yeaton Subject: Untitled KZK - Terms & Conditions (Norman F. Bray, P.E. Consulting Engineer) Hey Everyone, Mesquite Productions will require a Consulting Engineer, who will provide electrical engineering design services for our Studio/Stages @ (1001 West Mowry Dr. Homestead FL, 33030). They will also be providing plans and specifications for permitting and construction for the following: 6 - 25 ton AC units 4 - 400 Amp Studio Services 1 - Back Feed Original Service Norman F. Bray, P.E. does not require any insurance and can provide a general liability of $1,000,000 if needed. Attached please find the Terms & Conditions. Can we please expedite this for today, 2/19/13? Any questions please contact me. Chris Kocses Production Secretary "Untitled KZK Project" Mesquite Production 305.242.0019 - Office 305.242.0020 - Fax
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Exhibit A
INSURANCE REQUIREMENTS FOR PROFESSIONAL SERVICES
A Certificate of Insurance is to be sent to the Risk Management Department of Mesquite Productions, Inc. reflecting the following insurance coverages (or the equivalent thereof):
Commercial General Liability - $1,000,000. per occurrence $2,000,000. aggregate Excess/Umbrella Liability - $2,000,000 per occurrence $2,000,000 aggregate
Automobile Liability - $1,000,000. CSL Automobile Physical Damage **Workers' Compensation - Statutory Limits **Employer's Liability - $1,000,000. Professional Liability - $5,000,000. per occurrence (Re: Contractor Expertise/Advice) $5,000,000. Aggregate
“All Risk” Property and/or Miscellaneous Equipment coverage on all property rented/leased or owned for replacement cost value
For all of these coverages except Worker’s Compensation, provide an endorsement naming Mesquite Productions, Inc., its parent(s), subsidiaries, successors, licensees, related & affiliated companies, their officers, directors, employees, agents, representatives & assigns as Additional Insureds as their interests may appear and as Loss Payees as their interests may appear.
All endorsements required above must indicate that Named Insured's insurance is primary and any insurance maintained by the Additional Insureds is non-contributing to any of the Named Insured’s insurance. **Worker’s Compensation coverage should include a Waiver of Subrogation endorsement in favor of Mesquite Productions, Inc., its parent(s), subsidiaries, successors, licensees, related & affiliated companies, their officers, directors, employees, agents, representatives & assigns
A Thirty (30) Day written Notice of Cancellation. non-renewal or material reduction in coverage
The insurance carriers must be licensed in the state in which services are rendered & have an A.M. Best Guide Rating of at least A:VII
CERTIFICATE HOLDER: Mesquite Productions, Inc.
10202 W. Washington Blvd., Culver City, CA 90232, Attn: Risk Management
** Not required if personnel payrolled by production’s payroll services company
