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CG 7079 4 98 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LIMITED POLLUTION COVERAGE JOB SITES This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Schedule Each Pollution Incident Limit 100000 Pollution Liability Aggregate Limit 100000 Property Damage Deductible o0 Each Pollution Incident Premium 150.00 If no entry appears in the space above for property damage deductible no deductible applies to the coverage pro vided by this endorsement. A. The following is added to COVERAGES Section 1 No other obligation or liability to pay sums or perform acts or services is cov COVERAGE D. LIMITED POLLUTION COVERAGE ered unless explicitly provided for under SUPPLEMENTARY PAYMENTS. 1. Insuring Agreement... b. This insurance applies to bodily injury a. We will pay those sums that the insured property damage and environmental becomes legally obligated to pay damage only if 1 As damages because of 1 The bodily injury property dam age or environmental damage a bodily injury or arises out of a pollution incident b property damage or a on or from your job site in the coverage territory 2 As clean up costs because of en vironmental damage which directly results from physical injury to tangi ble property b that it is demonstrable as begin ning and ending within 72 hours of the poltution incident and. s. c thatitis accidental. to which this insurance applies. We will have the right and duty to defend any 2 The bodily injury property dam suit seeking these damages. We may age or environmental damage at our discretion investigate any pol occurs during the policy period. lution incident and settle any claim or suit that may result. But c. Damages because of bodily injury in clude damages claimed by any person or organization for care loss of services or 1 The amount we will pay for damages A death resuiting at any time from the and clean up costs is limited as described in SECTION Iil LIMITS OF bodily injury. larzURANCE of this endorsement 2. Exclusions. The insurance provided by this endorsement 2 Our right and duty to defend end does not apply to when we have used up the applica ble limit of insurance in the payment a. Bodily injury property damage or of judgments settlements or environmental damage expected or in clean up costs. tended from the standpoint of the insured. CG 7079 4 98 Page 10of 4 ACP GLAO3026407302 L3Q 16014 INSURED COPY 72 0014279 Each Pollution Incident L3Q 16014 INSURED COPY
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CG 7079 4 98 the products completed operations haz ard. Bodily injury property damage or environmental damage arising out of the ownership or operation of any off shore facility as defined in the Outer Continental Shelf Lands Act Amendment of 1978 or any deepwater port as defined in the Deepwater Port Act of 1974 as amended or as may be amended. Bodily injury property damage or environmental damage arising out of a pollution incident on or from a job site or any part of a job site that is or was at anytime used by you for the storage disposal processing or treatment of waste materials. Bodily injury property damage or environmental damage arising out of the ownership maintenance use or entrustment to others of any aircraft auto rolling stock or watercraft owned or operated by or rented or loaned to any insured. Use includes operation and loading or unioading. This exclusion does not apply to bodily injury property damage or environ mental damage arising out of the opera tion of any of the equipment listed in paragraph f.2 or.3 of the definition of mobile equipment Section V.. Bodily injury property damage or environmental damage arising out of the emission discharge release or es cape of drilling fluid oil gas or other fluids from any oil gas mineral water or geothermal well. Bodily injury property damage or environmental damage arising out of a pollution incident which results from or is directly or indirectly attributable to failure to comply with any applicable statute regulation ordinance directive or order relating to the protection of the environment and promulgated by any governmental body provided that failure to comply is a willful or deliberate act or omission of 1 Aninsured or 2 You or any of your members part ners or executive officers Page 2 of 4 72 0014280 b. Bodily injury property damage or environmental 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 that the insured would have in the ab sence of the contract or agreement. c. Any obligation of the insured under a workers compensation disability bene fits or unemployment compensation law or any similar law. d. Bodily injury to 1 An employee of the insured arising out of and in the course of a employment by the insured or b performing duties related to the conduct of the insured s busi ness 2 The spouse child parent brother or sister of that employee as a conse quence of 1 above. This exclusion applies 1 Whether or not the 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 may pay damages because of the injury. e. Property damage or environmental damage to 1 A waste facility 2 Property you own rent or occupy now or at any time in the past 3 Premises you sell give away or abandon if the property damage arises out of any part of those prem ises 4 Property loaned to an insured or 5 Personal property in the care cus tody or control of an insured. f. Bodily injury property damage or environmental damage included within CG 7079 4 98 ACP GLAQ3026407302 Q16014 INSURED INSURED COPY u3Q 16014
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CG 7079 4 98 1. Paragraph 1 is replaced by the following 1. The Limits of Insurance shown in the Declarations and this endorsement and the rules below fix the most we will pay regardiess of the number of a. Insureds b. Claims made or suits brought or c. Persons or organizations making claims or bringing suits 2. Paragraph 2. is replaced by the following 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 haz ard c. Damages under Coverage B and d. Damages under Coverage D. 3. The following is added 8. Subject to 2. above the General Aggre gate Limit the Poliution Liability Aggre gate Limit is the most we will pay for the sum of a. All damages because of all bodily injury and property damage and b. Al clean up costs incurred be cause of all environmental dam age arising out of all pollution incidents. 9. Subject to 2. above the General Aggre gate Limit and 8. above the Pollution Liability Aggregate Limit the Each Pol lution Limit is the most we will pay for a. All damages because of all bodily injury and property damage and b. ANl clean up costs incurred be cause of all environmental dam age i Bodily injury property damage or environmental damage arising out of acid rain. m. Bodily injury property damage or environmental damage arising out of 1 The transportation of mobile equip ment by an auto owned or oper ated by or rented or loaned to any insured or 2 The use of mobile equipment in or while in practice or preparation for a prearranged racing speed or demolition contest or in any stunting activity. n. Any loss cost or expense arising out of any request demand or order by a gov ernmental body that any insured or oth ers test for monitor clean up remove contain treat detoxify or neutralize or in any way respond to or assess the affects of pollutants at any site which is in cluded or proposed for inclusion on a governmental body s clean up priority list such as but not limited to USA EPA s NPL listing. o. Bodily injury or property damage arising out of heat smoke or fumes from a hostile fire. As used in this exclusion a hostile fire means one which becomes uncontrolla ble or breaks out from where it was in tended to be. p. Any multiple punitive or exemplary dam ages. q. Bodily injury or property damage or from any of your job sites on which any insured or any contractor or subcontrac tor working directly or indirectly on any insured s behalf are performing oper ations if the pollutants are not brought on or to your work site by such insured contractor or subcontractor. B. SUPPLEMENTARY PAYMENTS COVERAGES A AND B is amended to SUPPLEMENTARY PAYMENTS COVERAGES A B AND D. C. SECTION Iii LIMITS OF INSURANCE is amended as follows CG 7079 4 98 ACP GLAO3026407302 Li3Q 16014 INSURED COP Page 3 of 4 72 0014281 L3Q 16014 INSURED COPY
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CG 7079 4 98 Clean up costs means expenses for the removal or neutralization of poliutants. Environmental damage means the injurious presence of pollutants in or upon land the at mosphere or any water course or body of water. Pollution incident means the actual or alleged emission discharge release or escape of pollutants from your job site provided that such emission discharge release or escape results in environmental damage. All bodily injury property damage and environmental damage arising out of one emission discharge release or escape shall be deemed to be one pollution inci dent. Pollutants means 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. Waste facility means any site to which waste from the operations of your work site is legally consigned for delivery or delivered for storage disposal processing or treatment provided that such site is not and never was owned by rented or loaned to you. Your job site means any site or location on which you or any contractors or subcontractors working directly or indirectly on your behalf are working. Your job site does not include any premises site or location which currently is or was at the time you or any contractors or sub contractors working directly or indirectly on your behalf were working on such premises site or lo cation owned or occupied by or rented or loaned to you. arising out of any one pollution inci dent. Deductible 1. Our obligation under this endorsement to pay damages for property damage or clean up costs because of environ mental damage on your behalf applies only to the amount of damages or clean up costs in excess of any deduct ible amount stated in the schedule of this endorsement as applicable to Each Pol lution Incident. Neither the Each Poliution Incident Limit nor the Pollution Liability Aggregate Limit will be reduced by the application of such deductible amount. 2. The terms of this insurance including those with respect to a. Our right and duty to defend any suits seeking those damages and b. Your duties in the event of a pol lution incident claim or suit apply irrespective of the application of the deductible amount. 3. 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 of such part of the deduct ible amount as has been paid by us. Paragraph 4. Other Insurance of CONDITIONS Section IV is amended as follows All references to Coverages A or B are amended to read Coverages A B or D. The following definitions are added to SECTION V DEFINITIONS. Page 4 of 4 72 0014282 CG 7079 4 98 ACP GLAG3026407302 e 16014 INSURED COPY
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COMMERCIAL GENERAL LIABILITY CG 72580908 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION OPERATIONS COVERED BY A CONSOLIDATED WRAP UP INSURANCE PROGRAM This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART The following exclusion is added to paragraph 2. Exclusions of COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY Section I Coverages This insurance including any duly to defend does not apply to bodily injury or property damage arising out of either your ongoing operations or operations included within the products completed operations hazard at any location where a consolidated wrap up insurance program has been provided by the prime contractor project manager or owner of the construction project in which you are involved. This exclusion applies whether or not the consolidated wrap up insurance program 1 Provides coverage identicat to that provided by this Coverage Part 2 Has limits adequate to cover all claims or 3 Remains in effect All terms and conditions of this policy apply uniess modified by this endorsement. CG 72580908 ACP GLAOJ006407302 LCB 13364 Page 10f1 72 0022214 INSURED COPY
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COMMERCIAL GENERAL LIABILITY CG7287121 m THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DEFINITION OF OCCURRENCE AMENDATORY ENDORSEMENT FOR CONSTRUCTION DEFECTS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Under Section V Definitions definition 13. occurrence is replaced by the following 13. Occurrence means an accidenl including continuous or repeated exposure to substantially the same general harmful conditions. An accident shall include a. Bodily injury or b. Properly damageto 1 The property of others or 2 Your work if your work was a Damaged by the work of a subcontractor who performed work cn your behalf in the construction alteration renovation repair or maintenance of a building structure highway road bridge water line sewer line oil line gas line appurtenance or other improvement to real property including any moving demolition or excavation and b The resulting property damage is included in the products completed operations hazard. All terms and conditions of this poticy apply unless modified by this endorsement. CG 72871211 includes copyrighted material of Insurance Services Office Inc. with ils permission. ACP GLAO3008407302 LLCB 13364 INSURED COPY Page 10f 1 72 0022215
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ACP GLAO3026407302 L3Q 16014 COMMERCIAL GENERAL LIABILITY CG73231214 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS ENHANCEMENT PLUS ENDORSEMENT INCLUDING MEDICAL PAYMENTS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM A. Lost Key Coverage 1. Under Section Coverages Coverage A Bodily Injury And Property Damage Liability coverage is extended to include the following It a customer s master or grand key excluding electronic key card is lost while in your care custody or control we will pay the cost of replacing the keys including the master lock and ail keys used in the same lock the cost of adjusting locks to accept the new keys or the cost to replace the locks whichever is less. 2. Limit of Insurance The most we will pay for loss arising out of any one occurrence is 10000 3. Section V Definitions the following is added Loss means unintentional physical damage or destruction to tangible property including theft or disappearance. Tangible properly does not include money or securities. B. Voluntary Property Damage 1. Section Coverages Coverage A Bodily Injury And Property Damage Liability coverage is extended to include the following At your request we will pay for property damage to property of others caused by you and while in your possession arising out of your business operations and occurring during the policy period. 2. Limit of Insurance The most we will pay for loss arising out of any one occurrence is 1500. 3. For the purpose of this extended coverage the following definition is added to Section V Definitions CG73231214 Includes copyrighted material of Insurance Services Office Inc. Loss means unintentional damage or destruction but does not include disappearance theft or loss of use. C. Non Owned Watercraft Under Section Coverages Coverage A Bodily Injury And Property Damage Liability 2. Exclusions exclusion g. Aircraft Auto Or Watercraft Paragraph 2 a is replaced with a Less than 51 feet long and D. Expanded Property Damage Coverage 1. For the purposes of this endorsement only Section Coverages Coverage A Bodily Injury And Property Damage Liability 2. Exclusions exclusion j. Damage to Property is amended as follows a. Paragraphs.3 5 and 6 are deleted in their entirety. b. Paragraph 4 is deleted in its entirety and replaced with 4 Personal property in the care cuslody or control of the insured a for storage or sale at premises you own rent or occupy or b while being transported by any aircraft auto or watercraft owned or operated by or rented to or loaned to any insured c. The coverage provided by this endorsement does not apply 1o property damage 1 Arising out of the disappearance or loss of use of personal property or 2 Included in the products completed operations hazard. Page 10 t 5 with its permission. INSURED COPY 72 0014283 Loss means unintentional damage or destruction but does not include disappearance theft or loss of use. C. Non Owned Watercraft Under Section Coverages Coverage A Bodily Injury And Property Damage Liability 2. Exclusions exclusion g. Aircraft Auto Or Watercraft Paragraph 2 a is replaced with a Less than 51 feet long and D. Expanded Property Damage Coverage 1. For the purposes of this endorsement only Section Coverages Coverage A Bodily Injury And Property Damage Liability 2. Exclusions exclusion j. Damage to Property is amended as follows a. Paragraphs.3 5 and 6 are deleted in their entirety. b. Paragraph 4 is deleted in its entirety and replaced with 4 Personal property in the care cuslody or control of the insured a for storage or sale at premises you own rent or occupy or b while being transported by any aircraft auto or watercraft owned or operated by or rented to or loaned to any insured c. The coverage provided by this endorsement does not apply 1o property damage 1 Arising out of the disappearance or loss of use of personal property or 2 Included in the products completed operations hazard. Page 10 t 5 72 0014283
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CG73231214 2. Limit of Insurance The most we will pay for property damage provided by this coverage in any one occurrence is 5000. Deductible Our obligation to pay for a covered loss applies only to the amount of loss in excess of 250. We will pay the deductible amount to effect settlement of any claim or suit and upon notification of this action having been taken you shall promptly reimburse us for the deductible as has been paid by us. This insurance is primary to any expanded property damage coverage provided by a separate endorsement attached to this policy and it will supplant any deductible in said endorsement E. Damage To Premises Rented To You 1. Under Section Coverages Coverage A Bodily Injury And Property Damage Liability the last paragraph of 2. Exclusions is replaced with If Damage to Premises Rented to You is not otherwise excluded exclusions c. through n. do not apply to damage by fire lightning explosion smoke or sprinkler feakage to premises while rented to you or temporarily occupied by you with permission of the owner. Under Section Il Limits Of Insurance paragraph 6 is replaced with 6. Subject to 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 lightning explosion smoke or sprinkler leakage while rented fo you or temporarily occupied by you with permission of the owner. The limit is increased to 300000.. Under Section IV Commercial General Liability Conditions 4. Other Insurance b. Excess Insurance 1 a ii is replaced with ii That is Fire Lightning Explosion Smoke or Sprinkler leakage insurance for premises rented to you or temporarily occupied by you with permission of the owner. F. Supplementary Payments Under Section Coverages Supplementary Payments Coverages A and B paragraphs 1.b and 1.d. are repiaced with b. Up to 2500 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. 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 500 a day because of time off from work. G. Newly Formed And Acquired Organizations Under SECTION Il WHO IS AN INSURED paragraph 3.a. is replaced with a. Coverage under this provision is afforded only until the 180 day after you acquire or form the organization or the end of the policy period whichever is earlier H. Additional Insured Automatic Status When Required In An Agreement Or Contract With You Section Il Who Is An Insured is amended o 1. Any persons or organizations described in Paragraph 2. below with whom you have agreed in writing in a contract or written agreement that such person or organization be added as an additional insured on your policy during the policy period shown in the Declarations. 2. Any other person or organization you are required to add as an additional insured under the contract or agreement described in Paragraph 1. above. The person or organization added as an insured by this endorsement is an insured only to the extent you are held liable due to a. Lessors of Leased Equipment with respect to their liability for bodily injury properly damage or personal and advertising injury caused in whole or in part by your maintenance operation or use of equipment leased to you by such persons or organizations. This insurance does not apply to any occurrence which takes place after the equipment lease expires. CG73231214 72 0014284 Includes copyrighted material of Insurance Services Office Inc. with its permission. L3Q 16014 INSURED COPY Page 2015 ACP GLAC3026407302
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CG73231214 However such state or political subdivision s status as additional insured under this policy ends when the permit ends. Owners Lessees or Contractors with respect 1o liability forbodily injury property damage or personal and advertising injury caused in whole orin 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 performed for that additional insured whether the work is performed by you or on your behalf. The insurance does not apply to 1 Bodily injury property damage or personal and advertising injury arising out of the rendering of or the failure 1o render any professional architectural engineering or survey services including a The preparing approving or failing to prepare or approve maps shop drawings opinions reports survey field orders change orders or drawings and specifications or Supervisory inspection archi tectural or engineering activities. 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 or the offense which caused the personal and advertising injury involved the rendering of or failure to render any b professional architectural engineering or surveying services. 2 Bodily injury or properly camage occurring after However their status as additional insured under this policy ends when their lease contract or agreement with you for such leased equipment expires. Managers or Lessors of Premises with respect 1o liability arising out of the ownership maintenance or use of that part of the premises you own rent lease or occupy. 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 con struction or demolition operations performed by or on behalf of the person or organization. However their status as additional insured under this policy ends when you cease 1o be a tenant of such premises. State or Political Subdivision Permits Relating to Premises with respect to the following hazards for which the state or political subdivision has issued a permit or authorization in connection with premises you own rent or control and to which this insurance applies. 1 The existence maintenance repair construction erection or removal of advertising signs awnings canopies cellar entrances coal holes driveways manholes marquees hoist away openings sidewalk vaults street banners or decorations and similar exposures or 2 The construction erection or removal of elevators or 3 The ownership maintenance or use of any elevators covered by this insurance. This insurance does not apply to 1 Bodily injury or property damage or personal or advertising injury arising out of operations performed for the state or municipality or 2 Bodily injury or property damage included within the products completed operations hazard CG73231214 Includes copyrighted material of Insurance Services Office Inc. with its permission. ACP GLAO3026407302 L3Q 16014 INSURED COPY Page3of5 72 0014285
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CG73231214 a All 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 b That portion of your work out of which the injury or damage arises has been put to ils 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. However a person or organization s status as additional insured under this policy ends when your operations for that additional insured are completed. However the insurance afforded to such additional insureds a. d. described above a Only applies to the extent permitted by law and b Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 3. Primary and Noncontributory Other Insurance Conditions The following is added to the Other Insurance Condition and supersedes any provisions to the contrary Primary and Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that a The additional insured is a Named Insured under such other insurance and b You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. Employee Bodily Injury To Another Employee Under Section Il Who Is An insured The following is added to paragraph 2.a.1 Paragraphs 2.a.1 a b and c do not apply to bodily injury to a coemployee in the course of the coemployee s employment by you or to bodily injury to a covolunteer worker while performing duties related to the conduct of your business. Broad Form Named Insured Under Section Il Who Is An Insured The following is added to paragraph 2. e. Any business entity incorporated or organized under the laws of the United State of America including any State thereof its territories or possessions or Canada including any Province thereof in which the Named Insured shown in the Declarations owns during the policy period an interest of more than fifty percent. If other valid collectible insurance is available to any business entity covered by this solely by reason of ownership by the Named Insured shown in the Declarations in excess of fifty percent this insurance is excess over the other insurance whether primary excess contingent or on any other basis.. Aggregate Limit Per Location Under Section l Limits Of Insurance the following is added to paragraph 2 The General Aggregate Limit under Section Ill Limits of Insurance applies separately to each of your locations owned by or rented to you or temporarily occupied by you with the permission of the owner. For the purposes of this provision location means premises involving the same or connecting lots or premises whose connection is interrupted only by a public street roadway waterway or railroad right of way. Aggregate Limit Per Project Under Section lll Limits Of Insurance The following paragraph is added 1o paragraph 2 The General Aggregate Limit under Section HI Limits of Insurance applies separately to each of your construction projects away from premises owned by or rented to you. CG73231214 Page 4 of 5 Includes copyrighted material of Insurance Services Office Inc. with its permission. 16014 INSURED COPY ACP GLAO3026407302 e 16014 nan nan nan nan 72.0 14286.0
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CG 73231214 hazards or prior occurrences or offenses is not intentional. This provision does not affect our right 1o collect additional premium or exercise our right of cancellation or non renewal. P. Waiver Of Subrogation Under Section IV Commercial General Liability Conditions 8. Transfer of Rights of Recovery Against Others to Us the following paragraph is added It required by a written contract executed prior to loss we waive any right of subrogation we may have against the contracling person or organization because of payments we make for injury or 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 hazards. Q. Liberalization Under Section IV Commercial General Liability Conditions 10. Liberalization the following paragraph is added I we revise this coverage form 1o provide more coverage without additional premium charge your policy will automatically provide the additional coverage as of the day the revision is effective in your state R. Broadened Bodily Injury Definition Mental Anguish Under Section V Definitions definition 3. Is replaced with 3. Bodily injury means physical injury sickness or disease to a person and if arising out of the foregoing. mental anguish mental injury shock or humiliation including death at any time resulting therefrom. M. Medical Payments Under Section Nl Limits Of Insurance paragraph 7. is replaced with 7. Subject to 5. above the higher of a. 10000 or b. The amount shown in the Declarations for Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of bodily injury sustained by one person. This coverage does not apply if Coverage C Medical Payments is excluded either by the provisions of any coverage forms attached to the policy or by endorsement.. Knowledge Of An Occurrence Under Section IV Commercial General Liability Conditions The following is added to 2. Duties In The Event Of Occurrence Offense Claim Or Suit condition e. Knowledge of an occurrence offense claim or suit by an agent or employee of any insured shall not in itself constitute knowledge of the insured unless you a pariner if you are a partnership or an executive officer or insurance manager if you are a corporation receives such notice of an occurrence offense claim or suit from the agent or employee. f. The requirements in paragraph b. will not be considered breached unless there is knowledge of occurrence as outlined in paragraph e. above. Unintentional Failure To Disclose Hazard Under Section IV Commercial General Liability Conditions 6. Representations the following paragraph is added d. Your failure to disclose all hazards or prior occurrences or offenses existing as of the inception dale of the policy shall not prejudice the coverage afforded by this policy provided such failure to disclose all hazards or prior occurrences or offe not intentional. This provision dc affect our right 1o collect additional p or exercise our right of cancellation renewal. P. Waiver Of Subrogation Under Section IV Commercial C Liability Conditions 8. Transfer of Ri Recovery Against Others to Us the fc paragraph is added It required by a written contract executed loss we waive any right of subrogation v have against the contracting pers organization because of payments we m injury or damage arising out of your o operations or your work done under a with that person or organization and inclt the products completed operations hazar Q. Liberalization Under Section IV Commercial G Liability Conditions 10. Liberalizatic following paragraph is added I we revise this coverage form 1o provide coverage without additional premium your policy will automatically provid additional coverage as of the day the revi effective in your state R. Broadened Bodily Injury Definition Anguish Under Section V Definitions definitior replaced with 3. Bodily injury means physical sickness or disease 10 a person arising out of the foregoing. mental an mental injury shock or humiliation inc death at any time resulting therefrom. All terms and conditions of this policy apply unless modified by this endorsement. PN CG73231214 Page 5 of 5 72 0014287 ACP GLAO3026407302 L3Q 16014 INSURED COPY
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1L0017 11 88 A. D. 1L0017 11 88 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 Declara tions may cancel this policy by mailing or deliv ering to us advance written notice of cancelia tion. 2. We may cancel this policy by mailing or deliv ering to the first Named Insured written notice of canceliation at least a. 10 days before the effective date of cancel lation if we cancel for nonpayment of pre mium or b. 30 days before the effective date of cancel lation if we cancel for any other reason. 3. We will mait or deliver our notice to the first Named Insured s last mailing address known to us. 4. Notice of canceliation will state the effective date of cancellation. The policy period will end on that date. 5. If this policy is cancelled we will send the first Named nsured 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 canceliation will be ef fective even if we have not made or offered a refund. 6. If potice is mailed proof of mailing will be suffi cient 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 Declara tions 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 re cords as they relate to this policy at any time dur ing the policy period and up to three years after ward Inspections And Surveys 1. We have the right to a. Make inspections and surveys at any time F. b. Give you reports on the conditions we find al. 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 in surability and the premiums to be charged. We do not make safety inspections. We do not un dertake to perform the duty of any person or organization to provide for the healtn or safety of workers or the public. And we do not warrant that conditions a. Are safe or healthful or b. Comply with faws regulations codes or standards. 3. Paragraphs 1.2and 2. of this condition apply not only to us butalso to any rating advisory rate service or similar organization which makes in surance inspections surveys reports or fec ommendations. 4. Paragraph 2. of this condition does not apply to any inspections surveys reports or fecom mendations we may make relative fo certifica tion under state or municipal statutes ordi nances or regulations of boilers pressure ves sels or elevators. Premiums The first Named Insured shown in the Declara tions 1. Is responsible for the payment of all premiums and 2. Will be the payee for any retumn 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 in sured. If you die your rights and duties will be transferred o your legal representative but only while acting within the scope of duties as your legal represen tative. Until your legal representative is appointed anyone having proper temporaty custody of your property will have your rights and duties but only with respect to that property. 1ed Insured shown in the Declara ncel this policy by mailing or deliv dvance written notice of cancelia cel this policy by mailing or deliv irst Named Insured written notice 1 at least efore the effective date of cancel e cancel for nonpayment of pre fore the effective date of cancel cancel for any other reason. or deliver our notice to the first d s Jast mailing address known to celiation will state the effective lation. The policy period will end cancelled we will send the first d any premium refund due. If we fund will be pro rata. If the first d cancels the refund may be ata. The cancellation will be ef we have not made or offered a e agreements between he insurance afforded. IL 00 17 1198 Copyright Insurance Services Office Inc. 1998 ACP GLAO3006407302 ucs 13364 INSURED COPY Page 10f1 72 0022224
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IL. 00 2105 02 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 PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY 1. The insurance does not apply C. Under any Liability Coverage to bodily injury A. Under any Liability Coverage to bodily injury or property damage resulting from hazard ous properties of nuclear material if or property damage 1 With respect to which an insured under the policy is also an insured under a nu clear energy liability policy issued by Nu ciear Energy Liability Insurance Associa tion Mutual Atomic Energy Liability Under wiiters Nuclear Insurance Association of Canada or any of their successors or would be an insured under any such policy but for its fenmination 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 re quired to maintain financial protection pur suant to the Afomic Energy Act of 1954 or any law amendatory thereof or b the in sured is or had this policy not been issued wouid be entitied to indemnity from the United States of America or any agency thereof under any agreement entered into by the United States oif America or any agency thereof with any person or organi zation B. Under any Medical Payments coverage fo expenses incurred with respect to bodily in jury resulting from the hazardous properties of nuclear material and arising out of the op eration of a nuclear facility by any person or organization. 2 1 The nuclear material a is at any nuclear facility owned by or operated by or on be half of an insured or b has been dis charged or dispersed therefrom 2 The nuclear material is contained in spent fuel or waste at any time pos sessed handled used processed stored transported or disposed of by or on behalf of an insured or 3 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 nu clear facility but if such facility is located within the United Stales of America ils terri tories or possessions or Canada this ex clusion 3 applies only fo property dam age lo such nuclear facility and any property thereat. 2. Asused in this endorsement Hazardous properties includes radioactive toxic or explosive properties. Nuclear material means source material Spe cial nuclear material or by producl material. Page 10f2 72 0022225 IL 00 21 05 02 ACP GLAO3006407302 LeB 13364 INSURED COPY
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L 00 21 0502 Source malerial special nuclear material and by product material have the meanings given them in the Atomic Energy Act of 1954 or in any c Any equipment or device used for the ing fabricating or alloying of special material if at any time the fotal amount material in the custody of the insured law amendatory thereof Spent fuel means any fuel element or fuel com premises where such equipment or d ponent solid or liquid which has been used or focated consists of or contains more exposed to radiation in a nuclear reactor. grams 0 pltgmuT or uranu hm 2230 Waste means any waste material a containing gfrgzrrzamo or more than by product material other than the tailings or. N wastes produced by the extraclion or concentra d Any structure basin excavation prem place prepared or used for the storage tion of uranium or thorium from any ore processed primarily for ifs source material content and b resulting from the operation by any person or or ganization of any nuclear facilily included under ing is localed all operations conducted o the first two paragraphs of the definition of nu site and all premises used for such operatiol clear facility Nuclear reactor means any apparatus de Nuclear facility means or used to suslain nuclear fission in supporting chain reaction or to confain a posal of wasle and includes the site on which any of the a Any nuclear reactor f fiesionabi terial b Any equipment or device designed or used for nass offissional eiv.na nia 1 separating the isotopes of uranium or plu Property damage includes alf forms of rz tive contamination of property. fonium 2 processing or utilizing spent fuel or 3 handiing processing or packaging waste All terms and conditions of this policy apply uniess modified by this endorsement. c Any equipment or device used for the process ing 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 plulonium or 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 dis posal of wasle and includes the site on which any of the forego ing is localed all operations conducted on such site and all premises used for such operations. Nuclear reactor means any apparatus designed or used to suslain nuclesr fission in a self supporting chain reaction or to contain a critical mass of fissionabie material. Property damage includes all forms of radioac tive contamination of property. 1L 00 21 05 02 72 0022226 Page 2 of 2 ACP GLAO3006407302 es 13954 IS0 Properties Inc. 2001 INSURED COPY
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I 02 59 09 07 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY. NEBRASKA CHANGES CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following CAPITAL ASSETS PROGRAM OUTPUT POLICY COVERAGE PART COMMERGCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EMPLOYMENT RELATED PRACTICES LIABILITY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART 6 Certification to the Director of Insurance of our loss of reinsurance which pro vided coverage o us for all cr a sub A. Paragraphs 2. and 3. of the Cancellation Com mon Policy Condition are replaced by the foliow ing b 2. Canceliation Of Policies In Effect ijzgalmpan of the underlying risk in a 60DaysOrless 7 The determination by the Director of In If this policy has been in effect for 60 days surance that the continuation of the pol or less we may cance this policy for any icy could place us in violation of the Ne reason braska Insurance Laws. b. More Than 60 Days c. If we cancel this policy subject to 2.a. or 2.b. above we will mail to the first Named Insured a written notice of canceilation stating the reasons for canceliation at least 1. 10 days before the effective date of can celfation if we cancel for nonpayment of If this policy has been in effect for more than 60 days or if this is a renewal of a pol icy we issued we may cancel this policy only for one or more of the following rea sons 1 Nonpayment of premium 2 The policy was obtained through mate premium or rial misrepresentation 2. 60 days lefure the effective date of can 3 Any insured has submitted a fraudulent gsr if we cancel for any other rea claim 3. We will.I to thy. We will mail our notice by first class mail to the r d G ve Yi Vil td the terms and first Named Insured s last mailing address lons of this policy. known fo us. A United States Postal Service The risk originally accepted has sub Certificate of Mailing shall be sufficient proof of stantially increased receipt of notice on the third calendar day after the date of the certificate of mailing. iL 02 59 09 07 ACP GLAO3006407302 LLCB 13364 Page 10f2 72 0022227 INSURED COPY
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i 025909 07 B. Paragraph 6. of the Cancellation Common Policy Condition does not apply. C. The following is added and supersedes any provi sions to the contrary NONRENEWAL 1. If we decide not to renew this policy we will mail written notice of nonrenewal stating the reasons for nonrenewal to the first Named In sured at least 60 days prior to the expiration date of this policy. 2. Any notice of nonrenewal will be mailed by first class mail fo the first Named Insured s last mailing address known to us. A United States Postal Service Certificate of Mailing shall be sufficient proof of receipt of notice on the third calendar day afler the dale of the certificate of mailing. All terms and conditions of this policy apply unless modified by this endorsement. SO Properties Inc. 2006 IL 02 59 08 07 72 0022228 Page 2 of 2 ACP GLAQO3006407302 LLCB 13384 INSURED COPY
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IL700309 11 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADVANCE NOTICE OF CANCELLATION OR COVERAGE REDUCTION OR RESTRICTION PROVIDED BY US This endorsement modifies insurance provided under the following COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL CRIME COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART COMMERCIAL UMBRELLA LIABILITY POLICY FARM UMBRELLA LIABILITY POLICY LIQUOR LIABILITY COVERAGE PART MERCANTILE UMBRELLA LIABILITY POLICY SCHEDULE Persons or Organizations Address THE WHITING TURNER CONTRACTING CO. ONE SPEEN ST STE 120 FARMINGHAM MA 01701 iE WHITING TURNER CONTRACTING CO. NE SPEEN ST STE 120 ARMINGHAM MA 01701 Number of Days Notice If this policy is cancelled other than nonpayment of premium or if the coverage provided by this policy is reduced or restricted except for any reduction in the Limits of Insurance due to claims payments we will provide written notice to the persons or organizations listed in the Schedule. We will provide this notice by mail 30 days in advance of any policy cancellation or coverage reduction or restric tion or as indicated in the Number of Days Notice in the Schedule. All terms and conditions of this policy apply unless modified by this endorsement. IL70 0309 11 ACP GLAQ3026407302 Includes copyrighted material of Insurance Services Office Inc. with its permission. L3Q 16014 INSURED COPY Page 1 of 1 72 0014288
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13614 11 85 ToRig ey THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SPECIAL CONTINUATION PROVISION if we offer to continue and you or your representative do not accept this policy will automatically terminate at the end of the current policy period. Failure to pay the required continuation premium when due shall mean that you have not accepted our offer. 13614 11 85 ACP GLAO3006407302 ues 13384 INSURED COPY nan nan nan nan 72.0 22232.0
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RE CG3037 28 01 86 ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE PERFORMING OPERATIONS WHEN YOU AND SUCH PERSON OR ORGANIZATION HAVE AGREED IN WRITING IN A CONTRACT OR AGREEMENT THAT SUCH PERSON OR ORGANIZATION BE ADDED AS AN ADDITIONAL INSURED ON YOUR POLICY 28 01 86 ACP GLAO3026407302 L3Q 16014 INSURED COPY nan nan nan nan 72.0 14289.0
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ZURICH THIS ENDORSEMENT IS ATTACHED TO AND MADE PART OF YOUR POLICY. THIS ENDORSEMENT DOES NOT GRANT ANY COVERAGE OR CHANGE THE TERMS AND CONDITIONS OF ANY COVERAGE UNDER THE POLICY. DISCLOSURE OF PREMIUM RELATING TO DISPOSITION OF TRIA SCHEDULE 1 Premium attributable to risk of loss from certified acts of terrorism through the end of the policy period based on the extension of the Terrorism Risk Insurance Act of 2002 as amended by the Terrorism Risk Insurance Extension Act of 2005 TRIA for lines subject to TRIA and the Terrorism Risk Insurance Program Reauthorization Act of 2007 TRIPRA General Liability 18185.00 If TRIA terminates the portion of this premium attributable to lhe remaining part of the policy period as modified by any change shown in 2 of this Schedule applies to the risk of loss from terrorism after the termination of TRIA. 2 Premium change upon termination of TRIA or upon applicability of a Conditional Endorsement No change unless one of the following is completed Return Premium Additional Premium If we notify you of an additional premium charge the additional premium will be due as specified in such notice. Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Disclosure of Premium In accordance with the TRIA we are required to provide you with a notice disclosing the portion of your premium if any attributable to the risk of loss from terrorist acts certified under that Act for lines subject to TRIA. That portion of your premium attributable is shown in the Schedule of this endorsement or in the Declarations. Disclosure of Federal Parti Terrorism Losses ation in Payment of The United States Government Department of the Treasury will pay a share of terrorism losses insured 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. The Act currently provides for no insurance industry or United States government participation in terrorism losses that exceed 100 billion in any one calendar year. The federal program established by the Act is scheduled to terminate at the end of Includes copyrighted material of ISO Properties Inc. with its permi Copyright Zurich American Insurance Company 2013 December 31 2014 unless extended by the federal government. Possibility of Additional or Return Premium The premium attributable to the risk of loss from certified acts of terrorism coverage is calculated based on the coverage if any in effect at the beginning of your policy for certified acts of terrorism. If your policy contains a Conditional Endorsement the termination of TRIA or extension of the federal program with certain modifications as explained in that endorsement may modify the extent of coverage if any your policy provides for terrorism. If TRIA terminates or the Conditional Endorsement becomes applicable to your policy the return premium if any or additional premium if any shown in 2 of the Schedule will apply. If the level or terms of federal participation change the premium shown in 1 of the Schedule attributable to that part of the policy period extending beyond such a change may not be appropriate and we will notify you of any changes in your premium. U GU692 C CW 0613 Page I of 1 General Liability 18185.00 of the following is completed RIA we are required to disclosing the portion of butable to the risk of loss 1 under that Act for lines ortion of your premium the Schedule of this arations. ticipation in Payment of iment Department of the of terrorism losses insured The federal share equals amount of such insured plicable insurer retention. for no insurance industry rnment participation in d 100 billion in any one Al program established by terminate at the end of
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Z ZURICH CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM Insureds Name Policy Number Effective Endorsement Date Number THIS ENDORSEMENT CHANGES YOUR POLICY. PLEASE READ IT CAREFULLY. umber This endorsement modifies your insurance A. This endorsement applies to all Coverage Parts included in this policy. Cap on Losses From Certified Terrorism Losses Certified act of terrorism means an act that is certified 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 pursuant to the federal Terrorism Risk Insurance Act TRIA. The Terrorism Risk Insurance Act provides that the Secretary of Treasury shall certify an act of terrorism L. to be an act of terrorism 2. to be a violent act or an act that is dangerous to human life property or infrastructure 3. to have resulted in damage within the United States or outside of the United States in the case of an air carrier as defined in section 40102 of Title 49 United States Code or a United States flag vessel or a vessel based principally in the United States on which United States income tax is paid and whose insurance coverage is subject to regulation in the United States or the premises of a United States mission and 4. to have been 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. No act may be certified as an act of terrorism if the act is committed as part of the course of a war declared by Congress except for workers compensation or if losses resulting from the act in the aggregate for insurance subject to TRIA do not exceed 5000000. If aggregate insured losses attributable to one or more certified acts of terrorism exceed 100 billion in a Program Year January 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 accordance with procedures blished by the Secretary of Treasury. Application of Other Exclusions The terms and limitations of a terrorism exclusion or any other exclusion or the inapplicability or omission of a terrorism exclusion or any other exclusion do not serve to create coverage which would otherwise be excluded limited or restricted under this policy. Copyright 2008 Zurich American Insurance Company Includes copyrighted material of Insurance Services Office Inc.. with its perm U GU T67 A CW 0108 Pagel of 1
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Z ZURICH Disclosure Statement Itis our pleasure to present the enclosed policy to you for presentation to your customer. INSTRUCTION TO AGENT OR BROKER WE REQUIRE THAT YOU TRANSMIT THE ATTACHED ENCLOSED DISCLOSURE STATEMENT TO THE CUSTOMER WITH THE POLICY. Once again thank you for your interest and we look forward to meeting your needs and those of your customers. U GU873 A CW 0611 Page 1of 1
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Z ZURICH Disclosure Statement NOTICE OF DISCLOSURE FOR AGENT BROKER COMPENSATION If you want to learn more about the compensation Zurich pays agents and brokers visit httpwww.zurichnaproducercompensation.com or call the following toll free number 866 903 1192. This Notice is provided on behalf of Zurich American Insurance Company and its underwriting subsidiaries. U GU874 ACW 0611 Page 1 of 1
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COMMERCIAL INSURANCE Policy Number GLO 5821847 01 Named Insured and Mailing Address CHICAGO BRIDGE IRON COMPANY SEE NAMED INSURED ENDT 2103 RESEARCH FOREST DR THE WOODLANDS TX 77380 2624 Z ZURICH COMMON POLICY DECLARATIONS Renewal of Number GLO 5821847 00 Producer and Mailing Address LOCKTON COMPANIES LLC 444 W 47TH ST STE 900 KANSAS CITY MO 64112 1906 Producer Code 45259 000 Policy Period Coverage begins 07 01 2014 at1201 AM. Coverageends 07 01 2015 at 1201 AM. The name insured is Individual Partnership X Corporation Other This insurance is provided by one or more of the stock insurance companies which are members of the Zurich American Insurance Group. The company that provides coverage is designated on each Coverage Part Common Declarations. The company or companies providing this insurance may be referred to in this policy as The Company we us or our. The address of the companies of the Zurich American Insurance Group are provided on the next page. THIS POLICY CONSISTS OF THE FOLLOWING COVERAGES GENERAL LIABILITY COVERAGE PREMIUM 1836697. issued by ZURICH AMERICAN INSURANCE COMPANY FL HURRICANE CAT FUND ASSESSMENT 2012 FIGA REGULAR ASSESSMENT KY INSURANCE PREMIUM SURCHARGE KY MUNICIPAL TAX NJ PLIGA SURCHARGE VA BIRTH RELATED NEURO INJURY COMP FUND WA REGULATORY SURCHARGE WV POLICY SURCHARGE 446. 48. 4. 16. 70. DA A A A THIS PREMIUM MAY BE SUBJECT TO AUDIT. TOTAL 1836697.00 This premium does not include Taxes and Surcharges. SEE INSTALLMENT SCHEDULE Taxes and Surcharges TOTAL 1350.82 SEE INSTALLMENT SCHEDULE The Forms and Endorsements made a part of this policy at the time of issue are listed on the SCHEDULE of FORMS and ENDORSEMENTS. Countersigned this day of Authorized Representative THESE DECLARATIONS TOGETHER WITH THE COMMON POLICY CONDITIONS COVERAGE PART DECLARATIONS COVERAGE PART FORMS FORMS AND ENDORSEMENTS IF ANY ISSUED TO FORM A PART THEREOF COMPLETE THE ABOVE NUMBERED POLICY. UGU D310 A 0193 Page 1 of 1 GENERAL LIABILITY COVERAGE issued by ZURICH AMERICAN INSURANCE COMPANY FL HURRICANE CAT FUND ASSESSMENT 2012 FIGA REGULAR ASSESSMENT KY INSURANCE PREMIUM SURCHARGE KY MUNICIPAL TAX NJ PLIGA SURCHARGE VA BIRTH RELATED NEURO INJURY COMP FUND WA REGULATORY SURCHARGE WV POLICY SURCHARGE PREMIUM 1836697. DA A A A 446. 48. 4. 16. 647. 70. 8.
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ZURICH THIS DISCLOSURE IS ATTACHED TO AND MADE PART OF YOUR POLICY. FLORIDA DISCLOSURE OF IMPORTANT INFORMATION RELATING TO TERRORISM RISK INS URANCE ACT SCHEDULE Premium attributable to risk of loss from certified acts of terrorism for lines of insurance subject to TRIA Please see form U GU630 C. Any 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 Insurance Act TRIA as amended we are required to provide you with a notice disclosing the portion of your premium if any attributable to the risk of loss from terrorist acts certified under that Act for lines subject to TRIA. That portion of premium attributable is shown in the Schedule above. The premium shown in the Schedule above is subject to adjustment upon premium audit if applicable. B. Disclosure of Federal Participation in Payment of Terrorism Losses The United States Government may pay a share of insured losses resulting from an act of terrorism. The federal share equals 85 of that portion of the amount of such insured losses that exceeds the insurer retention. The insurer retention equals 20 of the insurer s prior calendar year direct earned premium associated with lines of insurance subject to TRIA. TRIA is scheduled to expire on December 31 2014. C. Disclosure of 100 Billion Cap on All Insurer and Federal Obligations If aggregate insured losses attributable to terrorist acts certified under TRIA exceed 100 billion in a Program Year January 1 through December 31 1 the Federal Government shall not make any payment for any portion of the amount of such losses that exceeds 100 billion and 2 no insurer that has met its deductible under the program shall be liable for the payment of any portion of the amount of such losses that exceeds 100 billion. If insured losses exceed 100 billion insured losses up to that amount are subject to pro rata allocation in accordance with procedures established by the Secretary of Treasury. D. Definition of Act of Terrorism under TRIA TRIA defines act of terrorism as any act that is certified by the Secretary of the Treasury in concurrence with the Secretary of State and the Attorney General of the United States 1. to be an act of terrorism 2. to be a violent act or an act that is dangerous to human life property or infrastructure 3. to have resulted in damage within the United States or outside of the United States in the case of an air carrier as defined in section 40102 of Title 49 United States Code or a United States flag vessel or a vessel based principally in the United States on which United States income tax is paid and whose insurance coverage is subject to regulation in the United States or the premises of a United States mission and 4. to have been 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. No act may be certified as an act of terrorism if the act is committed as part of the course of a war declared by Congress except for workers compensation or if losses resulting from the act in the aggregate for insurance subject to TRIA do not exceed 5000.000. Copyright 208 Zurich American Insurance Company Includes copyrighted material of ISO Properties. Inc. with its permission U GU TT3 A 048 Page 1 of
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Z ZURICH Florida Hurricane Catastrophe Fund FHCF Emergency Assessment 2005 Hurricanes The Florida legislature created the FHCF in order to provide capacity to the personal and commercial residential property insurance market. In accordance with Florida law deficits of the FHCF are funded through emergency assessments on direct premiums for certain property and casualty lines of business in the state of Florida. The current FHCF emergency assessment is for the purpose of financing the FHCF s shortfall from the 2005 hurricane season. In order to fund this deficit policies effective on or after January 1 2011 are subject to an emergency assessment of 1.30 of premium for the following lines of business Fire Allied Lines Multi Peril Crop Farmowners Multi Peril Homeowners Multi Peril Commercial Multi Peril liability and non liability Mortgage Guaranty Ocean Marine Inland Marine Financial Guaranty Earthquake Other Liability Products Liability Private Passenger Auto No Fault Other Private Passenger Auto Liability Commercial Auto No Fault Other Commercial Auto Liability Private Passenger Auto Physical Damage Commercial Auto Physical Damage Aircraft Fidelity Surety Burglary and Theft Boiler and Machinery Credit Warranty and Aggregate Write Ins for Other Lines of Insurance. The FHCF emergency assessment applicable to this policy is not subject to premium taxes fees or commissions. UGU726B FL 0111 Page 1 of 1
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Policy Number GLO 5821847 01 KENTUCKY MUNICIPAL TAX SCHEDULE ZURICH AMERICAN INSURANCE COMPANY Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC AgentNo. 45259 000 TAX JURISDICTION TAX AMOUNT Louisville Jefferson 16.00 The amount displayed includes tax and collection fees. KY TAX FORM 1208 KENTUCKY MUNICIPAL TAX SCHEI ZURICH AMERICAN INSURANCE C 821847 01 ANY I COMPANY he amount displayed includes tax and collection fees.
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Policy Number GLO 5821847 01 SCHEDULE OF FORMS AND ENDORSEMENTS Zurich American Insurance Company Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 COMMON POLICY FORMS AND ENDORSEMENTS U GU692 C CW 06 13 DISCL OF PREM. RELATING TO DISP. OF TRIA U GU767 A CW 01 08 CAP ON LOSSES FROM CERTIFIED ACTS OF TER U GU D310 A 01 93 COMMON POLICY DECLARATIONS U GU T773 A 04 08 FL DISCLOSURE IMPORTANT INFO REL TO TRIA ZITAXFORM 12 08 KENTUCKY MUNICIPAL TAX SCHEDULE 10 02 SCHEDULE OF FORMS AND ENDORSEMENTS 01 09 IMPORTANT NOTICE IN WITNESS CLAUSE 10 02 SCHEDULE OF NAMED INSURED S 07 94 INSTALLMENT PREMIUM SCHEDULE 10 02 SCHEDULE OF LOCATIONS 06 10 KNOWLEDGE BY POSITION OR DEPARTMENT 11 98 COMMON POLICY CONDITIONS 09 08 NUCLEAR ENERGY LIABILITY EXCLUSION ENDT 11 11 VIRGINIA CHANGES 03 12 RHODE ISLAND CHANGES CIVIL UNION 03 12 TEXAS CHANGES DUTIES 09 08 NORTH DAKOTA CHANGES CANC NONRENL 04 12 DELAWARE CHANGES TERMINATION PROVISIONS 11 13 TEXAS CHANGES CANC NONRENL 03 12 LOUISIANA CHANGES CANC NONRENL 09 08 CALCULATION OF PREMIUM U GU1169 A CO 06 13 CO CIVIL UNION ACT POLICYHOLDER NOTICE U GU1177 A MN 09 13 MN CIVIL MARRIAGE POLICYHOLDER NOTICE GENERAL LIABILITY FORMS AND ENDORSEMENTS U GL1447 A CW 05 10 NOTIF TO OTHERS OF CANC NONR OR REDUCT U GL1517 B CW 04 13 RECORD OR DISTRB OF MATRL OR INFO EXCL U GL1521 A CW 10 12 BLANKET NOTIFICATION TO OTH CANC NONREN U GL851 B CW 06 04 EMPLOYEE BENEFITS LIAB OCCURRENCE COV U GL915 C CwW 08 04 FELLOW EMPLOYEE COVERAGE ENDORSEMENT U GL917 C CwW 08 04 INCIDENTAL MEDICAL MALPRACTICE COV ENDT U GL925 B CW 12 01 WAIVER OF SUBROGATION BLANKET ENDT. U GL D851 B CW 09 04 EMPLOYEE BENEFITS LIAB OCCURRENCE COV U GL D1115 B CW 09 04 COMMERCIAL GL COVERAGE PART DECLARATIONS U GL1364 A CW 09 08 FELLOW EMPL CVG DESGNTD EMPLYS POSITIONS U GL1378 A CW 03 09 LIMITED COVERAGE BLANKET WRAP UP CG 00 01 04 13 COMMERCIAL GENERAL LIABILITY COV FORM U GL1114 A CW 10 02 AMENDMENT OF PROPERTY DAMAGE EXCLUSION J U GL1114 A CW 10 02 ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION ENDORSEMENT U GL1114 A CW 10 02 EXCLUSION DESIGNATED OPERATIONS COVERED BY A PROJECT SPECIFIC INS PR U GL1114 A CW 10 02 EXTENDED COVERAGE BODILY INJURY AND PROP DAMAGE LIABILITY ITEM 2 EXCL U GL1114 A CW 10 02 BROAD FORM NAMED INSURED U GL1114 A CW 10 02 CANCELLATION OR MATERIAL CHANGES IN COVERAGE NOTICE U GL1114 A CW 10 02 NOTIFICATION TO OTHERS OF CANCELLATION U GL1114 A CW 10 02 ADDITIONAL INSURED CITY OF JOHNSON U GL1114 A CW 10 02 AMENDMENT TO CG 2280 U GL1114 A CW 10 02 LIST OF ADDITIONAL INSUREDS UGL U GU619 A CW 1002 SCHEDULE OF FORMS AND ENDOF Zurich American Insurance GLO 5821847 01 F FORMS AND ENDORSEMENTS ican Insurance Company OMPANY Effective Date 07 01 1 1201 A.M. Standard Tin OF PREM. RELATING TO DISP. OF TRIA LOSSES FROM CERTIFIED ACTS OF TER POLICY DECLARATIONS LOSURE IMPORTANT INFO REL TO TRIA Y MUNICIPAL TAX SCHEDULE LE OF FORMS AND ENDORSEMENTS NT NOTICE IN WITNESS CLAUSE LE OF NAMED INSURED S MENT PREMIUM SCHEDULE LE OF LOCATIONS DGE BY POSITION OR DEPARTMENT POLICY CONDITIONS 2 ENERGY LIABILITY EXCLUSION ENDT A CHANGES SLAND CHANGES CIVIL UNION HANGES DUTIES DAKOTA CHANGES CANC NONRENL RE CHANGES TERMINATION PROVISIONS HANGES CANC NONRENL NA CHANGES CANC NONRENL TION OF PREMIUM UNION ACT POLICYHOLDER NOTICE MARRIAGE POLICYHOLDER NOTICE NTS O OTHERS OF CANC NONR OR REDUCT OR DISTRB OF MATRL OR INFO EXCL NOTIFICATION TO OTH CANC NONREN E BENEFITS LIAB OCCURRENCE COV EMPLOYEE COVERAGE ENDORSEMENT NTAL MEDICAL MALPRACTICE COV ENDT OF SUBROGATION BLANKET ENDT. E BENEFITS LIAB OCCURRENCE COV IAL GL COVERAGE PART DECLARATIONS EMPL CVG DESGNTD EMPLYS POSITIONS COVERAGE BLANKET WRAP UP AL GENERAL LIABILITY COV FORM NT OF PROPERTY DAMAGE ON J ONAL INSURED DESIGNATED PERSON ANTZATION ENDORSEMENT ON DESIGNATED OPERATIONS BY A PROJECT SPECIFIC INS PR D COVERAGE BODILY INJURY AND MAGE LIABILITY ITEM 2 EXCL ORM NAMED INSURED LATION OR MATERIAL CHANGES IN sE NOTICE ATION TO OTHERS OF CANCELLATION ONAL INSURED CITY OF JOHNSON NT TO CG 2280 A CO A MN
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Policy Number GLO 5821847 01 SCHEDULE OF FORMS AND ENDORSEMENTS Zurich American Insurance Company Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 CANCELLATION CLAUSE AMENDMENT OTHER INSURANCE KNOWLEDGE OF OCCURRENCE NOTICE OF OCCURRENCE NOTICE OF ERROR IN CLAIM REPORTING BATCH CLAUSE EXTENSION OF TERRITORY GULF OF MEXICO DAMAGE TO YOUR PRODUCT SPOOL ENDORSEMENT EXTENDED COVERAGE BODILIY INJURY AMENDMENT OF DAMAGE TO PROPERTY NOT PHYSICALLY INJURED GL BODILY INJURY REDEFINED GL U GL1114 A AMENDATORY ENDORSEMENT WAIVER OF GOV U GL1114 A ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR U GL1114 A ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR U GL1114 A ADDITIONAL INSURED OWNERS LESSES OR CONTRACTORS SCHEDULED PERSON OR U GL1114 A ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR U GL1114 A ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR U GL1114 A ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR U GL1114 A ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORSSCHEDULED PERSON OR U GL1114 A LIST OF ADDITIONAL INSUREDS UGL 1447ACW U GL1114 A EXCESS JOINT VENTURE OR WRAP UP COVERAGE ENDORSEMENT U GL1114 A NOTIFICATION TO OTHERS OF CANCELLATION U GL1114 A NOTIFICATION TO OTHERS OF CANCELLATION NOTIFICATION TO OTHERS OF CANCELLATION NOTIFICATION TO OTHERS OF CANCELLATION ADDITIONAL INSURED VILLAGE OF NORTHBROOK ADDITIONAL INSURED UNINTENTIONAL FAILURE TO DISCLOSE HAZARD U GL106 CONTRACTORS LIABILITY ENDORSEMENT U GL1146 EXCESS COV FOR INSURED S INT SPECIFIED UGL1171ACW FUNGI OR BACTERIA EXCLUSION ADL INSD OWNER LESSE CONT SCHEDULED LIMITED OPERATIONS CONSOLIDATED WRAP UP EARLIER NOTICE OF CANCEL OR NON RENEWAL BROAD FORM ADD INS OWNR LESSEE CONTR SCH DEDUCTIBLE OTH INS AMNDMT PRIMARY NONCONTRIBUTORY U GL1340 A IN REM U GL1344 A RESULTING DAMAGE TO YOUR WORK U GL1386 A EXCLUSION RADIOACTIVE MATERIALS U GL1393 A WATERCRAFT EXCL AMDT SCHEDULED CONTRACT U GL1178ACW ASBESTOS EXCLUSION ENDORSEMENT U GL872 B CW PREMIUM REPORTS AGREEMENT COMP RATED CG 01 03 TX CHANGES CONDITIONS REQUIRING NOTICE U GU619 A CW 1002 SCHEDULE OF FORMS AND ENDOF Zurich American Insurance GLO 5821847 01 F FORMS AND ENDORSEMENTS ican Insurance Company OMPANY Effective Date 07 01 1 1201 A.M. Standard Tin PORTING JLE OF MEXICO O0L NJURY ERTY NOT L IVER OF GOV.ESSEES OR N OR.ESSEES OR N OR.ESSES OR N OR.ESSEES OR N OR LESSEES OR N OR.ESSEES OR N OR.ESSEES OR N OR 5 UGL P UP ANCELLATION SCLOSE HAZARD RSEMENT IT SPECIFIED I SCHEDULED ATED WRAP UP X NON RENEWAL SSEE CONTR SCH INCONTRIBUTORY RK ERIALS JLED CONTRACT IENT COMP RATED
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Policy Number GLO 5821847 01 SCHEDULE OF FORMS AND ENDORSEMENTS Zurich American Insurance Company Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 5 VIRGINIA CHANGES CG 02 20 FL CHANGES CANCELLATION NONRENEWAL CG 33 89 KY CHGS YOUR RIGHT TO CLAIM INFORMATION U GL1464 B HI EXPANDED OCCURRENCE DEFINITION HAWAII U GL852 A CW EMPL BENEFITS LIAB OCCURRENCE DED ENDT EARLIER NOTICE OF CANC PROVIDED BY US COVERAGE FOR INJURY TO LEASED WORKERS ELECTRONIC DATA LIABILITY ENDORSEMENT ADDL INSD OWNERS LESSEES OR ADDL INSD MANAGERS LESSORS OF PREMISES ADDL INS ST GOV AGY SUB POL SUB PERM ADDL INSD DESIGNATED PERSON ORGANIZATION ADDL INSD LESSOR OF LEASED EQUIPMENT ADDL INSD ENGRS ARCHTS OR SURVEYORS ADDL INSD OWNERS LESSEES OR CONTR S ADDL INSD LESSOR OF LEASED EQUI ADDL INSD OWNERS LESSEES CONTR COMP OPS EMPLOYMENT RELATED PRACTICES EXCLUSION EXCL INSPECTION APPRAISAL SURVEY COMP EXCL PROPERTY ENTRUSTED EXCL ENGINEERS ARCH OR SURV PROF LIAB EXCL HEALTH CARE PROVIDER SERVICES LIMITED EXCL CONTRACTORS PROF LIAB WAIVER OF TRANSFER RIGHTS OF RECOVERY BOATS CONTRACTUAL LIABILITY RAILROADS AMEND OF COV TERR WORLDWIDE COVERAGE DESIGNATED CONSTRUCTION PROJECTS GENERAL DESIGNATED LOCATIONS GENERAL AGGREGATE TX CHANGES EMPLOY RELATED PRACTICES EXCL ALASKA WAR LIABILITY EXCLUSION U GL1056 A CW EXTENSION OF PROP DAMAGE COV COMP OPER U GL1093 A TX EARLIER NOTICE NON RENEWAL OR CHNG COV U GL1195 B CW FUNGI BACTERIA EXCLUSION DISCLOSURE CG2010 ADDITIONAL INSURED 2 2 3 1 1 1 2 2 3 3 3 3 4 2 2 4 4 8 0 1 1 2 0 0 3 9 O R WN I O WO 11 WR 0OV O 14 i U GU619 A CW 1002 SCHEDULE OF FORMS AND ENDOF Zurich American Insurance GLO 5821847 01 F FORMS AND ENDORSEMENTS ican Insurance Company OMPANY Effective Date 07 01 1 1201 A.M. Standard Tin b Us 2U G 33 89 GL1464 B HI GSSZ A cw aaooooaoaoannaannni SIN T LWOONFFOMEENNBWWWWINN WM O R WN I O WO 11 WR 0OV O 14 i GL1056 A CW GL1093 A TX GL1195 B CW G2010 Us124 05 13 09 10 07 96 10 93 10 93 12 04 07 04 04 13 04 13 04 13 07 04 04 13 04 13 04 13 04 13 12 07 04 13 11 85 04 13 04 13 04 13 05 09 11 85 10 01 04 13 05 09 05 09 12 07 03 06 05 02 05 02 06 04 10 01 Lo LHoANGES CANCELLALION NUNKENEWAL KY CHGS YOUR RIGHT TO CLAIM INFORMATION EXPANDED OCCURRENCE DEFINITION HAWAIT EMPL BENEFITS LIAB OCCURRENCE DED ENDT EARLIER NOTICE OF CANC PROVIDED BY US COVERAGE FOR INJURY TO LEASED WORKERS ELECTRONIC DATA LIABILITY ENDORSEMENT ADDL INSD OWNERS LESSEES OR ADDL INSD MANAGERS LESSORS OF PREMISES ADDL INS ST GOV AGY SUB POL SUB PERM ADDL INSD DESIGNATED PERSON ORGANIZATION ADDL INSD LESSOR OF LEASED EQUIPMENT ADDL INSD ENGRS ARCHTS OR SURVEYORS ADDL INSD OWNERS LESSEES OR CONTR S ADDL INSD LESSOR OF LEASED EQUI ADDL INSD OWNERS LESSEES CONTR COMP OPS EMPLOYMENT RELATED PRACTICES EXCLUSION EXCL INSPECTION APPRAISAL SURVEY COMP EXCL PROPERTY ENTRUSTED EXCL ENGINEERS ARCH OR SURV PROF LIAB EXCL HEALTH CARE PROVIDER SERVICES LIMITED EXCL CONTRACTORS PROF LIAB WAIVER OF TRANSFER RIGHTS OF RECOVERY BOATS CONTRACTUAL LIABILITY RAILROADS AMEND OF COV TERR WORLDWIDE COVERAGE DESIGNATED CONSTRUCTION PROJECTS GENERAL DESIGNATED LOCATIONS GENERAL AGGREGATE TX CHANGES EMPLOY RELATED PRACTICES EXCL ALASKA WAR LIABILITY EXCLUSION EXTENSION OF PROP DAMAGE COV COMP OPER EARLIER NOTICE NON RENEWAL OR CHNG COV FUNGI BACTERIA EXCLUSION DISCLOSURE ADDITIONAL INSURED
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Z ZURICH Important Notice In Witness Clause In return for the payment of premium and subject to the terms of this policy coverage is provided as stated in this policy. IN WITNESS WHEREOF this Company has executed and attested these presents and where required by law has caused this policy to be countersigned by its duly Authorized Representatives. P Janey DV lles D Sk President Corporate Secretary QUESTIONS ABOUT YOUR INSURANCE Your agent or broker is best equipped to provide information about your insurance. Should you require additional information or assistance in resolving a complaint call or write to the following please have your policy or claim number ready Zurich in North America Customer Inquiry Center 1400 American Lane Schaumburg lllinois 60196 1056 1 800 382 2150 Business Hours 8 am 4 pm CT Email info.sourcezurichna.com 1056 1 4pm CT U GU319 F 0109 Page Lof
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Policy Number GLO 5821847 01 SCHEDULE OF NAMED INSUREDS ZURICH AMERICAN INSURANCE COMPANY Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 NAMED INSURED CHICAGO BRIDGE IRON COMPANY DELAWARE CHICAGO BRIDGE IRON COMPANY CHICAGO BRIDGE IRON COMPANY A DELAWARE CORPORATION AND ITS SUBSIDIARIES CHICAGO BRIDGE IRON COMPANY N.V. AND ITS SUBSIDIARIES CHICAGO BRIDGE IRON COMPANY B.V. AND ITS SUBSIDIARIES ANY OTHER DIRECT OR INDIRECT AFFILIATES SUBSIDIARIES AND TRUSTS AS MAY NOW OR HEREAFTER FORMED OR ACQUIRED PROVIDED THAT YOU MAINTAIN OR ACQUIRE OWNERSHIP OR MAJORITY INTERESTING THE AFFILIATE SUBSIDIARY OR TRUST ANY JOINT VENTURE OR PARTNERSHIP AS MAY NOW OR HEREAFTER BE FORMED OF WHICH CHICAGO BRIDGE IRON COMPANY IS A MEMBER OR PARTNER BU ONLY WITH RESPECT TO THE LIABILITY OF CHICAGO BRIDGE IRON COMPANY ARISING OUT OF THE CONDUCT OF THE JOINT VENTURE OR PARTNERSHIP. THIS INSURANCE WILL NOT INURE TO THE BENEFIT OF ANY OTHER PERSON OR ORGANIZATION EXCEPT CHICAGO BRIDGE IRON COMPANY AND ITS EXCESS OVER VALID AND COLLECTIVE INSURANCE AVAILABLE TO YOU BROUGHT SPECIFICALLY TO INSURE SUCH PARTNERSHIP OR JOINT VENTURE ANY OTHER ENTITY OVER WHICH CHICAGO BRIDGE IRON COMPANY EXCERCISE OR ASSUMES ACTIVE MANAGEMENT OR FINANCIAL CONTROL IF THER IS NO OTHER SIMILAR INSURANCE AVAILABLE TO THE ORGANIZATION CBI CONSTRUCTORS INC CHICAGO BRIDGE IRON COMPANY CBI INC. CBI TYLER COMPANY CBI WOODLANDS LLC CLG INC. CBI CONSTRUCTORS CBI SERVICES INC. MORSE CONSTRUCTION GROUP INC. HOWE BAKER INTERNATIONAL LLC HOWE BAKER HOLDINGS LLC HOWE BAKER ENGINEERS LTD HOWE BAKER MANAGEMENT SERVICES LLC HBI HOLDINGS LLC MATRIX ENGINEERING LTD MATRIX MANAGEMENT SERVICES LLC CALLIDUS TECHNOLOGIES LLC AB BUILDERS LTD LUMMUS TECHNOLOGY INC CBI LGI CONSTRUCTORS INC. CBI LUMMUS GLOBAL INTERNATIONAL CORPORATION CBI LUMMUS GLOBAL OVERSEAS CORPORATION CHEVRON LUMMUS GLOBAL LTD CATALYTIC DISTILLATION TECHNOLOGIES CDTECH INTERNATIONAL CORPORATION CHEMICAL RESEARCH LICENSING COMPANY THE SHAW GROUP INC. U GU621 A CW 1002 SCHEDULE OF NAMED INSUREDS ZURICH AMERICAN INSURANCE COMPAL LO 5821847 01 tfantive Nata AT A1 17 CHICAGO BRIDGE IRON COMPANY HICAGO BRIDGE IRON COMPANY DELAWARE HICAGO BRIDGE IRON COMPANY HICAGO BRIDGE IRON COMPANY A DELAWARE CORPORATION AND ITS UBSIDIARIES HICAGO BRIDGE IRON COMPANY N.V. AND ITS SUBSIDIARIES HICAGO BRIDGE IRON COMPANY B.V. AND ITS SUBSIDIARIES NY OTHER DIRECT OR INDIRECT AFFILIATES SUBSIDIARIES AND TRUSTS AS AY NOW OR HEREAFTER FORMED OR ACQUIRED PROVIDED THAT YOU MAINTAIN OR CQUIRE OWNERSHIP OR MAJORITY INTERESTING THE AFFILIATE SUBSIDIARY OR RUST NY JOINT VENTURE OR PARTNERSHIP AS MAY NOW OR HEREAFTER BE FORMED OF HICH CHICAGO BRIDGE IRON COMPANY IS A MEMBER OR PARTNER BU ONLY ITH RESPECT TO THE LIABILITY OF CHICAGO BRIDGE IRON COMPANY ARISING UT OF THE CONDUCT OF THE JOINT VENTURE OR PARTNERSHIP. THIS NSURANCE WILL NOT INURE TO THE BENEFIT OF ANY OTHER PERSON OR RGANIZATION EXCEPT CHICAGO BRIDGE IRON COMPANY AND ITS EXCESS OVER ALID AND COLLECTIVE INSURANCE AVAILABLE TO YOU BROUGHT SPECIFICALLY O INSURE SUCH PARTNERSHIP OR JOINT VENTURE ANY OTHER ENTITY OVER HICH CHICAGO BRIDGE IRON COMPANY EXCERCISE OR ASSUMES ACTIVE ANAGEMENT OR FINANCIAL CONTROL IF THER IS NO OTHER SIMILAR INSURANCE VAILABLE TO THE ORGANIZATION BI CONSTRUCTORS INC HICAGO BRIDGE IRON COMPANY BI INC. BI TYLER COMPANY BI WOODLANDS LLC LG INC. BI CONSTRUCTORS BI SERVICES INC. ORSE CONSTRUCTION GROUP INC. OWE BAKER INTERNATIONAL LLC OWE BAKER HOLDINGS LLC OWE BAKER ENGINEERS LTD OWE BAKER MANAGEMENT SERVICES LLC BI HOLDINGS LLC ATRIX ENGINEERING LTD ATRIX MANAGEMENT SERVICES LLC ALLIDUS TECHNOLOGIES LLC B BUILDERS LTD UMMUS TECHNOLOGY INC BI LGI CONSTRUCTORS INC. BI LUMMUS GLOBAL INTERNATIONAL CORPORATION BI LUMMUS GLOBAL OVERSEAS CORPORATION HEVRON LUMMUS GLOBAL LTD ATALYTIC DISTILLATION TECHNOLOGIES DTECH INTERNATIONAL CORPORATION HEMICAL RESEARCH LICENSING COMPANY HE SHAW GROUP INC.
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INSTALLMENT PREMIUM SCHEDULE The total premium shown in the Declarations of this policy is made payable in installments on the dates and in the amount shown below. NAMED INSURED POLICY NUMBER CHICAGO BRIDGE IRON COMPANY GLO 5821847 01 PAYMENT STAND TAXES TOTAL DUE PREPAID PREMIUM 1838047 Failure to pay the Installment Premium by the Date Due shown shall constitute non payment of premium for which we may cancel this policy. U GU406 A 0794 PAGE 1 OF 1 YMENT E 10114 50114 0114 0114 10114 20114 10115 20115 30115 10115 50115 50115 DTAL STANDARD PREMIUM 152377. 153120 153120 153120 153120 153120 153120 153120 153120 153120 153120 153120 1836697 00 00 00 00 00 00 00 00 00 00 00 00 00 TAXES PREPAID 1350.82 1350.82 TOTAL PREMIUM 153727. 153120 153120 153120 153120 153120 153120 153120 153120 153120 153120 153120 1838047 82 00 00 00 00 00 00 00 00 00 00 00 82 152377. 153120 153120 153120 153120 153120 153120 153120 153120 153120 153120 153120 1836697 00 00 00 00 00 00 00 00 00 00 00 00 00 1350.82 153727. 153120 153120 153120 153120 153120 153120 153120 153120 153120 153120 153120 1838047 82 00 00 00 00 00 00 00 00 00 00 00 82 1350.82
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Policy Number GLO 5821847 01 SCHEDULE OF LOCATIONS Zurich American Insurance Company Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 Designated Locations Address City State Zi Occupancy OPERTATIONS IN STATE OF ONTGOMERY AL 36101 IOPERTATIONS IN STATE OF IJUNEAU AK 99801 IOPERTATIONS IN STATE OF IPHOENIX AZ 85001 IOPERTATIONS IN STATE OF LITTLE ROCK AR 72201 IOPERTATIONS IN STATE OF ISACRAMENTO CA 94203 IOPERTATIONS IN STATE DENVER CO 80012 IOPERTATIONS IN STATE IHARTFORD CT 06101 IOPERTATIONS IN STATE DOVER DE 19901 IOPERTATIONS IN STATE ASHINGTON DC 20001 IOPERTATIONS IN STATE OF TALLAHASSEE FL 32301 IOPERTATIONS IN STATE OF ATLANTA GA 30301 IOPERTATIONS IN STATE OF HONOLULU HI 96801 IOPERTATIONS IN STATE OF DES MOINES IA 50301 U GU618 A CW 1002 GLO 5821847 01 SCHEDULE OF LOCATIONS Zurich American Insurance Company COMPANY INLGUMERY AL S01UL ERTATIONS IN STATE OF INEAU AK 99801 ERTATIONS IN STATE OF IOENIX AZ 85001 ERTATIONS IN STATE OF TTLE ROCK AR 72201 ERTATIONS IN STATE OF CRAMENTO CA 94203 ERTATIONS IN STATE OF NVER CO 80012 ERTATIONS IN STATE OF RTFORD CT 06101 ERTATIONS IN STATE OF VER DE 19901 ERTATIONS IN STATE OF SHINGTON DC 20001 ERTATIONS IN STATE OF LLAHASSEE FL 32301 ERTATIONS IN STATE OF LANTA GA 30301 ERTATIONS IN STATE OF NOLULU HI 96801 ERTATIONS IN STATE OF S MOINES IA 50301
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Policy Number GLO 5821847 01 SCHEDULE OF LOCATIONS Zurich American Insurance Company Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 Designated Locations Address City State Zi OPERTATIONS IN STATE OF BOISE ID 83701 Occupancy JOPERTATIONS IN STATE OF ICHICAGO IL 60290 IOPERTATIONS IN STATE OF INDIANAPOLIS IN 46201 IOPERTATIONS IN STATE OF TOPEKA KS 66601 IOPERTATIONS IN STATE OF IBATON ROUGE LA 70801 IOPERTATIONS IN STATE OF IPORTLAND ME 04101 IOPERTATIONS IN STATE OF BALTIMORE MD 21201 IOPERTATIONS IN STATE OF IBOSTON MA 02108 IOPERTATIONS IN STATE OF DETROIT MI 48201 IOPERTATIONS IN STATE OF ISAINT PAUL MN 55101 IOPERTATIONS IN STATE OF IJEFFERSON CITY MO 65101 IOPERTATIONS IN STATE OF IHELENA MT 59601 IOPERTATIONS IN STATE OF LINCOLN NE 68501 U GU618 A CW 1002 GLO 5821847 01 SCHEDULE OF LOCATIONS Zurich American Insurance Company COMPANY loL 1D oo5 UL ERTATIONS IN STATE OF IICAGO IL 60290 ERTATIONS IN STATE OF IDIANAPOLIS IN 46201 ERTATIONS IN STATE OF PEKA KS 66601 ERTATIONS IN STATE OF TON ROUGE LA 70801 ERTATIONS IN STATE OF RTLAND ME 04101 ERTATIONS IN STATE OF LTIMORE MD 21201 ERTATIONS IN STATE OF STON MA 02108 ERTATIONS IN STATE OF.TROIT MI 48201 ERTATIONS IN STATE OF INT PAUL MN 55101 ERTATIONS IN STATE OF.FFERSON CITY MO 65101 ERTATIONS IN STATE OF.LENA MT 59601 ERTATIONS IN STATE OF NCOLN NE 68501
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Policy Number GLO 5821847 01 SCHEDULE OF LOCATIONS Zurich American Insurance Company Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 Designated Locations Address City State Zi OPERTATIONS IN STATE OF LAS VEGAS NV 89044 Occupancy JOPERTATIONS IN STATE ICONCORD NH 03301 IOPERTATIONS IN STATE TRENTON NJ 08601 IOPERTATIONS IN STATE ISANTA FE NM 87501 IOPERTATIONS IN STATE ALBANY NY 12201 IOPERTATIONS IN STATE IRALEIGH NC 27601 IOPERTATIONS IN STATE IBISMARCK ND 58501 IOPERTATIONS IN STATE ICOLUMBUS OH 43085 IOPERTATIONS IN STATE OF IOKLAHOMA CITY OK 73101 IOPERTATIONS IN STATE OF PORTLAND OR 97086 IOPERTATIONS IN STATE IHARRISBURG PA 17101 IOPERTATIONS IN STATE ICOLUMBIA SC 29201 IOPERTATIONS IN STATE IPIERRE SD 57501 U GU618 A CW 1002 GLO 5821847 01 SCHEDULE OF LOCATIONS Zurich American Insurance Company COMPANY wo ViELGAS NV oJUaa ERTATIONS IN STATE NCORD NH 03301 ERTATIONS IN STATE RENTON NJ 08601 ERTATIONS IN STATE NTA FE NM 87501 ERTATIONS IN STATE BANY NY 12201 ERTATIONS IN STATE LEIGH NC 27601 ERTATIONS IN STATE SMARCK ND 58501 ERTATIONS IN STATE LUMBUS OH 43085 ERTATIONS IN STATE OF OF OF OF OF OF OF OF LAHOMA CITY OK 73101 ERTATIONS IN STATE RTLAND OR 97086 ERTATIONS IN STATE RRISBURG PA 17101 ERTATIONS IN STATE LUMBIA SC 29201 ERTATIONS IN STATE ERRE SD 57501 OF OF OF OF
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Policy Number GLO 5821847 01 SCHEDULE OF LOCATIONS Zurich American Insurance Company Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 Designated Locations Address City State Zi OPERTATIONS IN STATE OF ASHVILLE TN 37201 Occupancy IOPERTATIONS IN STATE OF AUSTIN TX 73301 IJOPERTATIONS IN STATE OF ISALT LAKE CITY UT 84101 IOPERATIONS IN STATE OF IRICHMOND VA 23173 IOPERATIONS IN STATE OF ICHARLESTON WV 25301 IOPERATIONS IN STATE OF IJACKSON MS 39201 IOPERATIONS IN STATE OF ONTPELIER VT 05603 IOPERATIONS IN STATE OF IOLYMPIA WA 98501 IOPERATIONS IN STATE OF ADISON WI 53701 IOPERATIONS IN STATE OF LOUISVILLE KY 40201 IOPERATIONS IN STATE OF ICONCORD RI 02901 JOPERATION IN STATE OF ICHEYENNE WY 82001 U GU618 A CW 1002 GLO 5821847 01 SCHEDULE OF LOCATIONS Zurich American Insurance Company COMPANY wnavViLie 1IN S52UL ERTATIONS IN STATE OF JSTIN TX 73301 ERTATIONS IN STATE OF LT LAKE CITY UT 84101 ERATIONS IN STATE OF CHMOND VA 23173 ERATIONS IN STATE OF IARLESTON WV 25301 ERATIONS IN STATE OF CKSON MS 39201 ERATIONS IN STATE OF NTPELIER VT 05603 ERATIONS IN STATE OF ZYMPIA WA 98501 ERATIONS IN STATE OF DISON WI 53701 ERATIONS IN STATE OF UISVILLE KY 40201 ERATIONS IN STATE OF NCORD RI 02901 ERATION IN STATE OF IEYENNE WY 82001
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Z Knowledge by Position or Department ZURICH Eff. Date of Pol. Exp. Date of Pol. Eif. Date of End. Addl. Prem THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Business Auto Coverage Part Commercial General Liability Coverage Part Liquor Liability Coverage Part Products Completed Operations Liability Coverage Part Railroad Protective Liability Coverage Part SCHEDULE RISK MANAGER Position or Department The following Condition is added Knowledge By Your Employee 1. Knowledge of an accident occurrence offense injury claim suit or loss by your employee will not in and of itself be considered your knowledge of the accident occurrence offense injury claim suit or loss unless an employee who a. Holds a position or b. s a member of a department shown in the Schedule of this endorsement receives such knowledge. 2. This endorsement does not apply unless the Schedule of this endorsement indicates at least one Position or Department. All other terms and conditions of this policy remain unchanged. UGU1016 A CW 0610 Page 1 of 1 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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IL 0017 11 98 COMMON POLICY CONDITIONS All Coverage Parts included in this policy are subject to the following conditions. A. D. Cancellation 1. The first Named Insured shown in the Declara tions may cancel this policy by mailing or de livering to us advance written notice of cancel lation. 2. We may cancel this policy by mailing or deliv ering to the first Named Insured written notice of cancellation at least a. 10 days before the effective date of cancel lation if we cancel for nonpayment of pre mium or b. 30 days before the effective date of cancel lation 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. 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 firs Named Insured cancels the refund may be les 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 suf ficient 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 E. b. Give you reports on the conditions we find and 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 in surability and the premiums to be charged. We do not make safety inspections. We do not un dertake 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 war rant 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 a to any rating advisory rate service or similar organization which makes in surance inspections surveys reports or recom mendations. 4. Paragraph 2. of this condition does not apply to any inspections surveys reports or recommen dations we may make relative to certification under state or municipal statutes ordinances or regulations of boilers pressure vessels or ele vators. 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 representa tive. 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. Pagelof1 O IL 0017 11 98 Copyright Insurance Services Office Inc. 1998
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IL 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. The insurance does not apply A. Under any Liability Coverage to bodily injury C. Under any Liability Coverage to bodily injury or property damage resulting from hazardous or property damage 1 With respect to which an insured under the policy is also an insured under a nu clear energy liability policy issued by Nu clear Energy Liability Insurance Association properties of nuclear material if 1 The nuclear material a is at any nuclear facility owned by or operated by or on be half of an insured or b has been dis charged or dispersed therefrom Mutual Atomic Energy Liability Underwrit 2 The nuclear material is contained in spent ers Nuclear Insurance Association of Can fuel or waste at any time possessed han ada or any of their successors or would be dled used processed stored transported an insured under any such policy but for its or disposed of by or on behalf of an in termination upon exhaustion of its limit of li sured or ability or 3 The bodily injury or property damage 2 Resulting from the hazardous properties arises out of the furnishing by an insured of nuclear material and with respect to which a any person or organization is re quired to maintain financial protection pur suant to the Atomic Energy Act of 1954 or any law amendatory thereof or b the in sured 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 of services materials parts or equipment in connection with the planning construction maintenance operation or use of any nu clear facility but if such facility is located within the United States of America its terri tories or possessions or Canada this ex clusion 3 applies only to property dam age to such nuclear facility and any property thereat. by the United States of America or any 2 agency thereof with any person or organi zation. B. Under any Medical Payments coverage to expenses incurred with respect to bodily in jury resulting from the hazardous properties of nuclear material and arising out of the op eration of a nuclear facility by any person or organization.. As used in this endorsement Hazardous properties includes radioactive toxic or explosive properties. Nuclear material means source material special nuclear material or by product material. C. Under any Liability Coverage to bodily injury or property damage resulting from hazardous properties of nuclear material if 1 The nuclear material a is at any nuclear facility owned by or operated by or on be half of an insured or b has been dis charged or dispersed therefrom 2 The nuclear material is contained in spent fuel or waste at any time possessed han dled used processed stored transported or disposed of by or on behalf of an in sured 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 nu clear facility but if such facility is located within the United States of America its terri tories or possessions or Canada this ex clusion 3 applies only to property dam age to such nuclear facility and any property thereat. 2. As used in this endorsement Hazardous properties includes radioactive toxic or explosive properties. Nuclear material means source material special nuclear material or by product material. 3 IL 00 21 09 08 ISO Properties Inc. 2007 Page 10f 2 m
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Source material special nuclear material and by product material have the meanings given them in the Atomic Energy Act of 1954 or in any law amendatory thereof. Spent fuel means any fuel element or fuel com ponent 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 concentra tion of uranium or thorium from any ore processed primarily for its source material content and b resulting from the operation by any person or or ganization of any nuclear facility included under the first two paragraphs of the definition of nu clear 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 d Any equipment or device used for the proc essing 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 pluto nium 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 forego ing 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. Page 2 of 2 ISO Properties Inc. 2007 IL 00 21 09 08 o
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IL 01381111 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. VIRGINIA CHANGES CANCELLATION AND NONRENEWAL 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. 3. and 5. of the Cancellation 4 After the first year if it is a prepaid Common Policy Condition are replaced by the policy written for a term of more than following one year. 2. We may cancel this policy by mailing or b. When this policy is cancelled at your delivering to the first Named Insured written request except when Paragraph a.2 a.3 notice of cancellation stating the reason for or a.4 applies we will return 90 of the cancellation at least pro rata unearned premium rounded to the a. 15 days before the effective date of cancellation if we cancel for nonpayment of premium or b. 45 days before the effective date of cancellation if we cancel for any other reason. 3. We will send written notice by registered or certified mail or deliver written notice to the first Named Insured s last mailing address known to next higher whole dollar. However when such cancellation takes place during the first year of a multiyear prepaid policy we will return the full annual premium for the subsequent years. In addition earned premium will not be less than our policywriting minimum premium. B. The following is added and supersedes any other provision to the contrary us. Nonrenewal 5. If this policy is cancelled we will send the first 1. Ifwe eect not to renew this policy we will Ta Named Insured any premium refund due. The or deliver a notice of nonrenewal to the first cancellation will be effective even if we have not Named Insured shown in the Declarations made or offered a refund. The following stating the reason for nonrenewal at least provisions govern calculation of return a. 15 days before the expiration date if the premium. nonrenewal is due to nonpayment of a. We will compute return premium pro rata premium or and round to the next higher whole dollar b. 45 days before the expiration date if the when this policy is cancelled nonrenewal is for any other reason. 1 Atour request 2. We will send written notice by registered or 2 Because you no longer have a financial certified mail or deliver written notice of or insurable interest in the property or nonrenewal to the first Named Insured s last business operation that is the subject of mailing address known to us. insurance 3 And rewritten by us or a member of our company group or IL 01381111 Insurance Services Office Inc. 2011 Page 1of 1 m
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IL 01610312 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. RHODE ISLAND CHANGES CIVIL UNION COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART This endorsement modifies insurance provided under the following 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. The term spouse is replaced by the following Spouse or party to a civil union recognized under Rhode Island law.. Under the Commercial Automobile Coverage Part the term family member is replaced by the following and supersedes any other provisions to the contrary Family member means a person related to 1. An individual Named Insured by blood adoption marriage or civil union recognized under Rhode Island law who is a resident of such Named Insured s household including a ward or foster child 2. The individual named in the Schedule by blood adoption marriage or civil union recognized under Rhode Island 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 Individuals endorsement is attached or 3. You by blood adoption marriage or civil union recognized under Rhode Island law who is a resident of your household including a ward or foster child if the Individual Named Insured endorsement is attached. C. 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 Family member means a person related to you by blood adoption marriage or civil union recognized under Rhode Island law who is a resident of your household including a ward or foster child. 3. You by blood adoption marriage or civil union recognized under Rhode Island law who is a resident of your household including a ward or foster child if the Individual Named Insured endorsement is attached. C. 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 Family member means a person related to you by blood adoption marriage or civil union recognized under Rhode Island law who is a resident of your household including a ward or foster child. Insurance Services Office Inc. 2011 IL 01610312 Page 1of 1
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IL 016803 12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TEXAS CHANGES DUTIES This endorsement modifies insurance provided under the following 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 The following is added to the Duties Condition 2. Any settlement of a claim made or suit We will notify the first Named Insured in writing of brought against the msured flnsureq under L N this coverage. The notice will be given not 1. An initial offer to settle a claim made or suit later than the 30th day after the date of the brought against any insured insured under settlement. this coverage. The notice will be given not later than the 10th day after the date on which the offer is made. Insurance Services Office Inc. 2011 IL 016803 12 Page 1of 1
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IL 02 34 09 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NORTH DAKOTA CHANGES CANCELLATION AND NONRENEWAL 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 PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EMPLOYMENT RELATED PRACTICES LIABILITY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART A. Paragraphs 2. and 3. of the Cancellation Common 3 The insured s actions that have sub Policy Condition are replaced by Paragraphs 2. stantially increased or substantially and 3. below except to the extent that Item B. of changed the risk insured this endorsement applies. 2. Policies In Effect a. For Less Than 90 Days If this policy has been in effect for less than 90 days we may cancel the policy for any reason by mailing to the first Named In sured and agent if any written notice of cancellation at least 1 10 days before the effective date of can cellation or 2 Five days before the effective date of cancellation for any condition stated in Paragraph B. of this endorsement.. For 90 Days Or More Or Policies With Terms Longer Than One Year Or Continuous Policies If this policy has been in effect for 90 days or more is a renewal of a policy we issued is a policy issued for a term longer than one year or is a continuous policy we may can cel the policy only for one or more of the following reasons 1 Nonpayment of premiums 2 Misrepresentation or fraud made by the insured or with the insured s knowl edge in obtaining the policy or in pursu ing a claim under the policy 4 The insured s refusal to eliminate known conditions that increase the po tential for loss after our notification that the condition must be removed Substantial change in the risk assumed except to the extent that we should rea sonably have foreseen the change or contemplated the risk in writing the con tract 6 Loss of reinsurance which provided us with coverage for a significant amount of the underlying risk insured 7 A determination by the insurance com missioner that the continuation of the policy could place us in violation of North Dakota insurance laws Nonpayment of dues to an association or organization other than an insurance association or organization where pay ment of dues is a prerequisite to obtain ing or continuing such insurance. Can cellation for this reason does not apply to persons who are retired at 62 years of age or older or to any person who is disabled according to social security standards 5 8 IL 02 34 09 08 ISO Properties Inc. 2007 Page 10f 2 m
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9 A violation of any local fire health safety building or construction regula tion or ordinance with respect to Cov ered Property or the occupancy thereof which substantially increases any hazard insured against or 10 Certain conditions exist as stated in Paragraph B. of this endorsement. We will mail written notice of cancellation to the first Named Insured and agent if any at least a Five days before the effective date of cancellation for any condition stated in Paragraph B. of this endorsement b 10 days before the effective date of can cellation for nonpayment of premium or 30 days before the effective date of can cellation for any reason stated in Para graphs 2.b.2 through 9 above. However for policies with terms longer than one year or continuous policies notice of can cellation will be mailed at least 30 days prior to any anniversary date for any reason stated in Paragraphs 2.b.1 through 9 above. If we cancel for a reason listed in Paragraphs 2.b.1 through 9 above the notice of cancel lation will state our reasons for cancellation. 3. We will mail our notice by first class mail to the first Named Insured and agent if any at the last mailing address known to us.. We may also cancel the policy if one or more of the following conditions exist 1. Buildings with at least 65 of the rental units in the building unoccupied. 2. Buildings that have been damaged by a cov ered cause of loss and the insured has stated or such time has elapsed as clearly indicates that the damage will not be repaired. 3. Buildings to which following a fire permanent repairs have not commenced within 60 days fol lowing satisfactory adjustment of loss. 4. Buildings that have been unoccupied 60 or more consecutive days except buildings that have a seasonal occupancy and buildings ac tually in the course of construction or repair and reconstruction which are properly secured against unauthorized entry. 5. Buildings that are in danger of collapse be cause of serious structural conditions or those buildings subject to extremely hazardous con ditions not contemplated in filed rating plans such as those buildings that are in a state of disrepair as to be dilapidated. c 6. Buildings on which because of their physical condition there is an outstanding order to va cate or an outstanding demolition order or which have been declared unsafe in accor dance with applicable law. 7. Buildings from which fixed and salvageable items have been or are being removed and the insured can give no reasonable explanation for the removal. 8. Buildings on which there is reasonable knowl edge and belief that the property is endangered and is not reasonably protected from possible arson for the purpose of defrauding an insurer. 9. Buildings with any of the following conditions a. Failure to furnish heat water sewer service or public lighting for 30 consecutive days or more. b. Failure to correct conditions dangerous to life health or safety. c. Failure to maintain the building in accor dance with applicable law. d. Failure to pay property taxes for more than one year. 10. Buildings that have characteristics of owner ship condition occupancy or maintenance which are violative of law or public policy. C. The following is added and supersedes any provi sion to the contrary NONRENEWAL 1. If we elect not to renew this policy we will mail to the last known address of the first Named Insured shown in the Declarations and agent if any a notice of intention not to renew at least a. 60 days prior to the expiration date of the policy except as provided in Paragraph b. or b. 90 days prior to the expiration date of the policy when the policy provides profes sional liability coverage for legal and medi cal services. The notice of nonrenewal will state our reason for nonrenewal. 2. We will mail our notice by first class mail to the first Named Insured and agent if any at the last mailing address known to us. 3. We need not mail or deliver this notice if you have a. Insured elsewhere b. Accepted replacement coverage or c. Requested or agreed to nonrenewal. Page 2 of 2 ISO Properties Inc. 2007 IL 0234 09 08 o
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IL 023704 12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DELAWARE CHANGES TERMINATION PROVISIONS This endorsement modifies insurance provided under the following CAPITAL ASSETS PROGRAM OUTPUT POLICY COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART EMPLOYMENT RELATED PRACTICES LIABILITY COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART A. With respect to the Farm Property Farm Dwellings Appurtenant Structures and Household Personal Property Coverage Form Commercial Property Coverage Part and 2 Discovery of fraud or material misrepresentation made by you or with your knowledge in obtaining the policy continuing the policy or in presenting a claim under the policy Capital Assets Program Output Policy Coverage 3 Discovery of willful or reckless acts Part or omissions on your part that I the policy covers a building that contains no increase any hazard insured against more than four dwelling units one of which is the 4 The occurrence of a change in the insured s principal place of residence or covers risk that substantially increases any the insured s household personal property in a hazard insured against after residential building the following applies 1. Paragraph 2. of the Cancellation Common Policy Condition is replaced by the following 5 2. We may cancel this policy by mailing or delivering to the first Named Insured written notice of cancellation along with the h L iall reasons for cancellation at least occupancy that substantially N increases any hazard insured a. 10 days before the effective date of against cancellation if we cancel for nonpayment of premium or 6 insurance coverage has been issued or renewed A violation of any local fire health safety building or construction regulation or ordinance with respect to any covered property or its A determination by the Insurance Commissioner that the continuation b. 30 days before the effective date of cancellation if we cancel for any other reason. After coverage has been in effect for more than 60 days or after the effective date of a renewal of this policy no notice of cancellation will be issued by us unless it is based on at least one of the following reasons 1 Nonpayment of premium of the policy would place us in violation of the Delaware insurance laws or Real property taxes owing on the insured property have been delinquent for two or more years and continue delinquent at the time notice of cancellation is issued. IL 023704 12 Insurance Services Office Inc. 2011 Page 1of 2
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Farm Liability Coverage Form Liquor Liability Coverage Part Medical Professional Liability Coverage Part Pollution Liability Coverage Part and Products Completed Operations Liability Coverage Part 1. Paragraph 2. of the Cancellation Common Policy Condition is replaced by the following 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. 60 but not more than 120 days before the effective date of cancellation if we cancel for any other permissible reason. 2. The following Condition is added and supersedes any other condition to the contrary Nonrenewal a. If we decide not to renew this policy we will mail or deliver written notice of nonrenewal to the first Named Insured at least 60 but not more than 120 days before the expiration date or the anniversary date if this is a policy written for a term of more than one year or with no fixed expiration date. b. Any notice of nonrenewal will be mailed or delivered to the first Named Insured at the last mailing address known to us. 2. The following Condition is added Nonrenewal a. If we decide not to renew this policy we will mail or deliver written notice of nonrenewal to the first Named Insured at least 30 days before the expiration date or the anniversary date if this is a policy written for a term of more than one year or with no fixed expiration date. b. Any notice of nonrenewal will include the reasons for nonrenewal and will be mailed or delivered to the first Named Insured at the last mailing address known to us. c. If notice is mailed proof of mailing will be sufficient proof of notice. 3. If Cancellation Changes CP 02 99 is attached to the Commercial Property Coverage Part Paragraph E.2. of that form is replaced by the following 2. Pay property taxes that are owing and have been outstanding for more than two years following the date due except that this provision will not apply where you are in a bona fide dispute with the taxing authority regarding payment of such taxes. B. With respect to the Commercial General Liability Coverage Part Commercial Property Legal Liability Coverage Form Commercial Property Mortgageholders Errors And Omissions Coverage Form Employment Related Practices Liability Coverage Form Insurance Services Office Inc. 2011 Page 2 of 2 IL 023704 12
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IL02751113 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TEXAS CHANGES CANCELLATION AND NONRENEWAL PROVISIONS FOR CASUALTY LINES AND COMMERCIAL PACKAGE POLICIES This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL LIABILITY UMBRELLA COVERAGE PART EMPLOYMENT RELATED PRACTICES LIABILITY FARM COVERAGE PART FARM LIABILITY COVERAGE FORM LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART This endorsement also modifies insurance provided under the following when written as part of a Commercial Package Policy CAPITAL ASSETS PROGRAM OUTPUT POLICY COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL LIABILITY UMBRELLA COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EMPLOYMENT RELATED PRACTICES LIABILITY EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART A. Paragraph 2. of the Cancellation Common Policy Condition is replaced by the following 2. We may cancel this policy However if this policy covers a condominium association and the condominium property contains at least one residence or the condominium declarations conform with the a. By mailing or delivering to the first Named Insured written notice of cancellation stating the reason for cancellation at least 10 days before the effective date of cancellation. Texas Uniform Condominium Act then the notice of cancellation as described above will be provided to the first Named Insured 30 days before the effective date of cancellation. We will also provide 30 days written notice to each unit owner to whom we issued a certificate or memorandum of insurance by mailing or delivering the notice to each last mailing address known to us. IL02751113 Insurance Services Office Inc. 2013 Page 1 of 2
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b. For the following reasons if this policy does 1 2 not provide coverage to a governmental unit as defined under 28 TEX. ADMIN. CODE Section 5.7001 or on one and two family dwellings If this policy has been in effect for 60 days or less we may cancel for any reason except that under the provisions of the Texas Insurance Code we may not cancel this policy solely because the policyholder is an elected official. If this policy has been in effect for more than 60 days or if it is a renewal or continuation of a policy issued by us we may cancel only for one or more of the following reasons a Fraud in obtaining coverage b Failure to pay premiums when due c An increase in hazard within the control of the insured which would produce an increase in rate d Loss of our reinsurance covering all or part of the risk covered by the policy or e If we have been placed in supervision conservatorship or receivership and the cancellation is approved or directed by the supervisor conservator or receiver.. For the following reasons if this policy provides coverage to a governmental unit as defined under 28 TEX. ADMIN. CODE Section 5.7001 or on one and two family dwellings 1 If this policy has been in effect for less than 90 days we may cancel coverage for any reason. 2 If this policy has been in effect for 90 days or more or if it is a renewal or continuation of a policy issued by us we may cancel coverage only for the following reasons a If the first Named Insured does not pay the premium or any portion of the premium when due b If the Texas Department of Insurance determines that continuation of this policy would result in violation of the Texas Insurance Code or any other law governing the business of insurance in Texas c If the Named Insured submits a fraudulent claim or d If there is an increase in the hazard within the control of the Named Insured which would produce an increase in rate. B. The following condition is added and supersedes any provision to the contrary Nonrenewal 1. We may elect not to renew this policy except that under the provisions of the Texas Insurance Code we may not refuse to renew this policy solely because the policyholder is an elected official. 2. This paragraph 2. applies unless the policy qualifies under Paragraph 3. below. If we elect not to renew this policy we may do so by mailing or delivering to the first Named Insured at the last mailing address known to us written notice of nonrenewal stating the reason for nonrenewal at least 60 days before the expiration date. If notice is mailed or delivered less than 60 days before the expiration date this policy will remain in effect until the 61st day after the date on which the notice is mailed or delivered. Earned premium for any period of coverage that extends beyond the expiration date will be computed pro rata based on the previous year s premium. 3. If this policy covers a condominium association and the condominium property contains at least one residence or the condominium declarations conform with the Texas Uniform Condominium Act then we will mail or deliver written notice of nonrenewal at least 30 days before the expiration or anniversary date of the policy to a. The first Named Insured and b. Each unit owner to whom we issued a certificate or memorandum of insurance. We will mail or deliver such notice to each last mailing address known to us. 4. If notice is mailed proof of mailing will be sufficient proof of notice. 5. The transfer of a policyholder between admitted companies within the same insurance group is not considered a refusal to renew. Page 2 of 2 Insurance Services Office Inc. 2013 IL02751113
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IL 02770312 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LOUISIANA CHANGES CANCELLATION AND NONRENEWAL 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 COVERAGE PART COMMERCIAL LIABILITY UMBRELLA COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EMPLOYMENT RELATED PRACTICES LIABILITY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART STANDARD PROPERTY POLICY A. Paragraph 2. of the Cancellation Common Policy b. Cancellation Of Renewal Policies And New Condition is replaced by the following which applies unless Paragraph B. of this endorsement applies 2. Notice Of Cancellation a. Cancellation Of Policies In Effect For Fewer Than 60 Days Which Are Not Renewals If this policy has been in effect for fewer than 60 days and is not a renewal of a policy we issued we may cancel this policy for any reason subject to the following 1 Cancellation for nonpayment of premium We may cancel this policy by mailing or delivering to the first Named Insured written notice of cancellation at least 10 days before the effective date of cancellation. Cancellation for any other reason We may cancel this policy by mailing or delivering to the first Named Insured written notice of cancellation at least 60 days before the effective date of cancellation. 2 Policies In Effect For 60 Days Or More If this policy has been in effect for 60 days or more or is a renewal of a policy we issued we may cancel only for one or more of the following reasons 1 Nonpayment of premium 2 Fraud or material misrepresentation made by you or with your knowledge with the intent to deceive in obtaining the policy continuing the policy or in presenting a claim under the policy Activities or omissions by you which change or increase any hazard insured against Change in the risk which increases the risk of loss after we issued or renewed this policy including an increase in exposure due to regulation legislation or court decision 3 4 5 Determination by the Commissioner of Insurance that the continuation of this policy would jeopardize our solvency or would place us in violation of the insurance laws of this or any other state b. Cancellation Of Renewal Policies And New Policies In Effect For 60 Days Or More If this policy has been in effect for 60 days or more or is a renewal of a policy we issued we may cancel only for one or more of the following reasons 1 Nonpayment of premium 2 Fraud or material misrepresentation made by you or with your knowledge with the intent to deceive in obtaining the policy continuing the policy or in presenting a claim under the policy Activities or omissions by you which change or increase any hazard insured against Change in the risk which increases the risk of loss after we issued or renewed this policy including an increase in exposure due to regulation legislation or court decision Determination by the Commissioner of Insurance that the continuation of this policy would jeopardize our solvency or would place us in violation of the insurance laws of this or any other state 3 4 5 IL027703 12 Insurance Services Office Inc. 2011 Page 10f3 m
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6 The insured s violation or breach of any policy terms or conditions or 7 Any other reasons that are approved by the Commissioner of Insurance. We will mail or deliver written notice of cancellation under Paragraph A.2.b. to the first Named Insured 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 a reason described in Paragraphs A.2.b.2 through 7 above. B. Paragraph 2. of the Cancellation Common Policy Condition is replaced by the following which applies with respect to premium payments due on new and renewal policies including installment payments 2. Notice Of Cancellation a. If your premium payment check or other negotiable instrument is returned to us or our agent or a premium finance company because it is uncollectible for any reason we may cancel the policy subject to Paragraphs B.2.b. and B.2.c. b. We may cancel the policy effective from the date the premium payment was due by sending you written notice by certified mail or by delivering such notice to you within 10 days of the date that we receive notice of the returned check or negotiable instrument. c. The cancellation notice will also advise you that the policy will be reinstated effective from the date the premium payment was due if you present to us a cashier s check or money order for the full amount of the returned check or other negotiable instrument within 10 days of the date that the cancellation notice was mailed. C. With respect to the Coverage Parts and Policies to which this endorsement applies except the Equipment Breakdown Coverage Part Paragraph 5. of the Cancellation Common Policy Condition is replaced by the following 5. Premium Refund If this policy is cancelled we will return any premium refund due subject to Paragraphs C.5.a C.5.b C.5.c C.5.d. C.5.e. and C.5.f. The cancellation will be effective even if we have not made or offered a refund. a. If we cancel the refund will be pro rata. b. If the first Named Insured cancels the refund will not be less than 90 of the pro rata unearned premium rounded to the next higher whole dollar. The refund will be returned within 30 days after the effective date of cancellation. c. We will send the refund to the first Named Insured unless Paragraph C.5.d. or C.5.e. applies. d. If we cancel based on Paragraph B.2. of this endorsement we will return the premium due if any within 10 days after the expiration of the 10 day period referred to in B.2 If the policy was financed by a premium finance company or if payment was advanced by the insurance agent we will send the return premium directly to such payor. e. With respect to any cancellation of the Commercial Auto Coverage Part we will send the return premium if any to the premium finance company if the premium was financed by such company. f. When return premium payment is sent to the premium finance company or the agent of the insured we will provide notice to you at the time of cancellation that a return of unearned premium may be generated by the cancellation. D. With respect to the Equipment Breakdown Coverage Part Paragraph 5. of the Cancellation Common Policy Condition is replaced by the following 5. Premium Refund If this policy is cancelled we will return any premium refund due subject to Paragraphs D.5.a. D.5.b. D.5.c. D.5.d. and D.5.e. The cancellation will be effective even if we have not made or offered a refund. a. If we cancel the refund will be pro rata. b. If the first Named Insured cancels the refund will not be less than 75 of the pro rata unearned premium rounded to the next higher whole dollar. The refund will be returned within 30 days after the effective date of cancellation. c. We will send the refund to the first Named Insured unless Paragraph D.5.d. applies. Page 2 0f 3 Insurance Services Office Inc. 2011 IL 02770312 o
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d. If we cancel based on Paragraph B.2. of this endorsement we will return the premium due if any within 10 days after the expiration of the 10 day period referred to in B.2.c. If the policy was financed by a premium finance company or if payment was advanced by the insurance agent we will send the return premium directly to such payor. e. When return premium payment is sent to the premium finance company or the agent of the insured we will provide notice to you at the time of cancellation that a return of unearned premium may be generated by the cancellation. E. The Premiums Common Policy Condition is replaced by the following Premiums 1. The first Named Insured shown in the Declarations is responsible for the payment of all premiums. 2. We will pay return premiums if any to the first Named Insured unless another person or entity is entitled to be the payee in accordance with Paragraph C. or D. of this endorsement. F. Paragraph f. of the Mortgageholders Condition in the Commercial Property Coverage Part Standard Property Policy and the Capital Assets Program Output Policy Coverage Part and Paragraph 4.f. of the Mortgageholders Condition in the Farm Coverage Part are replaced by the following If we cancel a policy that has been in effect for fewer than 60 days and is not a renewal of a policy we issued we will give written notice to the mortgageholder pledgee or other known person shown in the policy to have an insurable interest in any loss at least 1 10 days before the effective date of cancellation if we cancel for nonpayment of premium or 2 60 days before the effective date of cancellation if we cancel for any other reason. If we cancel a policy that has been in effect for 60 days or more or is a renewal of a policy we issued we will give written notice to the mortgageholder pledgee or other known person shown in the policy to have an insurable interest in any loss at least 1 10 days before the effective date of cancellation if we cancel for nonpayment of premium or 2 30 days before the effective date of cancellation if we cancel for any other reason. G. The following is added and supersedes any other provision to the contrary Nonrenewal 1. If we decide not to renew this policy we will mail or deliver written notice of nonrenewal to the first Named Insured mortgageholder pledgee or other known person shown in the policy to have an insurable interest in any loss at least 60 days before its expiration date or its anniversary date if it is a policy written for a term of more than one year or with no fixed expiration date. 2. We need not mail or deliver this notice if a. We or another company within our insurance group have offered to issue a renewal policy or b. You have obtained replacement coverage or have agreed in writihng to obtain replacement coverage. 3. Any notice of nonrenewal will be mailed or delivered to the first Named Insured mortgageholder pledgee or other known person shown in the policy to have an insurable interest in any loss at the last mailing address known to us. If notice is mailed proof of mailing will be sufficient proof of notice. 4. Such notice to the insured shall include the insured s loss run information for the period the policy has been in force within but not to exceed the last three years of coverage. IL027703 12 Insurance Services Office Inc. 2011 Page 30f 3 o
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IL 00 03 09 08 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 COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EMPLOYMENT RELATED PRACTICES LIABILITY COVERAGE PART EQUIPMENT BREAKDOWN 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 The following is added The premium shown in the Declarations was com puted based on rates in effect at the time the policy was issued. On each renewal continuation or anni versary of the effective date of this policy we will compute the premium in accordance with our rates and rules then in effect. IL 00 03 09 08 ISO Properties Inc. 2007 Page 10f 1 m
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Z4 ZURICH Notice to Indiana Policyholders Regarding Filing Complaints with the Department of Insurance Questions regarding your policy or coverage should be directed to Customer Inquiry Center Zurich North America 1400 American Lane Schaumburg IL 60196 800 382 2150 If you a need the assistance of the governmental agency that regulates insurance or b have a complaint you have been unable to resolve with your insurer you may contact the Department of Insurance by mail telephone or email State of Indiana Department of Insurance Consumer Services Division 311 West Washington Street Suite 300 Indianapolis Indiana 46204 Consumer Hotline 800 622 4461 317 232 2395 Complaints can be filed electronically at www.in.govidoi. U GU102C 0909 Page 1of 1
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Z4 ZURICH Important Notice to Arkansas Policyholders Inquiries concerning your policy should be directed to your insurance agent if one is involved at the name address and telephone number shown on the policy andor in the material accompanying the policy. If you have additional questions you may contact Zurich North America Commercial at the following address and telephone number Customer Inquiry Center Zurich North America Commercial 1400 American Lane Schaumburg IL 60196 1 800 382 2150 If you require additional information you may contact the Arkansas Insurance Department at either the following address or phone number Arkansas Insurance Department 1200 West Third Street Little Rock Arkansas 72201 1904 Telephone 501 371 2640 or 800 852 5494 U GU108C 1109 Page 1of 1
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Z4 ZURICH Important Notice Aviso Importante IMPORTANT NOTICE To obtain information or make a complaint You may call Zurich North America Customer Inquiry Center s toll free telephone number for information or to make a complaint at 1 800 382 2150 You may also write to Zurich at Customer Inquiry Center Zurich North America 1400 American Lane Schaumburg IL 60196 AVISO IMPORTANTE Para obtener informacio o para someter una queja Usted puede llamar al numero de telefono gratis de Zurich North America para informacion ol para someter una queja al 1 800 382 2150 Usted tambien puede escribir a Zurich a Customer Inquiry Center Zurich North America 1400 American Lane Schaumburg IL 60196 You may contact the Texas Department of Insurance to obtain information on companies coverages rights or complaints at Puede communicarse con el Departmento de Seguros de Texas para obtener informacion acerca de companias coberturas derechos o quejas al 1 800 252 3439 1 800 252 3439 You may write the Texas Department of Insurance at P. O. Box 149104 Austin TX 78714 9104 Fax 512 475 1771 Web httpwww.tdi.texas.gov E mail ConsumerProtectiontdi.state.tx.us PREMIUM OR CLAIM DISPUTES Should you have a dispute concerning your premium or about a claim you should contact the agent or the company first. If the dispute is not resolved you may contact the Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR POLICY This notice is for information only and does not become a part or condition of the attached document. Puede escribir al Departmento de Seguros de Texas P. O. Box 149104 Austin TX 78714 9104 Fax 512 475 1771 Web httpwww.tdi.texas.gov E mail ConsumerProtectiontdi.state.tx.us DISPUTAS SOBRE PRIMAS O RECLAMOS Si tiene una disputa concerniente a su prima o a un reclamo debe communicarse con el agente o la compania primero. Si no se resuelve la disputa puede entonces communicarse con el departmento TDI. UNA ESTE AVISO A SU POLIZA Este aviso es solo para proposito de informacion y no se convierte en parte o condicion del documento adjunto. UGU296E 1111 Page 1 of 1
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Z4 ZURICH Important Notice to Florida Policyholders In the event you need to contact someone about this policy for any reason please contact your agent. If you have additional questions you may contact the Zurich U.S. office at the following address and telephone number Customer Inquiry Center Zurich North America 1400 American Lane Schaumburg IL 60196 800 382 2150 If you have been unable to contact or obtain satisfaction from your agent or company you may contact the Florida Office of Insurance Regulation at Office of Insurance Regulation 200 East Gaines Street Tallahassee Florida 32399 850 413 3140 ATTACH THIS NOTICE TO YOUR POLICY This notice is for information only and does not become a part or condition of the attached document. U GU395 D 0709 Page 10f 1
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Z ZURICH Important Notice Texas Safety Consultation Services Zurich in North America has loss control services available at no additional charge. If you would like additional information regarding these services please contact us or visit our website. If you would like to request services please complete the information on this form and mail it to the address listed below. Zurich Services Corporation Risk Engineering 1400 American Lane Schaumburg lllinois 60196 1056 1 800 982 5964 httpwww.zurichna.com riskengineering request additional safety and health services Company name Contact name Address City State Zip code Telephone number Policy number LC373 C TX 0112 Page 1 of 1
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Z ZURICH Florida Insurance Guaranty Association 2012 Regular Assessment The Florida Insurance Guaranty Association Inc. FIGA pays the claims of insolvent property and casualty insurance companies. FIGA has statutory authority to fund its deficits through assessments based on the premium of subject lines of property and casualty insurance. To secure funds for the payment of covered claims and to pay the reasonable costs to administer the same FIGA has imposed a 2012 Regular Assessment on premium for the following lines Fire allied lines farmowners multiple peril homeowners multiple peril commercial multiple peril non liability portion commercial multiple peril liability portion inland marine medical malpractice earthquake other liability other liability occurrence other liability claims made products liability products liability occurrence products liability claims made aircraft all perils burglary and theft and boiler and machinery. For new and renewal policies effective on or after May 1 2014 a 0.14 regular assessment applies to premium for the subject lines. 2012 FIGA Regular Assessment The ment is not subject to fees or commissions. U GU1005 D FL 0514 Page I of 1
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Z ZURICH Illinois Civil Union Act Policyholder Notice On June 1 2011 Public Act 96 1513 the Religious Freedom Protection and Civil Union Act the Act became effective. Under the Act both same sex and opposite sex couples may enter into a civil union. A party to a civil union is entitled to the same legal obligations responsibilities protections and benefits as are afforded or recognized by the law of lllinois a spouse whether they derive from statute administrative rule common law or any other source of civil or criminal law. A marriage between persons of the same sex a civil union or a substantially similar legal relationship other than common law marriage legally entered into in another jurisdiction shall be legally recognized in lllinois as a civil union. CAUTION FEDERAL LAW RIGHTS MAY OR MAY NOT BE AVAILABLE llinois law grants parties to a civil union the same benefits protections and responsibilities that flow from marriage under state law. However some or all of the benefits protections and responsibilities related to health insurance that are available to married persons under federal law may not be available to parties to a civil union. For example the Employee Retirement Income Security Act of 1974 a federal law known as ERISA controls the employer employee relationship with regard to determining eligibility for enrollment in private employer health benefit plans. Because of ERISA Act 91 does not state requirements pertaining to a private employer s enrollment of a party to a civil union in an ERISA employee welfare benefit plan. However governmental employers not federal government are required to provide health benefits to the dependents of a party to a civil union if the public employer provides health benefits to the dependents of married persons. Federal law also controls group health insurance continuation rights under COBRA for employers with 20 or more employees as well as the Internal Revenue Code treatment of health insurance premiums. As a result parties to a civil union and their families may or may not have access to certain benefits under this policy contract certificate rider or endorsement that derive from federal law. You are advised to seek expert advice to determine your rights. U GU1110 B IL 1011 Page Lof
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Z ZURICH Colorado Civil Union Act Policyholder Notice On January 1 2014 the Civil Union Act the Act becomes effective. Under the Act two persons of the same sex may enter into a civil union. A party to a civil union is entitled to the same legal obligations responsibilities protections and benefits as are afforded or recognized by the law of Colorado to a spouse whether they derive from statute administrative rule common law or any other source of civil or criminal law. The Act further provides that a party to a civil union shall be included in any definition or use of the term dependent family heir immediate family next of kin spouse and other terms that denote a familial or spousal relationship. A marriage between persons of the same sex a civil union domestic partnerships or a substantially similar legal relationship legally entered into in another jurisdiction shall be legally recognized in Colorado as a civil union. U GU1169 A CO 0613 Page I of 1
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Z ZURICH Delaware Marriage Equality Act Policyholder Notice On July 1 2013 the Civil Marriage Equality and Religious Freedom Act of 2013 the Act becomes effective. The Act eliminates the prohibition on same gender marriage. It allows both parties to a civil union that is not subject to a pending proceeding for dissolution annulment or legal separation to convert their civil union to a marriage. On July 1 2014 all remaining civil unions will automatically convert to marriages by operation of law. The Act further provides that all laws of Delaware applicable to marriage or married spouses or the children of married spouses whether derived from statutes administrative rules or regulations court rules governmental policies common law court decisions or any other provisions or sources of law including in equity shall apply equally to same gender and different gender married couples and their children. Parties to a marriage shall be included in any definition or use of terms such as dependent family husband wife widow widower immediate family next of kin spouse stepparent tenants by the entirety and other terms whether or not gender specific that denote a spousal or familial relationship. For legal unions other than marriages between two persons of the same gender established in another jurisdiction both parties to such legal union are afforded the same rights benefits and protections and are subject to the same responsibilities obligations and duties as a marriage for purposes of Delaware law. U GU1170 A DE 0613 Page I of 1
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Z ZURICH Minnesota Civil Marriage Policyholder Notice On August 1 2013 Minnesota s Civil Marriage law became effective. The Act eliminates the prohibition on same gender marriage. Also persons previously legally married in other states are considered legally married for insurance purposes in Minnesota. The Act further provides that all laws of Minnesota applicable to marriage or married spouses or the children of married spouses whether derived from statutes administrative rules or regulations court rules governmental policies common law court decisions or any other provisions or sources of law including in equity shall apply equally to same gender and different gender married couples and their children. Parties to a marriage shall be included in any definition or use of terms such as dependent family husband wife widow widower immediate family next of kin spouse stepparent tenants by the entirety and other terms whether or not gender specific that denote a spousal or familial relationship. Insurers filing new forms may not limit policy coverage to opposite sex spouses. To the extent that a property and casualty policy provides a rating or liability benefit because two residents in the same household are married that benefit must be afforded regardless of the sex of the spouse. U GU1177 A MN 0913 Page I of 1
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Z ZURICH Notification to Others of Cancellation Nonrenewal or Reduction of Insurance ZURICH Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Addl. Prem Return Prem. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part Liquor Liability Coverage Part Products Completed Operations Liability Coverage Part A. If we cancel or non renew this Coverage Parts by written notice to the first Named Insured for any reason other than nonpayment of premium we will mail or deliver a copy of such written notice of cancellation or non renewal 1. To the name and address corresponding to each person or organization shown in the Schedule below and 2. At least 10 days prior to the effective date of the cancellation or non renewal as advised in our notice to the first Named Insured or the longer number of days notice if indicated in the Schedule below. B. If we cancel this Coverage Parts by written notice to the first Named Insured for nonpayment of premium we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation. C. If coverage afforded by this Coverage Parts is reduced or restricted except for any reduction of Limits of Insurance due to payment of claims we will mail or deliver notice of such reduction or restriction 1. To the name and address corresponding to each person or organization shown in the Schedule below and 2. At least 10 days prior to the effective date of the reduction or restriction or the longer number of days notice if indicated in the Schedule below. D. If notice as described in Paragraphs A. B. or C. of this endorsement is mailed proof of mailing will be sufficient proof of such notice. SCHEDULE Name and Address of Other Persons Organizations Dmig PER SCHEDULE ATTACHED 30 Al other terms and conditions of this policy remain unchanged. U GL1447 A CW 0510 Page 1of 1 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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Z Recording And Distribution Of Material Or ZURICH Information In Violation Of Law Exclusion Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Addl. Prem Return Prem. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part A. Exclusion g. Recording And Distribution Of Material Or Information In Violation Of Law of Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability is replaced by the following 2. Exclusions This insurance does not apply to d. Recording And Distribution Of Material Or Information In Violation Of Law Bodily injury or property damage directly or indirectly arising out of or based upon 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 Transaction 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 or any other legal liability at common law or otherwise that addresses prohibits or limits the printing dissemination disposal monitoring collecting recording use of sending transmitting communicating or distribution of material or information. B. Exclusion p. Recording And Distribution Of Material Or Information In Violation Of Law of Paragraph 2. Exclusions of Section Coverage B Personal And Advertising Injury Liability is replaced by the following 2. Exclusions This insurance does not apply to p. Recording And Distribution Of Material Or Information In Violation Of Law Personal and advertising injury directly or indirectly arising out of or based upon 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 Transaction Act FACTA or UGL1517 B CW 0413 Page 10f 2 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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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 or any other legal liability at common law or otherwise that addresses prohibits or limits the printing dissemination disposal monitoring collecting recording use of sending transmitting communicating or distribution of material or information. All other terms and conditions of this policy remain unchanged. UGL1517 B CW 0413 Page 20f 2 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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Z ZURICH Blanket Notification to Others of Cancellation or Non Renewal Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Addl. Prem Return Prem. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part A If we cancel or non renew this Coverage Part by written notice to the first Named Insured we will mail or deliver notification that such Coverage Part has been cancelled or non renewed to each person or organization shown in a list provided to us by the first Named Insured if you are required by written contact or written agreement to provide such notification. However such notification will not be mailed or delivered if a conditional notice of renewal has been sent to the first Named Insured. Such list 1. Must be provided to us prior to cancellation or non renewal 2. Must contain the names and addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled or non renewed and 3. Must be in an electronic format that is acceptable to us. Our notification as described in Paragraph A. of this endorsement will be based on the most recent list in our records as of the date the notice of cancellation or non renewal is mailed or delivered to the first Named Insured. We will mail or deliver such notification to each person or organization shown in the list 1. Within seven days of the effective date of the notice of cancellation if we cancel for non payment of premium or 2. Atleast 30 days prior to the effective date of a. Cancellation if cancelled for any reason other than nonpayment of premium or b. Non renewal but not including conditional notice of renewal. Our mailing or delivery of notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy only. Our failure to provide such mailing or delivery will not 1. Extend the Coverage Part cancellation or non renewal date 2. Negate the cancellation or non renewal or 3. Provide any additional insurance that would not have been provided in the absence of this endorsement. We are not responsible for the accuracy integrity timeliness and validity of information contained in the list provided to us as described in Paragraphs A. and B. of this endorsement. All other terms and conditions of this policy remain unchanged. U GL1521 A CW 1012 Page 1of 1 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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Employee Benefits Liability Occurrence Coverage Form Z ZURICH This Coverage Form provides occurrence 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 your refer to the Named Insured shown in the Declara tions. The words we us and our refer to the Company providing this insurance. Other words and phrases that appear in quotes have special meaning. Refer to the Definitions Section. Section I. Coverage Employee Benefit 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 in the ad ministration of the insured s employee benefit programs. We will have the right and duty to de fend the insured against any suit seeking those damages. However we will have no duty to defend the insured against any suit secking damages for any act error or omission for which this insurance does not apply. We may at our discretion investi gate any claim and settle any suit that may result but 1. The amount we pay for damages is limited as described in Section II. Limits of Insurance of this Coverage Part 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 un der this Employee Benefit Liability coverage. No other obligation or liability to pay sums or per form acts or services is covered unless explicitly provided for under Supplementary Payments of this Coverage Part. This only if surance applies to an act error or omi 1. The act error or omission takes place in the coverage territory 2. The insured had no knowledge of and could not have reasonably forescen any circum stances which might result in a claim or suit and 3. The act error or omi policy period. on occurs during the 2. Exclusions This insurance does not apply to any G. Bodily injury property damage or personal and advertising injury Any claim or suit arising out of any dishon est fraudulent criminal or malicious act Any claim or suit arising out of discrimina tion or humiliation. Any claim or suit arising out of an insurer s or other provider s tract failure to perform its con Any claim or suit arising out of your failure to comply with any workers compensation un employment insurance social security or dis ability benefits law Any claim or suit arising out of the failure of any of your employee benefit plans to meet obligations due to insufficient funds Any claim or suit arising out of a. Advice given to any person to participate or not participate in a plan or program in cluded in employee benefit programs b. The appointment of or failure to appoint any investment manager administrator trustee actuary advisor counsel account ant custodian or consultant. Any investment activity including the man agement administration or disposition of assets of your employee benefit pro grams or d. Failure of any investment to perform as represented by any insured.. Any claim or suit arising out of an Insured s liability as a fiduciary under G. Bodily injury property damage or personal and advertising injury Any claim or suit arising out of any dishon est fraudulent criminal or malicious act Any claim or suit arising out of discrimina tion or humiliation Any claim or suit arising out of an insure or other provider s failure to perform its con tract Any claim or suit arising out of your failure to comply with any workers compensation un employment insurance social security or dis ability benefits law Any claim or suit arising out of the failure of any of your employee benefit plans to meet obligations due to insufficient funds Any claim or suit arising out of a. Advice given to any person to participate or not participate in a plan or program in cluded in employee benefit programs b. The appointment of or failure to appoint any investment manager administrator trustee actuary advisor counsel account ant custodian or consultant. Any investment activity including the man agement administration or disposition of assets of your employee benefit pro grams or d. Failure of any investment to perform as represented by any insured. Any claim or suit arising out of an Insured s liability as a fiduciary under U GL851 B CW 604 Page 10f 4
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a. The Employee Retirement Income Secu rity Act of 1974 PL93 406 and its amendments or b. The Internal Revenue Code of 1986 in cluding the Internal Revenue Code of 1954 and its amendments. Supple mentary Payments We will pay in addition to the applicable Limits of Insurance with respect to any claim we investigate or settle or suit we defend A. All expenses incurred by us all costs taxed against the insured in any suit defended by us and all interest on the full amount of any judgment which accrues after entry of the judg ment and before we have paid or tendered or deposited in court that part of the judgment which does not exceed the limit of our liability. B. Premiums on appeal bonds required and on bonds to release attachments in any suit. We do not have to furnish these bonds. C. All reasonable expenses incurred by the in sured at our request to assist us in the investi gation or defense of the claim or suit includ ing actual loss of earnings up to 250 a day be cause of time off from work. D. Prejudgment interest awarded against the in sured 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 in terest based on that period of time after the of fer. II. Limits of Insurance A. The Limits of Insurance shown in the Declarations and the rules below establish the most we will pay regardless of the number of 1 Insureds 2 Claims made or suits brought or 3 Employees or dependents or beneficiaries of employees making claims or bringing suits. The Aggregate Limit is the most we will pay for all damages because of all claims or suits arising from the administration of your employee benefit programs during the policy period. Subject to the Aggregate Limit provisions in B. above the Each Act Error or Omission Limit is the most we will pay for all damages sustained by any one employee including the employee s de pendents and beneficiaries because of acts errors or omissions committed in the administration of your employee benefit programs.. The limits of this Coverage Part apply separately to each consecutive annual period and to any remain ing period of less than 12 months starting with the beginning of the policy period shown in the Decla rations unless the policy period is extended after is suance 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 pur poses of determining the Limits of Insurance. IL Conditions A. Bankruptcy Bankruptey or insolvency of the insured or the in sured s estate will not relieve us of our obligations. Duties in the Event of an Act Error Omission Claim or Suit 1 Regardless of whether the loss exceeds any ap plicable deductible amount you mus that we are notified as soon as practicable of any act error or omission which may result in a claim. To the extent possible notice should include a. How when and where the act error or omission took place b. The names and addresses of any injured employee dependents or beneficiaries of any employee and witnes 2 If a claim is received by any insured you must a. Immediately record the specifics of the claim and the date received and b. Notify us as soon as practicable. You must see to it that we receive written no tice of the claim as soon as practicable. 3 You and any other involved insured must a. Immediately send us copies of any de mands notices summonses or legal papers received in connection with the claim or suit b. Authorize us to obtain records and other information. Cooperate with us in the investigation set tlement or defense of the claim or suit and d. Assist us upon our request in the en forcement of any right against any person or organization which may be liable to the insured because of injury to which this in surance may also apply. No insureds will except at their own cost. vol untarily make a payment assume any obliga tion or incur any expense without our consent. C. Legal Action Against Us U GL851 B CW 604 Page 20f 4
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No person or organization has a right 1 To join us as a party or otherwise bring us into a suit asking for damages from an insured or 2 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 obtained after an actual trial 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 1 This Coverage Part is primary insurance ex cept when stated to apply in excess of or con tingent upon the absence of other insurance. When this insurance is primary and the insured has other insurance which applies to the loss on an exc or contingent basis the amount of our liability under this Coverage Part shall not be reduced because of such other insurance. 2 When both this insurance and other insurance apply to the loss on the same basis whether primary excess or contingent we shall not be liable for a greater proportion of the loss than that stated in the applicable contribution provi sion below a. Contribution by Equal Shares If all of the other insurance permits contri bution 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. b. Contribution by Limits If any of the other insurance does not per mit 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 insur ers. E. 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 in surance applies 1 As if each Named Insured were Named Insured and the only 2 Separately to each insured against whom claim is made or suit is brought. Transfer Of Rights Of Recovery Against Others To Us 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 in sured 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. 1V. Definitions A. B. C. D. E. F. 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 attracting customers or supporters For the purposes of this definition 1 Notices that are published include material placed on the Internet or on similar electronic means of communication and 2 Regarding web sites only that part of a web site that is about your goods products or ser vices for the purposes of attracting customers or supporters is considered an advertise ment. Administration means 1 Counseling employees including their de pendents and beneficiaries with respect to employee benefit programs 2 Handling records in connection with employee benefit programs or 3 Effecting or terminating an employee s par ticipation in a plan included in employee benefit programs. Bodily injury means bodily injury sickness or dis ease sustained by a person including death result ing from any of these at any time. Coverage territory means 1 The United States of America including its territories and possessions Puerto Rico and Canada or 2 All parts of the world if the insured s respon sibility to pay damages is determined in a suit on the merits in the territory described in D. 1 above or in a settlement to which we agree. Employee means Your officers and employees whether actively em ployed disabled or retired. Employee benefit programs mean Group life insurance group accident or health in surance profit sharing plans pension plans em ployee stock subscription plans workers compensa tion une mployment insurance salary continuation U GL851 B CW 604 Page 3of 4
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G. plans social security disability benefits insurance avings plans vacation plans or any other similar plans or programs. Insured means You and any of your partners executive officers di rectors members stockholders or employees pro vided such employee is authorized to act in the administration of your employee benefit pro grams. Personal and advertising injury means Injury including consequential bodily injury aris ing out of one or more of the following offens 1 False arrest detention or imprisonment 2 Malicious prosecution 3 The wrongful eviction from wrongful entry into or invasion of the right of private occupancy of a room dwelling or premises that a person oc cupies by or on behalf of its owner landlord or lessor 4 Oral or written publication in any manner of material that slanders or libels a person or or ganization or disparages a person s or organi zation s goods products or services or 5 Oral or written publication in any manner of material that violates a person s right of pri vacy 6 The use of another s advertising idea in your advertisement or 7 Infringing upon another s copyright trade dress or slogan in your advertise ment. Property damage means 1 Physical injury to tangible property including all resulting loss of use of that property. 2 Loss of use of tangible property that is not physically injured. For the purposes of this insurance electronic data is not tangible property. As used in this definition electronic data means in formation facts or programs stored as or on cre ated or used on or transmitted to or from computer software including systems and applications soft ware hard or floppy disks CD ROMS tapes drives cells data processing devices or any other media which are used with electronically controlled equipment. Suit means A civil proceeding in which damages to which this insurance applies is alleged. Suit includes 1 An arbitration proceeding in which such dam ages are claimed and to which you must submit or do submit with our consent or 2 Any other alternative dispute resolution pro ceeding in which such damages are claimed and to which you submit with our consent. U GL851 B CW 604 Page dof 4
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Fellow Employee Coverage Endorsement THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part 1. Itis agreed that paragraph 2. a. 1 of SECTION II WHO IS AN INSURED is deleted and replaced by the following 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 b 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 1 a above or Arising out of his or her providing or failing to provide professional health care services. U GL915 C CW 804 Page Lof Includes copyrighted material of Insurance Services Office Inc. with its permission.
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Incidental Medical Malpractice Coverage Endorsement te of Pol Eff. Date of End. Produc Return Prem. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part L Sections 2.a.1d of Section II. WHO IS AN INSURED are deleted and replaced by the following 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 employ ees 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. How ever none of these employees or volunteer workers are insured for 1 Bodily injury or personal and advertising injury d Arising out of his or her providing or failing to provide professional health care services except any bodily injury or personal and advertising injury arising out of 1 medical or paramedical services to persons performed by any physician dentist nurse emergency medical technician paramedic or other licensed medical care person employed by you to provide such services or 2 emergency cardiopulmonary resuscitation CPR or first aid services performed by any other em ployee of yours who is not a licensed medical professional. I Any insurance coverage provided by this endorsement is excess over any other valid and collectible insurance. U GL917 C CW 804 Page Lof Includes copyrighted material of Insurance Services Office Inc. with its permission.
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Waiver Of Subrogation Blanket Endorsement THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition If you are required by a written contract or agreement which is executed before a loss to waive your rights of recovery from others we agree to waive our rights of recovery. This waiver of rights any other operations in which the insured has no contractual interest. all not be construed to be a waiver with respect to U GL925 B CW 1201 Page L of
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EMPLOYEE BENEFIT LIABILITY COVERAGE PART OCCURRENCE DECLARATIONS Policy Number GLO 5821847 01 Named Insured CHICAGO BRIDGE IRON COMPANY Policy Period Coverage begins 07 01 2014 Producer Name LOCKTON COMPANIES LLC Producer No. 45259 000 07 01 2014 at1201 AM Coverageends 07 01 2015 at1201 AM Item 1. Limits of Insurance 2000000 Aggregate Limit 2000000 Each Act Error or Omission Limit Item 2. Form of Business Individual Partnership Joint Venture X Corporation Other Item 3. Premium Schedule Code No. Premium Basis Rate Advance Premium Estimated Number of Employees 92100 IF ANY INCL Per Employee INCL INCL Flat Charge INCL Total Advance Premium For This Coverage Part INCL Audit Period X Annual Semi annual Quarterly Monthly Forms And Endorsements Applicable To This Coverage Part SEE SCHEDULE OF FORMS AND ENDORSEMENTS Advance Premium U GL D851 B CW 904 Page Lof
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Z ZURICH 2012 General Liability Multistate Forms Revision Notice to Policyholders This is a summary of the major changes in your policy. No coverage is provided by this summary nor can it be construed to replace any provision of your policy. You should read your policy and review your Declarations page for complete information on the coverages you are provided. If there is any conflict between the policy and this summary THE PROVISIONS OF THE POLICY SHALL PREVAIL. The major areas within the policy that broaden or reduce coverage and other changes are highlighted below. This notice does not reference every editorial change made in your policy. We have followed the policy sequence of provisions in setting out this material. COMMERCIAL GENERAL LIABILITY COVERAGE FORMS CG 000104 13 AND CG 00020413 I. EXCLUSIONS A. BROADENING OF COVERAGE 1. Coverage A Exclusion 2.c. Liquor Liability is revised to provide an exception with respect to allowing a person to bring alcoholic beverages onto the named insured s premises for consumption on the named insured s premises. 2. Coverage A Exclusion 2.p. Electronic Data is revised to introduce an exception for liability for damages because of bodily injury. B. OTHER CHANGES 1. Coverage A Exclusion 2.c. Liquor Liability is revised to reinforce that the exclusion applies even if claims against an insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others or providing or failing to provide transportation with respect to any person that may be under the influence of alcohol. 2. Coverage A Exclusion 2.g. Aircraft Auto Or Watercraft is revised to delete reference to in the state. 3. Coverage A Exclusion 2.q. and Coverage B Exclusion 2.p. Recording And Distribution Of Material Or Information In Violation Of Law were previously added to your policy via mandatory endorsement. The endorsement contained an exclusion addressing injury or damage arising out of any action or omission that violates or is alleged to violate certain statutes ordinances and regulations. This exclusion has been incorporated directly into your policy. 4. Coverage B Exclusions 2.b. and 2.c. Material Published With Knowledge Of Falsity and Material Published Prior To Policy Period are revised to reference in any manner with respect to oral or written publication for consistency with the definition of personal and advertising injury. 1. CONDITIONS OTHER CHANGES Condition 4. Other Insurance is generally revised so that the insurance provided is excess over any for which the named insured has been added as an additional insured whether by endorsement or any other means. lll. DEFINITIONS OTHER CHANGES 1. Definition 2. Auto is revised to delete reference to in the state with respect to where a vehicle is licensed or principally garaged. 2. Definition 12. Mobile Equipment is revised to delete reference to in the state with respect to where a vehicle is licensed or principally garaged. UGL P0008 A CW 0413 Page 1 of 12 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM COVERAGE FOR OPERATIONS OF DESIGNATED CONTRACTOR CG00090413 I. EXCLUSIONS BROADENING OF COVERAGE Exclusion 2.l Electronic Data is revised to introduce an exception for liability for damages because of bodily injury. Il. DEFINITIONS OTHER CHANGES 1. Definition 1. Auto is revised to delete reference to in the state with respect to where a vehicle is licensed or principally garaged. 2. Definition 10. Mobile Equipment is revised to delete reference to in the state with respect to where a vehicle is licensed or principally garaged. LIQUOR LIABILITY COVERAGE FORMS CG 00330413 AND CG 00330413 WHO IS AN INSURED BROADENING OF COVERAGE We have included trusts as Named Insureds. In addition trustees have been included as insureds but only with respect to their duties as trustees. CG 00 35 04 13 RAILROAD PROTECTIVE LIABILITY COVERAGE FORM EXCLUSIONS BROADENING OF COVERAGE Exclusion 2.f.3a Pollution is amended to expand the exception to the exclusion with respect to bodily injury or property damage arising out of fuel or lubricants for equipment used at the job location not just when they escape from such equipment. PRODUCTS COMPLECATED OPERATIONS LIABILITY COVERAGE FORM CG 0037 04 13 AND CG 00 38 04 13 I. EXCLUSIONS BROADENING OF COVERAGE 1. Exclusion 2.c. Liquor Liability is revised to provide an exception with respect to allowing a person to bring alcoholic beverages onto the named insured s premises for consumption on the named insured s premises. 2. Exclusion 2.l Electronic Data is revised to introduce an exception for liability for damages because of bodily injury. IL.LDEFINITIONS OTHER CHANGES 1. Exclusion 2.c. Liquor Liability is revised to reinforce that the exclusion applies even if claims against an insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others or providing or failing to provide transportation with respect to any person that may be under the influence of alcohol. UGL P0008 A CW 0413 Page 2 of 12 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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2. Definition 1. Auto is revised to delete reference to in the state with respect to where a vehicle is licensed or principally garaged. 3. Definition 10. Mobile Equipment is revised to delete reference to in the state with respect to where a vehicle is licensed or principally garaged. CG 00 39 04 13 POLLUTION LIABILITY COVERAGE FORM DESIGNATED SITES CG 00 40 04 13 POLLUTION LIABILITY LIMITED COVERAGE FORM DESIGNATED SITES I. EXCLUSIONS A. BROADENING OF COVERAGE Exclusion 2.p. Electronic Data is revised to introduce an exception for liability for damages because of bodily injury. B. OTHER CHANGES Exclusion Aircraft Auto Rolling Stock Or Watercraft is generally revised to reinforce that the 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. The exclusion is also revised to express that a land motor vehicle subject to compulsory or financial responsibility laws or other motor vehicle insurance laws will not be covered with respect to its over the road exposures. Il. DEFINITIONS OTHER CHANGES 1. Exclusion 2.j. Aircraft Auto Rolling Stock Or Watercraft is revised to delete reference to in the state. CG 00 40 only 2. Definition 1. Auto is revised to delete reference to in the state with respect to where a vehicle is licensed or principally garaged. 3. Definition Mobile Equipment is revised to delete reference to in the state with respect to where a vehicle is licensed or principally garaged. CG 00 42 04 13 UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS EXCLUSIONS BROADENING OF COVERAGE Exclusion 2.i. Electronic Data is revised to introduce an exception for liability for damages because of bodily injury. CG 00 65 04 13 ELECTRONIC DATA LIABILITY COVERAGE FORM EXCLUSIONS OTHER CHANGES Exclusion 2.g. Infringement Of Intellectual Property Rights is revised to delete the exception pertaining to the use of another s advertising idea. UGL P0008 A CW 0413 Page 3 of 12 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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MULTISTATE ENDORSEMENTS A. BROADENING OF COVERAGE 1. Electronic Data Liability Endorsement CG 04 37 is revised to introduce an exception to the electronic data exclusion in order to provide that the exclusion does not apply to liability for damages because of bodily injury. 2. Additional Insured Owners Lessees Or Contractors Automatic Status For Other Parties When Required In Written Construction Agreement Endorsement CG 20 38 is introduced to provide additional insured status to those parties whom the named insured is obligated in writing in a contract or agreement to name as an additional insured. 3. Druggists Endorsement CG 22 69 is revised to introduce an exception for the administering of vaccinations. 4. Liquor Liability Bring Your Own Alcohol Establishments Endorsement CG 24 06 is introduced to provide coverage to insureds who permit any person to bring any alcoholic beverage on an insured s premises for consumption on the insured s premises. B. REDUCTIONS OF COVERAGE 1. Additional Insured Users Of Golfmobiles Endorsement CG 20 08 is revised to include a definition of the term golfmobile. 2. Liquor Liability Exclusion Endorsements The following endorsements are revised to indicate that the liquor liability exclusion will apply if a named insured permits any person to bring any alcoholic beverages on the named insured s premises for consumption on the named insured s premises CG 21 50 Amendment Of Liquor Liability Exclusion for use with Commercial General Liability Coverage Part CG 21 51 Amendment Of Liquor Liability Exclusion Exception For Scheduled Premises Or Activities for use with Commercial General Liability Coverage Part CG 29 52 Amendment Of Liquor Liability Exclusion for use with Products Completed Operations Liability Coverage Part CG 29 53 Amendment Of Liquor Liability Exclusion Exception For Scheduled Premises Or Activities for use with Products Completed Operations Liability Coverage Part 3. Total Pollution Exclusion For Designated Products Or Work Endorsement CG 21 99 is introduced to exclude coverage with respect to bodily injury or property damage arising out of the actual alleged or threatened discharge dispersal seepage migration release or escape of pollutants which arises out of the product or work scheduled in the endorsement. 4. Amendment Of Personal And Advertising Injury Definition Endorsement CG 24 13 is introduced to remove from the definition of personal and advertising injury the offense of oral and written publication in any manner of material that violates a person s right of privacy. C. OTHER CHANGES 1. Limited Product Withdrawal Expense Endorsement CG 04 36 is revised in part to reinforce that the Participation Percentage is indicated in the Schedule and to reflect that the cost of the insured s participation in each product withdrawal will be borne by the named insured when due. 2. Primary And Noncontributory Other Insurance Condition Endorsement CG 20 01 is introduced to revise the Other Insurance Condition to indicated that coverage is provided to an additional insured on a primary and noncontributory basis provided that certain requirements are met. 3. Additional Insured Endorsements The following additional insured endorsements are revised to indicate that when these endorsements are attached to a policy if coverage provided to the additional insured is required by contract or agreement coverage to the additional insured will be afforded to the extent permissible by law and to the extent the named insured is required by the contract or agreement to provide insurance for the additional insured. Additionally if coverage provided to the additional insured is required by contract or agreement the limits of insurance of the named insured s policy that are available to an additional insured will be limited to the extent required by the contract or agreement or the amount of insurance available under the applicable Limits of Insurance shown in the Declarations whichever is less UGL P0008 A CW 0413 Page 4 of 12 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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CG 20 03 Additional Insured Concessionaires Trading Under Your Name CG 20 05 Additional Insured Controlling Interest CG 20 07 Additional Insured Engineers Architects Or Surveyors CG 20 10 Additional Insured Owners Lessees Or Contractors Scheduled Person Or Organization CG 20 11 Additional Insured Managers Or Lessors Of Premises CG 20 12 Additional Insured State Or Governmental Agency Or Subdivision Or Political Subdivision Permits Or Authorizations CG 20 13 Additional Insured State Or Governmental Agency Or Subdivision Or Political Subdivision Permits Or Authorizations Relating To Premises CG 20 15 Additional Insured Vendors CG 20 18 Additional Insured Mortgagee Assignee Or Receiver CG 20 23 Additional Insured Executors Administrators Trustees Or Beneficiaries CG 20 24 Additional Insured Owners Or Other Interest From Whom Land Has Been Leased CG 20 26 Additional Insured Designated Person Or Organization CG 20 27 Additional Insured Co owner Of Insured Premises CG 20 28 Additional Insured Lessor Of Leased Equipment CG 20 29 Additional Insured Grantor Of Franchise CG 20 30 Oil Or Gas Operations Nonoperating Working Interests CG 20 31 Additional Insured Engineers Architects Or Surveyors CG 20 32 Additional Insured Engineers Architects Or Surveyors Not Engaged By The Named Insured CG 20 33 Additional Insured Owners Lessees Or Contractors Automatic Status When Required In Construction Agreement With You CG 20 34 Additional Insured Lessor Of Leased Equipment Automatic Status When Required In Lease Agreement With You CG 20 35 Additional Insured Grantor Of Licenses Automatic Status When Required By Licensor CG 20 36 Additional Insured Grantor Of Licenses CG 20 37 Additional Insured Owners Lessees Or Contractors Completed Operations CG 29 35 Additional Insured State Or Governmental Agency Or Subdivision Or Political Subdivision Permits Or Authorizations. Professional Services Endorsements The following endorsements are revised to expressly address in part claims alleging negligence or other wrongdoing in the hiring employment training supervision or monitoring of others by any insured CG 21 16 Exclusion Designated Professional Services CG 21 52 Exclusion Financial Services CG 21 56 Exclusion Funeral Services CG 21 57 Exclusion Counseling Services CG 21 58 Exclusion Professional Veterinarian Services CG 21 59 Exclusion Diagnostic Testing Laboratories CG 22 24 Exclusion Inspection Appraisal And Survey Companies CG 22 32 Exclusion Professional Services Blood Banks CG 22 33 Exclusion Testing Or Consulting Errors And Omissions CG 22 34 Exclusion Construction Management Errors And Omissions CG 22 36 Exclusion Products And Professional Services Druggists CG 22 37 Exclusion Products And Professional Services Optical And Hearing Aid Establishments CG 22 39 Exclusion Camps Or Campgrounds CG 22 43 Exclusion Engineers Architects Or Surveyors Professional Liability UGL P0008 A CW 0413 Page 5 of 12 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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10. 11. 12 13. 14. CG 22 44 Exclusion Services Furnished By Health Care Providers CG 22 45 Exclusion Specified Therapeutic Or Cosmetic Services CG 22 48 Exclusion Insurance And Related Operations CG 22 69 Druggists CG 22 71 Colleges Or Schools Limited Form CG 22 72 Colleges Or Schools CG 22 75 Professional Liability Exclusion Computer Software CG 22 76 Professional Liability Exclusion Health Or Exercise Clubs Or Commercially Operated Health Or Exercise Facilities CG 22 77 Professional Liability Exclusion Computer Data Processing CG 22 79 Exclusion Contractors Professional Liability CG 22 80 Limited Exclusion Contractors Professional Liability CG 22 87 Exclusion Adult Day Care Centers CG 22 88 Professional Liability Exclusion Electronic Data Processing Services And Computer Consulting Or Programming Services CG 22 90 Professional Liability Exclusion Spas or Personal Enhancement Facilities CG 22 91 Exclusion Telecommunication Equipment Or Service Providers Errors And Omissions CG 22 96 Limited Exclusion Personal And Advertising Injury Lawyers CG 22 98 Exclusion Internet Service Providers And Internet Access Providers Errors And Omissions CG 22 99 Professional Liability Exclusion Web Site Designers CG 23 01 Exclusion Real Estate Agents Or Brokers Errors Or Omissions CG 31 15 Construction Project Management Protective Liability Coverage. Exclusion Volunteer Workers Endorsement CG 21 66 is revised to delete reference to in the state from Exclusion 2.g. Aircraft Auto Or Watercraft.. Exclusion Failure To Supply Endorsement CG 22 50 is revised to expressly state that the exclusion also applies to the failure of any insured to adequately supply biofuel.. Pesticide Or Herbicide Applicator Coverage Endorsements CG 22 64 and CG 28 12 and Lawn Care Services Coverage Endorsement CG 22 93 are revised to reflect a change in titles to Herbicide Applicator Limited Pollution Coverage endorsements and Lawn Care Services Limited Pollution Coverage.. Real Estate Property Managed Endorsement CG 22 70 is revised to reinforce that the insurance provided is excess over any other insurance available whether such insurance is primary or excess.. Colleges Or Schools Endorsements CG 22 71 and CG 22 72 are revised to expressly address in part claims alleging negligence or other wrongdoing in the hiring employment training supervision or monitoring of others by any insured. Waiver Of Governmental Immunity Endorsement CG 24 14 is revised to reference that the endorsement also applies to the Owners And Contractors Protective Liability Coverage Part and the Railroad Protective Liability Coverage Part. Amendment Of Insured Contract Definition Endorsement CG 24 26 and Limited Contractual Liability Railroads Endorsement CG 24 27 are revised to reflect that the defined term insured contract addresses certain liability assumed by the named insured with respect to the tort liability of another party to the extent the assumption of the tort liability is permitted by law. Designated Locationss Aggregate Limit Endorsement CG 25 14 is introduced to make a separate Designated Location Aggregate Limit available for each location of the insured listed in the Schedule of the endorsement. Supplemental Extended Reporting Period Endorsement CG 27 10 and Supplemental Extended Reporting Period Endorsement For Specific Accidents Products Work Or Locations Endorsement CG 27 11 are revised to amend Condition 4. Other Insurance so that the insurance provided is excess over any for which the named insured has been added as an additional insured whether by endorsement or any other means. Principals Protective Liability Coverage Endorsement CG 28 07 is revised to delete reference to in the state from Exclusion 2.c.1ei. UGL P0008 A CW 0413 Page 6 of 12 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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15. Liquor Liability Exclusion Endorsements The following endorsements are revised to reinforce that the exclusion applies even if claims against an insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others or providing or failing to provide transportation with respect to any person that may be under the influence of alcohol CG 21 50 Amendment Of Liquor Liability Exclusion for use with Commercial General Liability Coverage Part CG 21 51 Amendment Of Liquor Liability Exclusion Exception For Scheduled Premises Or Activities for use with Commercial General Liability Coverage Part CG 29 52 Amendment Of Liquor Liability Exclusion for use with Products Completed Operations Liability Coverage Part CG 29 53 Amendment Of Liquor Liability Exclusion Exception For Scheduled Premises Or Activities for use with Products Completed Operations Liability Coverage Part ZURICH N.A. PROPRIETARY MULTISTATE ENDORSEMENTS U GL393 Exclusion Liquor Liability and Alcohol Consumption Health Hazards BROADENING OF COVERAGE Coverage A Exclusion 2.c. Liquor Liability is revised to provide an exception with respect to allowing a person to bring alcoholic beverages onto the named insured s premises for consumption on the named insured s premises. OTHER CHANGES Exclusion 2.c. Liquor Liability is revised to reinforce that the exclusion applies even if claims against an insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others or providing or failing to provide transportation with respect to any person that may be under the influence of alcohol. U GL655 Clinical Testing Exclusion OTHER CHANGES This endorsement was revised to expressly address in part claims alleging negligence or other wrongdoing in the hiring employment training supervision or monitoring of others by any insured. U GL1060 Contractors Liability Supplemental Coverages And Conditions BROADENING OF COVERAGE 1. The Additional Insured Lessor Of Leased Equipment Automatic Status When Required In Lease Agreement With You Section has been added to provide coverage similar to the coverage provided by ISO endorsement CG 20 28. 2. The Additional Insured Managers Or Lessors Of Premises Section has been added to provide coverage similar to the coverage provided by ISO endorsement CG 20 11. 3. The Additional Insured State Or Governmental Agency Or subdivision Or Political Subdivision Permits Or Authorizations Section has been added to provide coverage similar to the coverage provided by 1ISO endorsement CG 20 12. 4. The Amendment Duties In The Event of Occurrence Offense Claim or Suit Section has been broadened to state that the reporting of an occurrence to a workers compensation carrier is not considered a violation of the Duties In The Event Of Occurrence Offense Claim Or Suit Condition under certain circumstances. OTHER CHANGES 1. The Who Is An Insured Sections of U GL1060 have been moved to U GL1518. 2. The Non owned Watercraft Liability Extended Coverage Section is revised to include a Schedule that provides an option to change the 51 feet watercraft length default. 3. The items relating to revising the peril of fire to specific perils have been grouped under the Damage To Premises Rented Or Occupied By You Section. UGL P0008 A CW 0413 Page 7 of 12 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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U GL1081 Additional Insured Owners Lessees or Contractors Primary Insurance OTHER CHANGES This additional insured endorsement has been revised to indicate that when this endorsement is attached to a policy if coverage provided to the additional insured is required by contract or agreement coverage to the additional insured will be afforded to the extent permissible by law and to the extent the named insured is required by the contract or agreement to provide insurance for the additional insured. Additionally if coverage provided to the additional insured is required by contract or agreement the limits of insurance of the named insured s policy that are available to an additional insured will be limited to the extent required by the contract or agreement or the amount of insurance available under the applicable Limits of Insurance shown in the Declarations whichever is less. Finally the Primary and Noncontributory wording has been revised to be consistent with the new ISO CG2001 Primary and Noncontributory Other Insurance Condition Endorsement. U GL1175 Additional Insured Automatic Owners Lessees Or Contractors OTHER CHANGES This additional insured endorsement has been revised to indicate that when this endorsement is attached to a policy if coverage provided to the additional insured is required by contract or agreement coverage to the additional insured will be afforded to the extent permissible by law and to the extent the named insured is required by the contract or agreement to provide insurance for the additional insured. Additionally if coverage provided to the additional insured is required by contract or agreement the limits of insurance of the named insured s policy that are available to an additional insured will be limited to the extent required by the contract or agreement or the amount of insurance available under the applicable Limits of Insurance shown in the Declarations whichever is less. Also the Primary and Noncontributory wording has been revised to be consistent with the new ISO CG2001 Primary and Noncontributory Other Insurance Condition Endorsement. Finally the Architects and Engineers Exclusion in this endorsement was revised to expressly address in part claims alleging negligence or the wrongdoing in the hiring employment training supervision or monitoring of others by any insured. U GL1177 Additional Insured Owners Lessees Or Contractors Scheduled Person Or Organization OTHER CHANGES This additional insured endorsement has been revised to indicate that when this endorsement is attached to a policy if coverage provided to the additional insured is required by contract or agreement coverage to the additional insured will be afforded to the extent permissible by law and to the extent the named insured is required by the contract or agreement to provide insurance for the additional insured. Additionally if coverage provided to the additional insured is required by contract or agreement the limits of insurance of the named insured s policy that are available to an additional insured will be limited to the extent required by the contract or agreement or the amount of insurance available under the applicable Limits of Insurance shown in the Declarations whichever is less. Also the Primary and Noncontributory wording has been revised to be consistent with the new ISO CG2001 Primary and Noncontributory Other Insurance Condition Endorsement. Finally the Architects and Engineers Exclusion in this endorsement was revised to expressly address in part claims alleging negligence or the wrongdoing in the hiring employment training supervision or monitoring of others by any insured. U GL1321 Broad Form Additional Insured Coverage Owners Lessees Or Contractors Scheduled Person or Organization OTHERCHANGES This additional insured endorsement has been revised to indicate that when this endorsement is attached to a policy if coverage provided to the additional insured is required by contract or agreement coverage to the additional insured will be afforded to the extent permissible by law and to the extent the named insured is required by the contract or agreement to provide insurance for the additional insured. UGL P0008 A CW 0413 Page 8 of 12 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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10. 1. 12. Additionally if coverage provided to the additional insured is required by contract or agreement the limits of insurance of the named insured s policy that are available to an additional insured will be limited to the extent required by the contract or agreement or the amount of insurance available under the applicable Limits of Insurance shown in the Declarations whichever is less. Also the Primary and Noncontributory wording has been revised to be consistent with the new ISO CG2001 Primary and Noncontributory Other Insurance Condition Endorsement. Finally the Architects and Engineers Exclusion in this endorsement was revised to expressly address in part claims alleging negligence or the wrongdoing in the hiring employment training supervision or monitoring of others by any insured. U GL1327 Other Insurance Amendment Primary and Noncontributory OTHER CHANGES This endorsement has been revised to be consistent with the new ISO CG2001 Primary and Noncontributory Other Insurance Condition Endorsement. U GL1445 Electrical Contractors Liability Coverage Enhancement BROADENING OF COVERAGE Coverage A Exclusion 2.p. Electronic Data is revised to introduce an exception for liability for damages because of bodily injury. U GL1452 Printers Errors and Omissions Liability Including Cost to Correct and Expenses of Withdrawal or Inspection Coverage BROADENING OF COVERAGE The Electronic Data exclusion is revised to introduce an exception for liability for damages because of bodily injury. OTHER CHANGES The word monitoring has been added to Recording and Distribution of Material or Information of Law exclusion Exclusion t. for clarity. U GL1453 Printers Errors and Omissions Liability and Expenses of Withdrawal or Inspection Coverage BROADENING OF COVERAGE The Electronic Data exclusion is revised to introduce an exception for liability for damages because of bodily injury. OTHER CHANGES The word monitoring has been added to Recording and Distribution of Material or Information of Law exclusion Exclusion t. for clarity. U GL1461 Additional Insured Automatic Owners Lessees Or Contractors Products Completed Operations Liability Amendment OTHER CHANGES This additional insured endorsement has been revised to indicate that when this endorsement is attached to a policy if coverage provided to the additional insured is required by contract or agreement coverage to the additional insured will be afforded to the extent permissible by law and to the extent the named insured is required by the contract or agreement to provide insurance for the additional insured. Additionally if coverage provided to the additional insured is required by contract or agreement the limits of insurance of the named insured s policy that are available to an additional insured will be limited to the extent required by the contract or agreement or the amount of insurance available under the applicable Limits of Insurance shown in the Declarations whichever is less. Also the Primary and Noncontributory wording has been revised to be consistent with the new ISO CG2001 Primary and Noncontributory Other Insurance Condition Endorsement. Finally the Architects and Engineers Exclusion in this endorsement was revised to expressly address in part claims alleging negligence or the wrongdoing in the hiring employment training supervision or monitoring of others by any insured. UGL P0008 A CW 0413 Page 9 of 12 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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13. 14. 15. 16. U GL1462 Additional Insured Owners Lessees Or Contractors Products Completed Operations Liability Amendment Scheduled Person Or Organization OTHER CHANGES This additional insured endorsement has been revised to indicate that when this endorsement is attached to a policy if coverage provided to the additional insured is required by contract or agreement coverage to the additional insured will be afforded to the extent permissible by law and to the extent the named insured is required by the contract or agreement to provide insurance for the additional insured. Additionally if coverage provided to the additional insured is required by contract or agreement the limits of insurance of the named insured s policy that are available to an additional insured will be limited to the extent required by the contract or agreement or the amount of insurance available under the applicable Limits of Insurance shown in the Declarations whichever is less. Also the Primary and Noncontributory wording has been revised to be consistent with the new ISO CG2001 Primary and Noncontributory Other Insurance Condition Endorsement. Finally the Architects and Engineers Exclusion in this endorsement was revised to expressly address in part claims alleging negligence or the wrongdoing in the hiring employment training supervision or monitoring of others by any insured. U GL1465 Additional Insured Owners Lessees Or Contractors Ongoing Operations Scheduled OTHER CHANGES This additional insured endorsement has been revised to indicate that when this endorsement is attached to a policy if coverage provided to the additional insured is required by contract or agreement coverage to the additional insured will be afforded to the extent permissible by law and to the extent the named insured is required by the contract or agreement to provide insurance for the additional insured. Additionally if coverage provided to the additional insured is required by contract or agreement the limits of insurance of the named insured s policy that are available to an additional insured will be limited to the extent required by the contract or agreement or the amount of insurance available under the applicable Limits of Insurance shown in the Declarations whichever is less. U GL1466 Additional Insured Owners Lessees Or Contractors Completed Operations Scheduled OTHER CHANGES This additional insured endorsement has been revised to indicate that when this endorsement is attached to a policy if coverage provided to the additional insured is required by contract or agreement coverage to the additional insured will be afforded to the extent permissible by law and to the extent the named insured is required by the contract or agreement to provide insurance for the additional insured. Additionally if coverage provided to the additional insured is required by contract or agreement the limits of insurance of the named insured s policy that are available to an additional insured will be limited to the extent required by the contract or agreement or the amount of insurance available under the applicable Limits of Insurance shown in the Declarations whichever is less. U GL1477 General Liability Extended Coverages OTHER CHANGES This endorsement contains two additional insured provisions that have been revised to indicate that when this endorsement is attached to a policy if coverage provided to the additional insured is required by contract or agreement coverage to the additional insured will be afforded to the extent permissible by law and to the extent the named insured is required by the contract or agreement to provide insurance for the additional insured. Additionally if coverage provided to the additional insured is required by contract or agreement the limits of insurance of the named insured s policy that are available to an additional insured will be limited to the extent required by the contract or agreement or the amount of insurance available under the applicable Limits of Insurance shown in the Declarations whichever is less. Also the Primary and Noncontributory wording has been revised to be consistent with the new ISO CG2001 Primary and Noncontributory Other Insurance Condition Endorsement. UGL P0008 A CW 0413 Page 10 of 12 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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17. 18. 19. 20. 21. U GL1484 Contractor s Pollution Liability Endorsement BROADENING OF COVERAGE The Electronic Data exclusion is revised to introduce an exception for liability for damages because of bodily injury. OTHER CHANGES This endorsement was revised to expressly address in part claims alleging negligence or other wrongdoing in the hiring employment training supervision or monitoring of others by any insured. The word monitoring has been added to Recording and Distribution of Material or Information of Law exclusion for clarity. U GL1489 Heating And Air Conditioning Contractor Li Coverage Enhancement BROADENING OF COVERAGE The Electronic Data exclusion is revised to introduce an exception for liability for damages because of bodily injury. U GL1504 General Liability Supplemental Coverage Endorsement Real Estate Enhancement OTHER CHANGES This endorsement contains three additional insured provisions that have been revised to indicate that when this endorsement is attached to a policy if coverage provided to the additional insured is required by contract or agreement coverage to the additional insured will be afforded to the extent permissible by law and to the extent the named insured is required by the contract or agreement to provide insurance for the additional insured. lity Additionally if coverage provided to the additional insured is required by contract or agreement the limits of insurance of the named insured s policy that are available to an additional insured will be limited to the extent required by the contract or agreement or the amount of insurance available under the applicable Limits of Insurance shown in the Declarations whichever is less. Also the Primary and Noncontributory wording has been revised to be consistent with the new ISO CG2001 Primary and Noncontributory Other Insurance Condition Endorsement. U GL1505 General Liability Supplemental Coverage Endorsement Real Estate Class A OTHER CHANGES This endorsement contains three additional insured provisions that have been revised to indicate that when this endorsement is attached to a policy if coverage provided to the additional insured is required by contract or agreement coverage to the additional insured will be afforded to the extent permissible by law and to the extent the named insured is required by the contract or agreement to provide insurance for the additional insured. Additionally if coverage provided to the additional insured is required by contract or agreement the limits of insurance of the named insured s policy that are available to an additional insured will be limited to the extent required by the contract or agreement or the amount of insurance available under the applicable Limits of Insurance shown in the Declarations whichever is less. Also the Primary and Noncontributory wording has been revised to be consistent with the new ISO CG2001 Primary and Noncontributory Other Insurance Condition Endorsement. U GL1506 General Liability Supplemental Coverage Endorsement Real Estate Trophy Asset OTHER CHANGES This endorsement contains three additional insured provisions that have been revised to indicate that when this endorsement is attached to a policy if coverage provided to the additional insured is required by contract or agreement coverage to the additional insured will be afforded to the extent permissible by law and to the extent the named insured is required by the contract or agreement to provide insurance for the additional insured. Additionally if coverage provided to the additional insured is required by contract or agreement the limits of insurance of the named insured s policy that are available to an additional insured will be limited to the extent required by the contract or agreement or the amount of insurance available under the applicable Limits of Insurance shown in the Declarations whichever is less. UGL P0008 A CW 0413 Page 11 of 12 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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22. 23. 24. 25. 26. Also the Primary and Noncontributory wording has been revised to be consistent with the new ISO CG2001 Primary and Noncontributory Other Insurance Condition Endorsement. U GL1513 Interior Trade Contractor Liability Coverage Enhancement BROADENING OF COVERAGE The Electronic Data exclusion is revised to introduce an exception for liability for damages because of bodily injury. U GL1517 Recording and Distribution of Material or Information of Law Exclusion OTHER CHANGES The word monitoring has been added to Recording and Distribution of Material or Information of Law exclusion for clarity. U GL1330 Financial Institutions Extension OTHER CHANGES This endorsement contains three additional insured provisions that have been revised to indicate that when this endorsement is attached to a policy if coverage provided to the additional insured is required by contract or agreement coverage to the additional insured will be afforded to the extent permissible by law and to the extent the named insured is required by the contract or agreement to provide insurance for the additional insured. Additionally if coverage provided to the additional insured is required by contract or agreement the limits of insurance of the named insured s policy that are available to an additional insured will be limited to the extent required by the contract or agreement or the amount of insurance available under the applicable Limits of Insurance shown in the Declarations whichever is less. Also the Primary and Noncontributory wording has been revised to be consistent with the new ISO CG2001 Primary and Noncontributory Other Insurance Condition Endorsement. U GL1345 General Li OTHER CHANGES This endorsement contains three additional insured provisions that have been revised to indicate that when this endorsement is attached to a policy if coverage provided to the additional insured is required by contract or agreement coverage to the additional insured will be afforded to the extent permissible by law and to the extent the named insured is required by the contract or agreement to provide insurance for the additional insured. ity Supplemental Coverage Endorsement Additionally if coverage provided to the additional insured is required by contract or agreement the limits of insurance of the named insured s policy that are available to an additional insured will be limited to the extent required by the contract or agreement or the amount of insurance available under the applicable Limits of Insurance shown in the Declarations whichever is less. Also the Primary and Noncontributory wording has been revised to be consistent with the new ISO CG2001 Primary and Noncontributory Other Insurance Condition Endorsement. U GL1369 General Li OTHER CHANGES This endorsement contains three additional insured provisions that have been revised to indicate that when this endorsement is attached to a policy if coverage provided to the additional insured is required by contract or agreement coverage to the additional insured will be afforded to the extent permissible by law and to the extent the named insured is required by the contract or agreement to provide insurance for the additional insured. ity Supplemental Coverage Endorsement Technology Additionally if coverage provided to the additional insured is required by contract or agreement the limits of insurance of the named insured s policy that are available to an additional insured will be limited to the extent required by the contract or agreement or the amount of insurance available under the applicable Limits of Insurance shown in the Declarations whichever is less. Also the Primary and Noncontributory wording has been revised to be consistent with the new ISO CG2001 Primary and Noncontributory Other Insurance Condition Endorsement. UGL P0008 A CW 0413 Page 12 of 12 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS Policy Number GLO 5821847 01 ZURICH AMERICAN INSURANCE COMPANY Named Insured CHICAGO BRIDGE IRON COMPANY Policy Period Coverage begins 07 01 2014 at1201AM. Coverageends 07 01 2015 at1201AM. Producer Name LOCKTON COMPANIES LLC Producer No. 45259 000 Item 1. Business Description Item 2. Limits of Insurance GENERAL AGGREGATE LIMIT 10000000 PRODUCTS COMPLETED OPERATIONS AGGREGATE LIMIT 10000000 EACH OCCURRENCE LIMIT 5000000 DAMAGE TO PREMISES RENTED TO YOU LIMIT 1000000 Any one premises MEDICAL EXPENSE LIMIT 25000 Any one person PERSONAL AND ADVERTISING INJURY LIMIT 5000000 Any one person or organization Item 3. Retroactive Date CG 00 02 ONLY This insurance does not apply to bodily injury property damage or personal and advertising injury offense which occurs before the Retroactive Date if any shown here NONE Enter Date or None if no Retroactive Date applies Item 4. Form of Business and Location Premises Form of Business CORPORATION Location of All Premises You Own Rent or Occupy See Schedule of Locations Item 5. Schedule of Forms and Endorsements Forms and Endorsements made a part of this Policy at time of issue See Schedule of Forms and Endorsements Item 6. Premiums Coverage Part Premium 1836697.00 Other Premium 97.00 Total Premi COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS Policy Number GLO 5821847 01 ZURICH AMERICAN INSURANCE COMPANY Named Insured CHICAGO BRIDGE IRON COMPANY Policy Period Coverage begins 07 01 2014 at1201AM. Coverageends 07 01 2015 at1201AM. ENERAL AGGREGATE LIMIT ENERAL AGGREGATE LIMIT 10000000 RODUCTS COMPLETED OPERATIONS AGGREGATE LIMIT 10000000 ACH OCCURRENCE LIMIT 5000000 DAMAGE TO PREMISES RENTED TO YOU LIMIT 1000000 Any one premises MEDICAL EXPENSE LIMIT 25000 Any one person ERSONAL AND ADVERTISING INJURY LIMIT 5000000 Any one person or organization 1000000 Any one premises 25000 Any one person 5000000 Any one person or organization UGLD1115B CW 904
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Fellow Employee Coverage Designated Employees Positions Z ZURICH Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Addl. Prem Return Prem. Named Insured Mailing Address CHICAGO BRIDGE IRON COMPANY SEE NAMED INSURED ENDT 2103 RESEARCH FOREST DR THE WOODLANDS TX 77380 2624 Producer 45259 000 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Persons Job Titles or Positions PER SCHEDULE ON FILE WITH THE COMPANY If no entry appears above the position of executive officer applies. Solely with respect to the employees shown in the Schedule above the following is added at the end of Paragraph 2.a.1a of Section Il Who Is An Insured However the employees shown in the Schedule above is considered an insureds for bodily injury or personal and advertising injury to a coemployee while such coemployee is in the course of his or her employment or performing duties related to the conduct of your business. SCHEDULE Name of Persons Job Titles or Positions PER SCHEDULE ON FILE WITH THE COMPANY All other terms and conditions of your Policy remain unchanged. Includes copyrighted material of Insurance Services Office Inc. with its permission. U GL1364 A CW 0908 Page 10f 1
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Z ZURICH ZURICH Limited Coverage For Insured s Interest In Wrap Up Or Consolidated Insurance Program Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Addl. Prem Return Prem. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the 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 Coverage B Personal And Advertising Injury Liability Wrap Up Consolidated Insurance Program Projects This insurance does not apply to bodily injury property damage or personal and advertising injury arising out of either your ongoing operations or the products completed operations hazard at or from any wrap up or other consolidated insurance program projects for which insurance is otherwise separately provided to you by a wrap up or other consolidated insurance program except as follows A. This insurance coverage will pay on your behalf any wrap up or other consolidated insurance program related claims or defend any such suits covered by this policy but we will have no duty to pay such claims or defend suits until after 1. All separate wrap up or other consolidated insurance program insurers have paid the full amount of the Limits of Insurance of all their policies providing coverage for the wrap up or other consolidated insurance program projects in settlement of claims or suits and 2. You have paid any applicable deductibles or self insured retentions for which you are responsible to pay in the separate wrap up or other consolidated insurance program providing coverage for the wrap up or other consolidated insurance program projects B. If this insurance provides broader coverage for any exposures at or from a wrap up or other consolidated insurance program projects and such broader coverage is not provided by a separate wrap up or other consolidated insurance program coverage then this policy will provide primary coverage as respects those exposures. The exception coverage provided in paragraphs A. and B. of this endorsement will not inure to the benefit of any other party except you. With regard to the exception coverage provided in paragraph LA. above this insurance is excess over any and all other insurance provided to the wrap up or other consolidated insurance program projects whether that other insurance is primary excess contingent or on any other basis. As respects any claims or suits arising at or from a wrap up or other consolidated insurance program projects for which this exception coverage may apply any existing provisions of Condition 4. Other Insurance that may be contrary to the provisions of this endorsement are amended to comply with the changes in coverage as stipulated in Sections 1. and Il. above. All other terms and conditions of your Policy remain unchanged. U GL1378 A CW 0309 Page 1of 1 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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COMMERCIAL GENERAL LIABILITY CG00010413 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 I 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 a. We will pay those sums that the insured 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 Nl 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 1 The bodily injury or property damage is caused by an occurrence that takes place in the coverage territory 2 The pbodily injury or property damage occurs during the policy period and 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. c. Bodily injury or property damage which 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. 3 d. 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. e. Damages because of bodily injury include damages claimed by any person or organization for care loss of services or death resulting at any time from the bodily injury. his policy restrict coverage. carefully to determine rights 1ot covered. e words you and your refer own in the Declarations and nization qualifying as a Named y. The words we us and providing this insurance. S any person or organization or Section Il Who Is An es that appear in quotation ining. Refer to Section V S INJURY AND PROPERTY ums that the insured becomes pay as damages because of roperty damage to which this We will have the right and e insured against any suit wvaaes. However. we will have 2 CG 00010413 Insurance Services Office Inc. 2012 Page 1 of 16
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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 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 of the contract or agreement or 2 Assumed in a contract or agreement that is an insured contract provided the bodily injury or property damage occurs subsequent to the execution of the contract or agreement. Solely for the purposes of liability assumed in an insured contract reasonable attorneys fees and necessary litigation expenses incurred by or for a party other than an insured are deemed to be damages because of bodily injury or property damage provided a Liability to such party for or for the cost of that party s defense has also been assumed in the same insured contract and b Such attorneys fees and litigation expenses are for defense of that party against a civil or alternative dispute resolution proceeding in which damages to which this insurance applies are alleged. c. Liquor Liability Bodily injury or property damage for which any insured may be held liable by reason of 1 Causing or contributing to the intoxication of any person 2 The furnishing of alcoholic beverages to a person under the legal drinking age or under the influence of alcohol or 3 Any statute ordinance or regulation relating to the sale gift distribution or use of alcoholic beverages. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in a The supervision hiring employment training or monitoring of others by that insured or b Providing or falling to provide transportation with respect to any person that may be under the influence of alcohol if the occurrence which caused the bodily injury or property damage involved that which is described in Paragraph 1 2 or 3 above. However this exclusion applies only if you are in the business of manufacturing distributing selling serving or furnishing alcoholic beverages. For the purposes of this exclusion permitting a person to bring alcoholic beverages on your premises for consumption on your premises whether or not a fee is charged or a license is required for such activity is not by itself considered the business of selling serving or furnishing alcoholic beverages.. Workers Compensation And Similar Laws Any obligation of the insured under a workers compensation disability benefits or unemployment compensation law or any similar law.. Employer s Liability Bodily injury to 1 An employee of the insured arising out of and in the course of a Employment by the insured or b Performing duties related to the conduct of the insured s business or 2 The spouse child parent brother or sister of that employee as a consequence of Paragraph 1 above. This exclusion applies whether the insured may be liable as an employer or in any other capacity and to any obligation to share damages with or repay someone else who must pay damages because of the injury. This exclusion does not apply to liability assumed by the insured under an insured contract. Page 2 of 16 Insurance Services Office Inc. 2012 CG 00010413
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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 iil 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 ongoing operations 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 c 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 Which are or were at any time transported handled stored treated disposed of or processed as waste by or for i Any insured or ii Any person or organization for whom you may be legally responsible or 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 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 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. 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. CG 00010413 Insurance Services Office Inc. 2012 Page 3 of 16
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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 b Claim or suit by or on behalf of a governmental authority for damages because of testing for monitori cleaning up removing contai treating detoxifying or neutralizing or in any way responding to or assessing the effects of pollutants. However this paragraph does not apply to 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. g. 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 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.2 or f.3 of the definition of mobile equipment. h. Mobile Equipment 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. i. 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. j 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 2 Premises you sell give away or abandon if the property damage arises out of any part of those premises 3 Property loaned to you 3 Page 4 of 16 Insurance Services Office Inc. 2012 CG 00010413
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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 property that must be restored repaired or replaced because your work was incorrectly performed 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 Il 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.. 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 Impaired Property 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 lmpaired 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. 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 ROMSs tapes drives cells data processing devices or any other media which are used with electronically controlled equipment.. 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 usion does not apply to ded in the products ard. ur product arising out ir work arising out of it luded in the products ard. apply if the damaged CG 00010413 Insurance Services Office Inc. 2012 Page 5 of 16
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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. 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 Ill Limits Of Insurance. COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY 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 1 The amount we will pay for damages is limited as described in Section Nl Limits Of Insurance 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.. 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.. Criminal Acts Personal and advertising injury arising out of a criminal act committed by or at the direction of the insured.. Contractual Liability 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.. 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.. 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. ance applies to this coverage 1 Il Limits Of Insurance. IAL AND ADVERTISING ums that the insured becomes pay as damages because of ertisina iniurv to which this Page 6 of 16 Insurance Services Office Inc. 2012 CG 00010413
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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 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 Personal and advertising injury committed by an insured whose business is 1 Advertising broadcasting 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. k. 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. 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. m. 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. publishing or n. 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 2 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. o. 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. p. 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 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 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. 3 4 CG 00010413 Insurance Services Office Inc. 2012 Page 7 of 16
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COVERAGE C MEDICAL PAYMENTS d. 1. Insuring Agreement a. We will pay medical expenses as described Workers Compensation And Similar Laws To a person whether or not an employee of any insured if benefits for the bodily injury are below for bodily injury caused by an accident 1 On premises you own or rent payable or must be provided under a workers compensation or disability benefits law or a similar law. 2 On ways next to premises you own or rent e. Athletics Activities or. To a person injured while practicing instructing 3 Because of your operations or participating in any physical exercises or provided that games sports or athletic contests. a The accident takes place in the coverage f. Products Completed Operations Hazard territory and during the policy period Included within the products completed b The expenses are incurred and reported operations hazard. to us within one year of the date of the g. Coverage A Exclusions 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. Excluded under Coverage A. SUPPLEMENTARY PAYMENTS COVERAGES A AND 1. We will pay with respect to any claim we investigate or settle or any suit against an insured we defend These payments will not exceed the applicable a. All expenses we incur. limit o fns.urance. We will pay reasonable b. Up to 250 for cost of bail bonds required expenses for because of accidents or traffic law violations 1 First aid administered at the time of an arising out of the use of any vehicle to which the accident Bodily Injury Liability Coverage applies. We do 2 Necessary medical surgical X ray and dental not have to furnish these bonds. services including prosthetic devices and c. The cost of bonds to release attachments but 3 Necessary ambulance hospital professional only for bond amounts within the appllqabe limit nursing and funeral services of insurance. We do not have to furnish these. bonds. 2. Exclusions. d. All reasonable expenses incurred by the insured We will not pay expenses for bodily injury at our request to assist us in the investigation or a. Any Insured defense of the claim or suit including actual To any insured except volunteer workers. 955 of earnings up to 250 a day because of Hired Pe time off from work. Hire rson. e. All court costs taxed against the insured in the To a person hired to do work for or on behalf of suit. However these payments do not include any insured or a tenant of any insured. attorneys fees or attorneys expenses taxed. Injury On Normally Occupied Premises against the insured. To a person injured on that part of premises you f. Prejudgment interest awarded against the own or that occupies. rent the person normally 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. as described an accident u own or rent 1 the coverage icy period 1 and ronnrtad Page 8 of 16 Insurance Services Office Inc. 2012 CG 00010413
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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 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 liability 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 interests of the indemnitee 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 insurer whose coverage is available to the indemnitee and Cooperate with us with respect to coordinating other applicable insurance available to the indemnitee and 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. b c d 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 I 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 1. If you are designated in the Declarations as a. Anindividual 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 their spouses are also insureds but only with 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. lit and the information rence are such that no etween the interests of sts of the indemnitee e insured ask us to the defense of that suit and agree that we ounsel to defend the e and CG 00010413 Insurance Services Office Inc. 2012 Page 9 of 16
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