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CNA IMPORTANT INFORMATION NOTICE OFFER OF TERRORISM COVERAGE NOTICE DISCLOSURE OF PREMIUM THIS NOTICE DOES NOT FORM A PART OF YOUR POLICY GRANT ANY COVERAGE OR CHANGE THE TERMS AND CONDITIONS OF ANY COVERAGE UNDER THE POLICY You are hereby notified that under the Terrorism Risk Insurance Act as extended and reauthorize... | 2 |
CNA POLICYHOLDER NOTICE CNA Commercial Insurance 333 S. Wabash Ave. Chicago lllinois 60604 4153 00020001260145874127922 Regarding Your CNA Commercial Insurance Coverage Dear CNA Policyholder Ethics and proper business conduct has been the cornerstone of CNA since 1897. While much has changed during the last century our... | 2 |
CNA IMPORTANT INFORMATION PREVENT UNEXPECTED PREMIUM CHARGES AT FINAL AUDIT GENERAL LIABILITY LIMITS WE REQUIRE FOR SUBCONTRACTORS YOU HIRE Please read this IMPORTANT INFORMATION notice carefully if you hire subcontractors to perform work for you. Your General Liability insurance premiums may increase substantially at ... | 2 |
CNA American Society Of Concrete Contractors General Liability Occurrence New Business Declaration POLICY NUMBER C 6014687412 COVERAGE PROVIDED BY Natl Fire Ins Co of Hartford 333 S. WABASH CHICAGO IL. 60604 INSURED NAME AND ADDRESS KANSAS ASPHALT INC. 7000 W 206TH ST BUCYRUS KS 66013 9610 AGENCY NAME AND ADDRESS LOCKT... | 2 |
POLICY NUMBER C 6014687412 INSURED NAME AND ADDRESS KANSAS ASPHALT INC. 7000 W 206TH ST BUCYRUS KS 66013 9610 LIMITS OF INSURANCE DESCRIPTION Each Occurrence Personal Advertising Injury Medical Expense Any One Person Damage To Premises Rented To You Limit Products Completed Operations Aggregate General Aggregate Stop G... | 2 |
POLICY NUMBER C 6014687412 INSURED NAME AND ADDRESS KANSAS ASPHALT INC. 7000 W 206TH ST BUCYRUS KS 66013 9610 SCHEDULE OF LOCATIONS AND COVERAGES Class Code 91580 Contractors Executive Supervisors or Executive Superintendents. Products completed operations are subject to the General Aggregate Limit. Premises Operations... | 2 |
POLICY NUMBER C 6014687412 INSURED NAME AND ADDRESS KANSAS ASPHALT INC. 7000 W 206TH ST BUCYRUS KS 66013 9610 SCHEDULE OF LOCATIONS AND COVERAGES Class Code 91585 Property Damage Liability Deductible Per Occurrence Products Completed Operations Property Damage Liability Deductible Per Occurrence Class Code 92215 Drivew... | 2 |
POLICY NUMBER C 6014687412 INSURED NAME AND ADDRESS KANSAS ASPHALT INC. 7000 W 206TH ST BUCYRUS KS 66013 9610 SCHEDULE OF LOCATIONS AND COVERAGES Class Code 92215 Products Completed Operations IF ANY P 17.049 Property Damage Liability Deductible Per Occurrence 1000 LOCATION SUB TOTAL 0 1172 Location 4 OPERATIONS IN THE... | 2 |
POLICY NUMBER C 6014687412 INSURED NAME AND ADDRESS KANSAS ASPHALT INC. 7000 W 206TH ST BUCYRUS KS 66013 9610 SCHEDULE OF LOCATIONS AND COVERAGES Class Code 91585 Contractors subcontracted work in connection with construction reconstruction repair or erection of buildings not otherwise classified Premises Operations Pr... | 2 |
POLICY NUMBER C 6014687412 INSURED NAME AND ADDRESS KANSAS ASPHALT INC. 7000 W 206TH ST BUCYRUS KS 66013 9610 SCHEDULE OF LOCATIONS AND COVERAGES Class Code 92215 Products Completed Operations IF ANY 2.002 Property Damage Liability Deductible Per Occurrence 1000 LOCATION SUB TOTAL 0 0 Location 7 OPERATIONS IN THE STATE... | 2 |
POLICY NUMBER C 6014687412 INSURED NAME AND ADDRESS KANSAS ASPHALT INC. 7000 W 206TH ST BUCYRUS KS 66013 9610 SCHEDULE OF LOCATIONS AND COVERAGES Class Code 91585 Contractors subcontracted work in connection with construction reconstruction repair or erection of buildings not otherwise classified Premises Operations Pr... | 2 |
POLICY NUMBER C 6014687412 INSURED NAME AND ADDRESS KANSAS ASPHALT INC. 7000 W 206TH ST BUCYRUS KS 66013 9610 SCHEDULE OF LOCATIONS AND COVERAGES Class Code 92215 Products Completed Operations IF ANY P 1.910 Property Damage Liability Deductible Per Occurrence 1000 LOCATION SUB TOTAL 0 0 Page 10 INSURED | 2 |
POLICY NUMBER C 6014687412 INSURED NAME AND ADDRESS KANSAS ASPHALT INC. 7000 W 206TH ST BUCYRUS KS 66013 9610 FORMS AND ENDORSEMENTS SCHEDULE Form Number CG0001 CG0109 CG0300 CG2147 CG2170 CG2279 CG2504 G114050A G114057B34 G132263B G136107A G140331D G142561A G144291A G145658A G18652J G22614A G300250A G300303A G43316C G... | 2 |
G114050 A Ed. 0295 CNA STOP GAP LIABILITY COVERAGE SUPPLEMENTAL SCHEDULE AS PER THE POLICY DECLARATIONS THIS POLICY PROVIDES COVERAGE SUBJECT TO THE LIMITS OF INSURANCE INDICATED BELOW LIMITS OF INSURANCE BODILY INJURY BY ACCIDENT EACH ACCIDENT REFER BODILY INJURY BY DISEASE AGGREGATE LIMIT TO BODILY INJURY BY DISEASE ... | 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 Decla... | 0 |
2. Exclusions This insurance does not apply to a. Expected Or Intended Injury Bodily injury or property damage expected or intended from the standpoint of the insured. This exclusion does not apply to bodily injury resulting from the use of reasonable force to protect persons or property. b. Contractual Liability Bodil... | 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 pollutants 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 ... | 1 |
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 pollutants or Claim or suit by or on behalf of a governmental aut... | 1 |
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 6 That particular part of any prope... | 1 |
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. Excl... | 1 |
i. 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 ide... | 1 |
COVERAGE C MEDICAL PAYMENTS 1. 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 dur... | 1 |
g All interest on the full 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 su... | 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 ar... | 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... | 1 |
4. 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 a. Primary Insurance This insurance is primary except when Paragraph b. below applies. If this insurance is primary our obligati... | 1 |
b. Those statements are based upon representations you made to us and c. We have issued this policy in reliance upon your representations. 7. 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 insuran... | 1 |
9. 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 b. A sidetra... | 1 |
16. Products completed operations hazard a. 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... | 1 |
b. Includes 1 Warranties or representations made at any time with respect to the fitness quality durability performance or use of your product and 2 The providing of or failure to provide warnings or instructions. c. Does not include vending machines or other property rented to or located for the use of others but not ... | 1 |
CG 01091185 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. KANSAS AND OKLAHOMA CHANGES TRANSFER OF RIGHTS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Condition 8. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Section 1V does not apply... | 2 |
POLICY NUMBER POLICY NUMBER COMMERCIAL GENERAL LIABILITY CG 03000196 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DEDUCTIBLE LIABILITY INSURANCE This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE ... | 2 |
2. PER OCCURRENCE BASIS. If the deductible amount indicated in the Schedule above is on a per occurrence basis that deductible amount applies as follows a. Under Bodily Injury Liability Coverage to all damages because of bodily injury b. Under Property Damage Liability Coverage to all damages because of property damage... | 2 |
COMMERCIAL GENERAL LIABILITY CG 21471207 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EMPLOYMENT RELATED PRACTICES EXCLUSION COMMERCIAL GENERAL LIABILITY COVERAGE PART. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability This in... | 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 PROTECT... | 2 |
COMMERCIAL GENERAL LIABILITY CG 22790798 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION CONTRACTORS PROFESSIONAL LIABILITY This endorsement modifies insurance provided under the following The following exclusion COMMERCIAL GENERAL LIABILITY COVERAGE PART is added to Paragraph 2. Exclusions of ... | 2 |
POLICY NUMBER POLICY NUMBER COMMERCIAL GENERAL LIABILITY CG 2504 0509 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED LOCATIONS GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Locations Each... | 2 |
B. For all sums which the insured becomes legally obligated to pay as damages caused by occurrences under Section Coverage A and for all medical expenses caused by accidents under Section Coverage C which can not be attributed only to operations at a single designated location shown in the Schedule above 1. Any payment... | 2 |
G114057 B34 Ed. 0211 CNA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OHIO AMENDATORY STOP GAP LIABILITY COVERAGE ENDORSEMENT This endorsement modifies insurance provided under the following STOP GAP LIABILITY COVERAGE ENDORSEMENT Paragraph 2. Exclusions of Coverage D. STOP GAP LIABILITY COVERAGE is a... | 2 |
G132263 8 Ed. 1104 CNA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDATORY ENDORSEMENT POLLUTION EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Exclusion f. under Paragraph 2. Exclusions of Section COVERAGE A. BODILY INJURY AND... | 2 |
G132263 8 Ed. 1104 responding to or assessing the effects of pollutants. Paragraph 2 does not apply to liability for damages because of property damage that is not excluded by Paragraph 1 above. However this exception to Paragraph 2 does not apply to any loss cost or expense arising out of any request demand order or s... | 2 |
G136107 A Ed. 0300 CNA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION CONSTRUCTION WRAP UP PROGRAM This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART This insurance does not apply to Bodily injury property damage or personal and advertis... | 2 |
G140331 D Ed. 0113 CNA BLANKET ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS WITH PRODUCTS COMPLETED OPERATIONS COVERAGE Itis understood and agreed that this endorsement amends the COMMERCIAL GENERAL LIABILITY COVERAGE PART as follows SCHEDULE OPTIONAL Name of Additional Insured Persons Or Organizations As required ... | 2 |
G140331 D Ed. 0113 Notwithstanding anything to the contrary in Condition 4. Other Insurance Section IV this insurance is excess of all other insurance available to the additional insured whether on a primary excess contingent or any other basis. But if required by the written contract to be primary and non contributory... | 2 |
G142561 A Ed. 1101 CNA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FUNGI MOLD MILDEW YEAST MICROBE EXCLUSION CONTRACTORS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM The following exclusion is added to Paragraph 2. Exclusions of Section C... | 2 |
G145658 A Ed. 1103 CNA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION SILICA COMMERCIAL GENERAL LIABILITY COVERAGE PART. The following exclusion is added to Exclusions of Section COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY This insurance does not apply to 1. Bodily injury arising i... | 2 |
G18652 J Ed. 0712 CNA CONTRACTORS GENERAL LIABILITY EXTENSION ENDORSEMENT It is understood and agreed that this endorsement amends the COMMERCIAL GENERAL LIABILITY COVERAGE PART as follows. The changes this endorsement makes do not apply with respect to any coverage that has been excluded or amended by another endorsem... | 2 |
G18652 J Ed. 0712 1. ADDITIONAL INSURED SECTION Il WHO IS AN INSURED is amended to include as an insured any person or organization called additional insured described in paragraphs A. through G. below whom you are required to add as an additional insured on this policy under a written contract or written agreement pro... | 2 |
G18652 J Ed. 0712 advertising signs awnings canopies cellar entrances coal holes driveways manholes marquees hoistaway openings sidewalk vaults street banners or decorations and similar exposures or b. The construction erection or removal of elevators or c. The ownership maintenance or use of any elevators covered by t... | 2 |
G18652 J Ed. 0712 organization to select appoint or designate a majority of the subsidiary organization s governing body. Such contract or document must have been created prior to the time of loss or c. Having the right pursuant to a written trust agreement to protect control the use of encumber or transfer and sell pr... | 2 |
G18652 J Ed. 0712 1 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 giv... | 2 |
G18652 J Ed. 0712 10. 1. manager if you are a limited liability company of the insured and 2 Not directly or indirectly related to the employment prospective employment past employment or termination of employment of any person or persons by any insured. Under SECTION COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILIT... | 2 |
G18652 J Ed. 0712 F. The provisions of SECTION Il LIMITS OF INSURANCE not otherwise modified by this endorsement shall continue to apply as stipulated. 12. IN REM ACTIONS Any action in rem against any vessel owned or operated by or for you or chartered by or for you will be treated in the same manner as though the acti... | 2 |
G18652 J Ed. 0712 Paragraph f. does not include that part of any contract or agreement 4 Under which you assume another s tort liability for bodily injury arising out of the rendering of or failure to render professional health care services. SECTION Il WHO IS AN INSURED is amended to add the following provisions 1. Yo... | 2 |
G18652 J Ed. 0712 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 bec... | 2 |
G18652 J Ed. 0712 7. Subject to Paragraph 5. above the Each Occurrence Limit the Medical Expense Limit is the most we will pay under SECTION I COVERAGE C for all medical expenses because of bodily injury sustained by any one person. The Medical Expense Limit is the greater of 1 15000 or 2 The amount shown in the Declar... | 2 |
G18652 J Ed. 0712 25. WAIVER OF SUBGROGATION BLANKET Under SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS The Transfer Of Rights Of Recovery Against Others To Us Condition is amended by the addition of the following We waive any right of recovery we may have against any person or organization because of payments we... | 2 |
G22614 A Ed. 1294 CNA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. STOP GAP LIABILITY COVERAGE ENDORSEMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM The provisions of this endorsement apply only as respects the Stop Gap Liability Covera... | 2 |
G22614 A Ed. 1294 h. 2 The Non appropriated Fund Instrumen talities Act 5 USC Sections 8171 8173 3 The Longshore and Harbor Workers Compensation Act 33 USC Sections 910 950 or 4 The Outer Continental Shelf Lands Act 43 USC Sections 1331 1356 5 The Defense Base Act 42 USC Sections 1651 1654 6 The Federal Coal Mine Healt... | 2 |
G22614 A Ed. 1294 podily injury by disease regardless of the num ber of employees who sustain bodily injury by disease. Bodily injury by disease does not in clude disease that results directly from a bodily injury by accident. 4. Bodily Injury by Disease. Subject to 3. above the limit shown under Bodily Injury by Disea... | 2 |
G300250 A Ed. 0206 CNA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXTERIOR FINISH SYSTEM PRODUCTS COMPLETED OPERATIONS EXCLUSION ENDORSEMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. The following is added to Section Coverage parag... | 2 |
G300303 A Ed. 0506 CNA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FELLOW EMPLOYEE BODILY INJURY ENDORSEMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to paragraph 2.a. 1 of Section The coverage provided by th... | 2 |
G43316 C Ed. 0698 CNA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION ASBESTOS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE FORM FARM COVERAGE FORM OWNE... | 2 |
G55157 B Ed. 0288 CNA PREMIUM BASES To be used with the General Liability Schedule Per 1000 Sq. ft. LR Lakes Reservoirs Each Each M Admissions Per 1000 Admissions Each ME Members Each Each Ml Miles Each Each MH Model Homes Each Each O Operators Each Each OE Operating Expenditures Per 1000 of Each OperatingExpenditures ... | 2 |
G144291 A Ed. 0303 CNA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ECONOMIC AND TRADE SANCTIONS CONDITION The following condition is added to the COMMON POLICY CONDITIONS ECONOMIC AND TRADE SANCTIONS CONDITION In accordance with laws and regulations of the United States concerning economic and trade ... | 2 |
IL 00 03 09 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CALCULATION OF PREMIUM This endorsement modifies insurance provided under the following CAPITAL ASSETS PROGRAM OUTPUT POLICY COVERAGE PART COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE... | 2 |
IL00 17 1198 A. D. 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 ... | 2 |
L0021 11 94 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT Broad Form BUSINESSOWNERS POLICY COMMERCIAL AUTO COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART FARM COVERAGE PART This endorsement modifies insurance provided under the following PRODUCTS... | 2 |
L0021 11 94 uranium 233 or any combination thereof or more than 250 grams of uranium 235 d 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... | 2 |
IL 02 6109 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. KANSAS CHANGES CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following CAPITAL ASSETS PROGRAM OUTPUT POLICY COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART CO... | 2 |
INSURANCE PREMIUM AUDIT An accurate audit benefits you and your business. What is it and why do you need it A premium audit is a determination of the actual insurance exposures for the coverages you have based on an examination of your operation records and books of account. When your policy is issued your premium is e... | 2 |
CNA 333 S Wabash Chicago lllinois 60604 Policy Number From Policy Period To C6014687412 030315 030316 Named Insured And Address KANSAS ASPHALT INC. 7000 W 206TH ST BUCYRUS Ks 66013 9610 Coverage Is Provided By Agency National Fire Insurance of Hartford 060692310 Agent LOCKTON COMPANIES LLC 444 W. 47TH ST. 900 KANSAS CI... | 2 |
696217.897109Z10002000 END OF COPY | 2 |
1 Missouri Hospltal Plan H SG F amzly of Compames 4700 Country Club Drive P. O. Box 1498 Jefferson City Missouri 65102 1498 573 893 5300 Member HEALTHCARE SERVICES GROUP SERVING MISSOURI HOSPITALS THIS POLICY JACKET WITH THE DECLARATIONS PAGE AND FORMS AND ENDORSEMENTS IF ANY ISSUED TO FORM A PART THEREOF COMPLETES THI... | 2 |
A. THIS POLICY CONSISTS OF declarations common policy conditions one or more coverage parts. A coverage part consists of one or more coverage forms and applicable forms and endorsements. COMMON POLICY CONDITIONS All Coverage Perts included in this policy are subject to the following conditions CANCELLATION 1. The first... | 2 |
Missouri Hospital Plan 4700 Country Club Drive P.O. Box 1498 Jefferson City Missouri 65102 1498 COMMERCIAL LINES POLICY COMMON POLICY DECLARATIONS CUIVLY COMMON Policy Number HPG 1000053 18 01 Named Insured and Mailing Address Ray County Memorial Hospital 904 Wollard Boulevard Richmond MO 64085 9506 Renewal of Policy N... | 2 |
Missouri Hospital Plan 4700 Country Club Drive P.O. Box 1498 Jefferson City Missouri 65102 1498 PROFESSIONAL LIABILITY COVERAGE PART DECLARATIONS Policy Number HPG 1000053 18 01 Renewal of Policy Number HPG 1000053 17 01 Named Insured and Mailing Address Ray County Memorial Hospital 904 Wollard Boulevard Richmond MO 64... | 2 |
PROFESSIONAL LIABILITY EXTENSION OF DECLARATIONS Policy No. HPG 1000053 18 01 EXPOSURES Description of Exposures Ray County Memorial Hospital 904 Wollard Boulevard Richmond MO 64085 9506 PREMIUM BREAKDOWN Code Number of Deposit Classification Number Exposures Premium Hospital Acute Care Beds 93215 5 8063 Skilled Nursin... | 2 |
HOSPITAL PROFESSIONAL LIABILITY COVERAGE FORM MISSOURI HOSPITAL PLAN HOSPITAL PROFESSIONAL LIABILITY COVERAGE FORM THIS FORM PROVIDES CLAIMS MADE COVERAGE. PLEASE READ THE ENTIRE FORM CAREFULLY. Various provisions in this policy restrict coverag not covered. e. Read the entire policy carefully to determine rights dutie... | 2 |
HOSPITAL PROFESSIONAL LIABILITY COVERAGE FORM building or equipment that is used to heat water for personal use by the building s occupants or their guests ii Bodily injury 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... | 2 |
intentional discharge dispersal or release of the fuels lubricants or other operating fluids or if such fuels lubricants or 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 contract... | 2 |
HOSPITAL PROFESSIONAL LIABILITY COVERAGE FORM 1 A claim by a person or organization seeking damages will be deemed to have been made when a We receive a written demand from such person or organization or any authorized representative of such person or organization for payment of damages because of professional injury o... | 2 |
2 The spouse child parent brother or sister of that employee as a consequence of paragraph 1 above This exclusion applies 1 Whether an insured may be liable as an employer or in any other capacity and 2 To any obligation to share damages with or repay someone else who must pay damages because of the injury. d. Employee... | 2 |
HOSPITAL PROFESSIONAL LIABILITY COVERAGE FORM e. 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 III LIMITS OF INSURANCE 1. The limits of insurance shown in... | 2 |
to an insuredfor a loss we cover under Coverages O and P of this Coverage Part our obligations are limited as follows a. Primary Insurance Except as provided in b. below or in any endorsement forming a part of this policy this insurance is primary. When this insurance is primary and the insured has other insurance whic... | 2 |
HOSPITAL PROFESSIONAL LIABILITY COVERAGE FORM a. This Coverage Part is cancelled or not renewed or b. We renew or replace this Coverage Part with insurance that 1 Has a Retroactive Date later than the date shown in the Declarations of this Coverage Part or 2 Does not apply to bodily injury or professional injury on a c... | 2 |
HOSPITAL PROFESSIONAL LIABILITY COVERAGE FORM 4. Extended Reporting Periods do not reinstate or increase the Limits of Insurance applicable to any claim to which this Covemge Part applies. SECTION VI DEFINITIONS 1 Authorized Volunteer Worker is any person who is your student and any person who performs duties under you... | 2 |
HOSPITAL PROFESSIONAL LIABILITY COVERAGE FORM 2 Road construction or resurfacing equipment such as graders scrapers or rollers e. Vehicles not described in a. b.. or d. above that are not self propelled and are maintained primarily to provide mobility to permanently attached equipment of the following types 1 Air compr... | 2 |
HOSPITAL PROFESSIONAL LIABILITY COVERAGE FORM 16. 17. 18. 19. Pollutants means any substance or material that is a solid liquid gaseous or thermal irritant or contaminant including but not limited to smoke vapor soot fumes acids alkalis chemicals or waste. Waste includes materials to be recycled reconditioned or reclai... | 2 |
Missouri Hospital Plan 4700 Country Club Drive P.0. Box 1498 Jefferson City Missouri 65102 1498 COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS Policy Number HPG 1000053 18 01 Renewal of Policy Number HPG 1000053 17 01 Named Insured and Mailing Address Ray County Memorial Hospital 904 Wollard Boulevard Richmond... | 2 |
COMMERCIAL GENERAL LIABILITY EXTENSION OF DECLARATIONS Policy Number HPG 1000053 18 01 Page 1 LOCATION OF PREMISES Location of All Premises You Own Rent or Occupy 904 Wollard Boulevard Richmond MO Retroactive Date 07 01 2003 906 Wollard Boulevard Richmond MO Retroactive Date 07 01 2003 902 Wollard Boulevard Richmond MO... | 2 |
MISSOURI HOSPITAL PLAN COMMERCIAL GENERAL LIABLITY COVERAGE FORM PROVIDES CLAIMS MADE COVERAGE. PLEASE READ THE ENTIRE FORM CAREFULLY. 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... | 0 |
COMMERCIAL GENERAL LIABILITY COVERAGE FORM b. Contractual Liability Bodily injury or property damage for which the insured 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 1 That the insured would have in the absence ... | 1 |
COMMERCIAL GENERAL LIABILITY COVERAGE FORM bodily injury or property damage arises out of the intentional discharge dispersal or release of the fuels lubricants or other operating fluids or if such fuels lubricants or other operating fluids are brought on or to the premises site or location with the intent that they be... | 1 |
COMMERCIAL GENERAL LIABILITY COVERAGE FORM e Bodily injury or property damage arising out of 0 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... | 1 |
COMMERCIAL GENERAL LIABILITY COVERAGE FORM 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 suspect... | 1 |
COMMERCIAL GENERAL LIABILITY COVERAGE FORM 2 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 ... | 1 |
i COMMERCIAL GENERAL LIABILITY COVERAGE FORM 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 advertis... | 1 |
COMMERCIAL GENERAL LIABILITY COVERAGE FORM 2 The CAN SPAM Act of 2003 including any amendment of or addition to such law or 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... | 1 |
contributed concurrently or in any sequence to such injury. COMMERCIAL GENERAL LIABILITY COVERAGE FORM 1. Insuring Agreement. a. We will pay medical expenses as described below 2 Any loss cost or expense arising out of the for bodily injury caused by an accident abating testing for monitoring cleaning up. t removing co... | 1 |
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