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FOR USE WITH CG 21 87 Conditional Exclusion Of Terrorism Relating To Disposition Of Federal Terrorism Risk Insurance Act CG 32 14 Alaska Conditional Exclusion Of Terrorism Relating To Disposition Of Federal Terrorism Risk Insurance Act CG 32 20 Washington Conditional Exclusion Of Terrorism Relating To Disposition Of Federal Terrorism Risk Insurance Act NOTICE TO POLICYHOLDERS POTENTIAL RESTRICTIONS OF TERRORISM COVERAGE This Notice has been prepared in conjunction with the POTENTIAL implementation of changes related to coverage of terrorism under your policy. The Terrorism Risk Insurance Act established a program Terrorism Risk Insurance Program within the Department of the Treasury under which the federal government shares with the insurance industry the risk of loss from future terrorist attacks. That Program is subject to a termination date of December 31 2014 unless extended by the federal government. If the federal Program terminatesor is extended with certain changes prior to or during the term of your policy then the treatment of terrorism under your policy will change. This Notice is being provided to you for the purpose of summarizing potential impact on your coverage. The summary is a brief synopsis of significant exclusionary provisions and limitations. This Notice does not form a part of your insurance contract. The Notice is designed to alert you to coverage restrictions and to other provisions in certain terrorism endorsements in this policy. If there is any conflict between this Notice and the policy including its endorsements the provisions of the policy including its endorsements apply. Carefully read your policy including the endorsements attached to your policy. YOUR POLICY DURING TENURE OF THE TERRORISM RISK INSURANCE PROGRAM AS THAT PROGRAM EXISTS PURSUANT TO THE TERRORISM RISK INSURANCE PROGRAM REAUTHORIZATION ACT OF 2007 This policy does not contain a terrorism exclusion. However the policy contains an endorsement under which coverage for certified acts of terrorism which is more fully defined in the endorsement is subject to a limit on our liability pursuant to the federal Terrorism Risk Insurance Act. Further the absence of a terrorism exclusion does not create coverage for any injury or damage that would otherwise be excluded under the policy such as losses excluded by the war liability exclusion. PNO7 1213 TR 2013 X. L. America Inc. All Rights Reserved Page 10f3 May not be copied without permission. Includes copyrighted material of Insurance Services Offices Inc. with its permission. | 2 |
POTENTIAL CHANGE TO YOUR POLICY Endorsement CG 21 87 Alaska CG 32 14 Washington CG 32 20 is attached to your policy. Its provisions become applicable to your policy only if certain events one or more of them occur. Those events include the following If the federal Terrorism Risk Insurance Program TRIP terminates with respect to the type of insurance provided under this policy. TRIP is iwas scheduled to terminate at the end of December 31 2014 unless extended by the federal government. or If TRIP is extended with changes that redefine terrorism and we are not required to make such revised coverage available to you or If TRIP is extended with changes that make insurance coverage for terrorism subject to provisions or requirements that differ from those that apply to other events or occurrences under this policy and we are not required to make such revised coverage available to you or If TRIP is extended with changes that increase insurers statutory percentage deductible under TRIP for terrorism losses or decrease the federal government s statutorx Egapjgsg ilj potential terrorism losses and we are not required to previous year s direct earned premiums. The government s share is 85 of the terrorism losses paid by us above the deductible. Endorsement CG 21 87 Alaska CG 32 14 Washington CG 32 20 treats terrorism as follows Coverage for injury or damage arising out of a terrorism incident is excluded only if The total of all insured damage to all types of property including business interruption losses sustained by owners or occupants of damaged property from the incident exceeds 25 million. The 25 million property damage threshold is based on losses sustained by all persons and entities who are affected by an incident of terrorism and who are insured for the damage or who would be insured but for a terrorism exclusion or Fifty or more persons sustain death or serious physical injury or To determine whether the threshold for property damage 25 million or persons injured fifty is exceeded multiple incidents of terrorism which occur within a seventy two hour period and appear to be linked together or have a related purpose or common leadership behind them shall be considered to be one incident of terrorism. make terrorism coverage available to you. Our deductible is 20 of the totalof our PNO07 1213 TR 2013 X. L. America Inc. All Rights Reserved. Page 2 of 3 May not be copied without permission. Includes copyrighted material of Insurance Services Offices Inc. with its permission. | 2 |
The terrorism event involves nuclear materials or results in nuclear reaction or radiation or radioactive contamination or The terrorism event involves the release of radioactive material and it appears that one purpose of the terrorism was to release such material or The terrorism event is carried out by means of the dispersal or application of pathogenic or poisonous biological or chemical materials or The terrorism event involves the release of pathogenic or poisonous biological or chemical materials and it appears that one purpose of the terrorism was to release such materials. See the definition of terrorism for purposes of the terrorism exclusion. PNO7 1213 TR 2013 X. L. America Inc. All Rights Reserved. Page 3 of 3 May not be copied without permission. Includes copyrighted material of Insurance Services Offices Inc. with its permission. | 2 |
XL Group Insurance Regulatory Office 505 Eagleview Blvd. Ste. 100 Dept Regulatory Exton PA 19341 0636 Telephone 800 688 1840 lelephone 6U0 688 1840 COMMERCIAL LINES POLICY COMMON POLICY DECLARATIONS COMPANY PROVIDING COVERAGE Greenwich Insurance Company POLICY NO. RGR9437680 RENEWAL OF RGG943752502 POLICY PERIOD FROM January 1 2014 TO January 1 2015 AT 1201 AM Standard Time at your mailing address shown below Named Insured and Address TOWNE HOLDINGS INC. Producer Lockton Companies LLC Business Description Valet Parking Form of Business Organization including a Corporation IN RETURN FOR THE PAYMENT OF THE PREMIUM AND SUBJECT TO ALL TERMS OF THIS POLICY WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. fol Commercial Property Coverage Part Commercial General Liability Coverage Part 409259.00 Commercial Crime Coverage Part Commercial Inland Marine Coverage Part Commercial Automobile Coverage Part Equipment Breakdown Coverage Part Other Policy Premium 409259.00 Surcharges 1263 Premium for Certified Acts of Terrorism included in Policy Premium listed above XAI 000 0312 2012 XL America Inc. All Rights Reserved. Page 1 of 2 May not be copied without permission. | 2 |
POLICY NO. RGR9437680 THESE DECLARATIONS TOGETHER WITH ANY APPLICABLE COMMON POLICY CONDITIONS COVERAGE PART DECLARATIONS COVERAGE PART COVERAGE FORMS AND FORMS AND ENDORSEMENTS IF ANY ISSUED TO FORM A PART HEREOF COMPLETE THE ABOVE NUMBERED POLICY. Forms and Endorsements applicable to the policy. See Forms Schedule Date January 26 2014 By Authorized Representative Type Name Seraina Maag Y TGRS ARG EVIGAER XAI 000 0312 2012 XL America Inc. All Rights Reserved. May not be copied without permission. Page 2 of 2 | 2 |
GL MP 7000 1104 COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS Policy Number RGR9437680 Effective Date January 1 2014 1201 AM Standard Time LIMITS OF INSURANCE General Aggregate Limit Other Than Products Completed Operations 10.000000 Products Completed Operations Aggregate Limit 2000000 Personal and Advertising Injury Limit 1.000000 Any One Person or Organization Each Occurrence Limit 1000000 Damage to Premises Rented to You Limit 100.000 Any One Premises Medical Expense Limit 5000 Any One Person RETROACTIVE DATE CG 00 02 only This Insurance does not apply to bodily injury property damage or personal and advertising injury which occurs before the Retroactive Date if any shown here BUSINESS DESCRIPTION Form of Business Individual Partnership Joint Venture CTrust Limited Liability Company XOrganization including a Corporation but not including a Partnership Joint Venture or Limited Liability Company Business Description VALET PARKING PREMIUM Class Premium Rate Advance Premium Location No. Classification Code Base Prem Ops Prod Co Op s Prem Ops Prod Co Ops Policy Subject to Audit FHCF Assessment Surcharge 843.00 Kentucky State Tax 102.00 Total Advance Premium 409259.00 Kentucky Municipal Tax Louisville 284.00 New Jersey Surcharge 34.00 JOrganization including a Corporation but not including a Partnership Joint Venture or Limited Liability Company usiness Description VALET PARKING Location No. Classification licy Subject to Audit iCF Assessment Surcharge ntucky State Tax ntucky Municipal Tax Louisville w Jersey Surcharge Code 843.00 102.00 284.00 3400 Base Prem Ops Prod Co Op Prem Ops Total Advance Premium 409259.00 Prod Co Ops Total Advance Premium 409259.00 LOCATION OF PREMISES Location of All Premises You Own Rent or Occupy Location No. Address As per Schedule On File With Company FORMS AND ENDORSEMENTS other than applicable Forms and Endorsements shown elsewhere in the policy Forms and Endorsements applying to this Coverage Part and made part of this policy at time of issue See Forms Schedule Information omitted if shown elsewhere in the policy. Inclusion of date optional. GL MP 7000 1104 Page 10f1 Includes copyrighted materialof nsurance Senvices Office Inc withits permission. Copyright Insurance Senvioes Office Inc. 2000 | 2 |
POLICY NUMBER POLICY PERIOD NAMED INSURED Name XA 000 0312 GL MP 7000 1104 IL MP 9104 0211 GIC 1L00 17 11 98 1L.00 21 09 08 IL 01 4209 08 iL 01470911 IL01171210 IL01 150110 IL 0141 09 08 IL 09 21 04 84 1L09 850108 1L 09 90 01 08 CG 00010413 CG 02241093 CG 04351207 G20100413 CG 20100413 CG 20110413 CG 20 1504 13 CG 2026 04 13 CG 20260413 CG 20260413 CG 20260413 CG2026 0413 CG 20260413 6 20370413 7 CG 2146 07 98 G 2147 1207 CG 21651204 CG 21671204 CG 21700108 CG 21870107 CG 2196 0305 CG 24 04 05 09 CG 02011009 CG26731204 XIL 433 0605 Xil 401 1007 IXI 405 0910 XIL 416 0605 XIL 405 0605 XIL 401 0605 XIL 402 0605 XIL 414 0605 XIL 415 0605 XIL 424 0605 XIL 427 0605 XIL 428 0605 XIL 431 0605 MANUS MANUS MANUS MANUS MANUS MANUS ENDORSEMENT 001 ENDORSEMENT 002 ENDORSEMENT 003 ENDORSEMENT 004 ENDORSEMENT 005 ENDORSEMENT 006 ENDORSEMENT 007 ENDORSEMENT 008 ENDORSEMENT 009 ENDORSEMENT 010 ENDORSEMENT 011 ENDORSEMENT 012 ENDORSEMENT 013 ENDORSEMENT 014 ENDORSEMENT 015 ENDORSEMENT 016 ENDORSEMENT 017 FORMS SCHEDULE RGR9437680 JANUARY 1 2014 JANUARY 1 2015 TOWNE HOLDINGS INC. Description COMMERCIAL LINES POLIGY COMMON POLICY DECLARATIONS COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS IN WITNESS GREENWICH INSURANCE COMPANY COMMON POLICY CONDITIONS NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT Broad Form OREGON CHANGES DOMESTIC PARTNERSHIP ILLINOIS CHANGES CIVIL UNION INDIANA CHANGES WORKERS COMPENSATION EXCLUSION NEVADA CHANGES DOMESTIC PARTNERSHIP NEW JERSEY CHANGES CIVIL UNION RETROSPECTIVE PREMIUM ENDORSEMENT SHORT FORM DISCLOSURE PURSUANT TO TERRORISM RISK INSURANCE ACT MISSOURI DISCLOSURE PURSUANT TO TERRORISM RISK INSURANCE ACT COMMERCIAL GENERAL LIABILITY COVERAGE FORM EARLIER NOTICE OF CANCELLATION PROVIDED BY US EMPLOYEE BENEFITS LIABILITY COVERAGE ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION CALIFORNIA STATE TEAGHERS RETIREMENT SYSTEM ADDITIONAL INSURED MANAGERS OR LESSORS OF PREMISES ADDITIONAL INSURED VENDORS ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION CITY LONG BEACH ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION CITY OF AUSTIN ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION ORANGE GOUNTY BOARD OF COUNTY COMMISSIONERS ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION MIAMI PARKING AUTHORITY AND CITY OF MIAMI ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION THE CHECK FOUNDATION ABUSE OR MOLESTATION EXCLUSION EMPLOYMENT RELATED PRACTICES EXCLUSION TOTAL POLLUTION EXCLUSION WITH A BUILDING HEATING COOLING AND DEHUMIDIFYING EQUIPMENT EXCEPTION AND A HOSTILE FIRE EXCEPTION FUNGI OR BACTERIA EXCLUSION CAP ON LLOSSES FROM CERTIFIED ACTS OF TERRORISM CONDITIONAL EXCLUSION OF TERRORISM RELATING TO DISPOSITION OF FEDERAL TERRORISM RISK INSURANCE ACT SILICA OR SILICA RELATED DUST EXCLUSION WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US MARYLAND CHANGES MARYLAND CHANGES PREMIUM AUDIT CONDITION ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION ALL OPERATIONS NAMED INSURED ENDORSEMENT CANCELLATION NOTIFICATION TO OTHERS ENDORSEMENT BROAD NAMED INSURED ENDORSEMENT COMPOSITE RATE ENDORSEMENT ASBESTOS EXCLUSION RADIOACTIVE MATTER EXCLUSION KNOWLEDGE OF OCCURRENCE NOTICE OF OCCURRENCE ENDORSEMENT PRIMARY INSURANCE CLAUSE ENDORSEMENT UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS LEAD EXCLUSION PRIMARY INSURANCE CLAUSE ENDORSEMENT SCHEDULED AIRCRAFT PRODUCTS AND GROUNDING EXCLUSION FELLOW EMPLOYEE COVERAGE ENDORSEMENT NEWLY FORMED OR ACQUIRED ORGANIZATIONS COVERAGE INCLUDING PARTNERSHIPS JOINT VENTURES AND LIMITED LIABILITY COMPANIES DEFINITION OF EMPLOYEE BROADENED INCIDENTAL MEDICAL MALPRACTICE ENDORSEMENT INCLUDING GOOD SAMARITAN COVERAGE AMENDMENT OF LIMITS OF INSURANCE DESIGNATED PROJECT OR PREMISES Page 1 0f 2 XA 300 10 06 X.L. America Inc. | 2 |
FORMS SCHEDULE POLICY NUMBER RGR9437680 POLICY PERIOD JANUARY 1 2014 JANUARY 1 2015 NAMED INSURED TOWNE HOLDINGS INC. Information Notices PN CW 010613 PN CW 02 0505 PN CW 05 1010 PN AK 01 0113 PN AK 02 0113 PN AK 03 0113 PN AK 04 0113 PN FL 03 0511 PN IN 01 0511 PN MI 010909 PN MN 02 0107 PN MO 010511 PN TN 01 0511 PN TX 01 0511 PN VA 05 0511 PN WI 01 0511 CGP 015 0413 PNO7 1213 TR Page 2 0f 2 XAl 300 10 06 X.L. America Inc. | 2 |
IN WITNESS GREENWICH INSURANCE COMPANY REGULATORY OFFICE 505 EAGLEVIEW BOULEVARD SUITE 100 DEPARTMENT REGULATORY EXTON PA 19341 0636 PHONE 800 688 1840 Itis hereby agreed and understood that the following In Witness Clause supercedes any and all other In Witness clauses in this policy. All other provisions remain unchanged. IN WITNESS WHEREOF the Company has caused this policy to be executed and attested and if IN WITNESS WHEREOF the Company has caused this policy to be executed and attested and if required by state law this policy shall not be valid unless countersigned by a duly authorized representative of the Company. 8 ftaas Seraina Maag President Towt Onn. fortms Toni Ann Perkins Secretary IL MP 9104 0211 GIC 2011X.L. America Inc. All rights reserved. May not be copied without pemission. RWEL 01262014 | 2 |
IL0017 11 98 A IL00171198 COMMON POLICY CONDITIONS All Coverage Parts included in this policy are subject to the following conditions. Cancellation 1. The first Named Insured shown in the Declarations may cancel this policy by mailing or delivering to us advance written notice of cancellation. 2. We may cancel this policy by mailing or delivering to the first Named Insured written notice of cancellation at least a. 10 days before the effective date of cancellation if we cancel for nonpayment of premium or b. 30 days before the effective date of cancellation if we cancel for any other reason 3. We will mail or deliver our notice to the first Named Insured s last mailing address known to us. 4. Notice of cancellation will state the effective date of cancellation. The policy period will end on that date. B. D. b. Give you reports on the conditions we find and c. Recommend changes. 2. We are not obligated to make any inspections surveys reports or recommendations and any such actions we do undertake relate only to insurability and the premiums to be charged. We do not make safety inspections. We do not undertake to perform the duty of any person or organization to provide for the health or safety of workers or the public. And we do not warrant that conditions a. Are safe or healthful or b. Comply with laws regulations codes or standards. 3. Paragraphs 1. and 2. of this condition apply not only to us but also to any rating advisory rate service or similar organization which makes insurance inspections surveys reports or recommendations. 5. If this policy is cancelled we will send the first Named Insured any premium refund due. If we cancel the refund will be pro rata. If the first Named Insured cancels the refund may be less than pro rata. The cancellation will be effective even if we have not made or offered a refund. 6. If notice is mailed proof of mailing will be sufficient proof of notice. Changes This policy contains all the agreements between you and us concerning the insurance afforded. The first Named Insured shown in the Declarations is authorized to make changes in the terms of this policy with our consent. This policy s terms can be amended or waived only by endorsement issued by us and made a part of this policy. Examination Of Your Books And Records We may examine and audit your books and records as they relate to this policy at any time during the policy period and up to three years afterward. Inspections And Surveys 1. We have the right to a. Make inspections and surveys at any time 4. Paragraph 2. of this condition does not apply to any inspections surveys reports or recommendations we may make relative to certification under state or municipal statutes ordinances or regulations of boilers pressure vessels or elevators. Premiums The first Named Insured shown in the Declarations 1. Is responsible for the payment of all premiums and 2. Will be the payee for any return premiums we pay. Transfer Of Your Rights And Duties Under This Policy Your rights and duties under this policy may not be transferred without our written consent except in the case of death of an individual named insured. If you die your rights and duties will be transferred to your legal representative but only while acting within the scope of duties as your legal representative. Until your legal representative is appointed anyone having proper temporary custody of your property will have your rights and duties but only with respect to that property. Named Insured shown in the 5 may cancel this policy by mailing or to us advance written notice of 1cel this policy by mailing or delivering Named Insured written notice of at least ys before the effective date of tion if we cancel for nonpayment of n or ys before the effective date of tion if we cancel for any other il or deliver our notice to the first sred s last mailing address known to ancellation will state the effective date i The nolicy neriad will end on that L Proot or nouce. ontains all the agreements between you sering the insurance afforded. The first o4 el in tha Peaclaratinne e IL00 171198 Copyright Insurance Services Office Inc. 1998 Page 1 | 2 |
1L 00 21 09 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT Broad Form This endorsement modifies insurance provided under the following COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY 1. The insurance does not apply A. Under any Liability Coverage to bodily injury or property damage the policy is also an insured under a nuclear energy liability policy issued by Nuclear Energy Liability Insurance Association Mutual Atomic Energy Liability Underwriters Nuclear Insurance Association of Canada or any of their successors or would be an insured under any such policy but for its termination upon exhaustion of its limit of liability or Resulting from the hazardous properties of nuclear material and with respect to which a any person or organization is required to maintain financial protection pursuant to the Atomic Energy Act of 1954 or any law amendatory thereof or b the insured is or had this policy not been issued would be entitled to indemnity from the United States of America or any agency thereof under any agreement entered into by the United States of America or any agency thereof with any person or organization. B. Under any Medical Payments coverage to expenses incurred with respect to bodily injury resulting from the hazardous properties of nuclear material and arising out of the operation of a nuclear facility by any person or organization. 2 1With respect to which aninsuredunder C. Under any Liability Coverage to bodily injury or property damage resulting from hazardous properties of nuclear material if nate or on behalf of an insured or b has been discharged or dispersed therefrom The nuclear material is contained in spent fuel or waste at any time possessed handled used processed stored transported or disposed of by or on behalf of an insured or The bodily injury or property damage arises out of the furnishing by an insured of services materials parts or equipment in connection with the planning construction maintenance operation or use of any nuclear facility but if such facility is located within the United States of America its territories or possessions or Canada this exclusion 3 applies only to property damage to such nuclear facility and any property thereat. As used in this endorsement 2 3 Hazardous properties includes radioactive toxic or explosive properties. Nuclear material means source material special nuclear material or by product material. Source material special nuclear material and by product material have the meanings given IL 00 21 09 08 IS0 Properties Inc. 2007 Page 1 RWEL 01262014 As us Haz or ex Nucl spec Sour by p | 2 |
them in the Atomic Energy Act of 1954 or in any law amendatory thereof. Spent fuel means any fuel element or fuel component solid or liquid which has been used or exposed to radiation in a nuclear reactor. Waste means any waste material a containing by product material other than the tailings or wastes produced by the extraction or concentration of uranium or thorium from any ore processed primarily for its source material content and b resulting from the operation by any person or organization of any nuclear facility included under the first two paragraphs of the definition of nuclear facility. Nuclear facility means a Any nuclear reactor b Any equipment or device designed or used for 1 separating the isotopes of uranium or plutonium 2 processing or utilizing spent fuel or 3 handling processing or packaging waste c Any equipment or device used for the processing fabricating or alloying of special nuclear material if at any time the total amount of such material in the custody of the insured at the premises where such equipment or device is located consists of or contains more than 25 grams of plutonium or uranium 233 or any combination thereof or more than 250 grams of uranium 235 Any structure basin excavation premises or place prepared or used for the storage or disposal of waste and includes the site on which any of the foregoing is located all operations conducted on such site and all premises used for such operations. Nuclear reactor means any apparatus designed or used to sustain nuclear fission in a self supporting chain reaction or to contain a critical mass of fissionable material. Property damage includes all forms of radioactive contamination of property. 5 ARy ALy SYUIpHstil Ul UEVILE UEsghield Ul Ustsud for 1 separating the isotopes of uranium or plutonium 2 processing or utilizing spent fuel or 3 handling processing or packaging waste supporting chain reaction or to contain a critical mass of fissionable material. Property damage includes all forms of radioactive contamination of property. IS0 Propetties Inc. 2007 IL 00 21 09 08 RWEL 01262014 Page 2 | 2 |
IL 014209 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OREGON CHANGES DOMESTIC PARTNERSHIP This endorsement modifies insurance provided under the following COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL LIABILITY UMBRELLA COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART EMPLOYMENT RELATED PRACTICES LIABILITY COVERAGE PART FARM COVERAGE PART FARM UMBRELLA LIABILITY POLICY LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCT WITHDRAWAL COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY A. The term spouse is replaced by the following resident of the individual s household including Spouse or individual who is in a domestic a ward or foster child if the Drive Other Car partnership recognized under Oregon law. Coverage Broadened Coverage For Named ttached. B. Under the Commercial Auto Coverage Part the N term family member is replaced by the following C. With respect to coverge for the wnershlp maintenance or use of covered autos provided Family member means a person related to the under the Commercial Liability Umbrella Coverage 1. Individual Named Insured by blood adoption Part the term family member is replaced by the marriage or domestic partnership recognized following under Oregon law who is a resident of such Family member means a person related to you Named Insyred s household including a ward by blood adoption marriage or domestic or foster child or partnership recognized under Oregon law who is a 2. Individual named in the Schedule by blood resident of your household including a ward or adoption marriage or domestic partnership foster child. recognized under Oregon law who is a IL 01 4209 08 RWEL 01262014 ISO Properties Inc. 2007 Page 1 | 2 |
IL 01470911 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ILLINOIS CHANGES CIVIL UNION This endorsement modifies insurance provided under the following COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL LIABILITY UMBRELLA COVERAGE PART FARM COVERAGE PART FARM UMBRELLA LIABILITY POLICY LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCT WITHDRAWAL COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY A. The term spouse is replaced by the following Ifrggillz Fiegii Krdg r goeof Spouse or party to a civil union recognized under Broadened Coverage For Named Individual Hllinois law. Endorsement is attached. B. Under the Commercial Auto Coverage Par the C. With respect to coverage for the ownership term family member is replaced by the followin Family member means a person related to the under the Commercial Liability Umbrella Coverage 1. Individual Named Insured by blood adoption Part the term family member is replaced by the marriage or civil union recognized under lllinois following law who is a resident of such Named Insured s Family member means a person related to you household including a ward or foster child or by blood adoption marriage or civil union 2. Individual named in the Schedule by blood recognized under llinuis law who is a residgnt of adoption marriage or civil union recognized your household including a ward or foster child. under Illincis law who is a resident of the maintenance oruseof covered autos provided IL 01470911 Insurance Services Office Inc. 2011 Page 1 of 1 | 2 |
IL01171210 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. INDIANA CHANGES WORKERS COMPENSATION EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL LIABILITY UMBRELLA COVERAGE PART EMPLOYMENT RELATED PRACTICES LIABILITY COVERAGE PART FARM LIABILITY COVERAGE FORM FARM UMBRELLA LIABILITY POLICY LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY. Forinsurance provided under the Commercial General Liability Coverage Part Commercial Liability Umbrella Coverage Part Employment Related Practices Liability Coverage Part Liquor Liability Coverage Part Medical Professional Liability Coverage Part Owners And Contractors Protective Liability Coverage Part Pollution Liability Coverage Part Products Completed Operations Liability Coverage Part Railroad Protective Liability Coverage Part Underground Storage Tank Policy The following is added to the Workers Compensation And Similar Laws Exclusion This exclusion also applies to any obligation of the insured under the Indiana Workers Compensation statutes arising out of the failure of the insured to exact from a contractor or subcontractor if the insured is a contractor a certificate from the workers compensation board showing that the contractor or subcontractor has complied with the applicable workers compensation insurance requirements. tothe WorkersCompensation Exclusion B. For insurance provided under the Commercial Automobile Coverage Part the following is added This exclusion also applies to any obligation of the insured under the Indiana Workers Compensation statutes arising out of the failure of the insured to exact from a contractor or subcontractor if the insured is a contractor a certificate from the workers compensation board showing that the contractor or subcontractor has complied with the applicable workers compensation insurance requirements.. For insurance provided under the Farm Liability Coverage Form and Farm Umbrella Liability Policy the following is added to the Workers Compensation Or Similar Law Exclusion This exclusion also applies to any obligation of the insured under the Indiana Workers Compensation statutes arising out of the failure of the insured to exact from a contractor or subcontractor if the insured is a contractor a certificate from the workers compensation board showing that the contractor or subcontractor has complied with the applicable workers compensation insurance requirements. Insurance Services Office Inc. 2010 L0117 1210 Page 1 | 2 |
IL01150110 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NEVADA CHANGES DOMESTIC PARTNERSHIP This endorsement modifies insurance provided under the following COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL LIABILITY UMBRELLA COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART FARM COVERAGE PART FARM UMBRELLA LIABILITY POLICY LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCT WITHDRAWAL COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY A. All references to spouse shall include an individual 2. Individual named in the Schedule by blood who is in a domestic partnership recognized under adoption marriage or domestic partnership Nevada law. recognized under Nevada law who is a resident of the individual s household including a ward or foster child if the Drive Other Car Coverage Broadened Coverage For Named Individual Endorsement is attached.. With respect to coverage for the ownership maintenance or use of covered autos provided under the Commercial Liability Umbrella Coverage Part the term family member is replaced by the following B. Under the Commercial AutoCoverage Part the term family member is replaced by the followin Family member means a person related to the 1. Individual Named Insured by blood adoption c. marriage or domestic partnership recognized under Nevada law who is a resident of such Named Insured s household including a ward or foster child or Family member means a person related to you by blood adoption marriage or domestic partnership recognized under Nevada law who is a resident of your household including a ward or foster child. Page 1 Insurance Services Office Inc. 2009 IL01 150110 | 2 |
IL 01410908 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NEW JERSEY CHANGES CIVIL UNION This endorsement modifies insurance provided under the following COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL LIABILITY UMBRELLA COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART EMPLOYMENT RELATED PRACTICES LIABILITY COVERAGE PART FARM COVERAGE PART FARM UMBRELLA LIABILITY POLICY LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCT WITHDRAWAL COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY A. The term spouse is replaced by the following individual s household including a ward or. foster child if the Drive Other Car Coverage Spouse or party to a civil union recognized under d X P party g Broadened Coverage For Named Individual Endorsement is attached D B. Under the Commercial Auto Coverage Part the. term family member is replaced by the following C. With respect to coverage for the ownership maintenance or use of covered autos provided under the Commercial Liability Umbrella Coverage 1. Individual Named Insured by blood adoption Part the term family member is replaced by the marriage or civil union recognized under New following Family member means a person related to the Jersey law who is a resident of such Named Family member means a person related to you Insured s household including a ward or foster by blood adoption marriage or civil union child or recognized under New Jersey law who is a 2. Individual named in the Schedule by blood resident of your household including a ward or adoption marriage or civil union recognized foster child. under New Jersey law who is a resident of the Insurance Services Office Inc. 2008 Page 1 1L 01410908 RWEL 01262014 | 2 |
IL 09 21 Ed. 04 84 RETROSPECTIVE PREMIUM ENDORSEMENT SHORT FORM The premium for this policy will be determined by the retrospective premium endorsement forming a part of policy number RAR943761301 Page 1of 1 o o Copyright Insurance Services Office Inc. 1984 Includes material of the National Council on Compensation Insurance Copyright 1984 used with its permission. IL 09 21 Ed. 04 84 o | 2 |
POLICY NUMBER RGR9437680 POLICY NUMBER RGR9437680 IL 09 8501 08 THIS ENDORSEMENT IS ATTACHED TO AND MADE PART OF YOUR POLICY IN RESPONSE TO THE DISCLOSURE REQUIREMENTS OF THE TERRORISM RISK INSURANCE ACT. THIS ENDORSEMENT DOES NOT GRANT ANY COVERAGE OR CHANGE THE TERMS AND CONDITIONS OF ANY COVERAGE UNDER THE POLICY. DISCLOSURE PURSUANT TO TERRORISM RISK INSURANCE ACT SCHEDULE Terrorism Premium Certified Acts Included age Forms andor Policys Additional information This premium is the total Certified Acts premium attributable to the following Coverage Parts Cover any concerning the terrorism premium Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Disclosure Of Premium In accordance with the federal Terrorism Risk In surance Act we are required to provide you with a notice disclosing the portion of your premium if any attributable to coverage for terrorist acts certi fied under the Terrorism Risk Insurance Act. The portion of your premium attributable to such cov erage is shown in the Schedule of this endorse ment or in the policy Declarations. B. Disclosure Of Federal Participation In Payment Of Terrorism Losses The United States Government Department of the Treasury will pay a share of terrorism losses in sured under the federal program. The federal share equals 85 of that portion of the amount of such insured losses that exceeds the applicable insurer retention. However if aggregate insured losses attributable to terrorist acts certified under the Terrorism Risk Insurance Act exceed 100 bil lion in a Program Year January 1 through De cember 31 the Treasury shall not make any payment for any portion of the amount of such losses that exceeds 100 billion. C. Cap On Insurer Participation In Payment Of Terrorism Losses If aggregate insured losses attributable to terrorist acts certified under the Terrorism Risk Insurance Act exceed 100 billion in a Program Year Janu ary 1 through December 31 and we have met our insurer deductible under the Terrorism Risk Insur ance Act we shall not be liable for the payment of any portion of the amount of such losses that ex ceeds 100 billion and in such case insured loss es up to that amount are subject to pro rata alloca tion in accordance with procedures established by the Secretary of the Treasury. cal infarmation if anv concarning fthe farroriem nremiim Page 1 of 1 m IS0 Properties Inc. 2007 IL 09 85 01 08 | 2 |
POLICY NUMBER RGR9437680 POLICY NUMBER RGR9437680 1L 09 90 01 08 MISSOURI DISCLOSURE PURSUANT TO TERRORISM RISK INSURANCE ACT SCHEDULE Terrorism Premium Certified Acts Included This premium is the total Certified Acts premium attributable to the following Coverage Parts Cover age Forms andor Policys Additional information if any concerning the terrorism premium NOTE The premium above is for certain losses resulting from certified acts of terrorism as covered pursuant to coverage provisions limitations and exclusions in this policy. You should read the defini tion in your policy carefufly but generally speaking certified acts of terrorism are acts that exceed 5 million in aggregate losses to the insurance industry and which are subsequently declared by the U.S. Secretary of the Treasury as a certified terrorist act under the Terrorism Risk Insurance Act. Some losses resulting from certified acts of terrorism are not covered. Read your policy and endorsements carefully. Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Disclosure Of Premium B. Disclosure Of Federal Participation In Payment In accordance with the federal Terrorism Risk In Of Terrorism Losses surance Act we are required to provide you with a The United States Government Department of the notice disclosing the portion of your premium if Treasury will pay a share of terrorism losses in any attributable to coverage for terrorist acts certi sured under the federal program. The federal fied under the Terrorism Risk Insurance Act. The share equals 85 of that portion of the amount of portion of your premium atfributable to such cov such insured losses that exceeds the applicable erage is shown in the Schedule of this endorse insurer retention. However if aggregate insured ment or in the policy Declarations. losses attributable to terrorist acts certified under the Terrorism Risk Insurance Act exceed 100 bil lion in a Program Year January 1 through De cember 31 the Treasury shall not make any payment for any portion of the amount of such losses that exceeds 100 billion. dditional information if any concerning the terrorism premium IL 09 90 01 08 IS0 Properties Inc. 2007 Page 10f2 o | 2 |
C. Cap On Insurer Participation In Payment Of Terrorism Losses If aggregate insured losses attributable to terrorist acts certified under the Terrorism Risk Insurance Act exceed 100 billion in a Program Year Janu ary 1 through December 31 and we have met our insurer deductible under the Terrorism Risk Insur ance Act we shall not be liable for the payment of any portion of the amount of such losses that ex ceeds 100 billion and in such case insured loss es up to that amount are subject to pro rata alloca tion in accordance with procedures established by the Secretary of the Treasury. Page 2 of 2 ISO Properties Inc. 2007 iL 09 900108 o | 2 |
COMMERCIAL GENERAL LIABILITY CG 00010413 COMMERCIAL GENERAL LIABILITY COVERAGE FORM Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights duties and what is and is not covered. Throughout this policy the words you and your refer to the Named Insured shown in the Declarations and any other person or organization qualifying as a Named Insured under this policy. The words we us and our refer to the company providing this insurance. The word insured means any person or organization qualifying as such under Section Il Who Is An Insured. Other words and phrases that appear in quotation marks have special meaning. Refer to Section V Definitions. SECTION COVERAGES COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY 1. Insuring Agreement becomes legally obligated to pay as damages because of bodily injury or property damage to which this insurance applies. We will have the right and duty to defend the insured against any suit seeking those damages. However we will have no duty to defend the insured against any suit seeking damages for bodily injury or property damage to which this insurance does not apply. We may at our discretion investigate any occurrence and settle any claim or suit that may result. But 1 The amount we will pay for damages is limited as described in Section Il Limits Of Insurance and 2 Our right and duty to defend ends when we have used up the applicable limit of insurance in the payment of judgments or settlements under Coverages A or B or medical expenses under Coverage C. No other obligation or liability to pay sums or perform acts or services is covered unless explicitly provided for under Supplementary Payments Coverages A and B. b. This insurance applies to bodily injury and property damage only if sums that the insured 1 The bodily injury or property damage is caused by an occurrence that takes place in the coverage territory 2 The bodily injury or property damage occurs during the policy period and 3 Prior to the policy period no insured listed under Paragraph 1. of Section Il Who Is An Insured and no employee authorized by you to give or receive notice of an occurrence or claim knew that the bodily injury or property damage had occurred in whole or in part. If such a listed insured or authorized employee knew prior to the policy period that the bodily injury or property damage occurred then any continuation change or resumption of such bodily injury or property damage during or after the policy period will be deemed to have been known prior to the policy period. Bodily injuryorproperty damagewhich occurs during the policy period and was not prior to the policy period known to have occurred by any insured listed under Paragraph 1. of Section Il Who Is An Insured or any employee authorized by you to give or receive notice of an occurrence or claim includes any continuation change or resumption of that bodily injury or property damage after the end of the policy period.. Bodily injury or property damage will be deemed to have been known to have occurred at the earliest time when any insured listed under Paragraph 1. of Section Il Who Is An Insured or any employee authorized by you to give or receive notice of an occurrence or claim 1 Reports all or any part of the bodily injury or property damage to us or any other insurer 2 Receives a written or verbal demand or claim for damages because of the bodily injury or property damage or 3 Becomes aware by any other means that bodily injury or property damage has occurred or has begun to occur. CG 00010413 Insurance Services Office Inc. 2012 Page 1 of 16 | 0 |
e. Damages because of bodily injury include 3 Any statute ordinance or regulation damages claimed by any person or relating to the sale gift distribution or use organization for care loss of services or death of alcoholic beverages. resulting at any time from the bodily injury. This exclusion applies even if the claims 2. Exclusions against any insured allege negligence or other This insurance does not apply to wrongdoing in a. Expected Or Intended Injui Thgsupewision hiring employment pe R aury Y training or monitoring of others by that BcJdlly injury or property damage expected insured or or intended from the standpoint of the insured. L N This exclusion does not apply to bodily injury b Providing L or.fag to provide resulting from the use of reasonable force to transportation with respect to any protect persons or property. person that may be under the influence of alcohol b. Contractual Liabilit BRI e v. if the occurrence which caused the bodily Bodlly lnjurj or property damage for which injury or property damage involved that the insured is obligated to pay damages by which is described in Paragraph 1 2 or 3 reason of the assumption of liability in a above. contract or agreement. This exclusion does not apply to iabiy for damages However this exclusion applies only if you are in the business of manufacturing distributing 1 That the insured would have in the selling serving or fumishing alcoholic absence of the contract or agreement or beverages. For the purposes of this exclusion 2 Assumed in a contract or agreement that is permitting a person to bring alcoholic an insured contract provided the bodily beverages on your premises for consumption injury or property damage occurs on your premises whether or not a fee is subsequent to the execution of the charged or a license is required for such contract or agreement. Solely for the activity is not by itself considered the business purposes of liability assumed inm an of sellingserving or furnishing alcoholic insured contract reasonable attorneys beverages. fees and necessary litigation expenses d. Workers Compensation And Similar Laws incurred by or for a party other than an.. insured are deemed to be damages Any ubllgatlon of the msured under a workers because of bodily injury or property compensation disability benefits or damage provided unemployment compensation law or any y y similar law. a Liability to such party for or for the. cost of that party s defense has also e. Employer s Liability been assumed in the same insured Bodily injury to contract and 1 An employee of the insured arising out of b Such attorneys fees and litigation and in the course of expenses are for defense of that party Empl it by the i d against a civil or alternative dispute a Employment by the insured or resolution proceeding in which b Performing duves reatetl to the damages to which this insurance conduct of the insured s business or applies are alleged 2 The spouse child parent brother or sister c. Liquor Liability of that employee as a consequence of Paragraph 1 above. Bodily injury or property damage for which any insured may be held liable by reason of This bexlus on applies vlvhether the InsuLed may be liable as an employer or in any other Cfauslng or cnlnbunng to the intoxication capacity and to any obligation to share ofany person damages with or repay someone else who 2 The furnishing of alcoholic beverages to a must pay damages because of the injury. person under the legal dkg age or This exclusion does not apply to liability under the influence of alcohol or assumed by the insured under an insured contract. CG 00010413 Insurance Services Office Inc. 2012 Page 2 of 16 | 1 |
f. Pollution 1 Bodily injury or property damage arising out of the actual alleged or threatened discharge dispersal seepage migration release or escape of poliutants a At or from any premises site or location which is or was at any time owned or occupied by or rented or loaned to any insured. However this subparagraph does not apply to i Bodily injury if sustained within a building and caused by smoke fumes vapor or soot produced by or originating from equipment that is used to heat cool or dehumidify the building or equipment that is used to heat water for personal use by the building s occupants or their guests ii Bodily injury or property damage for which you may be held liable if you are a contractor and the owner or lessee of such premises site or location has been added to your policy as an additional insured with respect to your performed for that additional insured at that premises site or location and such premises site or location is not and never was owned or occupied by or rented or loaned to any insured other than that additional insured or Bodily injury or property damage arising out of heat smoke or fumes from a hostile fire b At or from any premises site or location which is or was at any time used by or for any insured or others for the handling storage disposal processing or treatment of waste c Which are or were at any time transported handled stored treated disposed of or processed as waste by or for i Any insured or i Any person or organization for whom you may be legally responsible or ongoingoperations d At or from any premises site or location on which any insured or any contractors or subcontractors working directly or indirectly on any insured s behalf are performing operations if the pollutants are brought on or to the premises site or location in connection with such operations by such insured contractor or subcontractor. However this subparagraph does not apply to i Bodily injury or property damage arising out of the escape of fuels lubricants or other operating fluids which are needed to perform the normal electrical hydraulic or mechanical functions necessary for the operation of mobile equipment or its parts if such fuels lubricants or other operating fluids escape from a vehicle part designed to hold store or receive them. This exception does not apply if the bodily injury or property damage arises out of the intentional discharge dispersal or release of the fuels lubricants or other operating fluidsor if such. fuels lubricants or other operating fluids are brought on or to the premises site or location with the intent that they be discharged dispersed or released as part of the operations being performed by such insured contractor or subcontractor ii Bodily injury or property damage sustained within a building and caused by the release of gases fumes or vapors from materials brought into that building in connection with operations being performed by you or on your behalf by a contractor or subcontractor or Bodily injury or property damage arising out of heat smoke or fumes from a hostile fire. Insurance Services Office Inc. 2012 Page 3 of 16 CG 00010413 | 1 |
e At or from any premises site or location on which any insured or any contractors or subcontractors working directly or indirectly on any insured s behalf are performing operations if the operations are to test for monitor clean up remove contain treat detoxify or neutralize or in any way respond to or assess the effects of pollutants. 2 Any loss cost or expense arising out of any a Request demand order or statutory or regulatory requirement that any insured or others test for monitor clean up remove contain treat detoxify or neutralize or in any way respond to or assess the effects of poliutants or Claim or suit by or on behalf of a governmental authority for damages because of testing for monitoring cleaning up removing containing treating detoxifying or neutralizing or in any way responding to or assessing the effects of pollutants. b liability for damages because of property damage that the insured would have in the absence of such request demand order or statutory or regulatory requirement or such claim or suit by or on behalf of a governmental authority. Aircraft Auto Or Watercraft Bodily injury or property damage arising out of the ownership maintenance use or entrustment to others of any aircraft auto or watercraft owned or operated by or rented or loaned to any insured. Use includes operation and loading or unloading. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others by that insured if the occurrence which caused the bodily injury or property damage involved the ownership maintenance use or entrustment to others of any aircraft auto or watercraft that is owned or operated by or rented or loaned to any insured. This exclusion does not apply to 1 A watercraft while ashore on premises you own or rent However.this paragraph does not apply to 2 A watercraft you do not own that is a Less than 26 feet long and b Not being used to carry persons or property for a charge 3 Parking an auto on or on the ways next to premises you own or rent provided the auto is not owned by or rented or loaned to you or the insured 4 Liability assumed under any insured contract for the ownership maintenance or use of aircraft or watercraft or 5 Bodily injury or property damage arising out of a The operation of machinery or equipment that is attached to or part of a land vehicle that would qualify under the definition of mobile equipment if it were not subject to a compulsory or financial responsibility law or other motor vehicle insurance law where it is licensed or principally garaged or b The operation of any of the machinery or equipment listed in Paragraph f.2 or f.3 of the definition of mobile Bodily injury or property damage arising out of 1 The transportation of mobile equipment by an auto owned or operated by or rented or loaned to any insured or 2 The use of mobile equipment in or while in practice for or while being prepared for any prearranged racing speed demolition or stunting activity. War Bodily injury or property damage however caused arising directly or indirectly out of 1 War including undeclared or civil war 2 Warlike action by a military force including action in hindering or defending against an actual or expected attack by any government sovereign or other authority using military personnel or other agents or Insurrection rebellion revolution usurped power or action taken by governmental authority in hindering or defending against any of these. Insurance Services Office Inc. 2012 CG 00010413 Page 4 of 16 | 1 |
Damage To Property Property damage to 1 Property you own rent or occupy including any costs or expenses incurred by you or any other person organization or entity for repair replacement enhancement restoration or maintenance of such property for any reason including prevention of injury to a person or damage to another s property Premises you sell give away or abandon if the property damage arises out of any part of those premises 3 Property loaned to you 4 Personal property in the care custody or control of the insured 5 That particular part of real property on which you or any contractors or subcontractors working directly or indirectly on your behalf are performing operations if the property damage arises out of those operations or That particular part of any property that must be restored repaired or replaced because your work was incorrectly perfermed on it Paragraphs 1 3 and 4 of this exclusion do not apply to property damage other than damage by fire 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 lll Limits Of Insurance. Paragraph 2 of this exclusion does not apply if the premises are your work and were never occupied rented or held for rental by you. Paragraphs 3 4 5 and 6 of this exclusion do not apply to liability assumed under a sidetrack agreement. Paragraph 6 of this exclusion does not apply to property damage included in the products completed operations hazard. Damage To Your Product Property damage to your product arising out of it or any part of it. 2 G Property Damage To Your Work Property damage to your work arising out of it or any part of it and included in the products completed operations hazard. This exclusion does not apply if the damaged work or the work out of which the damage arises was performed on your behalf by a subcontractor.. Damage To Impaired Property Or Property Not Physically Injured Property damage to impaired property or property that has not been physically injured arising out of 1 A defect deficiency inadequacy or dangerous condition in your product or your work or 2 A delay or failure by you or anyone acting on your behalf to perform a contract or agreement in accordance with its terms. This exclusion does not apply to the loss of use of other property arising out of sudden and accidental physical injury to your product or your work after it has been put to its intended use. Recall Of Products Work Or Imy d Damages claimed for any loss cost or expense incurred by you or others for the loss of use withdrawal recall inspection repair replacement adjustment removal or disposal of 1 Your product 2 Your work or 3 Impaired property if such product work or property is withdrawn or recalled from the market or from use by any person or organization because of a known or suspected defect deficiency inadequacy or dangerous condition in it. Personal And Advertising Injury Bodily injury arising out of personal and advertising injury. Electronic Data Damages arising out of the loss of loss of use of damage to corruption of inability to access or inability to manipulate electronic data. CG 00010413 Insurance Services Office Inc. 2012 Page 5 of 16 | 1 |
However this exclusion does not apply to liability for damages because of bodily injury. As used in this exclusion electronic data means information facts or programs stored as or on created or used on or 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. q. Recording And Distribution Of Material Or Information In Violation Of Law Bodily injury or property damage arising directly or indirectly out of any action or omission that violates or is alleged to violate 1 The Telephone Consumer Protection Act TCPA including any amendment of or addition to such law 2 The CAN SPAM Act of 2003 including any amendment of or addition to such law 3 The Fair Credit Reporting Act FCRA and any amendment of or addition to such law including the Fair and Accurate Credit Transactions Act FACTA or ordinance or regulation other than the TCPA CAN SPAM Act of 2003 or FCRA and their amendments and additions that addresses prohibits or limits the printing dissemination disposal collecting recording sending transmitting communicating or distribution of material or information. Exclusions c. through n. do not apply to damage by fire to premises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to this coverage as described in Section Il Limits Of Insurance. 4Any federalstate or local statute 1 The amount we will pay for damages is limited as described in Section Iil Limits Of nsurance and 2 Our right and duty to defend end when we have used up the applicable limit of insurance in the payment of judgments or settlements under Coverages A or B or medical expenses under Coverage C. No other obligation or liability to pay sums or perform acts or services is covered unless explicitly provided for under Supplementary Payments Coverages A and B. b. This insurance applies to personal and advertising injury caused by an offense arising out of your business but only if the offense was committed in the coverage territory during the policy period. 2. Exclusions This insurance does not apply to a. Knowing Violation Of Rights Of Another Personal and advertising injury caused by or at the direction of the insured with the knowledge that the act would violate the rights of another and would inflict personal and advertising injury. Material Published With Knowledge Of Falsity Personal and advertising injury arising out of oral or written publication in any manner of material if done by or at the direction of the insured with knowledge of its falsity. c. Material Published Prior To Policy Period Personal and advertising injury arising out of oral or written publication in any manner of material whose first publication took place before the beginning of the policy period. d. Criminal Acts Personal and advertising injury arising out of a criminal act committed by or at the direction COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY of the insured. e. Contractual Liability CG 00010413 1. Insuring Agreement a. We will pay those sums that the insured becomes legally obligated to pay as damages because of personal and advertising injury to which this insurance applies. We will have the right and duty to defend the insured against any suit seeking those damages. However we will have no duty to defend the insured against any suit seeking damages for personal and advertising injury to which this insurance does not apply. We may at our discretion investigate any offense and settle any claim or suit that may result. But Insurance Services Office Inc. 2012 Personal and advertising injury for which the insured has assumed liability in a contract or agreement. This exclusion does not apply to liability for damages that the insured would have in the absence of the contract or agreement. f. Breach Of Contract Personal and advertising injury arising out of a breach of contract except an implied contract to use another s advertising idea in your advertisement. Page 6 of 16 A S AM Act of 2003 or FCRA iments and additions that ibits or limits the printing disposal collecting sending transmitting or distribution of material. do not apply to damage while rented to you or you with permission of the of insurance applies to this in Section Il Limits Of L AND ADVERTISING sums that the insured igated to pay as damages al and advertising injury to applies. We will have the efend the insured against those damages. However uty to defend the insured seeking damages for rtising injury to which this t apply. We may at our te any offense and settle 1at may result. But Page 6 of 16 | 1 |
Quality Or Performance Of Goods Failure To Conform To Statements Personal and advertising injury arising out of the failure of goods products or services to conform with any statement of quality or performance made in your advertisement. Wrong Description Of Prices Personal and advertising injury arising out of the wrong description of the price of goods products or services stated in your advertisement. Infringement Of Copyright Patent Trademark Or Trade Secret Personal and advertising injury arising out of the infringement of copyright patent trademark trade secret or other intellectual property rights. Under this exclusion such other intellectual property rights do not include the use of another s advertising idea in your advertisement. However this exclusion does not apply to infringement in your advertisement of copyright trade dress or slogan. Insureds In Media And Internet Type Businesses ersonal an insured whose business is 1 Advertising broadcasting publishing or telecasting 2 Designing or determining content of web sites for others or 3 An Internet search access content or service provider. However this exclusion does not apply to Paragraphs 14.a. b. and c. of personal and advertising injury under the Definitions section. For the purposes of this exclusion the placing of frames borders or links or advertising for you or others anywhere on the Internet is not by itself considered the business of advertising broadcasting publishing or telecasting. Electronic Chatrooms Or Bulletin Boards Personal and advertising injury arising out of an electronic chatroom or bulletin board the insured hosts owns or over which the insured exercises control. responding to.or assessing the effects of. Unauthorized Use Of Another s Name Or Product Personal and advertising injury arising out of the unauthorized use of another s name or product in your e mail address domain name or metatag or any other similar tactics to mislead another s potential customers.. Pollution Personal and advertising injury arising out of the actual alleged or threatened discharge dispersal seepage migration release or escape of pollutants at any time. Pollution related Any loss cost or expense arising out of any 1 Request demand order or statutory or regulatory requirement that any insured or others test for monitor clean up remove contain treat detoxify or neutralize or in any way respond to or assess the effects of pollutants or Claim or suit by or on behalf of a governmental authority for damages because of testing for monitoring cleaning up removing containing treating detoxifying or neutralizing or in any way 2 poliutants. War Personal and advertising injury however caused arising directly or indirectly out of 1 War including undeclared or civil war 2 Warlike action by a military force including action in hindering or defending against an actual or expected attack by any government sovereign or other authority using military personnel or other agents or Insurrection rebellion revolution usurped power or action taken by governmental authority in hindering or defending against any of these. Recording And Distribution Of Material Or Information In Violation Of Law Personal and advertising injury arising directly or indirectly out of any action or omission that violates or is alleged to violate 1 The Telephone Consumer Protection Act TCPA including any amendment of or addition to such law 2 The CAN SPAM Act of 2003 including any amendment of or addition to such faw Page 7 of 16 CG 00010413 Insurance Services Office Inc. 2012 | 1 |
CG 00010413 3 The Fair Credit Reporting Act FCRA and any amendment of or addition to such law including the Fair and Accurate Credit Transactions Act FACTA or 4 Any federal state or local statute ordinance or regulation other than the TCPA CAN SPAM Act of 2003 or FCRA and their amendments and additions that addresses prohibits or limits the printing dissemination disposal collecting recording sending transmitting communicating or distribution of material or information. COVERAGE C MEDICAL PAYMENTS Insuring Agreement a. We will pay medical expenses as described below for bodily injury caused by an accident 1 On premises you own or rent 2 On ways next to premises you own or rent or 3 Because of your operations provided that a The accident takes place in the coverage territory and during the policy peri b The expenses are reported to us within one year of the date of the accident and c The injured person submits to examination at our expense by physicians of our choice as often as we reasonably require. b. We will make these payments regardless of fault. These payments will not exceed the applicable limit of insurance. We will pay reasonable expenses for 1 First aid administered at the time of an accident 2 Necessary medical surgical X ray and dental services including prosthetic devices and 3 Necessary ambulance hospital professional nursing and funeral services. 2. Exclusions We will not pay expenses for bodily injury a. Any Insured To any insured except volunteer workers. b. Hired Person To a person hired to do work for or on behalf of any insured or a tenant of any insured. c. Injury On Normally Occupied Premises To a person injured on that part of premises you own or rent that the person normally occupies. d. Workers Compensation And Similar Laws To a person whether or not an employee of any insured if benefits for the bodily injury are payable or must be provided under a workers compensation or disability benefits law or a similar law. e. Athletics Activities To a person injured while practicing instructing or participating in any physical exercises or games sports or athletic contests. f. Products Completed Operations Hazard Included within the products completed operations hazard. g. Coverage A Exclusions Excluded under Coverage A. SUPPLEMENTARY PAYMENTS COVERAGES A ANDB 1. Insurance Services Office Inc. 2012 We will pay with respect to any claim we investigate or settle or any suit against an insured we defend a. All expenses we incur. b. Up to 250 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. c. The cost of bonds to release attachments but only for bond amounts within the applicable limit of insurance. We do not have to furnish these bonds. d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or suit including actual loss of earnings up to 250 a day because of time off from work. e. All court costs taxed against the insured in the suit. However these payments do not include attorneys fees or attorneys expenses taxed against the insured. f. Prejudgment interest awarded against the insured on that part of the judgment we pay. If we make an offer to pay the applicable limit of insurance we will not pay any prejudgment interest based on that period of time after the offer. Page 8 of 16 Page 8 of 16 CG 00010413 | 1 |
g. Allinterest on the fuli amount of any judgment that accrues after entry of the judgment and before we have paid offered to pay or deposited in court the part of the judgment that is within the applicable limit of insurance. These payments will not reduce the limits of insurance. If we defend an insured against a suit and an indemnitee of the insured is also named as a party to the suit we will defend that indemnitee if all of the following conditions are met a. The suit against the indemnitee seeks damages for which the insured has assumed the liability of the indemnitee in a contract or agreement that is an insured contract b. This insurance applies to such assumed by the insured c. The obligation to defend or the cost of the defense of that indemnitee has also been assumed by the insured in the same insured contract d. The allegations in the suit and the information we know about the occurrence are such that no conflict appears to exist between the interests of the insured and the lemnitee e. The indemnitee and the insured ask us to conduct and control the defense of that indemnitee against such suit and agree that we can assign the same counsel to defend the insured and the indemnitee and f. The indemnitee 1 Agrees in writing to a Cooperate with us in the investigation settlement or defense of the suit Immediately send us copies of any demands notices summonses or legal papers received in connection with the suit Notify any other coverage is indemnitee and Cooperate with us with respect to coordinating other applicable insurance available to the indemnitee and liabitity b c insurer whose available to the d 2 Provides us with written authorization to a Obtain records and other information related to the suit and b Conduct and control the defense of the indemnitee in such suit. So long as the above conditions are met attorneys fees incurred by us in the defense of that indemnitee necessary litigation expenses incurred by us and necessary litigation expenses incurred by the indemnitee at our request will be paid as Supplementary Payments. Notwithstanding the provisions of Paragraph 2.b.2 of Section Coverage A Bodily Injury And Property Damage Liability such payments will not be deemed to be damages for bodily injury and property damage and will not reduce the limits of insurance. Our obligation to defend an insured s indemnitee and to pay for attorneys fees and necessary litigation expenses as Supplementary Payments ends when we have used up the applicable limit of insurance in the payment of judgments or settlements or the conditions set forth above or the terms of the agreement described in Paragraph f. above are no longer met. SECTION Il WHO IS AN INSURED If you are designated in the Declarations as a. An individual you and your spouse are insureds but only with respect to the conduct of a business of which you are the sole owner. b. A partnership or joint venture you are an insured. Your members your partners and respect to the conduct of your business. c. A limited liability company you are an insured. Your members are also insureds but only with respect to the conduct of your business. Your managers are insureds but only with respect to their duties as your managers. d. An organization other than a partnership joint venture or limited liability company you are an insured. Your executive officers and directors are insureds but only with respect to their duties as your officers or directors. Your stockholders are also insureds but only with respect to their liability as stockholders. e. A trust you are an insured. Your trustees are also insureds but only with respect to their duties as trustees. their spouses are also insureds but only with CG 00010413 Insurance Services Office Inc. 2012 Page 9 of 16 | 1 |
2. Each of the following is also an insured a. Your volunteer workers only while performing duties related to the conduct of your business or your employees other than either your executive officers if you are an organization other than a partnership joint venture or limited liability company or your managers if you are a limited liability company but only for acts within the scope of their employment by you or while performing duties related to the conduct of your business. However none of these employees or volunteer workers are insureds for 1 Bodily injury or personal and advertising injury a To you to your partners or members if you are a partnership or joint venture to your members if you are a limited liability company to a co employee while in the course of his or her employment or performing duties related to the conduct of your business or to your other volunteer workers while performing duties related to the conduct of your business sister of that coemployee or volunteer worker as a consequence of Paragraph 1a above c For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in Paragraph 1a or b above or d Arising out of his or her providing or failing to provide professional health care services. Property damage to property a Owned occupied or used by b Rented to in the care custody or control of or over which physical control is being exercised for any purpose by you any of your employees volunteer workers any partner or member if you are a partnership or joint venture or any member if you are a limited liability company. b. Any person other than your employee or volunteer worker or any organization while acting as your real estate manager. 2 thTo the spousechildparentbrother or c. Any person or organization having proper temporary custody of your property if you die but only 1 With respect to liability arising out of the maintenance or use of that property and 2 Until your legal representative has been appointed. d. Your legal representative if you die but only with respect to duties as such. That representative will have all your rights and duties under this Coverage Part. 3. Any organization you newly acquire or form other than a partnership joint venture or limited liability company and over which you maintain ownership or majority interest will qualify as a Named Insured if there is no other similar insurance available to that organization. However a. Coverage under this provision is afforded only until the 90th day after you acquire or form the organization or the end of the policy period whichever is earlier b. Coverage A does not apply to bodily injury or property damage that occurred before you acquired or formed the organization and c. Coverage B does not apply to personal and committed before you acquired or formed the organization. No person or organization is an insured with respect to the conduct of any current or past partnership joint venture or limited liability company that is not shown as a Named Insured in the Declarations. SECTION Il LIMITS OF INSURANCE 1. The Limits of Insurance shown in the Declarations and the rules below fix the most we will pay regardless of the number of a. Insureds b. Claims made or suits brought or c. Persons or organizations making claims or bringing suits. 2. The General Aggregate Limit is the most we will pay for the sum of a. Medical expenses under Coverage C b. Damages under Coverage A except damages because of bodily injury or property damage included in the products completed operations hazard and c. Damages under Coverage B. advertising injuryarising out of an offense Insurance Services Office Inc. 2012 CG 00010413 Page 10 of 16 | 1 |
3. The Products Completed Operations Aggregate Limit is the most we will pay under Coverage A for damages because of bodily injury and property damage included in the products completed operations hazard. 4. Subject to Paragraph 2. above the Personal And Advertising Injury Limit is the most we will pay under Coverage B for the sum of all damages because of all personal and advertising injury sustained by any one person or organization. 5. Subject to Paragraph 2. or 3. above whichever applies the Each Occurrence Limit is the most we will pay for the sum of a. Damages under Coverage A and b. Medical expenses under Coverage C because of all bodily injury and property damage arising out of any one occurrence. 6. Subject to Paragraph 5. above the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of property damage to any one premises while rented to you or in the case of damage by fire while rented to you or temporarily occupied by you with permission of the owner. 7. Subject to Paragraph 5. above the Medical Coverage C for all medical expenses because of bodily injury sustained by any one person. The Limits of Insurance of this Coverage Part apply separately to each consecutive annual period and to any remaining period of less than 12 months starting with the beginning of the policy period shown in the Declarations unless the policy period is extended after issuance for an additional period of less than 12 months. In that case the additional period will be deemed part of the last preceding period for purposes of determining the Limits of Insurance. SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS 1. Bankruptcy Bankruptey or insolvency of the insured or of the insured s estate will not relieve us of our obligations under this Coverage Part. 2. Duties In The Event Of Occurrence Offense Claim Or Suit a. You must see to it that we are notified as soon as practicable of an occurrence or an offense which may result in a claim. To the extent possible notice should include 1 How when and where the occurrence or offense took place 2 The names and addresses of any injured persons and witnesses and CG 00010413 Expense Limit is the most we will pay under Insurance Services Office Inc. 2012 3 The nature and location of any injury or damage arising out of the occurrence or offense. b. If a claim is made or suit is brought against any insured you must 1 Immediately record the specifics of the claim or suit and the date received and 2 Notify us as soon as practicable. You must see to it that we receive written notice of the claim or suit as soon as practicable.. You and any other involved insured must 1 Immediately send us copies of any demands notices summonses or legal papers received in connection with the claim or suit 2 Authorize us to obtain records and other information 3 Cooperate with us in the investigation or settlement of the claim or defense against the suit and 4 Assist us upon our request in the enforcement of any right against any person or organization which may be liable to the insured because of injury or damage to which this insurance may also apply. d. No insured will except at that insured s own cost voluntarily make a payment assume any obligation or incur any expense other than for first aid without our consent. Legal Action Against Us No person or organization has a right under this Coverage Part a. To join us as a party or otherwise bring us into a suit asking for damages from an insured or b. To sue us on this Coverage Part unless all of its terms have been fully complied with. A person or organization may sue us to recover on an agreed settlement or on a final judgment against an insured but we will not be liable for damages that are not payable under the terms of this Coverage Part or that are in excess of the applicable limit of insurance. An agreed settlement means a settlement and release of liability signed by us the insured and the claimant or the claimant s legal representative. Other Insurance If other valid and collectible insurance is available to the insured for a loss we cover under Coverages A or B of this Coverage Part our obligations are limited as follows Page 11 of 16 Page 11 of 16 | 1 |
a. CG 00010413 Primary Insurance This insurance is primary except when Paragraph b. below applies. If this insurance is primary our obligations are not affected unless any of the other insurance is also primary. Then we will share with all that other insurance by the method described in Paragraph c. below. Excess Insurance 1 This insurance is excess over a Any of the other insurance whether primary excess contingent or on any other basis i That is Fire Extended Coverage Builder s Risk Installation Risk or similar coverage for your work i That is Fire insurance for premises rented to you or temporarily occupied by you with permission of the owner That is insurance purchased by you to cover your liability as a tenant for property damage to premises rented to you or temporarily occupied by you with iv If the loss arises out of the maintenance or use of aircraft autos or watercraft to the extent not subject to Exclusion g. of Section Coverage A Bodily Injury And Property Damage Liability. b Any other primary insurance available to you covering liability for damages arising out of the premises or operations or the products and completed operations for which you have been added as an additional insured When this insurance is excess we will have no duty under Coverages A or B to defend the insured against any suit if any other insurer has a duty to defend the insured against that suit. If no other insurer defends we will undertake to do s0 but we will be entitled to the insured s rights against all those other insurers. 3 When this insurance is excess over other insurance we will pay only our share of the amount of the loss if any that exceeds the sum of 2 permission of the owneror Insurance Services Office Inc. 2012 a The total amount that all such other insurance would pay for the loss in the absence of this insurance and b The total of all deductible and self insured amounts under all that other insurance. 4 We will share the remaining loss if any with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part.. Method Of Sharing If all of the other insurance permits contribution by equal shares we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains whichever comes first. If any of the other insurance does not permit contribution by equal shares we will contribute by limits. Under this method each insurer s share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. remium Audi a. We will compute all premiums for this Coverage Part in accordance with our rules and rates. b. Premium shown in this Coverage Part as advance premium is a deposit premium only. At the close of each audit period we will compute the earned premium for that period and send notice to the first Named Insured. The due date for audit and retrospective premiums is the date shown as the due date on the bill. If the sum of the advance and audit premiums paid for the policy period is greater than the earned premium we will return the excess to the first Named Insured. c. The first Named Insured must keep records of the information we need for premium computation and send us copies at such times as we may request. 6. Representations By accepting this policy you agree a. The statements in the Declarations are accurate and complete b. Those statements are based upon representations you made to us and c. We have issued this policy in reliance upon your representations. Page 12 of 16 Page 12 of 16 CG 00010413 | 1 |
Separation Of Insureds Except with respect to the Limits of Insurance and any rights or duties specifically assigned in this Coverage Part to the first Named Insured this insurance applies a. As if each Named nsured were the only Named Insured and b. Separately to each insured against whom claim is made or suit is brought. Transfer Of Rights Of Recovery Against Others ToUs If the insured has rights to recover all or part of any payment we have made under this Coverage Part those rights are transferred to us. The insured must do nothing after loss to impair them. At our request the insured will bring suit or transfer those rights to us and help us enforce them. When We Do Not Renew If we decide not to renew this Coverage Part we will mail or deliver to the first Named Insured shown in the Declarations written notice of the nonrenewal not less than 30 days before the expiration date. If notice is mailed proof of mailing will be sufficient proof of notice. SECTION V DEFINITIONS 1. CG 00010413 Advertisement means a notice that is broadcast or published to the general public or specific market segments about your goods products or services for the purpose of aftracting customers or supporters. For the purposes of this definition a. Notices that are published include material placed on the Internet or on similar electronic means of communication and b. Regarding web sites only that part of a web site that is about your goods products or services for the purposes of attracting customers or supporters is considered an advertisement. Auto means a. A land motor vehicle trailer or semitrailer designed for travel on public roads including any attached machinery or equipment or b. Any other land vehicle that is subject to a compulsory or financial responsibility law or other motor vehicle insurance law where it is licensed or principally garaged. However auto include equipment. Bodily injury means bodily injury sickness or disease sustained by a person including death resulting from any of these at any time. does not mobile 4. 5 6. 7. 8. Insurance Services Office Inc. 2012 Employee includes Coverage territory means a. The United States of America including its territories and possessions Puerto Rico and Canada b. International waters or airspace but only if the injury or damage occurs in the course of travel or transportation between any places included in Paragraph a. above or c. All other parts of the world if the injury or damage arises out of 1 Goods or products made or sold by you in the territory described in Paragraph a. above The activities of a person whose home is in the territory described in Paragraph a. above but is away for a short time on your business or 2 3 Personal and advertising injury offenses that take place through the Internet or similar electronic means of communication provided the insured s responsibility to pay damages is determined in a suit on the merits in the territory described in Paragraph a. above or in a settlement we agree to. Employee does not include a temporary worker. Executive officer means a person holding any of the officer positions created by your charter constitution bylaws or any other similar governing document. Hostile fire means one which becomes uncontrollable or breaks out from where it was intended to be. Impaired property means tangible property other than your product or your work that can not be used or is less useful because a. It incorporates your product or your work that is known or thought to be defective deficient inadequate or dangerous or b. You have failed to fulfill the terms of a contract or agreement if such property can be restored to use by the repair replacement adjustment or removal of your product or your work or your fulffilling the terms of the contract or agreement. Page 13 of 16 Page 13 of 16 | 1 |
Insured contract means a. A contract for a lease of premises. However that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire to premises while rented to you or temporarily occupied by you with permission of the owner is not an insured contract A sidetrack agreement Any easement or license agreement except in connection with construction or demolition operations on or within 50 feet of a railroad An obligation as required by ordinance to indemnify a municipality except in connection with work for a municipality An elevator maintenance agreement That part of any other contract or agreement pertaining to your business including an indemnification of a municipality in connection with work performed for a municipality under which you assume the tort liability of another party to pay for bodily injury or property damage to a third person or organization. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. Paragraph f. does not include that part of any contract or agreement 1 That indemnifies a railroad for bodily injury or property damage arising out of construction or demoliton operations within 50 feet of any railroad property and affecting any railroad bridge or trestle tracks road beds tunnel underpass or crossing That indemnifies an architect engineer or surveyor for injury or damage arising out of a Preparing approving or failing to prepare or approve maps shop drawings opinions reports surveys field orders change orders or drawings and specifications or b Giving directions or instructions or failing to give them if that is the primary cause of the injury or damage or 2 3 Under which the insured if an architect engineer or surveyor assumes liability for an injury or damage arising out of the insured s rendering or failure to render professional services including those listed in 2 above and supervisory inspection architectural or engineering activities. 10. Leased worker means a person leased to you by a labor leasing firm under an agreement between you and the labor leasing firm to perform duties related to the conduct of your business. Leased worker does not include a temporary worker. 11. Loading or unloading means the handling of property a. After it is moved from the place where it is accepted for movement into or onto an aircraft watercraft or auto b. While it is in or on an aircraft watercraft or auto or c. While it is being moved from an aircraft watercraft or auto to the place where it is finally delivered but loading or unloading does not include the movement of property by means of a mechanical device other thanahandtruck that is not attached to the aircraft watercraft or auto. 12. Mobile equipment means any of the following types of land vehicles including any attached machinery or equipment a. Bulldozers farm machinery forklifts and other vehicles designed for use principally off public roads b. Vehicles maintained for use solely on or next to premises you own or rent c. Vehicles that travel on crawler treads d. Vehicles whether self propelled or not maintained primarily to provide mobility to permanently mounted 1 Power cranes shovels loaders diggers or drills or 2 Road construction or resurfacing equipment such as graders scrapers or rollers e. Vehicles not described in Paragraph a. b. c. or d. above that are not self propelled and are maintained primarily to provide mobility to permanently attached equipment of the following types Insurance Services Office Inc. 2012 Page 14 of 16 CG 00010413 | 1 |
13. 14. 1 Air compressors pumps and generators including spraying welding building cleaning geophysical exploration lighting and well servicing equipment or 2 Cherry pickers and similar devices used to raise or lower workers Vehicles not described in Paragraph a. b c. or d. above maintained primarily for purposes other than the transportation of persons or cargo. However self propelled vehicles with the following types of permanently attached equipment are not mobile equipment but will be considered autos 1 Equipment designed primarily for a Snow removal b Road maintenance but not construction or resurfacing or c Street cleaning 2 Cherry pickers and similar devices mounted on automobile or truck chassis and used to raise or lower workers and 3 Air compressors pumps and generators including spraying welding building cleaning geophysicalexploration lighting and well servicing equipment. However mobile equipment does not include any land vehicles that are subject to a compulsory or financial responsibility law or other motor vehicle insurance law where it is licensed or principally garaged. Land vehicles subject to a compulsory or financial responsibility law or other motor vehicle insurance law are considered autos. Occurrence means an accident including continuous or repeated exposure to substantially the same general harmful conditions. Personal and advertising injury means injury including consequential bodily injury arising out of one or more of the following offenses False arrest detention or imprisonment Malicious prosecution The wrongful eviction from wrongful entry into or invasion of the right of private occupancy of a room dwelling or premises that a person occupies committed by or on behalf of its owner landlord or lessor Oral or written publication in any manner of material that slanders or libels a person or organization or disparages a person s or organization s goods products or services 15. f. Oral or written publication in any manner of material that violates a person s right of privacy The use of another s advertising idea in your advertisement or Infringing upon another s copyright trade dress or slogan in your advertisement. Pollutants mean any solid liquid gaseous or thermal irritant or contaminant including smoke vapor soot fumes acids alkalis chemicals and waste. Waste includes materials to be recycled reconditioned or reclaimed. 16. Products completed operations hazard b. Includes all bodily injury and property damage occurring away from premises you own or rent and arising out of your product or your work except 1 Products that are still in your physical possession or 2 Work that has not yet been completed or abandoned. However your work will be deemed completed at the earliest of the following times a When all of the work called for in your contract has been completed. b When all of the work to be done at the job site has been completed if your contract calls for work at more than one job site. c When that part of the work done at a job site has been put to its intended use by any person or organization other than another contractor or subcontractor working on the same project. Work that may need service maintenance correction repair or replacement but which is otherwise complete will be treated as completed. Does not include bodily injury or property damage arising out of 1 The transportation of property unless the injury or damage arises out of a condition in or on a vehicle not owned or operated by you and that condition was created by the loading or unloading of that vehicle by any insured 2 The existence of equipment or materials or tools uninstalled abandoned or unused CG 00010413 Insurance Services Office Inc. 2012 Page 15 of 16 | 1 |
3 Products or operations for which the 20. Volunteer worker means a person who is not classification listed in the Declarations or your employee and who donates his or her work in a policy Schedule states that products and acts at the direction of and within the scope of completed operations are subject to the duties determined by you and is not paid a fee General Aggregate Limit. salary or other compensation by you or anyone 17. Property damage means else for their work performed for you. a. Physical injury to tangible property including 21. Your product all resulting loss of use of that property. All a. Means such loss of use shall be deemed to occur at 1 Any goods or products other th the time of the physical injury that caused it or 1 Any g A han red property manufactured sold handled b. Loss of use of tangible property that is not distributed or disposed of by physically injured. All such loss of use shall be a You deemed to occur at the time of the moccurrence that caused it. b Others trading under your name or For the purposes of this insurance electronic data c A person or organization whose is not tangible property. business or assets you have acquired and As used in this definition electronic data means.. N information facts or programs stored as or on 2 Containers other than vehicles materials created or used on or transmitted to or from parts or equipment fumished in connection computer software including systems and with such goods or products. applications software hard or floppy disks CD b. Includes ROMs tapes drives cells data processing devices or any other media which are used with time with respect to the fitness quality. electronically controlled equipment. durability performance or use of you 18. Suit means a civil proceeding in which damages product and becauseof bodily injury property damage or. personal and advertising injury to which this insurance applies are alleged. Suit includes a. An arbitration proceeding in which such damages are claimed and to which the insured must submit or does submit with our consent 1 Warranties or representations made at any warnings or instructions. c. Does not include vending machines or other property rented to or located for the use of others but not sold. or 22. Your work b. Any other alternative dispute resolution a. Means proceeding in which such damages are 1 Work or operations performed by you or on claimed and to which the insured submits with your behalf and our consent. 2 Materials parts or equipment furnished in 19. Temporary worker means a person who is connection with such work or operations. furnished to you to substitute for a permanent. M b. Includes employee on leave or to meet seasonal or short 5 5 term workload conditions. 1 Warranties or representations made at any time with respect to the fitness quality durability performance or use of your work and 2 The providing of or failure to provide warnings or instructions. Page 16 of 16 Insurance Services Office Inc. 2012 CG 00010413 | 1 |
POLICY NUMBER RGR9437680 POLICY NUMBER RGR9437680 COMMERCIAL GENERAL LIABILITY CG 02241093 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EARLIER NOTICE OF CANCELLATION PROVIDED BY US This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Number of Days Notice 90 If no entry appears above information required to complete this Schedule will be shown in the Declarations as applicable to this endorsement. For any statutorily permitted reason other than Policy Condition or as amended by an applicable nonpayment of premium the number of days state cancellation endorsement is increased to the required for notice of cancellation as provided in number of days shown in the Schedule above. paragraph 2. of either the CANCELLATION Common Copyright Insurance Services Office Inc. 1992 CG 02241093 | 2 |
POLICY NUMBER RGR9437680 COMMERCIAL GENERAL LIABILITY CG 04351207 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EMPLOYEE BENEFITS LIABILITY COVERAGE THIS ENDORSEMENT PROVIDES CLAIMS MADE COVERAGE. PLEASE READ THE ENTIRE ENDORSEMENT CAREFULLY. This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Coverage Limit Of Insurance Each Employee Deductible Premium Employee Benefits 1000000 each employee Programs 2000000 10012004 a ate Retroactive Date 1000 Included Information uired to complete this Schedule if not shown above will be shown in the Declarations. A. The following is added to Section Coverages COVERAGE EMPLOYEE BENEFITS LIABILITY 1 Insuring Agreement a. We will pay those sums that the insured becomes legally obligated to pay as damages because of any act error or omission of the insured or of any other person for whose acts the insured is legally liable to which this insurance applies. We will have the right and duty to defend the insured against any suit seeking those damages. However we will have no duty to defend the insured against any suit seeking damages to which this insurance does not apply. We may at our discretion investigate any report of an act error or omission and settle any claim or suit that may result. But 1 The amount we will pay for damages is limited as described in Paragraph D. Section Il Limits Of Insurance and 2 Our right and duty to defend ends when we have used up the applicable limit of insurance in the payment of judgments or settlements. No other obligation or liability to pay sums or perform acts or services is covered unless explicitly provided for under Sup plementary Payments. b. This insurance applies to damages only if 1 The act error or omissit gently committed inthe stration of your employee benefit program The act error or omission did not take place before the Retroactive Date if any shown in the Schedule nor after the end of the policy period and A claim for damages because of an act error or omission is first made against any insured in accordance with Paragraph c. below during the policy period or an Extended Re porting Period we provide under Paragraph F. of this endorsement. c. Aclaim seeking damages will be deemed to have been made at the earlier of the following times 1 When notice of such claim is re ceived and recorded by any insured or by us whichever comes first or 2 When we make settlement in accord ance with Paragraph a. above. A claim received and recorded by the insured within 60 days after the end of the policy period will be considered to have been received within the policy period if no subsequent policy is available to cover the claim. 2 POLICY NUMBER RGR9437680 ISO Properties Inc. 2008 Page 1 CG 04351207 | 2 |
d. Al claims for damages made by an employee because of any act error or omission or a series of related acts errors or omissions including damages claimed by such employee s dependents and beneficiaries will be deemed to have been made at the time the first of those claims is made against any insured. Exclusions This insurance does not apply to a. Dishonest Fraudulent Criminal Or Malicious Act Damages arising out of any intentional dishonest fraudulent criminal or malicious act error or omission committed by any insured including the willful or reckless violation of any statute. b. Bodily Injury Property Damage Or Personal And Advel g Injury Bodily injury property damage or personal and advertising injury. g. ERISA Damages for which any insured is liable because of liability imposed on a fiduciary by the Employee Retirement Income Security Act of 1974 as now or hereafter amended or by any similar federal state or local laws. h. Available Benefits Any claim for benefits to the extent that such benefits are available with reason able effort and cooperation of the insured from the applicable funds accrued or other collectible insurance. i. Taxes Fines Or Penalties Taxes fines or penalties including those imposed under the Internal Revenue Code or any similar state or local law. j Employment Related Practices Damages arising out of wrongful termin ation of employment discrimination or other employment related practices.. Failure To Perform A Contract B. For the purposes of the coverage provided by this Damages arising out of failure of endorsement performance of contract by any insurer. 1. All references to Supplementary Payments d. Insufficiency Of Funds Coverages AandBare replaced by Damages arising out of an insufficiency of Supplementary Payments Coverages A B funds to meet any obligations under any and Employee Benefits Liability. plan included in the employee benefit 2. Paragraphs 1.b. and 2. of the Supplementary program. Payments provision do not apply. e. Inadequacy Of Performance Of C. For the purposes of the coverage provided by this Investment Advice Given With Respect endorsement Paragraphs 2. and 3. of Section Il To Participation Who Is An Insured are replaced by the following Any claim based upon 2. Each of the following is also an insured 1 Failure of any investment to perform a. Each of your employees who is or was 2 Errors in providing information on past authorized to ade your employee performance of investment vehicles or benefit program. 3 Advice given to any person with b. Any persons organizations or erpployees respect to that person s decision to having proper temporary authorization to participate or not to participate in any administer your employee benefit plan included in the employee benefit program if you die but only until your program. legal representative is appointed. f. Workers Compensation And Similar c. Your legal representative if you die but Laws only with respect to duties as such. That representative will have all your rights and Any claim arising out of your failure to duties under this Endorsement. comply with the mandatory provisions of N any workers compensation unemploy 3. Any organization you neydly acquire or form ment compensation insurance social other than a partnership joint venture or security or disability benefits law or any fimited liability company and over which you similar law. maintain ownership or majority interest will qualify as a Named Insured if no other similar insurance applies to that organization. However CG 04 351207 1S0 Properties Inc. 2006 Page 2 | 2 |
a. Coverage under this provision is afforded only until the 90th day after you acquire or form the organization or the end of the policy period whichever is earlier. Coverage under this provision does not apply to any act error or omission that was committed before you acquired or formed the organization. D. For the purposes of the coverage provided by this endorsement Section il Limits Of Insurance is replaced by the following Limits Of Insurance 1. a. b. c. The Limits of Insurance shown in the Schedule and the rules below fix the most we will pay regardless of the number of 1 Insureds 2 Claims made or suits brought 3 Persons or organizations making claims or bringing suits 4 Acts errors or omissions or 5 Benefits included in your employee benefit program. The Aggregate Limit is the most we will pay for all damages because of acts errors or omissions negligently committed in the administration of your employee benefit program. Subject to the Aggregate Limit the Each Employee Limit is the most we will pay for all damages sustained by any one employee including damages sustained by such employee s dependents and beneficiaries as a resuit of 1 An act error or omission or 2 A series of related acts errors or omissions negligently committed in the admini stration of your employee benefit program. However the amount paid under this endorsement shall not exceed and will be subject to the limits and restrictions that apply to the payment of benefits in any plan included in the employee benefit program. The Limits of Insurance of this endorsement apply separately to each consecutive annual period and to any remaining period of less than 12 months starting with the beginning of the policy period shown in the Declarations of the policy to which this endorsement is attached unless the policy period is extended after issuance for an additional period of less than 12 months. In that case the additional period will be deemed part of the last preceding period for purposes of determining the Limits Of Insurance. 2. Deductible a. Our obligation to pay damages on behalf of the insured applies only to the amount of damages in excess of the deductible amount stated in the Schedule as applicable to Each Employee. The limits of insurance shall not be reduced by the amount of this deductible. b. The deductible amount stated in the Schedule applies to all damages sustained by any one employee including such employee s dependents and bene ficiaries because of all acts errors or omissions to which this insurance applies. TFhe terms of this insuraneceincluding those with respect to 1 Our right and duty to defend any suits seeking those damages and 2 Your duties and the duties of any other involved insured in the event of an act error or omission or claim apply irrespective of the application of the deductible amount. d. We may pay any part or all of the deductible amount to effect settlement of any claim or suit and upon notification of the action taken you shall promptly reimburse us for such part of the deductible amount as we have paid. E. For the purposes of the coverage provided by this endorsement Conditions 2. and 4. of Section IV Commercial General Liability Conditions are replaced by the following 2. Duties In The Event Of An Act Error Or Omission Or Claim Or Suit a. You must see to it that we are notified as soon as practicable of an act error or omission which may result in a claim. To the extent possible notice should include 1 What the act error or omission was and when it occurred and I1SO Properties Inc. 2006 Page 3 CG 04351207 | 2 |
2 The names and addresses of anyone who may suffer damages as a result of the act error or omission. b. If a claim is made or suit is brought against any insured you must 1 Immediately record the specifics of the claim or suit and the date received and 2 Notify us as soon as practicable. You must see to it that we receive written notice of the claim or suit as soon as practicable. c. You and any other involved insured must 1 Immediately send us copies of any demands notices summonses or legal papers received in connection with the claim or suit 2 Authorize us to obtain records and other information 3 Cooperate with us in the investigation or settlement of the claim or defense against the suit and 4 Assist us upon our request in the enforcement of any right against any person or organizationwhich may be. liable to the insured because of an act error or omission to which this insurance may also apply. d. No insured will except at that insured s own cost voluntarily make a payment assume any obligation or incur any expense without our consent. 4. Other Insurance If other valid and collectible insurance is available to the insured for a loss we cover under this endorsement our obligations are limited as follows a. Primary Insurance This insurance is primary except when Paragraph b. below applies. If this insurance is primary our obligations are not affected unless any of the other insurance is also primary. Then we will share with all that other insurance by the method described in Paragraph c. below. CG 04351207 ISO Properties Inc. 2006 b. Excess Insurance 1 his insurance is excess over any of the other insurance whether primary excess contingent or on any other basis that is effective prior to the beginning of the policy period shown in the Schedule of this insurance and that applies to an act error or omission on other than a claims made basis if a No Retroactive Date is shown in the Schedule of this insurance or b The other insurance has a policy period which continues after the Retroactive Date shown in the Schedule of this insurance. 2 When this insurance is excess we will have no duty to defend the insured against any suit if any other insurer has a duty to defend the insured against that suit. If no other insurer defends we will undertake to do so but we will be entitled to the insured s rights against all those other insurers. When this insurance is excess over other insurance we will pay only our share of the amount of the Toss if any that exceeds the sum of the total amount that all such other insurance would pay for the loss in absence of this insurance and the total of all deductible and self insured amounts under all that other insurance. 4 We will share the remaining loss if any with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Schedule of this endorsement. Method Of Sharing If all of the other insurance permits contribution by equal shares we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains whichever comes first. 3 If any of the other insurance does not permit contribution by equal shares we will contribute by limits. Under this method each insurer s share is based on the ratio of its applicable limits of insurance to the total applicable limits of insurance of all insurers. Page 4 CG 04 351207 Page 4 | 2 |
CG 04351207 F. For the purposes of the coverage provided by this endorsement the following Extended Reporting Period provisions are added or if this endorsement is attached to a claims made Coverage Part replaces any similar Section in that Coverage Part EXTENDED REPORTING PERIOD 1. You will have the right to purchase an Extended Reporting Period as described below if a. This endorsement is canceled or not renewed or b. We renew or replace this endorsement with insurance that 1 Has a Retroactive Date later than the date shown in the Schedule of this endorsement or 2 Does not apply to an act error or omission on a claims made basis. 2. The Extended Reporting Period does not extend the policy period or change the scope of coverage provided. It applies only to claims for acts errors or omissions that were first committed before the end of the policy period but not before the Retroactive Date if any shownin the Schedule Oncein effect the Extended Reporting Period may not be canceled. 3. An Extended Reporting Period of five years is available but only by an endorsement and for an extra charge. You must give us a written request for the endorsement within 60 days after the end of the policy period. The Extended Reporting Period will not go into effect unless you pay the additional premium promptly when due. We will determine the additional premium in accordance with our rules and rates. In doing s0 we may take into account the following a. The employee benefit programs insured b. Previous types and amounts of insurance c. Limits of insurance available under this endorsement for future payment of damages and d. Other related factors. The additional premium will not exceed 100 of the annual premium for this endorsement. The Extended Reporting Period endorsement applicable to this coverage shall set forth the terms not inconsistent with this Section applicable to the Extended Reporting Period including a provision to the effect that the insurance afforded for claims first received during such period is excess over any other valid and collectible insurance available under policies in force after the Extended Reporting Period starts. 4. f the Extended Reporting Period is in effect we will provide an extended reporting period aggregate limit of insurance described below but only for claims first received and recorded during the Extended Reporting Period. The extended reporting period aggregate limit of insurance will be equal to the dollar amount shown in the Schedule of this endorsement under Limits of Insurance. Paragraph D.1.b. of this endorsement will be amended accordingly. The Each Employee Limit shown in the Schedule will then continue to apply as set forth in Paragraph D.1.c. G. For the purposes of the coverage provided by this endorsement the following definitions are added to the Definitions Section ministration means a. Providing information to employees including their dependents and beneficiaries with respect to eligibility for or scope of employee benefit programs b. Handling records in connection with the employee benefit program or c. Effecting continuing or terminating any employee s participation in any benefit included in the employee benefit program. However administration does not include handling payroli deductions. 2. Cafeteria plans means plans authorized by applicable law to allow employees to elect to pay for certain benefits with pre tax dollars. 3. Claim means any demand or suit made by an employee or an employee s dependents and beneficiaries for damages as the result of an act error or omission. 4. Employee benefit program means a program providing some or all of the following benefits to employees whether provided through a cafeteria plan or otherwise ISO Properties Inc. 2006 Page 5 ISO Properties Inc. 2006 Page 5 CG 04351207 | 2 |
Group life insurance group accident or health insurance dental vision and hearing plans and flexible spending accounts provided that no one other than an employee may subscribe to such benefits and such benefits are made generally available to those employees who satisfy the plan s eligibility requirements Profit sharing plans employee savings plans employee stock ownership plans pension plans and stock subscription plans provided that no one other than an employee may subscribe to such benefits and such benefits are made generally available to all employees who are eligible under the plan for such benefits Unemployment insurance social security benefits workers compensation and disability benefits Vacation plans including buy and sell programs leave of absence programs including military maternity family and civil leave tuition assistance plans transportation and health club subsidies and e. Any other similar benefits designated in the Schedule or added thereto by endorsement. H. For the purposes of the coverage provided by this endorsement Definitions 5. and 18. in the Definitions Section are replaced by the following 5. 18 Employee means a person actively employed formerly employed on leave of absence or disabled or retired. Employee includes a leased worker. Employee does not include a temporary worker. Suit means a civil proceeding in which damages because of an act error or omission to which this insurance applies are alleged. Suit includes a. An arbitration proceeding in which such damages are claimed and to which the insured must submit or does submit with our consent or b. Any other alternative dispute resolution proceeding in which such damages are claimed and to which the insured submits with our consent e. Any other similar benefits designated in the Schedule or added thereto by endorsement. H. For the purposes of the coverage provided by this endorsement Definitions 5. and 18. in the Definitions Section are replaced by the following 5. Employee means a person actively employed formerly employed on leave of absence or disabled or retired. Employee includes a leased worker. Employee does not include a temporary worker. 18.Suit means a civil proceeding in which damages because of an act error or omission to which this insurance applies are alleged. Suit includes a. An arbitration proceeding in which such damages are claimed and to which the insured must submit or does submit with our consent or b. Any other alternative dispute resolution proceeding in which such damages are claimed and to which the insured submits with our consent ISO Propertties Inc. 2006 Page 6 CG 04351207 | 2 |
POLICY NUMBER RGR9437680 POLICY NUMBER RGR9437680 COMMERCIAL GENERAL LIABILITY CG20100413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations Locations Of Covered Operations NAMED INSURED HAS AGREED TO PROVIDE INSURANCE PRIOR TO LOSS AS PROVIDED BY OF INSURANCE AGREED TO BY THE NAMED INSURED. ANY PERSON OR ORGANIZATION FOR WHOM THE ALL LEASED PREMISES THIS POLICY BUT ONLY TO THE LIMIT AND SCOPE Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part 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 insureds at the locations designated above. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following additional exclusions apply This insurance does not apply to bodily injury or property damage occurring after 1. Al 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 insureds at the location of the covered operations has been completed or 2. That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. Insurance Services Office Inc. 2012 CG20100413 Page 1 of 2 | 2 |
C. With respect to the insurance afforded to these additional insureds the following is added to Section Il Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 20of 2 Insurance Services Office Inc. 2012 CG20100413 | 2 |
POLICY NUMBER RGR9437680 POLICY NUMBER RGR9437680 COMMERCIAL GENERAL LIABILITY CG 20100413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations Locations Of Covered Operations CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM PERSHING POINT PLAZA PARKING GARAGE 1375 PEACHTREE STREET ATLANTA GEORGIA 30309 Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part 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 insureds at the locations designated above. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a confract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured B. With respect to the insurance afforded to these additional insureds the following additional exclusions apply This insurance does not apply to bodily injury or property damage occurring after 1. Al 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 insureds at the location of the covered operations has been completed or 2. That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. STEM RSHING POINT PLAZA PARKING GARAGE LANTA GEORGIA 30309 CG 20100413 Insurance Services Office Inc. 2012 Page 10f 2 | 2 |
C. With respect to the insurance afforded to these additional insureds the following is added to Section lll Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 Insurance Services Office Inc. 2012 CG20100413 | 2 |
POLICY NUMBER RGR9437680 POLICY NUMBER RGR9437680 COMMERCIAL GENERAL LIABILITY CG 20110413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designation Of Premises Part Leased To You ALL LEASED PREMISES Name Of Persons Or Organizations Additional Insured ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED TO PROVIDE INSURANCE PRIOR TO LOSS AS PROVIDED BY THIS POLICY BUT ONLY TO THE LIMIT AND SCOPE OF INSURANCE AGREED TO BY THE NAMED INSURED. Additional Premium INCLUDED Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability arising out of the ownership maintenance or use of that part of the premises leased to you and shown in the Schedule and subject to the following additional exclusions This insurance does not apply to 1. Any occurrence which takes place after you cease to be a tenant in that premises. 2. Structural alterations new construction or demolition operations performed by or on behalf of the persons or organizations shown in the Schedule However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following is added to Section Il Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Insurance Services Office Inc. 2012 CG20110413 Page 1 of 1 | 2 |
POLICY NUMBER RGR9437680 COMMERCIAL GENERAL LIABILITY CG 20150413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED VENDORS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART POLICY NUMBER RGR9437680 SCHEDULE Name Of Additional Insured Persons Or Organizations Vendor ANY VENDOR FOR WHOM THE NAMED INSURED HAS AGREED TO PROVIDE INSURANCE PRIOR TO LOSS AS PROVIDED BY THIS POLICY BUT ONLY TO THE LIMIT AND SCOPE OF INSURANCE AGREED TO Your Products ALL PRODUCTS OF THE NAMED INSURED BY THE NAMED INSURED. Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured any persons or organizations referred to throughout this endorsement as vendor shown in the Schedule but only with respect to bodily injury or property damage arising out of your products shown in the Schedule which are distributed or sold in the regular course of the vendor s business. However 1. The insurance afforded to such vendor only applies to the extent permitted by law and 2. 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. Bodily injury or property damage for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement b. 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 Page 10of 2 Insurance Services Office Inc. 2012 CG 20150413 | 2 |
bl. 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 Demonstration installation servicing or repair operations except such operations performed at the vendor s premises in connection with the sale of the product. 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. Bodily injury or property damage arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. However this exclusion does not apply to 1 The exceptions contained paragraphs d. or f. or in Sub 2 Such inspections adjustments tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business in connection with the distribution or sale of the products. 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. C. With respect to the insurance afforded to these vendors the following is added to Section Il Limits Of Insurance If coverage provided to the vendor is required by a contract or agreement the most we will pay on behalf of the vendor is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the in the applicable Limits of Insurance shown Declarations. Insurance Services Office Inc. 2012 CG 20150413 Page 2 of 2 | 2 |
POLICY NUMBER RGR9437680 POLICY NUMBER RGR9437680 COMMERCIAL GENERAL LIABILITY CG 20 26 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED TO PROVIDE INSURANCE PRIOR TO LOSS AS PROVIDED BY THIS POLICY BUT ONLY TO THE LIMIT AND SCOPE OF INSURANCE AGREED TO BY THE NAMED INSURED. Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by your acts or omissions or the acts or omissions of those acting on your behalf 1. In the performance of your ongoing operations or 2. In connection with your premises owned by or rented to you. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following is added to Section Il Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Insurance Services Office Inc. 2012 CG20260413 Page 1 of 1 | 2 |
POLICY NUMBER RGR9437680 COMMERCIAL GENERAL LIABILITY CG 20260413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations CITY LONG BEACH ITS OFFICERS EMPLOYEES AND AGENTS DEVELOPMENT SERVICES NEIGHBORHOOD SERVICES BUREAU 444 W. OCEAN BLVD. SUITE 1700 LONG BEACH CA 90802 Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by your acts or omissions or the acts or omissions of those acting on your behalf 1. In the performance of your ongoing operations or 2. In connection with your premises owned by or rented to you. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following is added to Section Il Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. TY LONG BEACH ITS OFFICERS EMPLOYEES AND AGENTS VELOPMENT SERVICES NEIGHBORHOOD SERVICES BUREAU 4 W. OCEAN BLVD. SUITE 1700 ONG BEACH CA 90802 Page 10of 1 Insurance Services Office Inc. 2012 CG 20260413 | 2 |
POLICY NUMBER RGR9437680 COMMERCIAL GENERAL LIABILITY CG 20260413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations CITY OF AUSTIN P. 0. BOX 1088 AUSTIN TX 78788 Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by your acts or omissions or the acts or omissions of those acting on your behalf 1. In the performance of your ongoing operations or 2. In connection with your premises owned by or rented to you. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following is added to Section Ill Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. POLICY NUMBER RGR9437680 TY OF AUSTIN 0. BOX 1088 JSTIN TX 78788 CG 20 26 04 13 Insurance Services Office Inc. 2012 Page 1 of 1 | 2 |
POLICY NUMBER RGR9437680 POLICY NUMBER RGR9437680 COMMERCIAL GENERAL LIABILITY CG 2026 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE DBA ORANGE COUNTY CONVENTION CENTER P.O. BOX 691509 ORLANDO FLORIDA 32869 1509 Name Of Additional Insured Persons Or Organizations ORANGE COUNTY BOARD OF COUNTY COMMISSIONERS Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section l Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by your acts or omissions or the acts or omissions of those acting on your behalf 1. In the performance of your ongoing operations or 2. In connection with your premises owned by or rented to you However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following is added to Section Ill Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. RANGE COUNTY BOARD OF COUNTY COMMISSIONERS 3A ORANGE COUNTY CONVENTION CENTER O. BOX 691509 RLANDO FLORIDA 32869 1509 Insurance Services Office Inc. 2012 CG 20260413 Page 1 of 1 | 2 |
POLICY NUMBER RGR9437680 POLICY NUMBER RGR9437680 COMMERCIAL GENERAL LIABILITY CG 2026 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations MIAMI PARKING AUTHORITY AND CITY OF MIAMI 40 NW 3 STREET SUITE 1103 MIAMI FL 33128 Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by your acts or omissions or the acts or omissions of those acting on your behalf 1. In the performance of your ongoing operations or 2. In connection with your premises owned by or rented to you. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following is added to Section Il Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations IAMI PARKING AUTHORITY AND CITY OF MIAMI NW 3 STREET JITE 1103 IAMI FL 33128 CG 20260413 Insurance Services Office Inc. 2012 Page 1 of 1 | 2 |
POLICY NUMBER RGR9437680 POLICY NUMBER RGR9437680 COMMERCIAL GENERAL LIABILITY CG 20260413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations THE CHECK FOUNDATION INC. C O TOWNE PARK ONE PARK PLACE SUITE 200 ANNAPOLIS MD 21401 Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by your acts or omissions or the acts or omissions of those acting on your behalf 1. In the performance of your ongoing operations or 2. In connection with your premises owned by or rented to you. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. additional insureds the following is added to Section Il Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. E CHECK FOUNDATION INC. O TOWNE PARK NE PARK PLACE SUITE 200 NNAPOLIS MD 21401 CG 20260413 Insurance Services Office Inc. 2012 Page 1 of 1 | 2 |
POLICY NUMBER RGR9437680 POLICY NUMBER RGR9437680 COMMERCIAL GENERAL LIABILITY CG 20370413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations Location And Description Of Completed Operations ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED TO PROVIDE INSURANCE PRIOR TO LOSS AS PROVIDED BY THIS POLICY BUT ONLY TO THE LIMIT AND SCOPE OF INSURANCE AGREED TO BY THE NAMED INSURED. Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury or property damage caused in whole or in part by your work at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the products completed operations hazard. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20370413 Insurance Services Office Inc. 2012 Page 10f2 | 2 |
B. With respect to the insurance afforded to these additional insureds the following is added to Section lll Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20370704 m ISO Properties Inc. 2004 Page 2 of 2 | 2 |
POLICY NUMBER RGR9437680 POLICY NUMBER RGR9437680 COMMERCIAL GENERAL LIABILITY CG 20370413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations Location And Description Of Completed Operations CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM PERSHING POINT PLAZA PARKING GARAGE 1375 PEACHTREE STREET ATLANTA GEORGIA 30309 Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury or property damage caused in whole or in part by your work at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the products completed operations hazard. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured B. With respect to the insurance afforded to these additional insureds the following is added to Section lll Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. LANTA GEORGIA 30309 Insurance Services Office Inc. 2012 CG 20370413 Page 1 of 1 | 2 |
COMMERCIAL GENERAL LIABILITY CG 2146 07 98 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ABUSE OR MOLESTATION EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability and Paragraph 2. Exclusions of Section Coverage B Personal And Advertising Injury Liability This insurance does not apply to bodily injury property damage or personal and advertising injury arising out of 1. The actual or threatened abuse or molestation by anyone of any person while in the care custody or control of any insured or The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability and Paragraph 2. Exclusions of Section Coverage B Personal And Advertising Injury Liability This insurance does not apply to bodily injury property damage or personal and advertising injury arising out of 1. The actual or threatened abuse or molestation by anyone of any person while in the care custody or control of any insured or The negligent a. b. c. d e. Employment Investigation Supervision Reporting to the proper authorities or failure to so report or Retention of a person for whom any insured is or ever was legally responsible and whose conduct would be excluded by Paragraph 1. above. CG 214607 98 Copyright Insurance Services Office Inc. 1997 | 2 |
COMMERCIAL GENERAL LIABILITY CG 21471207 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EMPLOYMENT RELATED PRACTICES EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2. B. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability This insurance does not apply to Bodily injury to 1 A person arising out of any a Refusal to employ that person b Termination of that person s employment or c Employment related practices policies acts or omissions such as coercion demotion evaluation reassignment discipline defamation harassment humiliation discrimination or malicious e spouse child parent brother or sister of that person as a consequence of bodily injury to that person at whom any of the employment related practices described in Paragraphs a b or c above is directed. This exclusion applies 1 Whether the injury causing event described in Paragraphs a b or c above occurs before employment during employment or after employment of that person 2 Whether the insured may be liable as an employer or in any other capacity and 3 To any obligation to share damages with or repay someone else who must pay damages because of the injury. Exclusions of Section Coverage B Personal And Advertising Injury Liability This insurance does not apply to Personal and advertising injury to 1 A person arising out of any a Refusal to employ that person b Termination of that person s employment or c Employment related practices policies acts or omissions such as coercion demotion evaluation reassignment discipline defamation harassment humiliation discrimination or malicious that person as a consequence of personal and advertising injury to that person at whom any of the employment related practices described in Paragraphs a b or c above is directed. This exclusion applies 1 Whether the injury causing event described in Paragraphs a b or c above occurs before employment during employment or after employment of that person 2 Whether the insured may be liable as an employer or in any other capacity and 3 To any obligation to share damages with or repay someone else who must pay damages because of the injury. d to Paragraph 2. B. The f erage A Bodily Exclu iability And This i Pers 1 A erson c son s employment t ractices policies c uch as coercion s reassignment n harassment ion or malicious ISO Properties Inc. 2006 Page 1 CG 21471207 | 2 |
COMMERCIAL GENERAL LIABILITY CG 21651204 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TOTAL POLLUTION EXCLUSION WITH A BUILDING HEATING COOLING AND DEHUMIDIFYING EQUIPMENT EXCEPTION AND A HOSTILE FIRE EXCEPTION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Exclusion f. under Paragraph 2. Exclusions of Section 1 Coverage A Bodily Injury And Property Damage Liability is replaced by the following This insurance does not apply to f. Pollution 1 Bodily injury or property damage which would not have occurred in whole or part but for the actual alleged or threatened discharge dispersal seepage migration release or escape of pollutants at any time. This exclusion does not apply to which is or was at any time owned or occupied by or rented or loaned to any insured and caused by smoke fumes vapor or soot produced by or originating from equipment that is used to heat cool or dehumidify the building or equipment that is used to heat water for personal use by the building s occupants or their guests or Bodily injury or property damage arising out of heat smoke or fumes from a hostile fire unless that hostile fire occurred or originated b aBodily injuryif sustained within a building 2Any loss cost or expense arising out of any i Atany premises site or location which is or was at any time used by or for any insured or others for the handiing storage disposal processing or treatment of waste or ii Atany premises site or location on which any insured or any contractors or subcontractors working directly or indirectly on any insured s behalf are performing operations to test for monitor clean up remove contain treat detoxify neutralize or in any way respond to or assess the effects of pollutants. a Request demand order or statutory or regulatory requirement that any insured or others test for monitor clean up remove contain treat detoxify or neutralize or in any way respond to or assess the effects of pollutants or Claim or suit by or on behalf of a governmental authority for damages because of testing for monitoring cleaning up removing containing treating detoxifying or neutralizing or in any way responding to or assessing the effects of pollutants. b SO Properties Inc. 2003 CG 21651204 | 2 |
COMMERCIAL GENERAL LIABILITY CG 21671204 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FUNGI OR BACTERIA EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2. B. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Exclusions of Section Coverage B Personal Injury And Property Damage Liability And Advertising Injury Liability 2. Exclusions 2. Exclusions This insurance does not apply to This insurance does not apply to Fungi Or Bacteria Fungi Or Bacteria a. Bodily injury or property damage which a. Personal and advertising injury which would not have occurred in whole or in part but for the actual alleged or threatened inhalation of ingestion of contact with exposure to existence of or presence of any fungi or bacteria on or within a building or structure including its contents regardless of whether any other cause event material or product contributed concurrently or in any sequence to such injury or damage. b. Any loss cost or expenses arising out of the abating testing for monitoring cleaning up removing containing treating detoxifying neutralizing remediating or disposing of or in any way responding to or assessing the effects of fungi or bacteria by any insured or by any other person or entity. would not have taken place in whole or in part but for the actual alleged or threatened inhalation of ingestion of contact with exposure to existence of or presence of any fungi or bacteria on or within a building or structure including its contents regardless of whether any other cause event material or product contributed concurrently or in any sequence to such injury. b Any losscost or expense arising out of the abating testing for monitoring cleaning up removing containing treating detoxifying neutralizing remediating or disposing of or in any way responding to or assessing the effects of fungi or bacteria by any insured or by any other person or entity. C. The following definition is added to the Definitions This exclusion does not apply to any fungi or Section bacteria that are are on or are contained in a good or product intended for bodily consumption. CG 21671204 ISO Properties Inc. 2003 Fungi means any type or form of fungus including mold or mildew and any mycotoxins spores scents or byproducts produced or released by fungi. aragraph 2. A Bodily g nage which le or in part threatened ontact with presence of 1 in a building. contents ther cause contributed e to siuch ISO Properties Inc. 2003 CG 21671204 | 2 |
COMMERCIAL GENERAL LIABILITY CG 21700108 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY If aggregate insured losses attributable to terrorist acts certified under the federal Terrorism Risk Insur ance Act exceed 100 billion in a Program Year Jan uary 1 through December 31 and we have met our insurer deductible under the Terrorism Risk Insurance Act we shall not be liable for the payment of any portion of the amount of such losses that exceeds 100 billion and in such case insured losses up to that amount are subject to pro rata allocation in ac cordance with procedures established by the Secre tary of the Treasury. Certified act of terrorism means an act that is certi fied by the Secretary of the Treasury in concurrence with the Secretary of State and the Attorney General of the United States to be an act of terrorism pursu ant to the federal Terrorism Risk Insurance Act. The criteria contained in the Terrorism Risk Insurance Act for a certified act of terrorism include the following 1. The act resulted in insured losses in excess of 5 Act and 2. The actis a violent act or an act that is dangerous to human life property or infrastructure and is committed by an individual or individuals as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. Page 1 of 1 m ISO Properties Inc. 2007 CG21700108 | 2 |
COMMERCIAL GENERAL LIABILITY CG 21870107 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONDITIONAL EXCLUSION OF TERRORISM RELATING TO DISPOSITION OF FEDERAL TERRORISM RISK INSURANCE ACT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY A. Applicability Of The Provisions Of This Endorsement 3 Redefine terrorism or make insurance coverage for terrorism subject to provisions or requirements that differ from those that apply to other types of events or occurrences under this policy. 1. The provisions of this endorsement become applicable commencing on the date when any one or more of the following first occurs. But if your policy meaning the policyperiod in which this endorsement applies begins after such date then the provisions of this endorsement become applicable on the date your policy begins. Ifthe provisions of thi ndorsement become applicable such provisions a. Supersede any terrorism endorsement already endorsed to this policy that addresses certified acts of terrorism andor other acts of terrorism but only with respect to an incidents of terrorism however defined which results in injury or damage that occurs on or after the date when the provisions of this endorsement become applicable a. The federal Terrorism Risk Insurance Program Program established by the Terrorism Risk Insurance Act has terminated with respect to the type of insurance provided under this Coverage Part or Policy or b. A renewal extension or replacement of the Program has become effective without a requirement to make terrorism coverage available to you and with revisions that 1 Increase our statutory percentage deductible under the Program for terrorism losses. That deductible determines the amount of all certified terrorism losses we must pay in a calendar year before the federal government shares in subsequent payment of certified terrorism losses. or 2 Decrease the federal government s statutory percentage share in potential terrorism losses above such deductible or for claims made policies such an endorsement is superseded only with respect to an incident of terrorism however defined that results in a claim for injury or damage first being made on or after the date when the provisions of this endorsement become applicable and b. Remain applicable unless we notify you of changes in these provisions in response to federal law. ISO Propetrties Inc. 2005 CG 21870107 Page 1 | 2 |
3. If the provisions of this endorsement do NOT become applicable any terrorism endorsement already endorsed to this policy that addresses certified acts of terrorism andor other acts of terrorism will continue in effect unless we notify you of changes to that endorsement in response to federal law. B. The following definitions are added and apply under this endorsement wherever the term terrorism or the phrase any injury or damage are enclosed in quotation marks 1. Terrorism means activities against persons organizations or property of any nature a. That involve the following or preparation for the following 1 Use or threat of force or violence or 2 Commission or threat of a dangerous act or 3 Commission or threat of an act that interferes with or disrupts an electronic communication information or mechanical system and b. When one or both of the following applie 1 The effect is to intimidate or coerce a government or the civilian population or any segment thereof or to disrupt any segment of the economy or 2 It appears that the intent is to intimidate or coerce a government or to further political ideological religious social or economic objectives or to express or express opposition to a philosophy or ideology. 2. Any injury or damage means any injury or damage covered under any Coverage Part or Policy to which this endorsement is applicable and includes but is not limited to bodily injury property damage personal and advertising injury injury or environmental damage as may be defined in any applicable Coverage Part or Policy. C. The following exclusion is added EXCLUSION OF TERRORISM We will not pay for any injury or damage caused directly or indirectly by terrorism including action in hindering or defending against an actual or expected incident of terrorism. Any injury or damage is excluded regardless of any other cause or event that contributes concurrently or in any sequence to such injury or damage. But this exclusion applies only when one or more of the following are attributed to an incident of terrorism 1. The terrorism is carried out by means of the dispersal or application of radioactive material or through the use of a nuclear weapon or device that involves or produces a nuclear reaction nuclear radiation or radioactive contamination or 2. Radioactive material is released and it appears that one purpose of the terrorism was to release such material or 3. The terrorism is carried out by means of the dispersal or application of pathogenic or poisonous biological or chemical materials or biological chemical materials are released and it appears that one purpose of the terrorism was to release such materials or 5. The total of insured damage to all types of property exceeds 25000000. in determining whether the 25000000 threshold is exceeded we will include all insured damage sustained by property of all persons and entities affected by the terrorism and business interruption losses sustained by owners or occupants of the damaged property. For the purpose of this provision insured damage means damage that is covered by any insurance plus damage that would be covered by any insurance but for the application of any terrorism exclusions or CG 21870107 IS0 Properties Inc. 2005 Page 2 | 2 |
With respect to this Exclusion Paragraphs C.5. and C.6. describe the threshold used to measure the magnitude of an incident of terrorism and the circumstances in which the threshold will apply for the purpose of determining whether this Exclusion will apply to that incident. When the Exclusion applies to an incident of terrorism there is no coverage under this Coverage Part or Policy. In the event of any incident of terrorism that is not subject to this Exclusion coverage does not apply to any injury or damage that is otherwise excluded under this Coverage Part or Policy. 6. Fifty or more persons sustain death or serious physical injury. For the purposes of this provision serious physical injury means a. Physical injury that involves a substantial risk of death or b. Protracted and obvious physical disfigurement or c. Protracted loss of or impairment of the function of a bodily member or organ. Multiple incidents of terrorism which occur within a 72 hour period and appear to be carried out in concert or to have a related purpose or common leadership will be deemed to be one incident for the purpose of determining whether the thresholds in Paragraphs C.5. or C.6. are exceeded. a. Physical injury that involves a substantial risk of death or b. Protracted and obvious physical disfigurement or c. Protracted loss of or impairment of the function of a bodily member or organ. Multiple incidents of terrorism which occur within a 72 hour period and appear to be carried out in concert or to have a related purpose or common leadership will be deemed to be one incident for the purpose of determining whether the thresholds in Paragraphs C.5. or C.6. are exceeded. eI al il e LAl tistalibes T Wit wis threshold will apply for the purpose of determining whether this Exclusion will apply to that incident. When the Exclusion applies to an incident of terrorism there is no coverage under this Coverage Part or Policy. In the event of any incident of terrorism that is not subject to this Exclusion coverage does not apply to any injury or damage that is otherwise excluded under this Coverage Part or Policy. IS0 Properties Inc. 2005 Page 3 CG 21870107 | 2 |
COMMERCIAL GENERAL LIABILITY CG 2196 03 05 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SILICA OR SILICA RELATED DUST EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability 2. Exclusions This insurance does not apply to Silica Or Silica Related Dust a. Bodily injury arising in whole or in part out of the actual alleged threatened or suspected inhalation of or ingestion of silica or silica related dust. Property damage arising in whole or in part out of the actual alleged threatened or suspected contact with exposure to existence of or presence of silica or lica related dust.. Any loss cost or expense arising in whole or in part out of the abating testing for monitoring cleaning up removing containing treating detoxifying neutralizing remediating or disposing of or in any way responding to or assessing the effects of silica or silica related dust by any insured or by any other person or entity. B. The following exclusion is added to Paragraph 2. Exclusions of Section I Coverage B Personal And Advertising Injury Liability C. The following definitions are added Exclusions This insurance does not apply to Silica Or Silica Related Dust a. Personal and advertising injury arising in whole or in part out of the actual alleged threatened or suspected inhalation of ingestion of contact with exposure to existence of or presence of silica or silica related dust. b. Any loss cost or expense arising in whole or in part out of the abating testing for monitoring cleaning up removing containing treating detoxifying neutralizing remediating or disposing of or i ding to se the effects of silica or silica related dust by any insured or by any other person or entity. to the Definitions Section 1. Silica means silicon dioxide occurring in crystalline amorphous and impure forms silica particles silica dust or silica compounds. Silica related dust means a mixture or combination of silica and other dust or particles. CG 2196 03 05 SO Properties Inc. 2004 | 2 |
POLICY NUMBER RGR9437680 POLICY NUMBER RGR9437680 COMMERCIAL GENERAL LIABILITY CG 24040509 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization WHERE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT EXECUTED PRIOR TO LOSS EXCEPT WHERE NOT PERMITTED BY LAW. Information required to complete this Schedule if not shown above will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV Conditions We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injuryor damage arising out of your ongoing operations or your work done under a contract with that person or organization and included in the products completed operations hazard. This waiver applies only to the person or organization shown in the Schedule above. Insurance Services Office Inc. 2008 Page 1 of 1 m CG 24 04 0509 | 2 |
COMMERCIAL GENERAL LIABILITY CG 02011009 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. MARYLAND CHANGES This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCT WITHDRAWAL COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART A. Paragraphs 2. and 3. of the Cancellation Common Policy Condition are replaced by the following 2. When this policy has been in effect for 45 days or less and is not a renewal policy we may cancel this Coverage Part by mailing to the first Named Insured at the last mailing address known to us written notice of 5. cancellation stating the reason for cancellation at least a. 10 days before the effective date of cancellation if we cancel for nonpaymen of premium.... Policies Written For One Year Or L b. 15 days before the effective date of a olicies Written For One Year Or Less We will refund 90 of the pro rata cancellation if we cancel because the risk does not meet our underwriting standards. unearned premium. 3. When this policy has been in effect for more b. Policies Written For More Than One than 45 days or is a renewal policy we may Year cancel this policy by mailing to the first Named 1 If the policy is cancelled in the first Insured at the last mailing address known to year we will refund 90 of the pro us written notice of cancellation at least rata unearned premium for the first If we cancel pursuant to Paragraph 3.b. you may request additional information on the reason for cancellation within 30 days from the date of our notice. B. Paragraph 5. of the Cancellation Common Policy Condition is replaced by the following If this policy is cancelled we will send the first Named Insured any premium refund due. If we cancel the refund will be pro rata. If the first Named Insured cancels the refund will be calculated as follows CG 02011009 a. 10 days before the effective date of cancellation if we cancel for nonpayment of premium. b. 45 days before the effective date of cancellation if we cancel for a permissible reason other than nonpayment of premium stating the reason for cancellation. Under this Paragraph b. we may cancel only for one or more of the following reasons 1 When there exists material misrepresentation or fraud in connection with the application policy or presentation of a claim. A change in the condition of the risk that results in an increase in the hazard insured against. A matter or issue related to the risk that constitutes a threat to public safety. 2 3 Insurance Services Office Inc. 2009 year plus the full annual premium for subsequent years. 2 If the policy is cancelled after the first year we will refund the pro rata unearned premium. c. Continuous And Annual Premium Payment Policies We will refund 90 of the pro rata unearned premium for the year in which the policy is cancelled. We will retain the minimum premium except if the policy is cancelled as of the inception date. Page 1 B. Para Cond 5. If N If i Insurance Services Office Inc. 2009 Page 1 | 2 |
However if this policy is financed by a premium finance company and we or the any provisions to the contrary premium finance company or the first Named When We Do Not Renew Insured cancels the policy the refund will. consist of the gross unearned premium 1. We may elect not to renew this policy by D. The following condition is added and supersedes computed pro rata excluding any expense constant administrative fee or nonrefundable charge filed with and approved by the insurance commissioner. The cancellation wili be effective even if we have not made or offered a refund. C. Paragraph 6. of the Cancellation Common Policy Condition is replaced by the following We will send notice of cancellation to the first Named Insured by certificate of mail if a. We cancel for nonpayment of premium or b. This policy is not a renewal of a policy we issued and has been in effect for 45 days or less. We will send notice to the first Named Insured by certificate of mail or by commercial mail delivery service if we cancel for a reason other than nonpayment of premium and this policy of mailing authorized or accepted by the United States Postal Service or by other commercial mail delivery service when such service is used. Proof of mailing will be sufficient proof of notice. mailing notice of nonrenewal to the first Named Insured at the last mailing address known to us at least 45 days before the expiration date of this policy. We will send notice of nonrenewal to the first Named Insured by certificate of mail or by commercial mail delivery service. We will maintain proof of mailing in a form authorized or accepted by the United States Postal Service or by other commercial mail delivery service when such service is used. Proof of mailing will be sufficient proof of notice. When we elect not to renew a policy that has been in effect for more than 45 days for a reason other than nonpayment of premium we will provide a written statement of the actual reason for the refusal to renew. You may request additional information within 30 days from the date of our notice. If we offer to renew at least 45 days before the renewal date and you fail to make the required premium payment by the renewal date the nonpayment of premium. Insurance Services Office Inc. 2009 Page 2 CG 02011009 | 2 |
COMMERCIAL GENERAL LIABILITY CG26731204 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. MARYLAND CHANGES PREMIUM AUDIT CONDITION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART PRODUCT WITHDRAWAL COVERAGE PART UNDERGROUND STORAGE TANK POLICY Paragraph b. of the Premium Audit Condition Section IV is replaced by the following Premium Audit b. Premium shown in this Coverage Part as advance premium is a deposit premium only. At the close of each audit period we will compute the earned premium for that period and send notice to the first Named Insured. The due date for audit and retrospective premiums is 30 days from the date of the bill. If the sum of the advance and audit premiums paid for the policy period is greater than the earned premiumwe will return the excess to the first Named Insured. CG 26731204 ISO Properties Inc. 2003 | 2 |
POLICY NUMBER RGR9437680 COMMERCIAL GENERAL LIABILITY XIL 433 0605 ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION ALL OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations THE CITY AND COUNTY OF SAN FRANCISCO ITS OFFICERS EMPLOYEES AND AGENTS C O SAN FRANCISCO POLICE DEPARTMENT 850 BRYANT STREET SAN FRANCISCO CA 94103 tion required to complete thi Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by your acts or omissions or the acts or omissions of those acting on your behalf A. In the performance of your ongoing operations or B. In connection with your premises owned by or rented to you Provided that 1. The occurrence takes place in the United States of America including its territories or possessions and 2. The insured s responsibility to pay damages is determined in a suit on the merits in the territory defined in 1. above or in settlement we agree to. DEPARTMENT XIL 433 0605 XL America Inc. 2005 | 2 |
POLICY NUMBER RGR9437680 XIt 401 1007 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NAMED INSURED ENDORSEMENT With respect to coverage provided by this endorsement the provisions of the Coverage Forms apply unless modified by the endorsement. NAMED INSURED of the policy declarations page is amended to include the following Curbside Hospitality Inc. FEIN 04 3376713 500 Cummings Center Suite 4900 Beverly MA 02915 All other terms and conditions remain the same. Authorized Representative With respect to coverage provided by this endorsement the provisions of the Coverage Forms apply unless modified by the endorsement. NAMED INSURED of the policy declarations page is amended to include the following Curbside Hospitality Inc. FEIN 04 3376713 500 Cummings Center Suite 4900 Beverly MA 02915 All other terms and conditions remain the same. Authorized Representative 2007 XL America Inc. Page 10of 1 Xil 401 1007 | 2 |
ENDORSEMENT 001 This endorsement effective 1201 a.m. January 1 2014 forms a part of Policy No. RGR9437680 issued to TOWNE HOLDINGS INC. by Greenwich Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CANCELLATION NOTIFICATION TO OTHERS ENDORSEMENT In the event coverage is cancelled for any statutorily permitted reason other than nonpayment of premium advanced written notice will be mailed or delivered to persons or entityies according to the notification schedule shown below Number of Days Name of Persons or Entityies Mailing Address ldovacnecg Cancellation The City and County of San Francisco c o San Francisco Police Department 30 850 Bryant Street San Francisco CA94103 City of Austin P.O. Box 1088 30 Austin TX 78788 Loews Hotels Inc. 667 Madison Avenue 30 New York NY 10065 The Convention Center Authority of the 201 Fifth Avenue South 30 Metropolitan Government of Nashville And Davidson County Music City Center Nashville TN 37203 All other terms and conditions of the Policy remain unchanged. IXI 405 0910 2011 X.L. America Inc. All Rights Reserved. May not be copied without permission. | 2 |
ENDORSEMENT 002 This endorsement effective 1201 a.m. January 1 2014 forms a part of Policy No. RGR9437680 issued to TOWNE HOLDINGS INC. by Greenwich Insurance Company. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BROAD NAMED INSURED ENDORSEMENT This endorsement modifies Insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS COVERAGE PART LIQUOR LIABILITY COVERAGE PART Itis agreed that 1 Section Il WHO IS AN INSURED Paragraph 3. is deleted and replaced with the following 3. Any subsidiary affiliate or organization other than a partnership or joint venture as may now exist or hereafter be constituted over which you assume active management or maintain ownership or majority interest provided that you notify us within ninety 90 days no other similar insurance available to that organization. However a. Coverage A does not apply to bodily injury or property damage that occurred before you acquired or formed the organization. b. Coverage B does not apply to personal and advertising injury arising out of an offense committed before you acquired or formed the organization. No person or organization is an insured with respect to the conduct of any current or past partnership or joint venture that is not shown as a Named Insured in the Declarations. 2. Nothing in this Endorsement shall affect the responsibilities duties or obligations of either the first Named Insured or of the Company under the Policy. Al other terms and conditions remain unchanged. XIL 416 0605 2005 XL America Inc. | 2 |
ENDORSEMENT 003 This endorsement effective 1201 a.m. January 1 2014 forms a part of Policy No. RGR9437680 issued fo TOWNE HOLDINGS INC. by Greenwich Insurance Company. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMPOSITE RATE ENDORSEMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM RAILROAD PROTECTIVE LIABILITY COVERAGE FORM It is agreed that the premium for the policy to which this endorsement is attached shall be computed upon a composite basis as designated in the schedule below in accordance with our rules rating rating plans premiurmand the other terms of the policy. Nothing contained herein shall be held to waive vary alter or extend any condition or provision of the policy other than as above stated. SCHEDULE 94380655 4336 409234 Al other terms and conditions remain unchanged XIL 405 0605 2005 XL America Inc. | 2 |
ENDORSEMENT 004 This endorsement effective 1201 a.m. January 1 2014 forms a part of Policy No. RGR9437680 issued to TOWNE HOLDINGS INC. by Greenwich Insurance Company. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ASBESTOS EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM This policy does not apply to liability for any injury including bodily injury property damage personal and advertising injury any of which arise out of asbestos including but not limited to 1 inhaling ingesting or prolonged physical exposure to asbestos or goods or products containing asbestos or the use of asbestos fromrany goods products orstructures or 3 the removal of asbestos in constructing or manufacturing any goods products or structures or 4 the manufacture transportation storage handling distribution sale application mining consumption or disposal of asbestos or goods or products containing asbestos. All other terms and conditions remain unchanged. XIL 401 0605 2005 XL America Inc. | 2 |
ENDORSEMENT 005 This endorsement effective 1201 a.m. January 1 2014 forms a part of Policy No. RGR39437680 issued to TOWNE HOLDINGS INC. by Greenwich Insurance Company. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. RADIOACTIVE MATTER EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM RAILROAD PROTECTIVE LIABILITY COVERAGE FORM In consideration of the premium charged it is agreed that such coverage as is afforded under this policy for liability arising out of bodily injury property damagepersonal and advertising injury including any defense costs or expenses incurred shall NOT apply to bodily injury property damage personal and advertising injury arising from the actual alleged or threatened exposure of any persons or property to any radioactive matter. All other terms and conditions remain unchanged. XIL 402 0605 2005 XL. America Inc. | 2 |
ENDORSEMENT 006 This endorsement effective 1201 a.m. January 1 2014 forms a part of Policy No. RGR9437680 issuedto TOWNE HOLDINGS INC. by Greenwich Insurance Company. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. KNOWLEDGE OF OCCURRENCE This endorsement modifies Insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM RAILROAD PROTECTIVE LIABILITY COVERAGE FORM It is agreed that knowledge of an occurrence by the agent servant or employee of the insured shall not in itself constitute knowledge by the insured unless the Named Insured or any partner or any executive officer or any other officer or person responsible for insurance matters of the insured s corporation shall ave received such notice from the agent servant or All other terms and conditions of this policy remain unchanged XIL 414 0605 2005 XL America Inc. | 2 |
ENDORSEMENT 007 This endorsement effective 1201 a.m. January 1 2014 forms a part of Policy No. RGR9437680 issued to TOWNE HOLDINGS INC. by Greenwich Insurance Company. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF OCCURRENCE ENDORSEMENT This endorsement modifies Insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM RAILROAD PROTECTIVE LIABILITY COVERAGE FORM If you report an injury to an employee to your worker s compensation carrier and if it is subsequently determined that the injury is one to which this insurance may apply any failure to comply with Section IV COMMERCIAL GENERAL LIABILITY CONDITIONS Paragraph 2. Duties In The EventOf Occurrence Offense Claim Or Suit will be waived if you provide us with the required notice as soon as possible after you know or reasonably should have known that this insurance may apply. All other terms and conditions of this policy remain unchanged. XIL 415 0605 2005 XL America Inc. | 2 |
ENDORSEMENT 008 This endorsement effective 1201 a.m. January 1 2014 forms a part of Policy No. RGR9437680 issued to TOWNE HOLDINGS INC. by Greenwich Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY INSURANCE CLAUSE ENDORSEMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS COVERAGE PART It is agreed that to the extent that insurance is afforded to any Additional Insured under this policy this insurance shall apply as primary and not contributing with any insurance carried by such Additional Insured as required by written contract. All other terms and conditions of this policy remain unchanged. XIL 424 0605 2005 XL America Inc. | 2 |
ENDORSEMENT 009 This endorsement effective 1201 a.m. January 1 2014 forms a part of Policy No. RGR9437680 issuedto TOWNE HOLDINGS INC. by Greenwich Insurance Company. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS This endorsement modifies Insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS COVERAGE PART LIQUOR LIABILITY COVERAGE PART Itis agreed that SECTION IV Representations is amended to include the following d. Your failure to disclose all hazards existing as of the inception date of this policy shall not prejudice the coverage afforded by this policy provided such failure to disclose all hazards is not intentional. However this endorsement does not affect our right to collect additional premlum or exercise our right of cancellation or nonrenewal. Alf other terms and conditions of this policy remain unchanged. XIL 427 0605 2005 XL America Inc. | 2 |
ENDORSEMENT 010 This endorsement effective 1201 a.m. January 1 2014 forms a part of Policy No. RGR9437680 issued to TOWNE HOLDINGS INC. by Greenwich Insurance Company. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LEAD EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS COVERAGE PART Itis agreed that SECTION COVERAGES COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY and COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY Item 2. Exclusions is amended to include the following Bodily injury Property damage or Personal and advertising injury arising out of or alleged to have arisen out of exposure to lead lead paint or any material containing lead or lead paint or 2 the existence removal or abatement of lead lead paint or any material containing lead or lead paint including without limitation a the costs of lead or lead paint removal or b Property damage or any other injury or damage suffered in the course of effecting such removal. All other terms and conditions remain unchanged. XIL 428 0605 2005 XL America Inc. | 2 |
ENDORSEMENT 011 This endorsement effective 1201 a.m. January 1 2014 forms a part of Policy No. RGR9437680 issued to TOWNE HOLDINGS INC. by Greenwich Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY INSURANCE CLAUSE ENDORSEMENT SCHEDULED This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM RAILROAD PROTECTIVE LIABILITY COVERAGE FORM It is agreed that to the extent that insurance is afforded to the following Additional Insured under this policy this insurance shall apply as primary and not contributing with any insurance carried by such Additional Insured as required by written contract. Name of Person or Organization 550 15 Owner LLC a Delaware Limited Liability Company 9100 East Panorama Drive Suite 300 Englewood CO 80112 All other terms and conditions of this policy remain unchanged XIL 431 0605 2005 XL America Inc | 2 |
ENDORSEMENT 012 This endorsement effective on January 1 2014 at 1201 A.M. standard time forms a part of Policy No. RGR9437680 ofthe Greenwich Insurance Company Issued to TOWNE HOLDINGS INC. AIRCRAFT PRODUCTS AND GROUNDING EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART With respect to coverage provided by this endorsement the provisions of the Coverage Part apply unless modified by this endorsement. The following exclusions are added to Paragraph 2. Exclusions under SECTION COVERAGES COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY This insurance does not apply to Bodily Injury or Property Damage arising out of the Products Completed Operations Hazard relating to 1 Aircraft including missiles or spacecrafts and any group support or control equipment used therein 2. Any other goods or products manufactured sold handled or distributed by the Insured or any services provided or recommended by the Insured or by others trading under the insured s name for use in the manufacture repair operation or use of any aircraft or 3. Any articles furnished by the Insured or by others trading under the Insured s name and installed in aircraft or used in connection with aircraft or for the spare parts for aircraft including but not limited to ground handling tools and equipment training aids instructions manuals blueprints engineering or other advice or service relating to aircraft and any other labor relating to such aircraft or articles. Itis further agreed that this insurance does not apply to Bodily Injury or Property Damage arising out of the grounding of any aircraft. For the purposes of this endorsement grounding means the withdrawal of one or more aircraft from flight operations or the imposition of speed passenger or load restrictions on such aircraft by reason of existence of or alleged or suspected existence of any defect fault or condition in such aircraft or any part thereof sold handled or distributed by the Insured or manufactured assembled or processed by any other person or organizations by the Insured whether such aircraft so withdrawn are owned or operated by the same or different persons organizations or corporations. A grounding shall be deemed to commence on the date of an occurrence which discloses such condition or on the date an aircraft is first withdrawn from service on account of such condition whichever occurs first. All other terms and conditions remain unchanged. Authorized Representative MANUS 2014 X.L. America Inc. All Rights Reserved. May not be copied without permission. Authorized Representative 2014 X.L. America Inc. All Rights Reserved. May not be copied without permission. MANUS | 2 |
ENDORSEMENT 013 This endorsement effective on January 1 2014 at 1201 A.M. standard time forms a part of Policy No. RGR9437680 of the TOWNE HOLDINGS INC. Issued to Greenwich Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FELLOW EMPLOYEE COVERAGE ENDORSEMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS COVERAGE PART With respect to coverage provided by this endorsement the provisions of the Coverage Part apply unless modified by this endorsement. SECTION Il WHO IS AN INSURED Paragrapl 1 a through c are deleted. All other terms and conditions remain unchanged Authorized Representative MANUS 2014 X.L. America Inc. All Rights Reserved. May not be copied without permission. | 2 |
ENDORSEMENT 014 This endorsement effective on January 1 2014 at 1201 AM. standard time forms a part of Policy No. RGR9437680 of the TOWNE HOLDINGS INC Issued to Greenwich Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NEWLY FORMED OR ACQUIRED ORGANIZATIONS COVERAGE INCLUDING PARTNERSHIPS JOINT VENTURES AND LIMITED LIABILITY COMPANIES This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS COVERAGE PART With respect to coverage provided by this endorsement the provisions of the Coverage Part apply unless modified by this endorsement SECTION Il WHO IS AN INSURED 3. is deleted and replaced by the following liability company and over which you maintain a majority interest will qualify as a Named Insured if there is no other similar insurance available to that organization. However a. Coverage under this provision is afforded only until the 120 day after you acquire or form the organization or until the end of the policy period whichever is earlier and b. SECTION COVERAGES COVERAGE A does not apply to bodily injury or property damage that occurred before you acquired or formed the organization and c. SECTION COVERAGES COVERAGE B does not apply to personal and advertising injury arising out of an offense committed before you acquired or formed the organization. SECTION Il LIMITS OF INSURANCE is amended to include the following paragraphs a. In the event a claim or suit is brought against a newly acquired or formed partnership joint venture or limited liability company that is a Named Insured under SECTION 11 WHO IS AN INSURED 3. the Limits of Insurance under this policy shall be limited to your percentage ownership or participation interest in the partnership joint venture or limited liability company. b. Where your percentage interest in the partnership joint venture or limited liability company is not set forth in writing the percentage to be applied under a. above shall be that which would be imposed by law at the inception of such entity. Such percentage shall not be increased by the insolvency of other s interests in such entity. MANUS 2014 X.L. America Inc. All Rights Reserved. May not be copied without permission. | 2 |
All other terms and conditions remain unchanged Authorized Representative MANUS 2014 X.L. America Inc. All Rights Reserved. May not be copied without permission. | 2 |
ENDORSEMENT 015 This endorsement effective on January 1 2014 at 1201 A.M. standard time forms a part of Policy No. RGR9437680 of the Greenwich Insurance Company issued to TOWNE HOLDINGS INC. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DEFINITION OF EMPLOYEE BROADENED This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART. With respect to coverage provided by this endorsement the provisions of the Coverage Part apply unless modified by this endorsement. SECTION V DEFINITIONS 5. is deleted and replaced by the following All other terms and conditions remain unchanged Authorized Representative 2014 X.L. America Inc. All Rights Reserved. May not be copied without permission. MANUS | 2 |
ENDORSEMENT 016 This endorsement effective on January 1 2014 at 1201 A.M. standard time forms a part of Policy No. RGR9437680 of the TOWNE HOLDINGS INC. Issued to Greenwich Insurance Company. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. INCIDENTAL MEDICAL MALPRACTICE ENDORSEMENT INCLUDING GOOD SAMARITAN COVERAGE This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART With respect to coverage provided by this endorsement the provisions of the Coverage Part apply unless modified by this endorsement. 1. SECTION Il WHO IS AN INSURED is amended to delete 2. a. 1 d and replaced with the following services except for bodily injury resulting from the rendering or failure to render professional health services by any physician dentist nurse emergency medical technician paramedical or other licensed medical care person while employed by you to provide such profssional services and from Good Samaritan Acts performed by any other employee of yours who is not a licensed medical professional. Any continuous repeated or related acts or omissions by such employee will be deemed a single occurrence. 2. SECTION V DEFINITIONS is amended to include the following Good Samaritan Acts means any assistance of a medical nature rendered or provided in an emergency situation including but not limited to emergency cardiopulmonary resuscitation CPR or first aid services for which no remuneration is demanded or received. The Coverage provided by this endorsement does not apply to you or any insured if you or any such insured are engaged in the business or occupation of providing any medical dental or other health care professional services. All other terms and conditions remain unchanged Authorized Representative 2014 X.L. America Inc. All Rights Reserved. May not be copied without permission. MANUS | 2 |
ENDORSEMENT 017 This endorsement effective on January 1 2014 at 1201 A.M. standard time forms a part of Policy No. RGR9437680 of the Greenwich Insurance Company Issued to TOWNE HOLDINGS INC. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT OF LIMITS OF INSURANCE DESIGNATED PROJECT OR PREMISES This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART With respect to coverage provided by this endorsement the provisions of the Coverage Part apply unless modified by this endorsement. COMMERCIAL GENERAL LIABILITY COVERAGE PART With respect to coverage provided by this endorsement the provisions of the Coverage Part apply unless modified by this endorsement. SCHEDULE Limits Of Insurance 77777777777777 T 2000000 Products Completed Operations Aggregate Limit NA Personal Advertising Injury Limit Each Occurrence Limit 1000000 Damage To Premises Rented To You Limit Any One Premises Medical Expense Limit Any One Person Designation Of Project Or Premises California State Teachers Retirement System Pershing Point Plaza parking garage 1375 Peachtree Street Atlanta Georgia 30309 If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. The limits of insurance shown in the Declarations are replaced by the limits designated in the Schedule with respect to the project or premises entered above. regate Limit Limit ny One Premises Retirement System ng garage All other terms and conditions remain unchanged. Authorized Representative MANUS 2014 X.L. America Inc. All Rights Reserved. May not be copied without permission. | 2 |
INSURANCE COMMERCIAL GENERAL LIABILITY DECLARATIONS OCCURRENCE Issued By Liberty Mutual Fire Insurance Co. Policy Number TB2 641 444819 047 Issuing Office OVERLAND PARK New Issue Date Sy Account Number 4 444819 Sub Account 000 VAN Named Insured and Mailing Address PP J.E. Dunn Construction Company and J.E. Dunn Construction FEVARS Group Inc. A N See Endorsement LCS 00 04 10 14 Vs 1001 Locust Street yavd Kansas City MO 64106 y SIS 7 Form of Business Corporation NS Policy Period The policy period is from 02012017 to 03312023 121M sMard time at the Insured s mailing address. In retum for the payment of the premium and subject aII the terms of this pollcyqyagree with you to provide the insurance as stated in this policy. LMITS opsuhmc i. 3000000 500000 Anyone premises 10000 Anyone person Each Occurrence Limit Damage to Premises Rented to You Limit. Medical Expense Limit Personal Advertising Injury Limit P 3000000 General Aggregate Limit I 6000000 Products Completed Operations Aggegale yimit L 6000000. seHEDULES The declarations are completed onthe anym Declarations Extension Schedules. Commercial General Liability Coverage Panvemnm 1792498 Endorsement Premium e 63000 Total Estimated Premium 7 1855498 Other Charges Policywriting Minimu remun 1000 I Forms Applicable See Auashgd lnvnQy LOCKTON 0002004710 LOCKTON COMPANIES LLC 444 W 47TH ST STE 900 KANSAS CITYMO 641121906 Producer SMITH D 8936 OVERLAND PARK g Address mpany and J.E. Dunn Construction 041014 ration 2012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office Inc. with its permission. LC 000408 12 Page 1 of 1 | 2 |
DECLARATIONS EXTENSION SCHEDULE CLASSIFICATIONDESCRIPTIONS Policy Number TB2 641 444819 047 Class Code 15250 Description Contracting Medium 2012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Senvices Office Inc. with its permission. LCS 00 0105 12 Page 1 of 1 | 2 |
DECLARATIONS EXTENSION SCHEDULE COMPOSITE RATED COVERAGES Policy Number TB2 641 444819 047 Description Premium Basis Premium Premium Basis 1e Named Insured Construction Volume 4500000000 Rates Premium Per 1000 S 059 1755000 AN N g 37500 S L S 792500 All Operations of the Named Insured Oversight Fee TOTAL 2012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office Inc. with its permission. LCS 000205 12 Page 1 of 1 | 2 |
DECLARATIONS EXTENSION SCHEDULE MISCELLANEOUS CHARGES Policy Number TB2 641 444819 047 Premium Basis TRIA Flat Charge Minimum and Flat charge 63000 Charges 63000 Premium Basis Rates N 7 Flat Charge Flatcharge 63000 Ve o L o ANEOUS CHARGES AN S T. 7 Y Pane v N T AN 1 NN PR Y SN AV A A e e 4 PN 2 b N NS. Charges 63000 TOTAL MISCELLANEOUS CHARGES 2012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Senvices Office Inc. with its permission. LCS 00 03 05 12 Page 1 of 1 | 2 |
COMMERCIAL GENERAL LIABILITY DECLARATIONS EXTENSION SCHEDULE NAMED INSURED Policy Number TB2 641 444819 047 Itis agreed that the following are Named Insureds under this coverage part Estes Dumn Il a joint venture L N J.E. Dunn Construction Company and J.E. Dunn Construction Group Inc. et al N 2014 Liberty Mutual Insurance Includes copyrighted material of Insurance Senvices Office Inc. withiits permission. LCS 00041014 Page 1 of 1 | 2 |
Policy Number TB2 641 444819 047 Issued by Liberty Mutual Fire Insurance Co. Inventory Coverage Forms Parts Endorsements Enclosures COVERAGE FORMS PARTS ENDORSEMENTS AND ENCLOSURES FORMING A PRT THIS POLICYAT INCEPTION Form Number Edition Date Title Ve COMMON POLICY FORMS N N LIL 90 04 06 13 ANNUAL MEETING NOTICE J LC 000408 12 COMMERCIAL GENERAL LIABIL bECA e LCS 000105 12 DECLARATIONS EXTENSION s 6E FICATION DESCRIPTIONS LCS 000205 12 DECLARATIONS EXTENSION scqsnum LCS 00 03 05 12 DECLARATIONS EXTENSION SCHEQULE MISCELLANEOUS CHARGES LCS 000410 14 COMMERCIAL GENERAL LIABILITY DEU orQ EXTENSION SCHEDULE NAMER INSUREDS IC 00420709 Inventory Coverage F JrmslPansElidsssqnems Ehskufes IC0017 11 93 Countersignature Endgrsemest... 7 1C0018 04 92 Countersignature Endofsemelt St 100024 05 99 Countersignature Endorsment L0017 1198 Common PollcyCondltlons 1L 02740213 MISSqJRI L HANGEq CANCEQLA N AND NONRENEWAL Vi J yave 4 AN P COMMERCIAL GENERAL LIABIL1Y W 7 CG 00010413 CDMMESJAL GENERAL LIABILITY COVERAGE FORM Named Insured. SN W LC 99400213 7 BROAO NAMED INSURED MAJORITY INTEREST LD 99 66 06 12 Broad Fory Named Insured Endorsement Deductible. N4 LC 03 07 06 05 Qeducble Damages and Supplemertary Payments 7 Composite Rate A LC 99121013 Composite Rate Endorsement Coverage Endorsements CG02241093 Earlier Notice of Cancellation Provided By Us CG04370514 ELECTRONIC DATA LIABILITY CG20010413 PRIMARY AND NONCONTRIBUTORY OTHER INSURANCE CONDITION Edition Date LICY FORMS Title Fa ate Earlier Notice of Cancellation Provided By Us ELECTRONIC DATA LIABILITY PRIMARY AND NONCONTRIBUTORY OTHER INSURANCE CONDITION IC 00 42 07 09 2008 Liberty Mutual Group of Companies. All rights reserved. Page 1 of 3 | 2 |
Form Number Edition Date CG 24040509 CG24140413 LC 04010605 LC 0404 06 05 LC 22020809 LC 2406 06 07 LC 25130808 LC 290206 07 LC 290408 08 LC 2906 08 08 LC29081011 LC29091011 LC99010213 LC 99020213 LC 99030213 LC 99 27 08 09 LC 99280809 LC99360213 LD 02030511 LC 04020605 LC0423 LC25190115 LIM99 0105 11 LC25091013 CG04401103 CG04410311 CG04421103 CG04441103 Additional Insureds CG20120413 CG20260413 CG20320413 CG20340413 CG201007 04 CG20370704 TRIA Exclusions CG21700115 s. oVD. Title WANER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TOUs WANER OF GOVERNMENTAL IMMUNITY Reasonable Force Bodily Injury to Co Employees Coverage Sy JOINT DEFENSE ENDORSEMENT v Damage to Your Work Amendment Non Cumulation of Liability Same Occurence Insured Contract Redefined Personal and Advertising Injury Definition oi Pgsf canon. Personal and Advertising Injury OCCLITCE Redefined N b Advertisement Redefined BODILY INJURY REDEFINED NOTICE OF OCCURRENCE OFFEN OR KNOWLEDGE OF OCCURRENGE OROEENS UNINTENTIONAL FAILURE TO DISk OSE Property Damage Occurrence Endorsnent JOINT AND SEVERAL AMENDMENT N PREMIUM RESPONserYEmengMENT N Cancellation Endorse nt Desgnaed Govertment Entity Professional Health Care SeNces biErralo yge overage Wrap Up Insurance Prog ndment of Coverage Designated Construction Peds or Eesugnated Location Combined Aggre I Irn With Tetal Aggregate Limit For All Projects and ons AN Ncmcgbf Caficeltion o Third Palties Amghdmeht leys of Mdesiated Project or Premises Stop rrpnyers Lial lquGerage Endorsement North Dakota Stp. Gap BfployTs Liability Coverage Endorsement Ohio Stop GQR EmpIOers Liability Coverage Endorsement Washington e SWP BLbllnycaverage Endorsement Wyoming TN v Addmot State or Govemmental Agency or Subdivision Or Political N Sl.bdlslovi Permits or Authorizations ADDFIIONA ISURED DESIGNATED PERSON OR ORGANIZATION S ADI INSURED ENGINEERS ARCHITECTS OR SURVEYORS NC T ENGAGED BY THE NAMED INSURED AbD.QrQAL INSURED LESSOR OF LEASED EQUIPMENT AUTOMATIC TUS WHEN REQUIRED IN LEASE AGREEMENT WITH YOU Additional Insured Owners Lessees or Contractors Scheduled Person or Organization Additional Insured Owners Lessees or Contractors Completed Operations CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM 2008 Liberty Mutual Group of Companies. All rights reserved. IC 00 42 07 09 Page 2 of 3 | 2 |
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