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2. Each of the following is also an insured a. Your volunteer workers only while performing duties related to the conduct of your business or your employees other than either your executive officers if you are an organization other than a partnership joint venture or limited liability company or your managers if you are a limited liability company but only for acts within the scope of their employment by you or while performing duties related to the conduct of your business. However none of these employees or volunteer workers are insureds for 1 Bodily injury or personal and advertising injury a To you to your partners or members if you are a partnership or joint venture to your members if you are a limited liability company to a coemployee while in the course of his or her employment or performing duties related to the conduct of your business or to your other volunteer workers while performing duties related to the conduct of your business b To the spouse child parent brother or sister of that coemployee or volunteer worker as a consequence of Paragraph 1a above For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in Paragraph 1a or b above or d Arising out of his or her providing or failing to provide professional health care services. 2 Property damage to property a Owned occupied or used by b Rented to in the care custody or control of or over which physical control is being exercised for any purpose by you any of your employees volunteer workers any partner or member if you are a partnership or joint venture or any member if you are a limited liability company. b. Any person other than your employee or volunteer worker or any organization while acting as your real estate manager. c c. Any person or organization having proper temporary custody of your property if you die but only 1 With respect to liability arising out of the maintenance or use of that property and 2 Until your legal representative has been appointed. d. Your legal representative if you die but only with respect to duties as such. That representative will have all your rights and duties under this Coverage Part. 3. Any organization you newly acquire or form other than a partnership joint venture or limited liability company and over which you maintain ownership or majority interest will qualify as a Named Insured if there is no other similar insurance available to that organization. However a. Coverage under this provision is afforded only until the 90th day after you acquire or form the organization or the end of the policy period whichever is earlier b. Coverage A does not apply to bodily injury or property damage that occurred before you acquired or formed the organization and c. Coverage B does not apply to personal and advertising injury arising out of an offense committed before you acquired or formed the organization. No person or organization is an insured with respect to the conduct of any current or past partnership joint venture or limited liability company that is not shown as a Named Insured in the Declarations. SECTION Il LIMITS OF INSURANCE 1. The Limits of Insurance shown in the Declarations and the rules below fix the most we will pay regardless of the number of a. Insureds b. Claims made or suits brought or c. Persons or organizations making claims or bringing suits. 2. The General Aggregate Limit is the most we will pay for the sum of a. Medical expenses under Coverage C b. Damages under Coverage A except damages because of bodily injury or property damage included in the products completed operations hazard and c. Damages under Coverage B. Jy or control trol is being Page 10 of 16 Insurance Services Office Inc. 2012 CG 00010413 | 1 |
3. The Products Completed Operations Aggregate Limit is the most we will pay under Coverage A for damages because of bodily injury and property damage included in the products completed operations hazard. 4. Subject to Paragraph 2. above the Personal And Advertising Injury Limit is the most we will pay under Coverage B for the sum of all damages because of all personal and advertising injury sustained by any one person or organization. 5. Subject to Paragraph 2. or 3. above whichever applies the Each Occurrence Limit is the most we will pay for the sum of a. Damages under Coverage Aand b. Medical expenses under Coverage C because of all bodily injury and property damage arising out of any one occurrence. 6. Subject to Paragraph 5. above the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of property damage to any one premises while rented to you or in the case of damage by fire while rented to you or temporarily occupied by you with permission of the owner. 7. Subject to Paragraph 5. above the Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of bodily injury sustained by any one person. The Limits of Insurance of this Coverage Part apply separately to each consecutive annual period and to any remaining period of less than 12 months starting with the beginning of the policy period shown in the Declarations unless the policy period is extended after issuance for an additional period of less than 12 months. In that case the additional period will be deemed part of the last preceding period for purposes of determining the Limits of Insurance. SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS 1. Bankruptcy Bankruptcy or insolvency of the insured or of the insured s estate will not relieve us of our obligations under this Coverage Part. 2. Duties In The Event Of Occurrence Offense Claim Or Suit a. You must see to it that we are notified as soon as practicable of an occurrence or an offense which may result in a claim. To the extent possible notice should include 1 How when and where the occurrence or offense took place 2 The names and addresses of any injured persons and witnesses and 3 The nature and location of any injury or damage arising out of the occurrence or offense. b. If a claimis made or suit is brought against any insured you must 1 Immediately record the specifics of the claim or suit and the date received and 2 Notify us as soon as practicable. You must see to it that we receive written notice of the claim or suit as soon as practicable. c. You and any other involved insured must 1 Immediately send us copies of any demands notices summonses or legal papers received in connection with the claim or suit Authorize us to obtain records and other information 3 Cooperate with us in the investigation or settlement of the claim or defense against the suit and Assist us upon our request in the enforcement of any right against any person or organization which may be liable to the insured because of injury or damage to which this insurance may also apply. d. No insured will except at that insured s own cost voluntarily make a payment assume any obligation or incur any expense other than for first aid without our consent. 2 4. Legal Action Against Us No person or organization has a right under this Coverage Part a. To join us as a party or otherwise bring us into a suit asking for damages from an insured or b. To sue us on this Coverage Part unless all of its terms have been fully complied with. A person or organization may sue us to recover on an agreed settlement or on a final judgment against an insured but we will not be liable for damages that are not payable under the terms of this Coverage Part or that are in excess of the applicable limit of insurance. An agreed settlement means a settlement and release of liability signed by us the insured and the claimant or the claimant s legal representative. AL PEVPETLY cts completed Personal And will pay under s because of tained by any e whichever the most we erty damage Damage To most we will because of while rented while rented y you with e last preceding perio for purposes Limits of Insurance. DMMERCIAL GENERAL LIABILITY CG 00010413 Insurance Services Office Inc. 2012 Page 11 of 16 | 1 |
4. Other Insurance If other valid and collectible insurance is available to the insured for a loss we cover under Coverages A or B of this Coverage Part our obligations are limited as follows a. Primary Insurance This insurance is primary except when Paragraph b. below applies. If this insurance is primary our obligations are not affected unless any of the other insurance is also primary. Then we will share with all that other insurance by the method described in Paragraph c. below.. Excess Insurance 1 This insurance is excess over Any of the other insurance whether primary excess contingent or on any other basis i That is Fire Extended Coverage Builder s Risk Installation Risk or similar coverage for your work That is Fire insurance for premises rented to you or temporarily occupied by you with permission of the owner That is insurance purchased by you to cover your liability as a tenant for property damage to premises rented to you or temporarily occupied by you with permission of the owner or If the loss arises out of the maintenance or use of aircraft autos or watercraft to the extent not subject to Exclusion g. of Secton I Coverage A Bodily Injury And Property Damage Liability. b Any other primary insurance available to you covering liability for damages arising out of the premises or operations or the products and completed operations for which you have been added as an additional insured. 2 When this insurance is excess we will have no duty under Coverages A or B to defend the insured against any suit if any other insurer has a duty to defend the insured against that suit. If no other insurer defends we will undertake to do so but we will be entitled to the insured s rights against all those other insurers. i iil i c. 3 When this insurance is excess over other insurance we will pay only our share of the amount of the loss if any that exceeds the sum of a The total amount that all such other insurance would pay for the loss in the absence of this insurance and b The total of all deductible and self insured amounts under all that other insurance. 4 We will share the remaining loss if any with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. Method Of Sharing If all of the other insurance permits contribution by equal shares we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains whichever comes first. If any of the other insurance does not permit contribution by equal shares we will contribute by limits. Under this method each insurer s share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. 5. Premium Audit a. b. We will compute all premiums for this Coverage Part in accordance with our rules and rates. Premium shown in this Coverage Part as advance premium is a deposit premium only. At the close of each audit period we will compute the earned premium for that period and send notice to the first Named Insured. The due date for audit and retrospective premiums is the date shown as the due date on the bill. If the sum of the advance and audit premiums paid for the policy period is greater than the earned premium we will return the excess to the first Named Insured.. The first Named Insured must keep records of the informaton we need for premium computation and send us copies at such times as we may request. 6. Representations By accepting this policy you agree a. The statements in the Declarations accurate and complete are Page 12 of 16 Insurance Services Office Inc. 2012 CG 00010413 | 1 |
b. Those statements are based upon representations you made to us and c. We have issued this policy in reliance upon your representations. 7. Separation Of Insureds Except with respect to the Limits of Insurance and any rights or duties specifically assigned in this Coverage Part to the first Named Insured this insurance applies a. As if each Named Insured were the only Named Insured and b. Separately to each insured against whom claim is made or suit is brought. 8. 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 insured must do nothing after loss to impair them. At our request the insured will bring suit or transfer those rights to us and help us enforce them. 9. When We Do Not Renew If we decide not to renew this Coverage Part we will mail or deliver to the first Named Insured shown in the Declarations written notice of the nonrenewal not less than 30 days before the expiration date. If notice is mailed proof of mailing will be sufficient proof of notice. SECTION V DEFINITIONS 1. 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 a. Notices that are published include material placed on the Internet or on similar electronic means of communication and b. Regarding web sites only that part of a web site that is about your goods products or services for the purposes of attracting customers or supporters is considered an advertisement. 2. Auto means a. A land motor vehicle trailer or semitrailer designed for travel on public roads including any attached machinery or equipment or b. Any other land vehicle that is subject to a compulsory or financial responsibility law or other motor vehicle insurance law where it is licensed or principally garaged.. Hostile fire However auto does not include mobile equipment.. Bodily injury means bodily injury sickness or disease sustained by a person including death resulting from any of these at any time.. Coverage territory means a. The United States of America including its territories and possessions Puerto Rico and Canada b. International waters or airspace but only if the injury or damage occurs in the course of travel or transportation between any places included in Paragraph a. above or c. All other parts of the world if the injury or damage arises out of 1 Goods or products made or sold by you in the territory described in Paragraph a. above 2 The activities of a person whose home is in the territory described in Paragraph a. above but is away for a short time on your business or 3 Personal and advertising injury offenses that take place through the Internet or similar electronic means of communication provided the insured s responsibility to pay damages is determined in a suit on the merits in the territory described in Paragraph a. above or in a settlement we agree to.. Employee includes a leased worker. Employee does not include a temporary worker.. Executive officer means a person holding any of the officer positions created by your charter constitution bylaws or any other similar governing document. means one which becomes uncontrollable or breaks out from where it was intended to be.. Impaired property means tangible property other than your product or your work that can not be used or is less useful because a. Itincorporates your product or your work that is known or thought to be defective deficient inadequate or dangerous or b. You have failed to fulfill the terms of a contract or agreement if such property can be restored to use by the repair replacement adjustment or removal of your product or your work or your fulfilling the terms of the contract or agreement. Wiy Gdeeiylivid b e lamed Insured this vere the only Named gainst whom claim is Against Others To ver all or part of any this Coverage Part us. The insured must them. At our request ansfer those rights to overage Part we will CG 00010413 Insurance Services Office Inc. 2012 Page 13 of 16 | 1 |
9. Insured contract means a. A contract for a lease of premises. However that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire to premises while rented to you or temporarily occupied by you with permission of the owner is not an insured contract. A sidetrack agreement c. Any easement or license agreement except in connection with construction or demolition operations on or within 50 feet of a railroad. An obligation as required by ordinance to indemnify a municipality except in connection with work for a municipality. An elevator maintenance agreement. That part of any other contract or agreement pertaining to your business including an indemnification of a municipality in connection with work performed for a municipality under which you assume the tort liability of another party to pay for bodily injury or property damage to a third person or organization. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. Paragraph f. does not include that part of any contract or agreement 1 That indemnifies a railroad for bodily injury or property damage arising out of construction or demolition operations within 50 feet of any railroad property and affecting any railroad bridge or trestle tracks road beds tunnel underpass or crossing That indemnifies an architect engineer or surveyor for injury or damage arising out of a Preparing approving or failing to prepare or approve maps shop drawings opinions reports surveys field orders change orders or drawings and specifications or Giving directions or instructions or failing to give them if that is the primary cause of the injury or damage or 3 Under which the insured if an architect engineer or surveyor assumes liability for an injury or damage arising out of the insured s rendering or failure to render professional services including those listed in 2 above and supervisory inspection architectural or engineering activities. 2 b 10. Leased worker means a person leased to you by 1 1 N a labor leasing firm under an agreement between you and the labor leasing firm to perform duties related to the conduct of your business. Leased worker does not include a temporary worker..Loading or unloading means the handling of property a. After it is moved from the place where it is accepted for movement into or onto an aircraft watercraft or auto. While it is in or on an aircraft watercraft or auto or c. While it is being moved from an aircraft watercraft or auto to the place where it is finally delivered but loading or unloading does not include the movement of property by means of a mechanical device other than a hand truck that is not attached to the aircraft watercraft or auto. Mobile equipment means any of the following types of land vehicles including any attached machinery or equipment a. Bulldozers farm machinery forklifts and other vehicles designed for use principally off public roads. Vehicles maintained for use solely on or next to premises you own or rent c. Vehicles that travel on crawler treads d. Vehicles whether self propelled or not maintained primarily to provide mobility to permanently mounted 1 Power cranes shovels loaders diggers or drills or 2 Road construction or resurfacing equipment such as graders scrapers or rollers. Vehicles not described in Paragraph a. b. c. or d. above that are not self propelled and are maintained primarily to provide mobility to permanently attached equipment of the following types 1 Air compressors pumps and generators including spraying welding building cleaning geophysical exploration lighting and well servicing equipment or 2 Cherry pickers and similar devices used to raise or lower workers. Vehicles not described in Paragraph a. b. c. or d. above maintained primarily for purposes other than the transportation of persons or cargo. agreement except in ruction or demolition feet of a railroad ired by ordinance to except in connection ty S Nrearant s Page 14 of 16 Insurance Services Office Inc. 2012 CG 00010413 | 1 |
13. 14. 15. However self propelled vehicles with following types of permanently attached equipment are not mobile equipment but will be considered autos 1 Equipment designed primarily for a Snow removal b Road maintenance but not construction or resurfacing or c Street cleaning 2 Cherry pickers and similar devices mounted on automobile or truck chassis and used to raise or lower workers and 3 Air compressors pumps and generators including spraying welding building cleaning geophysical exploration lighting and well servicing equipment. However mobile equipment does not include any land vehicles that are subject to a compulsory or financial responsibility law or other motor vehicle insurance law where it is licensed or principally garaged. Land vehicles subject to a compulsory or financial responsibility law or other motor vehicle insurance law are considered autos. Occurrence means an accident including continuous or repeated exposure to substantially the same general harmful conditions. Personal and advertising injury means injury including consequential bodily injury arising out of one or more of the following offenses a. b. c. False arrest detention or imprisonment Malicious prosecution The wrongful eviction from wrongful entry into or invasion of the right of private occupancy of a room dwelling or premises that a person occupies committed by or on behalf of its owner landlord or lessor. Oral or written publication in any manner of material that slanders or libels a person or organization or disparages a person s or organization s goods products or services. Oral or written publication in any manner of material that violates a person s right of privacy. The use of another s advertising idea in your advertisement or Infringing upon another s copyright trade dress or slogan in your advertisement. Pollutants mean any solid liquid gaseous or thermal irritant or contaminant including smoke vapor soot fumes acids alkalis chemicals and waste. Waste includes materials to be recycled reconditioned or reclaimed. the 16. Products completed operations hazard. Includes all bodily injury and property damage occurring away from premises you own or rent and arising out of your product or your work except 1 Products that are still possession or 2 Work that has not yet been completed or abandoned. However your work will be deemed completed at the earliest of the following times a When all of the work called for in your contract has been completed. b When all of the work to be done at the job site has been completed if your contract calls for work at more than one job site. c When that part of the work done at a job site has been put to its intended use by any person or organization other than another contractor or subcontractor working on the same project. Work that may need service maintenance correction repair or replacement but which is otherwise complete will be treated as completed. in your physical b. Does not include bodily injury or property damage arising out of 1 The transportation of property unless the injury or damage arises out of a condition in or on a vehicle not owned or operated by you and that condition was created by the loading or unloading of that vehicle by any insured 2 The existence of tools uninstalled equipment or abandoned or unused materials or 3 Products or operations for which the classification listed in the Declarations or in a policy Schedule states that products completed operations are subject to the General Aggregate Limit. 17. Property damage means a. Physical injury to tangible property including all resulting loss of use of that property. All such loss of use shall be deemed to occur at the time of the physical injury that caused it or. Loss of use of tangible property that is not physically injured. All such loss of use shall be deemed to occur at the time of the occurrence that caused it. For the purposes of this insurance electronic data is not tangible property. equipment but will be imarily for but not construction milar devices mounted chassis and used to and mps and generators welding building exploration lighting oment. does not include any t to a compulsory or r other motor vehicle icensed or principally ct to a compulsory or r other motor vehicle autos. accident including ure to substantially the ns. injury means injury y injury arising out of ffenses nprisonment n wrongful entry into private occupancy of a nises that a person or on behalf of its n in any manner of r libels a person or aee a pereon s or. TR dam or r wort 2 3 CG 00010413 Insurance Services Office Inc. 2012 Page 15 of 16 | 1 |
As used in this definition electronic data means information facts or programs stored as or on created or used on or transmitted to or from computer software including systems and applications software hard or floppy disks CD ROMs tapes drives cells data processing devices or any other media which are used with electronically controlled equipment. Suit means a civil proceeding in which damages because of bodily injury property damage or personal and advertising injury to which this insurance applies are alleged. Suit includes a. An arbitration proceeding in which such damages are claimed and to which the insured must submit or does submit with our consent or b. Any other alternative dispute resolution proceeding in which such damages are claimed and to which the insured submits with our consent. Temporary worker means a person who is furnished to you to substitute for a permanent employee on leave or to meet seasonal or short term workload conditions. Volunteer worker means a person who is not your employee and who donates his or her work and acts at the direction of and within the scope of duties determined by you and is not paid a fee salary or other compensation by you or anyone else for their work performed for you. 21.Your product 18. 19. a. Means 1 Any goods or products other than real property manufactured sold handled distributed or disposed of by a You b Others trading under your name or c A person or organization whose business or assets you have acquired and 2 Containers other than vehicles materials parts or equipment furnished in connection with such goods or products. b. Includes 1 Warranties or representations made at any time with respect to the fitness quality durability performance or use of your product and 2 The providing of or warnings or instructions. c. Does not include vending machines or other property rented to or located for the use of others but not sold. 22.Your work a. Means failure to provide 1 Work or operations performed by you or on your behalf and 2 Materials parts or equipment furnished in connection with such work or operations. b. Includes 1 Warranties or representations made at any time with respect to the fitness quality durability performance or use of your work and 2 The providing of or warnings or instructions. failure to provide Page 16 of 16 Insurance Services Office Inc. 2012 CG 00010413 | 1 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 AMENDMENT OF PROPERTY DAMAGE EXCLUSION J COMMERCIAL GENERAL LIABILITY AMENDMENT PROPERTY DAMAGE IT IS AGREED THAT EXCLUSION J. UNDER SECTION I COVERAGE 2.A IS DELETED AND REPLACED WITH THE FOLLOWING EXCLUSION THIS INSURANCE DOES NOT APPLY TO J. PROPERTY DAMAGE TO 1. PROPERTY OWNED OR REAL PROPERTY BEING OCCUPIED BY OR RENTED TO A NAMED INSURED. AS USED IN THIS EXCLUSION THE PHRASE OCCUPIED BY DOES NOT APPLY TO JOB SITES OR RELATED OR ADJACENT AREAS THERETO 2 PREMISES YOU SELL GIVE AWAY OR ABANDON IF THE PROPERTY DAMAGE ARISES OUT OF A DEFECT HAZARD OR EXPOSURE KNOWN BY YOU PRIOR TO THE PREMISES BEING SOLD GIVEN AWAY OR ABANDONED. THIS EXCLUSION DOES NOT APPLY IF THE PREMISES ARE YOUR WORK AND WERE NEVER OCCUPIED RENTED OR HELD FOR RENTAL BY YOU FOR MORE THAN 12 MONTHS AFTER COMPLETION. 3 THE SMALLEST IDENTIFIABLE PART OF REAL PROPERTY ON WHICH YOU ARE PERFORMING OPERATIONS IF THE PROPERTY DAMAGE ARISES OUT OF THOSE OPERATIONS. 4 THE SMALLEST IDENTIFIABLE PART OF ANY PROPERTY THAT MUST BE RESTORES REPAIRED OR REPLACED BECAUSE YOUR WORK WAS INCORRECTLY PERFORM ON IT. PARAGRAPHS 3 AND 4 OF THIS EXCLUSION DO NOT APPLY TO LIABILITY ASSUMED UNDER A SIDETRACK AGREEMENT. PARAGRAPH 4 DOES NOT APPLY TO PROPERTY DAMAGE INCLUDED IN THE PRODUCTS COMPLETED OPERATIONS HAZARD THIS ENDORSEMENT IS PART OF YOUR POLICY AND TAKES EFFECT ON THE EFFECTIVE DATE OF YOUR POLICY UNLESS ANOTHER EFFECTIVE DATE IS SHOWN ABOVE. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY MAGE ERAGE 2.A7 IS OLD GIVEN AWAY OR ABANDONED. THIS EXCLUSION s PREMISES ARE YOUR WORK AND WERE NEVER ELD FOR RENTAL BY YOU FOR MORE THAN 12 MONTHS LEST IDENTIFIABLE PART OF REAL PROPERTY ON WHICH PERATIONS IF THE PROPERTY DAMAGE ARISES OUT OF NS. LEST IDENTIFIABLE PART OF ANY PROPERTY THAT MUST D OR REPLACED BECAUSE YOUR WORK WAS 4 OF THIS EXCLUSION DO NOT APPLY TO LIABILITY TRACK AGREEMENT. OT APPLY TO PROPERTY DAMAGE INCLUDED IN TED OPERATIONS HAZARD | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION ENDORSEMENT THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART NAME OF ADDITIONAL INSURED PERSONS OR ORGANIZATION S RAY AKIN JOSH SHAH BILL BARNES TOM SULLIVAN BOB BROWN BREN VELEKER CHUCH BULL GLENN WEIDLEIN ROGER BUTTS KEN RIDDICK ROSS CARNS JAMES H. FORD BOB DOUGLASS BILL SCHAUMANN DAVE DEL TATTO PER DUUS BOBBY GRIMSLEY CHARLIE KING SAM SAYADZAD YUKSEL SELCUKOGLU INFORMATION REQUIRED TO COMPLETE THIS SCHEDULE IF NOT SHOWN ABOVE WILL BE SHOWN IN THE DECLARATIONS. SECTION II WHO IS AN INSURED IS AMENDED TO IN CLUDE AS AN ADDITIONAL INSURED THE PERSON S OR OR GANIZATIONS SHOWN IN THE SCHEDULE BUT ONLY WITH RE SPECT TO LIABILITY FOR BODILY INJURY PROPERTY DAMAGE OR PERSONAL AND ADVERTISING INJURY CAUSED IN WHOLE OR IN PART BY YOUR ACTS OR OMISSIONS OR THE ACTS OR OMISSIONS OF THOSE ACTING ON YOUR BEHALF A. IN THE PERFORMANCE OF YOUR ONGOING OPERATIONS OR B. IN CONNECTION WITH YOUR PREMISES OWNED BY OR RENTED TO YOU. IT IS AGREED THAT COVERAGE UNDER THIS POLICY SHALL NOT APPLY TO ANY DAMAGES ARISING OUT OF THE RENDERING OR THE FAILURE TO RENDER PROFESSIONAL SERVICES OR ANY ERROR OMISSION OR MISTAKE OF A PROFESSIONAL NATURE PERFORMED IN THE ADDITIONAL INSURED S CAPACITY AS AN ARCHITECT OR ENGINEER OR AS AN EMPLOYEE OF ANY ARCHITECTURAL OR ENGINEERING FIRM INCLUDING BUT NOT LIMITED TO 1. THE PREPARATION OR APPROVAL OF MAPS PLANS OPINIONS REPORTS SURVEYS DESIGNS OR SPECIFICATIONS OR 2. SUPERVISORY INSPECTION OR ENGINEERING SERVICES PROVIDED THIS EXCLUSION SHALL NOT APPLY TO DAMAGES BECAUSE OF RESULTANT BODILY INJURY OR PROPERTY DAMAGE ARISING OUT OF SUCH PROFESSIONAL SERVICES PERFORMED FOR THE NAMED INSURED. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY JENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING NERAL LIABILITY COVERAGE PART TONAL INSURED PERSONS OR ORGANIZATION S N OGLU REQUIRED TO COMPLETE THIS SCHEDULE IF NOT SHOWN ABOVE N IN THE DECLARATIONS. WHO IS AN INSURED IS AMENDED TO IN CLUDE AS AN ISURED THE PERSONS OR OR GANIZATIONS SHOWN IN THE ONLY WITH RE SPECT TO LIABILITY FOR RBODILY ANY ONS REPORTS 3ECAUSE OF NG OUT OF SUCH D. | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 EXCLUSION DESIGNATED OPERATIONS COVERED BY A PROJECT SPECIFIC INS PR DESCRIPTION AND LOCATION OF OPERATIONS ALL OPERATIONS THAT ARE COVERED UNDER PROJECT SPECIFIC INSURANCE POLICY GLO5817029 01 IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS ENDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS ENDORSEMENT. THE FOLLOWING EXCLUSION IS ADDED TO PARAGRAPH 2. EXCLUSIONS OF COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY SECTION I COVERAGES THIS INSURANCE DOES NOT APPLY TO BODILY INJURY OR PROPERTY DAMAGE ARISING OUT OF EITHER YOUR ONGOING OPERATIONS OR OPERATIONS INCLUDED WITHIN THE PRO DUCTS COMPLETED OPERATIONS HAZARD AT THE LOCATION DESCRIBED IN THE SCHEDULE OF THIS ENDORSEMENT AS A PROJECT SPECIFIC 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 CONSOLIDATE WRAP UP INSURANCE PROGRAM 1 PROVIDES COVERAGE IDENTICAL TO THAT PROVIDED BY THIS COVERAGE PART 2 HAS LIMITS ADEQUATE TO COVER ALL CLAIMS OR 3 REMAINS IN EFFECT. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY ECT SPECIFIC INSURANCE QUIRED TO COMPLETE THIS ONS AS APPLICABLE TO THIS APH 2. EXCLUSIONS OF SE LIARILITY SECTION I ITHIN THE PRO DUCTS COMPLETED OPERATIONS HAZARD AT THE LOCATION ESCRIBED IN THE SCHEDULE OF THIS ENDORSEMENT AS A PROJECT SPECIFIC NSURANCE PROGRAM HAS BEEN ROVIDED BY THE PRIME CONTRACTOR PROJECT MANAGER OR OWNER OF THE ONSTRUCTION PROJECT IN WHICH YOU ARE INVOLVED. HIS EXCLUSION APPLIES WHETHER OR NOT THE CONSOLIDATE WRAP UP NSURANCE PROGRAM 1 PROVIDES COVERAGE IDENTICAL TO THAT PROVIDED BY THIS COVERAGE ART 2 HAS LIMITS ADEQUATE TO COVER ALL CLAIMS OR 3 REMAINS IN EFFECT. | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 EXTENDED COVERAGE BODILY INJURY AND PROP DAMAGE LIABILITY ITEM 2 EXCL SECTION II WHO IS AN INSURED IS AMENDED AS FOLLOWS FOR COVERAGE A AND COVERAGE B A JOINT VENTURE IS AN INSURED WITH REGARD TO YOU YOUR MEMBERS YOUR PARTNERS AND THEIR SPOUSES BUT ONLY WITH RESPECT TO THIS CONDUCT OF YOUR BUSINESS AS A PARTNER OR MEMBER OF THE JOINT VENTURE ORGANIZATION. ALSO YOUR EXECUTIVE OFFICERS AND EMPLOYEES ARE INSUREDS AS RESPECTS THE OPERATIONS OF THE JOINT VENTURE WHILE PERFORMING DUTIES RELATED TO THE CONDUCT OF YOUR BUSINESS. HOWEVER THIS COVERAGE IS AFFORDED ONLY TO THE EXTENT OF YOUR OWNERSHIP INTEREST IN THE JOINT VENTURE ORGANIZATION. PARAGRAPH 4. OTHER INSURANCE B. EXCESS INSURANCE 1 OF SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS IS REPLACED BY THE FOLLOWING B. EXCESS INSURANCE 1. THIS INSURANCE IS EXCESS OVER 1. ANY OF THE OTHER INSURANCE WHETHER PRIMARY EXCESS CONTINGENT OR ON ANY OTHER BASIS A. THAT IS FIRE EXTENDED COVERAGE BUILDERS RISK INSTALLATION RISK OR SIMILAR COVERAGE FOR YOUR WORK B. THAT IS BUILDING INSURANCE FOR PREMISES RENTED TO YOU OR TEMPORARILY OCCUPIED BY YOU WITH THE PERMISSION OF THE OWNER C. THAT IS INSURANCE PURCHASED BY YOU TO COVER YOUR LIABILITY AS A TENANT FOR PROPERTY DAMAGE TO PREMISES RENTED TO YOU OR TEMPORARILY OCCUPIED BY YOU WITH PERMISSION OF THE OWNER D. IF THE LOSS ARISES OUT OF THE MAINTENANCE OR USE OF AIRCRAFT AUTO OR WATERCRAFT TO THE EXTENT NOT SUBJECT TO EXCLUSION G. OF SECTION I COVERAGE A BODILY INJURY AND PROPERTY DAMAGE OR E. THAT IS PURCHASED BY YOU OR BY OTHERS TO COVER YOUR ONGOING OPERATIONS OR PRODUCTS COMPLETED OPERATIONS HAZARD AS A PARTNER OR MEMBER OR A JOINT VENTURE INSURANCE PROGRAM BUT THIS COVERAGE IS AFFORDED ONLY TO THE EXTENT OF YOUR PERCENTAGE OF OWNERSHIP INTEREST IN SUCH ORGANIZATION. THIS COVERAGE WILL NOT INURE TO THE BENEFIT OF ANY PARTY EXCEPT YOU AND ANY OTHER INSURED FOR WHICH COVERAGE MAY BE PROVIDED UNDER THIS COVERAGE PART. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY NSURED WITH OUSES BUT A PARTNER OR EXECUTIVE OPERATIONS OF 5SS YOU HE OWNER HICH COVERAGE MAY BE PROVIDED UNDER THIS COVERAGE PART. | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 BROAD FORM NAMED INSURED THE EMPLOYER NAMED IN ITEM 1 OF THE INFORMATION PAGE INCLUDES ANY CORPORATION SUBSIDIARY FIRM ORGANIZATION PARTNERSHIP OR ANY OTHER ENTITY AS EXISTED AS NOW EXISTS OR MAY HEREAFTER BE CONTROLLED FORMED OR ACQUIRED WHERE THE EMPLOYER NAMED IN ITEM 1 OF THE INFORMATION PAGE HAS OWNERSHIP AND OR MANAGEMENT CONTROL FOR PROVIDING INSURANCE. THIS ENDORSEMENT DOES NOT APPLY TO BODILY INJURY BY ACCIDENT OR BODILY INJURY BY DISEASE A. IF AN INSURED UNDER THIS POLICY IS ALSO AN INSURED UNDER ANOTHER POLICY OR WOULD BE AN INSURED UNDER SUCH POLICY BUT FOR ITS TERMINATION OR UPON THE EXHAUSTION OF ITS LIMITS OF INSURANCE OR B. THAT RESULTS FROM AN ACCIDENT OR DISEASE THAT OCCURRED BEFORE YOU ACQUIRED OR FORMED THE ORGANIZATION. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY R NOTHER OR | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 OR MATERIAL CHANGES IN COVERAGE NOTICE THIS ENDORSE APPLIES ONLY FOR THE PERSON OR ORGANIZATION LISTED IN THE SCHEDULE AND TO THE PROJECT S DESCRIPTIONS BELOW SCHEDULE NAME OF PERSON OR ORGANIZATION CORTLAND OH 400 NORTH STREET CORTLAND OH 44410 PROJECT S DESCRIPTIONS PROJECT 165937 THIS ENDORSEMENT MODIFIES THE CANCELLATION PROVISIONS OF THE POLICY AND ANY OTHER ENDORSEMENT TO THE POLICY STATING THE NUMBER OF DAYS NOTICE TO BE PROVIDED BY US IN THE EVENT OF CANCELLATION OR REDUCTION IN COVERAGE. TO THE EXTENT THAT THE POLICY OR OTHER ENDORSEMENT REQUIRES THAT THE INSURED PROVIDES NOTICE OF CANCELLATION OR MATERIAL CHANGE IN COVERAGE WRITTEN NOTICE BY CERTIFIED MAIL RETURN RECEIPT REQUESTED WILL BE GIVEN TO US NO LESS THAN 30 THIRTY DAYS PRIOR TO THE EFFECTIVE DATE OF THE CANCELLATION OR REDUCTION IN COVERAGE. TO THE EXTENT THAT THE POLICY OR OTHER ENDORSEMENT REQUIRES THAT WE PROVIDE NOTICE IN THE EVENT OF CANCELLATION OR MATERIAL CHANGE IN COVERAGE WRITTEN NOTICE BY CERTIFIED MAIL RETURN RECEIPT REQUESTED WILL BE GIVEN TO THE INSURED AND PROJECT OWNER AS REQUIRED BY THE CONTRACT NO LESS THAN 30 THIRTY DAYS PRIOR TO THE EFFECTIVE DATE OF THE CANCELLATION OR MATERIAL CHANGE IN COVERAGE. NOTHING IN THIS ENDORSEMENT MODIFIES THE NUMBER OF DAYS NOTICE TO BE PROVIDED IN THE EVENT OF NONPAYMENT OF PREMIUM. IN NO EVENT WILL THE NUMBER OF DAYS NOTICE OF CANCELLATION OR MATERIAL CHANGE IN COVERAGE CONTAINED IN THE PROVISIONS OF THIS ENDORSEMENT BE LESS THAN WHAT IS REQUIRED BY LAW. OTHER TERMS ALL OTHER TERMS CONDITIONS AND AGREEMENTS REMAIN THE SAME. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY 5 ONLY FOR THE PERSON OR ORGANIZATION LISTED IN THE PROJECT S DESCRIPTIONS BELOW SCHEDULE RGANIZATION ONS YIFIES THE CANCELLATION PROVISIONS OF THE POLICY WE ONIRACT NO LksSs THAN S5U THIRIY DAYS PRIOR 10 THE REFECIIVE DATE F THE CANCELLATION OR MATERIAL CHANGE IN COVERAGE. OTHING IN THIS ENDORSEMENT MODIFIES THE NUMBER OF DAYS NOTICE TO BE ROVIDED IN THE EVENT OF NONPAYMENT OF PREMIUM. N NO EVENT WILL THE NUMBER OF DAYS NOTICE OF CANCELLATION OR ATERIAL CHANGE IN COVERAGE CONTAINED IN THE PROVISIONS OF THIS NDORSEMENT BE LESS THAN WHAT IS REQUIRED BY LAW. THER TERMS LL OTHER TERMS CONDITIONS AND AGREEMENTS REMAIN THE AME. | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 NOTIFICATION TO OTHERS OF CANCELLATION 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 OR MATERIALLY CHANGED 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 NUMBER OF DAYS NOTICE ORGANIZATION S CHARTER TOWNSHIP OF ORION 30 MR. GERALD A. DYWASUK 2625 JOSLYN RD LAKE ORION MI 48360 U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY. READ IT CAREFULLY. UNDER THE RAGE PART PART S BY WRITTEN CHEDULE BELOW AT LEAST 10 DAYS PRIOR TO THE EFFECTIVE DATE OF SUCH ANCELLATION.. IF COVERAGE AFFORDED BY THIS COVERAGE PARTS IS REDUCED OR ESTRICTED OR MATERIALLY CHANGED WE WILL MAIL OR DELIVER NOTICE OF UCH REDUCTION OR RESTRICTION. TO THE NAME AND ADDRESS CORRESPONDING TO EACH PERSON OR RGANIZATION SHOWN IN THE SCHEDULE BELOW AND. AT LEAST 10 DAYS PRIOR TO THE EFFECTIVE DATE OF THE REDUCTION R RESTRICTION OR THE LONGER NUMBER OF DAYS NOTICE IF INDICATED IN HE SCHEDULE BELOW.. IF NOTICE AS DESCRIBED IN PARAGRAPHS A. B. OR C. OF THIS NDORSEMENT IS MAILED PROOF OF MAILING WILL BE SUFFICIENT PROOF OF UCH NOTICE. SCHEDULE AME AND ADDRESS OF OTHER PERSONS NUMBER OF DAYS NOTICE RGANIZATION S HARTER TOWNSHIP OF ORION 30 R. GERALD A. DYWASUK 625 JOSLYN RD AKE ORION MI 48360 NUMBER OF DAYS NOTICE 30 | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 ADDITIONAL INSURED CITY OF JOHNSON CITY OF JOHNSTON IOWA ADDITIONAL INSURED ENDORSEMENT THE CITY OF JOHNSTON IOWA INCLUDING ALL ITS ELECTED AND APPOINTED OFFICIALS ALL ITS EMPLOYEES AND VOLUNTEERS ALL ITS BOARDS COMMISSIONS AND OR AUTHORITIES AND THEIR BOARD MEMBERS EMPLOYEES AND VOLUNTEERS ARE INCLUDED AS ADDITIONAL INSUREDS WITH RESPECT TO LIABILITY ARISING OUT OF THE CONTRACTORS WORK AND SERVICES PERFORMED FOR THE CITY OF JOHNSTON IOWA. THIS COVERAGE SHALL BE PRIMARY TO THE ADDITIONAL INSUREDS AND NOT CONTRIBUTING WITH ANY OTHER INSURANCE OR SIMILAR PROTECTION AVAILABLE TO THE ADDITIONAL INSUREDS WHETHER OTHER AVAILABLE COVERAGE BE PRIMARY CONTRIBUTING OR EXCESS. CITY OF JOHNSTON IOWA GOVERNMENTAL IMMUNITIES ENDORSEMENT FOR USE WHEN INCLUDING THE CITY AS AN ADDITIONAL INSURED 1. NON WAIVER OF GOVERNMENT IMMUNITY. THE INSURANCE CARRIER EXPRESSLY AGREES AND STATES THAT THE PURCHASE OF THIS POLICY AND THE INCLUDING OF THE CITY OF JOHNSTON IA AS AN ADDITIONAL INSURED DOES NOT WAIVE ANY OF THE DEFENSES OF GOVERNMENTAL IMMUNITY AVAILABLE TO THE CITY OF JOHNSTON IA UNDER CODE OF IOWA SECTION 670.4 AS IT NOW EXISTS AND AS IT MAY BE AMENDED FROM TIME TO TIME. 2. CLAIMS COVERAGE. THE INSURANCE CARRIES FURTHER AGREES THAT THIS POLICY OF INSURANCE SHALL COVER ONLY THOSE CLAIMS NOT SUBJECT TO THE DEFENSE OF GOVERNMENTAL IMMUNITY UNDER THE CODE OF IOWA SECTION 670.4 AS IT NOW EXISTS AND AS IT MAY BE AMENDED FROM TIME TO TIME. THOSE CLAIMS NOT SUBJECT TO CODE OF IOWA OF IOWA SECTION 670.4 SHALL BE COVERED BY THE TERMS AND CONDITIONS OF THIS INSURANCE POLICY. 3. ASSERTION OF GOVERNMENT IMMUNITY. THE CITY OF JOHNSTON IA SHALL BE RESPONSIBLE FOR ASSERTING ANY DEFENSE OF GOVERNMENTAL IMMUNITY AND MAY DO SO AT ANY TIME AND SHALL DO SO UPON THE TIMELY WRITTEN REQUEST OF THE INSURANCE CARRIER. NOTHING CONTAINED IN THIS ENDORSEMENT SHALL PREVENT THE CARRIER FROM ASSERTING THE DEFENSE OF GOVERNMENTAL IMMUNITY ON BEHALF OF THE JURISDICTION. 4. NON DENIAL OF COVERAGE. THE INSURANCE CARRIER SHALL NOT DENY COVERAGE UNDER THIS POLICY AND THE INSURANCE CARRIER SHALL NOT DENY ANY OF THE RIGHTS AND BENEFITS ACCRUING TO THE CITY OF JOHNSTON IOWA UNDER THIS POLICY FOR REASONS OF GOVERNMENTAL IMMUNITY UNLESS AND UNTIL A COUNT OF COMPETENT JURISDICTION HAS RULED IN FAVOR OF THE DEFENSE S OF GOVERNMENTAL IMMUNITY ASSERTED BY THE CITY OF JOHNSTON IA 5. NO OTHER CHANGE IN POLICY. THE INSURANCE CARRIER AND THE CITY OF JOHNSTON IOWA AGREE THAT THE ABOVE PRESERVATION OF GOVERNMENTAL IMMUNITIES SHALL NOT OTHERWISE CHANGE OR ALTER THE COVERAGE AVAILABLE UNDER THE POLICY. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY CITY OF JOHNSTON IOWA ADDITIONAL INSURED ENDORSEMENT HE CITY OF JOHNSTON IOWA INCLUDING ALL ITS ELECTED AND APPOINTED FFICIALS ALL ITS EMPLOYEES AND VOLUNTEERS ALL ITS BOARDS OMMISSIONS AND OR AUTHORITIES AND THEIR BOARD MEMBERS EMPLOYEES ND VOLUNTEERS ARE INCLUDED AS ADDITIONAL INSUREDS WITH RESPECT TO IABILITY ARISING OUT OF THE CONTRACTORS WORK AND SERVICES PERFORMED OR THE CITY OF JOHNSTON IOWA. THIS COVERAGE SHALL BE PRIMARY TO TITn AT TN T T TR T TATETTIN I e R ATIN RTINS T I TTI TATIN T T ET M AINF APETo T MENT DITIONAL INSURED INSURANCE CARRIER ASE OF THIS POLICY AND THE N ADDITIONAL INSURED DOES AL IMMUNITY AVAILABLE TO A SECTION 670.4 AS IT NOW o0 TIME. LY HIS OF NY SURANCE CARRIER AND THE ABOVE PRESERVATION OF CRWISE CHANGE OR ALTER THE | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 ADDITIONAL INSURED CITY OF JOHNSON CANCELLATION AND MATERIAL CHANGES ENDORSEMENT THIRTY 30 DAYS ADVANCE NOTICE OF CANCELLATION NON RENEWAL REDUCTION IN COVERAGE AND OR LIMITS AND TEN 10 DAYS WRITTEN NOTICE OF NON PAYMENT OF PREMIUM SHALL BE SENT TO THE CITY OF JOHNSTON IOWA 6221 MERLE HAY ROAD JOHNSTON IA 50131. THIS ENDORSEMENT SUPERSEDES THE STANDARD CANCELLATION STATEMENT ON THE CERTIFICATE OF INSURANCE TO WHICH ENDORSEMENT IS ATTACHED. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY CANCEL CANCELLATION AND MATERIAL CHANGES ENDORSEMENT HIRTY 30 DAYS ADVANCE NOTICE OF CANCELLATION NON RENEWAL EDUCTION IN COVERAGE AND OR LIMITS AND TEN 10 DAYS WRITTEN NOTICE F NON PAYMENT OF PREMIUM SHALL BE SENT TO THE CITY OF OHNSTON IOWA 6221 MERLE HAY ROAD JOHNSTON IA 50131. THIS NDORSEMENT SUPERSEDES THE STANDARD CANCELLATION STATEMENT ON THE ERTIFICATE OF INSURANCE TO WHICH ENDORSEMENT IS ATTACHED. | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 AMENDMENT TO CG 2280 IN CONSIDERATION OF THE PREMIUM CHARGE IT IS AGREED THAT THE COVERAGE GRANTED BY ENDORSEMENT CG 22 80 ALSO EXTENDS TO ALL NAMED INSURED S ENTITIES PERFORMING DESIGN SERVICES WHO INCUR CLAIMS RESULTING IN BODILY INJURY OR PROPERTY DAMAGE WHERE ANY NAMED INSURED S 100 OWNED ENTITY OR ANY NAMED INSURED S SPONSORED JOINT VENTURE PERFORMS DESIGN BUILD WORK AND ENGAGES A SECOND NAMED INSURED S 100 OWNED ENTITY TO PERFORM THE DESIGN SERVICES. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY N CONSIDERATION OF THE PREMIUM CHARGE IT IS AGREED THAT THE OVERAGE GRANTED BY ENDORSEMENT CG 22 80 ALSO EXTENDS TO ALL NAMED NSURED S ENTITIES PERFORMING DESIGN SERVICES WHO INCUR CLAIMS ESULTING IN BODILY INJURY OR PROPERTY DAMAGE WHERE ANY NAMED NSURED S 100 OWNED ENTITY OR ANY NAMED INSURED S SPONSORED JOINT ENTURE PERFORMS DESIGN BUILD WORK AND ENGAGES A SECOND NAMED NSURED S 100 OWNED ENTITY TO PERFORM THE DESIGN SERVICES. | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 LIST OF ADDITIONAL INSUREDS UGL 1447ACW NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL ATTN CONSERVATION ATTN CHIEF CONTRACTS AND PAYMENTS SECTION 625 BROADWAY ALBANY NY 12233 7012 TIKIGAQ CONSTRUCTION LLC 2121 ABBOTT RD. STE 201 ANCHORAGE AK 99507 ISS FACILITY SERVICES INC. ATTN PROCUREMENT 1017 CENTRAL PRKWY NORTH STE 139 SAN ANTONIO TX 78232 PARSONS GOVERNMENT SERVICES INC. 219 E. HOUSTON ST. STE. 350 SAN ANTONIO TX 78215 COLLEGE OF CHARLESTON 66 GEORGE ST. CHARLESTON SC 29424 AVIS BUDGET CAR RENTAL LLC 6 SYLVAN WAY PARSIPPANY NJ 07054 AVIS BUDGET CAR RENTAL LLC 6 SYLVAN WAY PARSIPPANY NJ 07054 AVIS BUDGET CAR RENTAL LLC 6 SYLVAN WAY PARSIPPANY NJ 07054 DONLEN TRUST DONLEN CORPORATION 2315 SANDERS ROAD NORTHBROOK IL 60062 STATE OF SOUTH CAROLINA ATTN MATERIALS MANAGEMENT OFFICE 1201 MAIN ST. STE.600 COLUMBIA SC 29201 TEXAS COMMISSION ON ENVIRONMENTAL QUALITY ATTN DONNA STARK CTPM CTCM P.O. BOX 13087 AUSTIN TX 78711 3087 UNITED STATES DEPARTMENT OF THE NAVY NAVY FACILITIES COMMAND SOUTHWEST CODE RAQEO BLDG 17 ROOM 108 127 ROOM 108. ENVIRONMENTAL CONTRACTS CORE CONTRACT NO. N62473 12 D2055 EMACIII 1220 PACIFIC HIGHWAY SAN DIEGO CA 92132 5790 VERSAR INC 6850 VERSAR CENTER U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY MENT OF ENVIRONMENTAL S AND PAYMENTS SECTION LLC 201 5 INC. RTH STE 139 SRVICES INC. STE. 350 CORPORATION NA SEMENT OFFICE 0 NVIRONMENTAL QUALITY PM CTCM nan nan nan nan 5790.0 | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 LIST OF ADDITIONAL INSUREDS UGL 1447ACW SPRINGFIELD VA 22101 WAUPACA FOUNDRY INC. 134 WAUPACA DR. ETOWAH TN 37331 FOREST LAWN LANDFILL INC. SUBSIDIARY OF REPUBLIC SERVICES INC. 8230 W. FOREST LAWN RD. THREE OAKS MI 49128 STATE OF LOUISIANA OFFICE OF COASTAL PROTECTION RESTORATION P.0O. BOX 94396 BATON ROUGE LA 70804 STATE OF LOUISIANA DIVISION OF ADMINISTRATION OFFICE OF COMMUNITY DEVELOPMENT DISASTER RECOVERY UNIT ATTN TISHA LEE 10049 REIGER RD. BATON ROUGE LA 70809 MLOK CONSULTING INC. 285 OCEAN AVE. SAN FRANCISCO CA 94112 CITY OF AUSTIN ATTN PUBLIC WORKS DEPARTMENT P.O. BOX 1088 AUSTIN TX 78767 GENERAL ELECTRIC COMPANY 319 GREAT OAKS BLVD ALBANY NY 12203 GENERAL ELECTRIC COMPANY 319 GREAT OAKS BOULEVARD ALBANY NY 12203 HSBC BANK USA NATIONAL ASSOCIATION 452 5TH AVENUE NEW YORK NY 10018 MARYLAND ENERGY ADMINISTRATION 60 WEST ST. STE 300 ANNAPOLIS MD 21401 RUSH TRUCK LEASING INC. D B A RUSH CRANE SYSTEMS 8810 IH10 EAST SAN ANTONIO TX 78219 RUSH TRUCK LEASING INC. D B A RUSH CRANE SYSTEMS 8810 TH10 FAST U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY 2101 INC. ILL INC. UBLIC SERVICES INC. WN RD. 128 NA OFFICE OF COASTAL PROTECTION RESTORATION 1804 NA DIVISION OF ADMINISTRATION TY DEVELOPMENT UNIT 809 INC. 94112 S DEPARTMENT STIN TX 78767 COMPANY VD COMPANY DULEVARD TON SW YORK NY 10018 ADMINISTRATION 300 1 G INC.. SYSTEMS 3219 G INC. Y QVQTREFMS | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 LIST OF ADDITIONAL INSUREDS UGL 1447ACW SAN ANTONIO TX 78219 SEWERAGE AND WATER BOARD OF NEW ORLEANS 625 ST. JOSEPH ST. STE. 201 NEW ORLEANS LA 70165 ST. LUCIE COUNTY BOARD OF COUNTY COMMISSIONERS 2300 VIRGINIA AVE. FORT PIERCE FL 34982 5652 TERREBONNE PARISH CONSOLIDATED GOVERNMENT P.0. BOX 2768 HOUMA LA 70361 U. S. ARMY CORPS OF ENGINEERS ATTN CELRN CT NASHVILLE DISTRICT 110 9TH AVE. S ROOM A604 NASHVILLE TN 37203 3863 U.S. FISH AND WILDLIFE SERVICE ATTN DARTAMIEN BROWN 1875 CENTURY BLVD. STE. 310 ATLANTA GA 30345 W.R. GRACE CO.CONN ATTN LUIS MORALES 1800 DAVISON RD. SULPHUR LA 70665 WACKER CHEMICAL CORPORATION POLYMERS DIVISION 854 N. MAIN ST. CALVERT CITY KY 42029 JEA ATTN RODNEY LOVGREN PROCUREMENT SERVICES CUSTOMER CARE CENTER 6TH FL 21 W. CHURCH ST. JACKSONVILLE FL 32202 3139 UNITED STATES STEEL CORPORATION C O AMCS P.0O. BOX 2020 CONWAY AR 72033 PARSONS INFRASTRUCTURE TECHNOLOGY GROUP INC. ATTN PROCUREMENT DEPARTMENT 100 M STREET SE WASHINGTON DC 20003 MASSACHUSETTS BAY TRANSPORTATION AUTHORITY ATTN TREASURER CONTROLLER 10 PARK PLAZA BOSTON MA 02116 U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY 78219 ER BOARD OF NEW ORLEANS 5T. STE. 201 70165 BOARD OF COUNTY COMMISSIONERS E. 34982 5652 5H CONSOLIDATED GOVERNMENT 5 OF ENGINEERS CT ROOM A604 203 3863 LDLIFE SERVICE BROWN D. STE. 310 CORPORATION N 42029 NEY LOVGREN JICES NTER JRCH ST. JACKSONVILLE FL 32202 3139 EEL CORPORATION C O AMCS RUCTURE TECHNOLOGY GROUP INC. T DEPARTMENT 5003 Y TRANSPORTATION AUTHORITY CONTROLLER | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 LIST OF ADDITIONAL INSUREDS UGL 1447ACW WEXPRO COMPANY ATTN CONTRACT ADMINISTRATION DNR722 P.O. BOX 45360 SALT LAKE CITY UT 84139 0360 COUNTY OF KENT DEPARTMENT OF PUBLIC WORKS 300 MONROE AVE NW GRAND RAPIDS MI 49503 FOREST LAWN LANDFILL INC. SUBSIDIARY OF REPUBLIC SERVICES INC. 8230 W. FOREST LAWN RD. THREE OAKS MI 49128 PPG INDUSTRIES INC ATTN VP PURCHASING DISTRIBUTION ONE PPG PLACE PITTSBURGH PA 15272 NEW JERSEY TURNPIKE AUTHORITY ATTN ELIZABETH OKEEFE OCIP ADMINISTRATOR ADMINISTRATION BUILDING 581 MAIN ST. P.O. BOX 5042 WOODBRIDGE NJ 07095 MASSACHUSETTS PORT AUTHORITY P.0. BOX 198 LONG BEACH CA 90801 CITY OF HOUSTON TEXAS ATTN SIK KWAN TOM FUNG PE MANAGING ENGINEER CONSTRUCTION DIVISION P.0. BOX 1562 HOUSTON TX 77251 1562 ALABAMA STATE PORT AUTHORITY 250 N. WATER ST. P.0. BOX 1588 MOBILE AL 36633 MARATHON OIL COMPANY AND ITS AFFILIATES ATTN TITLES CONTRACTS DEPARTMENT 5555 SAN FELIPE RD. RM 2772B HOUSTON TX 77056 2723 RREEF AMERICA REIT II CORP. PPP C O CB RICHARD ELLIS NEW ENGLAND ONE MAIN ST. CAMBRIDGE MA 02142 SAN MIGUEL ELECTRIC COOPERATIVE INC. ATTN J. FUTIZT U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY DMINISTRATION 45360 JT 84139 0360 JBLIC WORKS W 49503 FILL INC. SUBSIDIARY OF REPUBLIC SERVICES LAWN RD. 128 INC SING DISTRIBUTION 272 TKE AUTHORITY OKEEFE OR 3UILDING 581 MAIN ST. 1095 RT AUTHORITY 801 TEXAS OM FUNG NEER ISION 1562 RT AUTHORITY IPANY AND ITS AFFILIATES ONTRACTS DEPARTMENT RD. TX 77056 2723 T IT CORP. PPP LIS NEW ENGLAND 142 RTC COOPFRATTVE TNC INC. | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 LIST OF ADDITIONAL INSUREDS UGL 1447ACW P.0. BOX 280 JOURDANTON TX 78026 TEXAS DEPARTMENT OF HEALTH TOXIC SUBSTANCES CONTROL DIVISION P. O. BOX 149347 AUSTIN TX 78714 REYNOLDS SMITH AND HILLS CS INCORPORATED 1000 LEGION PLACE STE. 870 ORLANDO FL 32801 ISS FACILITIES SERVICES INC. ATTN PROCUREMENT 1019 CENTRAL PRKWY NORTH STE 100 SAN ANTONIO TX 78232 STV INCORPORATED 225 PARK AVE. SOUTH NEW YORK NY 10003 BUC EE S LTD 327 FM 2004 LAKE JACKSON TX 77566 ROSETTA RESOURCES INC. ATTN AMBER STOVALL 717 TEXAS ST STE 2800 OUSTON TX 77002 CITY OF MOUNTAIN VIEW PUBLIC WORKS DEPT. LAND DEVELOPMENT SECTION P.0O. BOX 7540 MOUNTAIN VIEW CA 94039 7540 COUNTY OF FRESNO FRESNO COUNTY PUBLIC WORKS PLANNING RESOURCESATTN CURTIS LARKIN 2220 TULARE ST. 6TH FLOOR FRESNO CA 90721 THOMPSON ENGINEERING INC. ATTN HR INSURANCE P.0O. BOX 9637 MOBILE AL 36691 KIMLEY HORN AND ASSOCIATES INC. 11400 COMMERCE PARK DR. STE. 400 RESTON VA 20191 KIMLEY HORN AND ASSOCIATES INC. 11400 COMMERCE PARK DR. STE. 400 RESTON VA 20191 SIERRA PACIFIC PROPERTIES INC. SENNO ENTERPRISES U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY 78026 NT OF HEALTH TOXIC SUBSTANCES CONTROL DIVISION 347 4 i AND HILLS CS INCORPORATED LACE STE. 870 301 5 SERVICES INC. IENT RKWY NORTH STE 100 78232 ED SOUTH 003 X 77566 RCES INC. OVALL STE 2800 02 IN VIEW DEPT. NT SECTION CA 94039 7540 TH FLOOR RING INC. E SSOCIATES INC. RK DR. STE. 400 SSOCIATES INC. RK DR. STE. 400 | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 LIST OF ADDITIONAL INSUREDS UGL 1447ACW 3890 RAILROAD AVE. PITTSBURG CA 94565 SPS NEW ENGLAND INC. 98 ELM STREET SALISBURY MA 01952 NATURAL RESOURCES RECOVERY LLC 5800 ONE PERKINS PLACE 6 A BATON ROUGE LA 70808 ARKEMA INC. C O V PURCHASING.COM 105 S. LITTLE ROCK AVE VENTNOR NJ 08406 RAYONIER INC. C0 BROWZ INC. 13997 s. MINUTEMAN DR. STE. 350 DRAPER UT 84020 ATT SERVICES INC. SERVICES SUPPLY CHAIN ATTN CONTRACT MANAGER FOR ENVIRONMENTAL ENERGY 2000 W. ATT CENTER DR. LOC 3467D HOFFMAN ESTATES IL 60192 5000 STATE OF LOUISIANA DEPARTMENT OF ENVIRONMENTAL QUALITY ATTN CONTRACT CEMS 714993 FINANCIAL SERVICES DIVISION P.O. BOX 4303 BATON ROUGE LA 70821 4303 THE CITY OF KENNER 1801 WILLIAMS BLVD. BLDG. C KENNER LA 70062 URS GROUP INC. 1501 4TH AVE. STE. 1400 SEATTLE WA 98101 1616 PEPCO ENERGY SERVICES ATTN PAUL CYRE 1300 N. 17TH ST. STE. 1600 ARLINGTON VA 22209 ANADARKO PETROLEUM CORPORATION AND ITS AFFILIATED COMPANIES ATTN DONNA GUIDRY 1201 LAKE ROBBINS DR. THE WOODLANDS TX 77380 FLINT HILLS RESOURCES LP 1950 S. FLORENCE WICHITA KS 67203 U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY E. 65 INC. 52 RECOVERY LLC 5 PLACE 6 A 70808 5. COM CK AVE IAN DR. STE. 350 NC. CHAIN IANAGER FOR ENVIRONMENTAL ENERGY ITER DR. LOC 3467D IL 60192 5000 NA IVIRONMENTAL QUALITY FMS 714993 ES DIVISION 70821 4303 IER.VD. BLDG. C 1501 4TH AVE. 1616 VICES ATTN PAUL CYRE STE. 1600 09 UM CORPORATION AND ITS AFFILIATED COMPANIES RY IS DR. 77380 JURCES LP | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 LIST OF ADDITIONAL INSUREDS UGL 1447ACW MURPHY EXPLORATION AND PRODUCTION COMPANY USA ATTN CHRISTINE MOORE 16290 KATY FREEWAY STE. 600 HOUSTON TX 77094 EP ENERGY E P COMPANY LP AND ITS AFFILIATES ATTN TERRY ROBINSON 1001 LOUISIANA ST STE. 2480H HOUSTON TX 77002 MASSACHUSETTS BAY COMMUTER RAILROAD CO. ATTN GENERAL COUNSEL 89 SOUTH STREET 8TH FLOOR BOSTON MA 02111 AMTRAK ATTN GENERAL SUPERINTENDENT 2 SHOUTH STATION 195 SUMMER STREET BOSTON MA 02110 CSX CORPORATION ATTN GENERAL MANAGER 1 BELL CROSSING ROAD RD 2 BOX 145 SELKIRK NY 12158 DCP MIDSTREAM LP ITS AFFILIATES AND COVERTURES AND THEIR DIRECTORS OFFICERS AND EMPLOYEES 370 17TH STREET SUITE 2500 DENVER CO 80202 VILLAGE OF NORTHBROOK 655 HUEHL RD. NORTHBROOK IL 60061 KIEWIT POWER CONSTRUCTION CO. ATTN GLENN MILTENBERGER 611 C OLD HIGHWAY 70 SOUTH ROGERSVILLE TN 37857 THE CITY OF HEATH 200 LAURENCE DRIVE HEATH TX 75032 WESTINGHOUSE ELECTRIC CO. 1000 WESTINGHOUSE DR. CRANBERRY TOWNSHIP MD 16066 BALTIMORE COUNTY MD 400 WASHINGTON AVE. ROOM 148 TOWNSON MD 21204 CITY OF WILLITS 380 EAST COMMERCIAL ST. WILLITS CA 95490 U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY URPHY EXPLORATION AND PRODUCTION COMPANY USA TTN CHRISTINE MOORE 6290 KATY FREEWAY STE. 600 OUSTON TX 77094 P ENERGY E P COMPANY LP AND ITS AFFILIATES TTN TERRY ROBINSON 001 LOUISIANA ST STE. 2480H OUSTON TX 77002 ASSACHUSETTS BAY COMMUTER RAILROAD CO. TTN GENERAL COUNSEL 9 SOUTH STREET 8TH FLOOR OSTON MA 02111 MTRAK ATTN GENERAL SUPERINTENDENT SHOUTH STATION 195 SUMMER STREET OSTON MA 02110 SX CORPORATION TTN GENERAL MANAGER BELL CROSSING ROAD RD 2 OX 145 ELKIRK NY 12158 CP MIDSTREAM LP ITS AFFILIATES AND COVERTURES AND THEIR DIRECTORS FFICERS AND EMPLOYEES 70 17TH STREET SUITE 2500 ENVER CO 80202 ILLAGE OF NORTHBROOK 55 HUEHL RD. ORTHBROOK IL 60061 IEWIT POWER CONSTRUCTION CO. TTN GLENN MILTENBERGER 11 C OLD HIGHWAY 70 SOUTH OGERSVILLE TN 37857 HE CITY OF HEATH 00 LAURENCE DRIVE EATH TX 75032 ESTINGHOUSE ELECTRIC CO. 000 WESTINGHOUSE DR. RANBERRY TOWNSHIP MD 16066 ALTIMORE COUNTY MD 00 WASHINGTON AVE. ROOM 148 OWNSON MD 21204 ITY OF WILLITS QN FACT COMMERCTAT. ST | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 LIST OF ADDITIONAL INSUREDS UGL 1447ACW REPUBLIC SERVICES PROCUREMENT INC. 18500 NORTH ALLIED WAY PHOENIX AZ 85054 FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION 3800 COMMONWEALTH BLVD. MS93 TALLAHASSEE FL 32399 LOUSIANA LAND AND EXPLORATION COMPANY PO BOX 7097 HOUMA LA 70361 COUNTY OF RIVERSIDE ATTN WASTE MANAGEMENT DEPT. CIVIL ENGINEER 14310 FREDERICK ST. MORENO VALLEY CA 92553 HUNT REFINING COMPANY 1855 FAIRLAWN RD. TUSCALOOSA AL 35401 ALABAMA BULK TERMINAL COMPANY LLC 1855 FAIRLAWN RD. TUSCALOOSA AL 35401 HUNT SOUTHLAND REFIING COMPANY 1855 FAIRLAWN RD. TUSCALOOSA AL 35401 GO KAHUNA 7117 FLORIDA BLVD. BATON ROUGE LA 70806 NEW JERSEY SCHOOL DEVELOPMENT AUTHORITY 1 WEST STATE STREET PO BOX 991 TRENTON NJ 8625 DEPARTMENT OF TOXIC SUBSTANCES CONTROL P.0. BOX 806 1001 I STREET FLOOR 21 5 SACRAMENTO CA 95812 SCEG ATTN V.C. SUMMER UNITS 23 ADMINISTRATOR 3560 LENOX RD. NE SUITE 2400 ATLANTA GA 30326 ATWELL LLC TWO TOWN SQUARE SUITE 700 SOUTHFIELD MI 48076 HUNT OIL COMPANY 1900 N. AKARD ST. DALLAS TX 75201 U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY EPUBLIC SERVICES PROCUREMENT INC. 8500 NORTH ALLIED WAY HOENIX AZ 85054 LORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION 800 COMMONWEALTH BLVD. MS93 ALLAHASSEE FL 32399 OUSIANA LAND AND EXPLORATION COMPANY O BOX 7097 OUMA LA 70361 OUNTY OF RIVERSIDE TTN WASTE MANAGEMENT DEPT. IVIL ENGINEER 4310 FREDERICK ST. ORENO VALLEY CA 92553 UNT REFINING COMPANY 855 FAIRLAWN RD. USCALOOSA AL 35401 LABAMA BULK TERMINAL COMPANY LLC 855 FAIRLAWN RD. USCALOOSA AL 35401 UNT SOUTHLAND REFIING COMPANY 855 FAIRLAWN RD. USCALOOSA AL 35401 O KAHUNA 117 FLORIDA BLVD. ATON ROUGE LA 70806 EW JERSEY SCHOOL DEVELOPMENT AUTHORITY WEST STATE STREET 0 BOX 991 RENTON NJ 8625 EPARTMENT OF TOXIC SUBSTANCES CONTROL.0. BOX 806 1001 I STREET FLOOR 21 5 ACRAMENTO CA 95812 CEG ATTN V.C. SUMMER UNITS 23 ADMINISTRATOR 560 LENOX RD. NE SUITE 2400 TLANTA GA 30326 TWELL LLC WO TOWN SQUARE SUITE 700 OUTHFIELD MI 48076 UNT OIL COMPANY 900 N. AKARD ST. ATTAC TY 75201 | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 LIST OF ADDITIONAL INSUREDS UGL 1447ACW AGVIQ LLC 4610 WESTGROVE CT. VIRGINIA BEACH VA 23455 SHARYLAND UTILITIES LP 1900 N. AKARD ST. DALLAS TX 75201 CABOT OIL GAS INC. ITS COMPANY GROUP FIVE PENN CNETER WEST SUILTE 401 PITTSBURGH PA 15276 THE PEOPLE OF THE STATE OF NY DESIGN CONSTRUCTION GROUP ATTN JOHN LEWYCKYJ EMPIRE STATE PLAZA CORNING TOWER 35TH FLOOR ALBANY NY 12242 U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY GVIQ LLC 4610 WESTGROVE CT. IRGINIA BEACH VA 23455 HARYLAND UTILITIES LP 900 N. AKARD ST. ALLAS TX 75201 ABOT OIL GAS INC. ITS COMPANY GROUP IVE PENN CNETER WEST SUILTE 401 ITTSBURGH PA 15276 HE PEOPLE OF THE STATE OF NY DESIGN CONSTRUCTION GROUP TTN JOHN LEWYCKYJ MPIRE STATE PLAZA CORNING TOWER 35TH FLOOR LBANY NY 12242 | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 IN THE EVENT THAT THIS POLICY IS CANCELLED OR MATERIALLY CHANGED THIRTY 30 DAYS ADVANCE WRITTEN NOTIFICATION WILL FIRST BE PROVIDED TO LINDA STEIN CONTRACTING OFFICER NAVAL FACILITIES ENGINEERING COMMAND ATLANTIC 6506 HAMPTON BLVD NORFOLK VA 23508 1278 FURTHER PER THE FEDERAL ACQUISITION REGULATION 28.302 NOTICE OF CANCELLATION OR CHANGE WHEN THE GOVERNMENT REQUIRES THE CONTRACTOR TO PROVIDE INSURANCE COVERAGE ANY CANCELLATION OR MATERIAL CHANGE IN THE COVERAGE ADVERSELY AFFECTING THE GOVERNMENT S INTEREST SHALL NOT BE EFFECTIVE UNLESS THE INSURER OR THE CONTRACTOR GIVES WRITTEN NOTICE OF CANCELLATION OR CHANGE AS REQUIRED BY THE CONTRACTING OFFICER. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY MATERIALLY CHANGED WILL FIRST BE PROVIDED LITIES ENGINEERING 23508 1278 N 28.302 NOTICE OF E EFFECTIVE UNLESS THE INSURER OR THE CONTRACTOR GIVES WRITTEN OTICE OF CANCELLATION OR CHANGE AS REQUIRED BY THE CONTRACTING FFICER. | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 AMENDMENT OTHER INSURANCE THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART THE FOLLOWING IS ADDED TO PARAGRAPH B. EXCESS INSURANCE OF CONDITION 4. OTHER INSURANCE SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS IF THE INSURED HAS PURCHASED OTHER VALID AND COLLECTIBLE INSURANCE THAT IS AVAILABLE TO THE INSURED FOR A LOSS WE COVER UNDER THIS COVERAGE PART THEN THIS INSURANCE IS EXCESS OVER SUCH OTHER INSURANCE. PROVIDED HOWEVER ANY PAYMENTS FOR DAMAGES UNDER SUCH OTHER INSURANCE SHALL REDUCE BY THAT AMOUNT THE OTHERWISE APPLICABLE LIMIT OF INSURANCE AND OR DEDUCTIBLE AMOUNT UNDER THIS POLICY. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY HIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART HE FOLLOWING IS ADDED TO PARAGRAPH B. EXCESS INSURANCE OF CONDITION. OTHER INSURANCE SECTION IV COMMERCIAL GENERAL LIABILITY ONDITIONS F THE INSURED HAS PURCHASED OTHER VALID AND COLLECTIBLE INSURANCE HAT IS AVAILABLE TO THE INSURED FOR A LOSS WE COVER UNDER THIS OVERAGE PART THEN THIS INSURANCE IS EXCESS OVER SUCH OTHER NSURANCE. ROVIDED HOWEVER ANY PAYMENTS FOR DAMAGES UNDER SUCH OTHER NSURANCE SHALL REDUCE BY THAT AMOUNT THE OTHERWISE APPLICABLE IMIT OF INSURANCE AND OR DEDUCTIBLE AMOUNT UNDER THIS POLICY. | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 KNOWLEDGE OF OCCURRENCE THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED BY THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART BUSINESS AUTO COVERAGE PART THE FOLLOWING IS ADDED TO THE DUTIES CONDITION IS AGREED THAT KNOWLEDGE OF AN ACCIDENT OCCURRENCE CLAIM SUIT BY THE AGENT SERVANT EMPLOYEE OF ANY INSURED SHALL NOT IN ITSELF CONSTITUTE KNOWLEDGE THE INSURED AND INVALIDATE INSURANCE AFFORDED BY THIS POLICY AS RESPECTS THE NAMED INSURED UNLESS THE INDIVIDUALS IN THE FOLLOWING POSITIONS OR DEPARTMENT S SHALL HAVE RECEIVED SUCH NOTICE FROM THE AGENT SERVANT OR EMPLOYEE. POSITIONS AND OR DEPARTMENTS RISK MANAGER IF A CLAIM IS MADE OR SUIT IS BROUGHT AGAINST ANY INSURED YOU OR THE INDIVIDUALS IN THE POSITION OR DEPARTMENT ABOVE MUST A. IMMEDIATELY RECORD THE SPECIFICS OF THE CLAIM OR SUIT AND THE DATE RECEIVED AND B. NOTIFY US AND SEE THAT WE RECEIVE WRITTEN NOTICE OF THE CLAIM OR SUIT AS SOON AS PRACTICABLE. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY JRANCE PROVIDED BY THE FOLLOWING COVERAGE PART COVERAGE PART DUTIES CONDITION AN ACCIDENT OCCURRENCE CLAIM NSURANCE AFFORDED BY THIS POLICY AS RESPECTS THE NAMED INSURED NLESS THE INDIVIDUALS IN THE OLLOWING POSITIONS OR DEPARTMENT S SHALL HAVE RECEIVED SUCH OTICE FROM THE AGENT SERVANT OR EMPLOYEE. OSITIONS AND OR DEPARTMENTS RISK MANAGER F A CLAIM IS MADE OR SUIT IS BROUGHT AGAINST ANY INSURED YOU OR HE INDIVIDUALS IN THE POSITION OR DEPARTMENT ABOVE MUST. IMMEDIATELY RECORD THE SPECIFICS OF THE CLAIM OR SUIT AND THE ATE RECEIVED AND B. NOTIFY US AND SEE THAT WE RECEIVE WRITTEN NOTICE OF THE LAIM OR SUIT AS SOON AS PRACTICABLE. | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 NOTICE OF OCCURRENCE THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED BY THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART THE FOLLOWING IS ADDED TO SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS PARAGRAPH 2 DUTIES IN THE EVENT OF OCCURRENCE OFFENSE CLAIM OR SUIT E. IF YOU REPORT AN OCCURRENCE OFFENSE CLAIM OR SUIT TO ANOTHER INSURER AND LATER DISCOVER THAT YOU SHOULD HAVE REPORTED THE OCCURRENCE OFFENSE CLAIM OR SUIT TO US WE WILL NOT CONSIDER YOUR FAILURE TO REPORT THE OCCURRENCE OFFENSE CLAIM OR SUIT EARLIER A VIOLATION OF YOUR DUTIES IN THE EVENT OF OCCURRENCE OFFENSE CLAIM OR SUIT AS LONG AS YOU GIVE US NOTICE AS SOON AS YOU ARE AWARE THAT THE OCCURRENCE OFFENSE CLAIM OR SUIT SHOULD HAVE BEEN REPORTED TO US. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY BY THE FOLLOWING T T T AT T R T T T om e T T | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 NOTICE OF ERROR IN CLAIM REPORTING 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 DUTIES IN THE EVENT OF OCCURRENCE OFFENSE CLAIM OR SUIT OF SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS E. IN THE EVENT THAT AN INSURED REPORTS AN OCCURRENCE TO THE WORKERS COMPENSATION CARRIER OF THE NAMED INSURED AND THIS OCCURRENCE LATER DEVELOPS INTO A GENERAL LIABILITY CLAIM COVERED BY THIS POLICY THE FAILURE TO REPORT SUCH OCCURRENCE TO US AT THE TIME OF THE OCCURRENCE SHALL NOT BE DEEMED IN VIOLATION OF THIS CONDITION. YOU MUST HOWEVER GIVE US NOTICE AS SOON AS PRACTICABLE AFTER BEING MADE AWARE THAT THE PARTICULAR CLAIM IS A GENERAL LIABILITY RATHER THAN A WORKERS COMPENSATION CLAIM U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY READ IT CAREFULLY. UNDER THE HIS CONDITION. YOU MUST HOWEVER GIVE US NOTICE AS SOON AS RACTICABLE AFTER BEING MADE AWARE THAT THE PARTICULAR CLAIM IS A ENERAL LIABILITY RATHER THAN A WORKERS COMPENSATION CLAIM | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 BATCH CLAUSE ANY CLAIM OR SUIT FOR BODILY INJURY OR PROPERTY DAMAGE WHICH ARISE FROM THE SAME HAZARD DEFECT OR SOURCE OF CONTAMINATION RELATING TO ANY SINGLE BATCH OF YOUR PRODUCT SHALL BE CONSIDERED AS ARISING OUT OF ONE OCCURRENCE. ALL DAMAGES AND SUBSEQUENT CLAIMS OR SUITS RESULTING FROM ANY OCCURRENCE NOTED ABOVE SHALL BE ALLOCATED TO THE ONE POLICY PERIOD IN WHICH BODILY INJURY OR PROPERTY DAMAGE FIRST OCCURS AND ONLY THE AVAILABLE LIMITS OF INSURANCE OF THAT POLICY PERIOD WILL APPLY TO THE PAYMENT OR SETTLEMENT OF ALL SUCH CLAIMS OR SUITS. BATCH IS DEFINED TO INCLUDE ALL OF YOUR LIKE PRODUCTS WHETHER MANUFACTURED HANDLED DISTRIBUTED OR ACQUIRED BY THE INSURED OF BY ANOTHER TRADING UNDER THE NAME OF THE INSURED WHICH ARE PRODUCED IN A SINGLE PRODUCTION RUN AND CAN BE DISTINGUISHED FROM OTHER OF YOUR PRODUCTS BY THE SPECIFIC LOCATION DATE OR TIME OF PRODUCTION OF ALL SUCH LIKE PRODUCTS OR BY A COMMON LOT NUMBER COMMON BATCH NUMBER OF OTHER COMMON PRODUCTION IDENTIFIER ASSIGNED TO SUCH LIKE PRODUCTS. ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY PROPERTY DAMAGE WHICH E OF CONTAMINATION DUCT SHALL BE CONSIDERED RESULTING FROM ATED TO THE ONE POLICY LL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Effective Date 07 01 14 1201 A.M. Standard Time Agent No. 45259 000 Named Insured CHICAGO BRIDGE IRON COMPANY Agent Name LOCKTON COMPANIES LLC EXTENSION OF TERRITORY GULF OF MEXICO TERRITORIES COVERED IS EXTENDED TO INCLUDE IT IS HEREBY AGREED THAT THE GULF OF MEXICO U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 DAMAGE TO YOUR PRODUCT SPOOL ENDORSEMENT EXCLUSION K UNDER SECTION I COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY 2. EXCLUSIONS IS DELETED AND REPLACED BY THE FOLLOWING K. DAMAGE TO YOUR PRODUCT PROPERTY DAMAGE TO YOUR PRODUCT ARISING OUT OF IT OR ANY PART OF IT. WITH REGARD TO YOUR PRODUCT WHICH IS FABRICATED PIPE THIS EXCLUSION WILL ONLY APPLY TO THE ON SPOOL OF FABRICATED PIPE THAT IS FIRST DAMAGE BECAUSE OF PROPERTY DAMAGE. ANY FURTHER PROPERTY DAMAGE TO OTHER PIPING ASSEMBLY WITHIN WHICH THE DAMAGED SPOOL OF PIPE IS INTEGRATED WILL NOT BE SUBJECT TO THIS EXCLUSION U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY OLLOWING. DAMAGE TO YOUR PRODUCT PROPERTY DAMAGE TO YOUR PRODUCT ARISING OUT OF IT OR ANY PART OF T. ITH REGARD TO YOUR PRODUCT WHICH IS FABRICATED PIPE THIS XCLUSION WILL ONLY APPLY TO THE ON SPOOL OF FABRICATED PIPE THAT IS IRST DAMAGE BECAUSE OF PROPERTY DAMAGE. ANY FURTHER PROPERTY AMAGE TO OTHER PIPING ASSEMBLY WITHIN WHICH THE DAMAGED SPOOL OF IPE IS INTEGRATED WILL NOT BE SUBJECT TO THIS EXCLUSION | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 EXTENDED COVERAGE BODILIY INJURY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY COMMERCIAL GENERAL LIABILITY COVERAGE PART SECTION 1 COVERAGES COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY ITEM 2. EXCLUSIONS EXCLUSION A. IS DELETED AND REPLACED BY THE FOLLOWING A BODILY INJURY OR PROPERTY DAMAGE EXPECTED OR INTENDED FROM THE STANDPOINT OF THE INSURED. THIS EXCLUSION DOES NOT APPLY TO BODILY INJURY OR PROPERTY DAMAGE RESULTING FROM THE USE OF REASONABLE FORCE TO PROTECT PERSONS OR PROPERTY. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY HIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY COMMERCIAL GENERAL LIABILITY COVERAGE PART SECTION 1 COVERAGES OVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY ITEM 2. XCLUSIONS EXCLUSION A. IS DELETED AND REPLACED BY THE FOLLOWING A BODILY INJURY OR PROPERTY DAMAGE EXPECTED OR INTENDED FROM THE STANDPOINT OF THE INSURED. THIS EXCLUSION DOES NOT APPLY TO BODILY INJURY OR PROPERTY DAMAGE RESULTING FROM THE USE OF REASONABLE FORCE TO PROTECT PERSONS OR PROPERTY. | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Effective Date 07 01 14 1201 A.M Standard Time Agent No. 45259 000 Named Insured CHICAGO BRIDGE IRON COMPANY Agent Name LOCKTON COMPANIES LLC AMENDMENT OF DAMAGE TO PROPERTY NOT PHYSICALLY INJURED THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART PART 2.M. OF SECTION I COVERAGES COVERAGE A. IS DELETED AND REPLACED BY THE FOLLOWING M. 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 OR OTHER PROPERTY ARISING OUT OF SUDDEN AND ACCIDENTAL PHYSICAL INJURY TO YOUR PRODUCT OR YOUR WORK. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY HIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART ART 2.M. OF SECTION I COVERAGES COVERAGE A. IS DELETED AND EPLACED BY THE FOLLOWING 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. HIS EXCLUSION DOES NOT APPLY TO THE LOSS OF USE OR OTHER PROPERTY RISING OUT OF SUDDEN AND ACCIDENTAL PHYSICAL INJURY TO YOUR RODUCT OR YOUR WORK. | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M. Standard Time Agent No. 45259 000 Agent Name LOCKTON COMPANIES LLC BODILY INJURY REDEFINED GL SECTION V DEFINITIONS 3. IS AMENDED TO READ SICKNESS DISEASE 3. BODILY INJURY MEANS BODILY INJURY MENTAL ANGUISH MENTAL INJURY SHOCK OR FRIGHT SUSTAINED BY A PERSON INCLUDING DEATH RESULTING FROM BODILY INJURY SICKNESS OR DISEASE. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY SECTION V DEFI SECTION V DEFINITIONS 3. IS AMENDED TO READ. BODILY INJURY MEANS BODILY INJURY SICKNESS DISEASE ENTAL ANGUISH MENTAL INJURY SHOCK OR FRIGHT SUSTAINED BY A PERSON NCLUDING DEATH RESULTING FROM BODILY INJURY SICKNESS OR DISEASE. | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 AMENDATORY ENDORSEMENT WAIVER OF GOV THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE COMMERCIAL GENERAL LIABILITY COVERAGE PART WE WILL WAIVE BOTH IN THE ADJUSTMENT OF CLAIMS AND IN THE DEFENSE OF SUITS AGAINST THE INSURED ANY GOVERNMENTAL IMMUNITY OF THE INSURED UNLESS THE INSURED REQUESTS IN WRITING THAT WE NOD DO SO WAIVER OF IMMUNITY AS A DEFENSE WILL NOT SUBJECT US TO LIABILITY FOR ANY PORTION OF A CLAIM OR JUDGEMENT IN EXCESS OF THE APPLICABLE LIMIT OF INSURANCE THIS ENDORSEMENT APPLIES ONLY TO THE FOLLOWING CEDAR RAPIDS LINN COUNTY SOLID WASTE AGENCY FOR THE SCOPE OF WORK IDENTIFIED IN ATTACHMENT A OF THE PROFESSIONAL SERVICES AGREEMENT ENTERED INTO OCTOBER 19 2010. BETWEEN CEDAR RAPIDS LINN COUNTY SOLID PLAN DESIGN BID CONSTRUCTION ADMINISTRATION FOR SUSTAINABLE NEW FACILITY AND SITE IMPROVEMENTS U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY EFULLY HE DEFENSE OF THE NOD DO SO 2 THE SCOPE OF WORK ACILITY AND SITE IMPROVEMENTS | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON OR ORGANIZATION CITY OF NEW YORK DEPARTMENT OF ENVIRONMENTAL IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS ENDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS ENDORSEMENT. A. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN INSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS PERFORMED FOR THAT INSURED. B. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL INSUREDS THE FOLLOWING EXCLUSION IS ADDED 2. EXCLUSIONS THIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY DAMAGE OCCURRING AFTER 1 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 SITE OF THE COVERED OPERATIONS HAS BEEN COMPLETED OR 2 THAT PORTION OF YOUR WORK OUT OF WHICH THE INJURY OR DAMAGE ARISES HAS BEEN PUT TO ITS INTENDED USE BY ANY PERSON OR ORGANIZATION OTHER THAN ANOTHER CONTRACTOR OR SUB CONTRACTOR ENGAGED IN PERFORMING OPERATIONS FOR A PRINCIPAL AS A PART OF THE SAME PROJECT. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY NT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING RAL LIABILITY COVERAGE PART SCHEDULE OR ORGANIZATION RK DEPARTMENT OF ENVIRONMENTAL PPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS LL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN RSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY O LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS THAT INSURED. I TO THE INSURANCE AFFORDED TO THESE ADDITIONAL FOLLOWING EXCLUSION IS ADDED DOES NOT APPLY TO BODILY IN JURY OR PROPERTY ING AFTER INCLUDING MATERIALS PARTS OR EQUIPMENT FURNISHED NITH SUCH WORK ON THE PROJECT OTHER THAN SERVICE REPATIRS TO BE PERFORMED BY OR ON BEHALF OF THE UREDS AT THE SITE OF THE COVERED OPERATIONS HAS BEEN | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON OR ORGANIZATION EVERGREEN ENERGY INC. IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS ENDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS ENDORSEMENT. A. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN INSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS PERFORMED FOR THAT INSURED. B. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL INSUREDS THE FOLLOWING EXCLUSION IS ADDED 2. EXCLUSIONS THIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY DAMAGE OCCURRING AFTER 1 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 SITE OF THE COVERED OPERATIONS HAS BEEN COMPLETED OR 2 THAT PORTION OF YOUR WORK OUT OF WHICH THE INJURY OR DAMAGE ARISES HAS BEEN PUT TO ITS INTENDED USE BY ANY PERSON OR ORGANIZATION OTHER THAN ANOTHER CONTRACTOR OR SUB CONTRACTOR ENGAGED IN PERFORMING OPERATIONS FOR A PRINCIPAL AS A PART OF THE SAME PROJECT. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY HIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING OMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE AME OF PERSON OR ORGANIZATION VERGREEN ENERGY INC. IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS NDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS NDORSEMENT.. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN NSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY ITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS ERFORMED FOR THAT INSURED.. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL NSUREDS THE FOLLOWING EXCLUSION IS ADDED EXCLUSIONS HIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY AMAGE OCCURRING AFTER 1 ALL WORK INCLUDING MATERIALS PARTS OR EQUIPMENT FURNISHED N CONNECTION WITH SUCH WORK ON THE PROJECT OTHER THAN SERVICE AINTENANCE OR REPAIRS TO BE PERFORMED BY OR ON BEHALF OF THE DDITIONAL INSUREDS AT THE SITE OF THE COVERED OPERATIONS HAS BEEN OMPLETED OR | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 ADDITIONAL INSURED OWNERS LESSES OR CONTRACTORSSCHEDULED PERSON OR THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON OR ORGANIZATION ARMSTRONG DEVELOPMENT PROPERTIES INC. IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS ENDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS ENDORSEMENT. A. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN INSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS PERFORMED FOR THAT INSURED. B. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL INSUREDS THE FOLLOWING EXCLUSION IS ADDED 2. EXCLUSIONS THIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY DAMAGE OCCURRING AFTER 1 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 SITE OF THE COVERED OPERATIONS HAS BEEN COMPLETED OR 2 THAT PORTION OF YOUR WORK OUT OF WHICH THE INJURY OR DAMAGE ARISES HAS BEEN PUT TO ITS INTENDED USE BY ANY PERSON OR ORGANIZATION OTHER THAN ANOTHER CONTRACTOR OR SUB CONTRACTOR ENGAGED IN PERFORMING OPERATIONS FOR A PRINCIPAL AS A PART OF THE SAME PROJECT. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY HIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING OMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE AME OF PERSON OR ORGANIZATION RMSTRONG DEVELOPMENT PROPERTIES INC. IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS NDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS NDORSEMENT.. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN NSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY ITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS ERFORMED FOR THAT INSURED.. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL NSUREDS THE FOLLOWING EXCLUSION IS ADDED EXCLUSIONS HIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY AMAGE OCCURRING AFTER 1 ALL WORK INCLUDING MATERIALS PARTS OR EQUIPMENT FURNISHED N CONNECTION WITH SUCH WORK ON THE PROJECT OTHER THAN SERVICE AINTENANCE OR REPAIRS TO BE PERFORMED BY OR ON BEHALF OF THE DDITIONAL INSUREDS AT THE SITE OF THE COVERED OPERATIONS HAS BEEN OMPLETED OR | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON OR ORGANIZATION CHESAPEAKE APPALACHIA LLC AND ANY PRESENT OR FUTURE SUBSIDIARIES OR AFFILIATES IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS ENDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS ENDORSEMENT. A. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN INSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS PERFORMED FOR THAT INSURED. B. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL INSUREDS THE FOLLOWING EXCLUSION IS ADDED 2. EXCLUSIONS THIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY DAMAGE OCCURRING AFTER 1 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 SITE OF THE COVERED OPERATIONS HAS BEEN COMPLETED OR 2 THAT PORTION OF YOUR WORK OUT OF WHICH THE INJURY OR DAMAGE ARISES HAS BEEN PUT TO ITS INTENDED USE BY ANY PERSON OR ORGANIZATION OTHER THAN ANOTHER CONTRACTOR OR SUB CONTRACTOR ENGAGED IN PERFORMING OPERATIONS FOR A PRINCIPAL AS A PART OF THE SAME PROJECT. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY MENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING SENERAL LIABILITY COVERAGE PART SCHEDULE SON OR ORGANIZATION APPALACHIA LLC AND ANY PRESENT OR FUTURE SUBSIDIARIES OR Y APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS T WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS DR THAT INSURED. ECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL E FOLLOWING EXCLUSION IS ADDED NS NCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY JRRING AFTER INCLUDING MATERIALS PARTS OR EQUIPMENT FURNISHED ON WITH SUCH WORK ON THE PROJECT OTHER THAN SERVICE OR REPAIRS TO BE PERFORMED BY OR ON BEHALF OF THE INSURED S AT THE SITE OF THE COVERED OPERATIONS HAS BEEN R | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON OR ORGANIZATION COLUMBIA SQUARE PARTNERS LLC IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS ENDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS ENDORSEMENT. A. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN INSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS PERFORMED FOR THAT INSURED. B. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL INSUREDS THE FOLLOWING EXCLUSION IS ADDED 2. EXCLUSIONS THIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY DAMAGE OCCURRING AFTER 1 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 SITE OF THE COVERED OPERATIONS HAS BEEN COMPLETED OR 2 THAT PORTION OF YOUR WORK OUT OF WHICH THE INJURY OR DAMAGE ARISES HAS BEEN PUT TO ITS INTENDED USE BY ANY PERSON OR ORGANIZATION OTHER THAN ANOTHER CONTRACTOR OR SUB CONTRACTOR ENGAGED IN PERFORMING OPERATIONS FOR A PRINCIPAL AS A PART OF THE SAME PROJECT. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY HIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING OMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE AME OF PERSON OR ORGANIZATION OLUMBIA SQUARE PARTNERS LLC IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS NDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS NDORSEMENT.. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN NSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY ITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS ERFORMED FOR THAT INSURED.. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL NSUREDS THE FOLLOWING EXCLUSION IS ADDED EXCLUSIONS HIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY AMAGE OCCURRING AFTER 1 ALL WORK INCLUDING MATERIALS PARTS OR EQUIPMENT FURNISHED N CONNECTION WITH SUCH WORK ON THE PROJECT OTHER THAN SERVICE AINTENANCE OR REPAIRS TO BE PERFORMED BY OR ON BEHALF OF THE DDITIONAL INSUREDS AT THE SITE OF THE COVERED OPERATIONS HAS BEEN OMPLETED OR | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON OR ORGANIZATION AK STEEL CORPORATION IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS ENDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS ENDORSEMENT. A. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN INSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS PERFORMED FOR THAT INSURED. B. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL INSUREDS THE FOLLOWING EXCLUSION IS ADDED 2. EXCLUSIONS THIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY DAMAGE OCCURRING AFTER 1 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 SITE OF THE COVERED OPERATIONS HAS BEEN COMPLETED OR 2 THAT PORTION OF YOUR WORK OUT OF WHICH THE INJURY OR DAMAGE ARISES HAS BEEN PUT TO ITS INTENDED USE BY ANY PERSON OR ORGANIZATION OTHER THAN ANOTHER CONTRACTOR OR SUB CONTRACTOR ENGAGED IN PERFORMING OPERATIONS FOR A PRINCIPAL AS A PART OF THE SAME PROJECT. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY NT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING RAL LIABILITY COVERAGE PART SCHEDULE OR ORGANIZATION RATION PPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS LL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN RSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY O LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS THAT INSURED. I TO THE INSURANCE AFFORDED TO THESE ADDITIONAL FOLLOWING EXCLUSION IS ADDED DOES NOT APPLY TO BODILY IN JURY OR PROPERTY ING AFTER INCLUDING MATERIALS PARTS OR EQUIPMENT FURNISHED NITH SUCH WORK ON THE PROJECT OTHER THAN SERVICE REPATIRS TO BE PERFORMED BY OR ON BEHALF OF THE UREDS AT THE SITE OF THE COVERED OPERATIONS HAS BEEN | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON OR ORGANIZATION CITY OF WILLITS ITS ELECTED OR APPOINTED OFFICIALS OFFICERS EMPLOYEES AGENTS VOLUNTEERS IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS ENDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS ENDORSEMENT. A. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN INSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS PERFORMED FOR THAT INSURED. B. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL INSUREDS THE FOLLOWING EXCLUSION IS ADDED 2. EXCLUSIONS THIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY DAMAGE OCCURRING AFTER 1 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 SITE OF THE COVERED OPERATIONS HAS BEEN COMPLETED OR 2 THAT PORTION OF YOUR WORK OUT OF WHICH THE INJURY OR DAMAGE ARISES HAS BEEN PUT TO ITS INTENDED USE BY ANY PERSON OR ORGANIZATION OTHER THAN ANOTHER CONTRACTOR OR SUB CONTRACTOR ENGAGED IN PERFORMING OPERATIONS FOR A PRINCIPAL AS A PART OF THE SAME PROJECT. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY HIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING OMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE AME OF PERSON OR ORGANIZATION ITY OF WILLITS ITS ELECTED OR APPOINTED OFFICIALS OFFICERS MPLOYEES AGENTS VOLUNTEERS IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS NDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS NDORSEMENT.. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN NSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY ITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS ERFORMED FOR THAT INSURED.. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL NSUREDS THE FOLLOWING EXCLUSION IS ADDED. EXCLUSIONS HIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY AMAGE OCCURRING AFTER 1 ALL WORK INCLUDING MATERIALS PARTS OR EQUIPMENT FURNISHED N CONNECTION WITH SUCH WORK ON THE PROJECT OTHER THAN SERVICE AINTENANCE OR REPAIRS TO BE PERFORMED BY OR ON BEHALF OF THE DDITIONAL INSUREDS AT THE SITE OF THE COVERED OPERATIONS HAS BEEN OMPLETED OR | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 LIST OF ADDITIONAL INSUREDS UGL 1447ACW COUNTY SANITATION DISTRICT NO. 2 1955 WORKMAN MILL RD. WHITTIER CA 90601 UNITED PARCEL SERVICE INC. 55 GLENLAKE PARKWAY NE ATLANTA GA 30328 KING BAY SUPPORT SERVICES LLC 930 USS HUNLEY AVE. KINGS BAY GA 31547 PLAINS EXPLORATION PRODUCTION COMPANY ATTN CONNIE REDD 717 TEXAS AVE SUITE 2100 HOUSTON TX 77056 SOUTHERN CALIFORNIA EDISON COMPANY 2244 WALNUT GROVE AVE ROSEMEAD CA 91770 SPECTRA ENERGY TRANSMISSION LLC ITS AFFLILIATES DIRECTORS OFFICERS AND EMPLOYEES 5400 WESTHEIMER COURT5K62 HOUSTON TX 77056 COUNTY OF TULARE RESOURCE MANAGEMENT AGENCY 221 S. MOONEY BLVD. ROOM 3 VISALIA CA 92553 STATE OF CALIFORNIA CALIFORNIA DEPARTMENT OF CORRECTIONS RE OFFICE OF BUSINESS SERVICES ATTN MARDU HANZALIK 10000 GOETHE RD. SUITE C1 SACRAMENTO CA 95827 SOUTHCROSS ENERGY GP LLC 1700 PACIFIC AVE. SUITE 2900 DALLAS TX 75201 TITAN ENGINEERING INC. 2801 NETWORK BLVD. SUITE 200 FRISCO TX 75034 COMMONWEALTH OF MASSACHUSETTS ONE WINTER ST. BOSTON MA 01108 IESI LA LANDFILL CORPORATION CORP 2301 EAGLE PARKWAY SUITE 200 FORT WORTH TX 70809 ARCADIS U.S. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY DISTRICT NO. 2 1 RVICE INC. VAY NE SERVICES LLC E. 17 ON PRODUCTION COMPANY TE 2100 NIA EDISON COMPANY. AVE RANSMISSION LLC ITS AFFLILIATES DIRECTORS LOYEES OURT5K62 RESOURCE MANAGEMENT AGENCY D. ROOM 3 NIA CALIFORNIA DEPARTMENT OF CORRECTIONS RE OFFICE CES LIK SUITE C1 327 GP LLC. SUITE 2900 5 INC.. IASSACHUSETTS CORPORATION CORP Y SUITE 200 309 | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 LIST OF ADDITIONAL INSUREDS UGL 1447ACW 284 CRAMER CREEK CT. DUBLIN OH 43017 CARDINAL MIDSTREAM LLC 8150 N. CENTRAL EXPRESSWAY SUITE 1725 DALLAS TX 75206 AEROJET P.0. BOX 13222 SACRAMENTO CA 95813 SOUTHERN CALIFORNIA LOGISTICS AIRPORT AUTHORITY ATTN KEITH METLZER AIRPORT DIRECTOR 18374 PHANTOM ST. VICTORVILLE CA 92394 BOARD OF COUNTY COMMISSIONERS ATTN PURCHASING DEPARTMENT 3327 TAMIAMI TRAIL EAST NAPLES FL 34112 WATERWAYS SURVEYS AND ENGINEERING LTD 321 CLEVELAND PLACE VIRGINA BEACH VA 23462 THE CITY OF MIAMI FLORIDA ATTN RISK ADMINISTRATOR 444 SW 2ND AVE. 8TH FLOOR MIAMI FL 33130 CITY OF LONG BEACH ONE WEST CHESTER ST. LONG BEACH NY 11561 AECOM TECHNICAL SERVICES INC. 4415 METRO PKWY. SUITE 404 FORT MEYERS FL 33916 LRA HAMMOCK BEACH LLC 200 OCEAN CREST DR. SUITE 31 PALM COAST FL 32137 U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY 84 CRAMER CREEK CT. UBLIN OH 43017 ARDINAL MIDSTREAM LLC 150 N. CENTRAL EXPRESSWAY SUITE 1725 ALLAS TX 75206 EROJET.0. BOX 13222 ACRAMENTO CA 95813 OUTHERN CALIFORNIA LOGISTICS AIRPORT AUTHORITY TTN KEITH METLZER IRPORT DIRECTOR 8374 PHANTOM ST. ICTORVILLE CA 92394 OARD OF COUNTY COMMISSIONERS TTN PURCHASING DEPARTMENT 327 TAMIAMI TRAIL EAST APLES FL 34112 ATERWAYS SURVEYS AND ENGINEERING LTD 21 CLEVELAND PLACE IRGINA BEACH VA 23462 HE CITY OF MIAMI FLORIDA TTN RISK ADMINISTRATOR 44 SW 2ND AVE. 8TH FLOOR IAMI FL 33130 ITY OF LONG BEACH NE WEST CHESTER ST. ONG BEACH NY 11561 ECOM TECHNICAL SERVICES INC. 415 METRO PKWY. SUITE 404 ORT MEYERS FL 33916 RA HAMMOCK BEACH LLC 00 OCEAN CREST DR. SUITE 31 ALM COAST FL 32137 | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 EXCESS JOINT VENTURE OR WRAP UP COVERAGE ENDORSEMENT EXCESS WRAP UP AND JOINT VENTURE COVERAGE THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART THE FOLLOWING IS ADDED TO SECTION II WHO IS AN INSURED WITH RESPECT TO BODILY INJURY PROPERTY DAMAGE AND PERSONAL AND ADVERTISING INJURY YOU ARE AN INSURED FOR YOUR LIABILITY ARISING OUT OF THE CONDUCT OF ANY WRAP UP OR JOINT VENTURE OF WHICH YOU ARE OR WERE A PARTNER OR MEMBER. THIS COVERAGE IS EXCESS OVER ANY AVAILABLE LIABILITY INSURANCE PURCHASED SPECIFICALLY TO INSURE THE WRAP UP OR JOINT VENTURE. SUCH EXCESS INSURANCE SHALL BE LIMITED TO THE AMOUNT BY WHICH THE LIABILITY LIMITS OF THE POLICY EXCEED THE AVAILABLE LIABILITY LIMITS OF THE WRAP UP OR JOINT VENTURE POLICIES. TO THE EXTENT THAT THE INSURANCE PROVIDED BY THIS POLICY IS BROADER OR LESS RESTRICTIVE THAN THE INSURANCE AFFORDED TO YOU BY POLICIES SPECIFICALLY COVERING WRAP UP PROGRAMS OR JOINT VENTURES WHICH YOU ARE OR WERE A PARTNER OR MEMBER SUCH INSURANCE AS IS AFFORDED BY THIS POLICY SHALL APPLY TO BODILY INJURY PROPERTY DAMAGE AND PERSONAL AND ADVERTISING INJURY NOT COVERED BY SUCH POLICIES. THE COVERAGE PROVIDED BY THIS ENDORSEMENT WILL NOT INURE TO THE BENEFIT OF ANY OTHER PARTY EXCEPT YOU AND SHALL BE PRIMARY WHEN NO OTHER INSURANCE IS AVAILABLE. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY D UNDER THE FOLLOWING IS AN INSURED ERE A PARTNER OR MEMBER. HIS COVERAGE IS EXCESS OVER ANY AVAILABLE LIABILITY INSURANCE URCHASED SPECIFICALLY TO INSURE THE WRAP UP OR JOINT VENTURE. SUCH XCESS INSURANCE SHALL BE LIMITED TO THE AMOUNT BY WHICH THE IABILITY LIMITS OF THE POLICY EXCEED THE AVAILABLE LIABILITY LIMITS F THE WRAP UP OR JOINT VENTURE POLICIES. O THE EXTENT THAT THE INSURANCE PROVIDED BY THIS POLICY IS BROADER R LESS RESTRICTIVE THAN THE INSURANCE AFFORDED TO YOU BY POLICIES PECIFICALLY COVERING WRAP UP PROGRAMS OR JOINT VENTURES WHICH YOU RE OR WERE A PARTNER OR MEMBER SUCH INSURANCE AS IS AFFORDED BY HIS POLICY SHALL APPLY TO BODILY INJURY PROPERTY DAMAGE AND ERSONAL AND ADVERTISING INJURY NOT COVERED BY SUCH POLICIES. HE COVERAGE PROVIDED BY THIS ENDORSEMENT WILL NOT INURE TO THE ENEFIT OF ANY OTHER PARTY EXCEPT YOU AND SHALL BE PRIMARY WHEN NO THER INSURANCE IS AVAILABLE. | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 NOTIFICATION TO OTHERS OF CANCELLATION 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 OR MATERIALLY CHANGED 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 NUMBER OF DAYS NOTICE ORGANIZATION S CITY OF DULUTH 30 PURCHASING DIVISION CITY HALL 411 WEST FIRST STREET DULUTH MN 55802 U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY. READ IT CAREFULLY. UNDER THE RAGE PART PART S BY WRITTEN CHEDULE BELOW AT LEAST 10 DAYS PRIOR TO THE EFFECTIVE DATE OF SUCH ANCELLATION.. IF COVERAGE AFFORDED BY THIS COVERAGE PARTS IS REDUCED OR ESTRICTED OR MATERIALLY CHANGED WE WILL MAIL OR DELIVER NOTICE OF UCH REDUCTION OR RESTRICTION. TO THE NAME AND ADDRESS CORRESPONDING TO EACH PERSON OR RGANIZATION SHOWN IN THE SCHEDULE BELOW AND. AT LEAST 10 DAYS PRIOR TO THE EFFECTIVE DATE OF THE REDUCTION R RESTRICTION OR THE LONGER NUMBER OF DAYS NOTICE IF INDICATED IN HE SCHEDULE BELOW.. IF NOTICE AS DESCRIBED IN PARAGRAPHS A. B. OR C. OF THIS NDORSEMENT IS MAILED PROOF OF MAILING WILL BE SUFFICIENT PROOF OF UCH NOTICE. SCHEDULE AME AND ADDRESS OF OTHER PERSONS NUMBER OF DAYS NOTICE RGANIZATION S ITY OF DULUTH 30 URCHASING DIVISION ITY HALL 11 WEST FIRST STREET ULUTH MN 55802 NUMBER OF DAYS NOTICE 30 | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 NOTIFICATION TO OTHERS OF CANCELLATION 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 OR MATERIALLY CHANGED 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 NUMBER OF DAYS NOTICE ORGANIZATION S UNITED STATES DEPARTMENT OF THE NAVY 30 NAVY FACILITIES COMMAND SOUTHWEST CODE RAQEO BLDG 127 ROOM 108 ENVIRONMENTAL CONTRACTS CORE CONTRACT NO. N62473 12 D2005 EMACIII 1220 PACIFIC HIGHWAY SAN DIEGO CA 92132 5790 U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY. READ IT CAREFULLY. UNDER THE RAGE PART PART S BY WRITTEN CHEDULE BELOW AT LEAST 10 DAYS PRIOR TO THE EFFECTIVE DATE OF SUCH ANCELLATION.. IF COVERAGE AFFORDED BY THIS COVERAGE PARTS IS REDUCED OR ESTRICTED OR MATERIALLY CHANGED WE WILL MAIL OR DELIVER NOTICE OF UCH REDUCTION OR RESTRICTION. TO THE NAME AND ADDRESS CORRESPONDING TO EACH PERSON OR RGANIZATION SHOWN IN THE SCHEDULE BELOW AND. AT LEAST 10 DAYS PRIOR TO THE EFFECTIVE DATE OF THE REDUCTION R RESTRICTION OR THE LONGER NUMBER OF DAYS NOTICE IF INDICATED IN HE SCHEDULE BELOW.. IF NOTICE AS DESCRIBED IN PARAGRAPHS A. B. OR C. OF THIS NDORSEMENT IS MAILED PROOF OF MAILING WILL BE SUFFICIENT PROOF OF UCH NOTICE. SCHEDULE AME AND ADDRESS OF OTHER PERSONS NUMBER OF DAYS NOTICE RGANIZATION S NITED STATES DEPARTMENT OF THE NAVY 30 AVY FACILITIES COMMAND SOUTHWEST ODE RAQEO BLDG 127 ROOM 108 NVIRONMENTAL CONTRACTS CORE ONTRACT NO. N62473 12 D2005 EMACIII 220 PACIFIC HIGHWAY AN DIEGO CA 92132 5790 NUMBER OF DAYS NOTICE 30 | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 NOTIFICATION TO OTHERS OF CANCELLATION 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 OR MATERIALLY CHANGED 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 NUMBER OF DAYS NOTICE ORGANIZATION S NAVAL FACILITIES ENGINEERING COMMAND 30 SPECIALTY CENTER ACQUISITIONS NAVFAC CODE AQOO NAVAL VASE VENTURA COUNTY 1100 23RD AVE BLDG 1100 PORT HUENEME CA 93043 4347 U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY. READ IT CAREFULLY. UNDER THE RAGE PART PART S BY WRITTEN CHEDULE BELOW AT LEAST 10 DAYS PRIOR TO THE EFFECTIVE DATE OF SUCH ANCELLATION.. IF COVERAGE AFFORDED BY THIS COVERAGE PARTS IS REDUCED OR ESTRICTED OR MATERIALLY CHANGED WE WILL MAIL OR DELIVER NOTICE OF UCH REDUCTION OR RESTRICTION. TO THE NAME AND ADDRESS CORRESPONDING TO EACH PERSON OR RGANIZATION SHOWN IN THE SCHEDULE BELOW AND. AT LEAST 10 DAYS PRIOR TO THE EFFECTIVE DATE OF THE REDUCTION R RESTRICTION OR THE LONGER NUMBER OF DAYS NOTICE IF INDICATED IN HE SCHEDULE BELOW.. IF NOTICE AS DESCRIBED IN PARAGRAPHS A. B. OR C. OF THIS NDORSEMENT IS MAILED PROOF OF MAILING WILL BE SUFFICIENT PROOF OF UCH NOTICE. SCHEDULE AME AND ADDRESS OF OTHER PERSONS NUMBER OF DAYS NOTICE RGANIZATION S AVAL FACILITIES ENGINEERING COMMAND 30 PECIALTY CENTER ACQUISITIONS NAVFAC ODE AQO00 NAVAL VASE VENTURA COUNTY 100 23RD AVE BLDG 1100 ORT HUENEME CA 93043 4347 NUMBER OF DAYS NOTICE 30 | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT 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 NOTIFICATION TO OTHERS OF CANCELLATION 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 OR MATERIALLY CHANGED 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 NUMBER OF DAYS NOTICE ORGANIZATION S DEPARTMENT OF THE NAVY 30 ATTN LAURA PRESBERRY CONTRACT ADMINISTRATOR CODE AQE LP NAVFAC SOUTHWEST ENVIRONMENTAL CONTRACTS CORE 1220 PACIFIC HIGHWAY SAN DIEGO CA 92132 U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY. READ IT CAREFULLY. UNDER THE RAGE PART PART S BY WRITTEN CHEDULE BELOW AT LEAST 10 DAYS PRIOR TO THE EFFECTIVE DATE OF SUCH ANCELLATION.. IF COVERAGE AFFORDED BY THIS COVERAGE PARTS IS REDUCED OR ESTRICTED OR MATERIALLY CHANGED WE WILL MAIL OR DELIVER NOTICE OF UCH REDUCTION OR RESTRICTION. TO THE NAME AND ADDRESS CORRESPONDING TO EACH PERSON OR RGANIZATION SHOWN IN THE SCHEDULE BELOW AND. AT LEAST 10 DAYS PRIOR TO THE EFFECTIVE DATE OF THE REDUCTION R RESTRICTION OR THE LONGER NUMBER OF DAYS NOTICE IF INDICATED IN HE SCHEDULE BELOW.. IF NOTICE AS DESCRIBED IN PARAGRAPHS A. B. OR C. OF THIS NDORSEMENT IS MAILED PROOF OF MAILING WILL BE SUFFICIENT PROOF OF UCH NOTICE. SCHEDULE AME AND ADDRESS OF OTHER PERSONS NUMBER OF DAYS NOTICE RGANIZATION S EPARTMENT OF THE NAVY 30 TTN LAURA PRESBERRY ONTRACT ADMINISTRATOR ODE AQE LP NAVFAC SOUTHWEST NVIRONMENTAL CONTRACTS CORE 220 PACIFIC HIGHWAY AN DIEGO CA 92132 NUMBER OF DAYS NOTICE 30 | 2 |
VILLAGE OF NORTHBROOK ADDITIONAL INSURED ENDORSEMENT The Village of Northbrook including all its elected and appointed officials all its employees and volunteers all its boards commissions andor authorities and their board members employees and volunteers are included as Additional Insureds with respect to liability arising out of the contractors work and services performed for the Village of Northbrook. This coverage shall be primary to the Additional Insureds and not contributing with any other insurance or similar protection available to the Additional Insureds whether other available coverage be primary contributing or excess. | 2 |
WEXPRO COMPANY ADDITIONAL INSURED ENDORSEMENT The Wexpro Company including all its elected and appointed officials all its employees and volunteers all its boards commissions andor authorities and their board members employees and volunteers are included as Additional Insureds with respect to liability arising out of the contractors work and services performed for the Wexpro Company. This coverage shall be primary to the Additional Insureds and not contributing with any other insurance or similar protection available to the Additional Insureds whether other available coverage be primary contributing or excess. | 2 |
Unintentional Failure to Disclose Hazards Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Addl. Prem g g THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Form Any unintentional error or omission in the description of or failure to completely describe any premises or operations in tended to be covered by this Commercial General Liability Coverage Form will not invalidate or affect coverage for those premises or operations. However you must report such error or omission to us as soon as practicable after its discovery. U GL1054 A CW 1201 Page 1 of | 2 |
Z CONTRACTORS LIABILITY ENDORSEMENT ZURlCH EIf. Date of Pol. Exp. Date of Pol. Eff. Datc of End. AddL Prem This endorsement modifies insurance provided under the following Commercial General Liability Coverage Part 1. 4. 5. 6. Paragraph 2a of exclusion g. Aircraft Auto or Watercraft under 2. Exclusions of Section I Coverage A Bodily Injury And Property Damage Liability is amended to read as follows Less than 51 feet long and The last paragraph of 2. Exclusions under Section I Coverage A Bodily Injury And Property Damage Liability is de leted and is replaced by the following Exclusions c. through n. do not apply to damage by specific perils to premises while rented to you or te mporarily occupied by you with permission of the owner. A separate limit of insurance applies to this coverage as described in Section III Limits of Insurance. Exclusion e. Contractual Liability of Coverage B Personal And Advertising Injury Liability is deleted and replaced by the following e. Contractual Liability Personal and advertising injury for which the insured h sion does not apply to liability for damages umed liability in a contract or agreement. This exclu 1 That the insured would have in the absence of the contract or agree ment or 2 Assumed in a written contract or agreement that is an i advertising injury is caused by an offense which occurs s agreement. sured contract provided the personal and bsequent to the execution of the contract or Paragraph a. of 1. Insuring Agreement under Coverage C Medical Payments is deleted and replaced by the following a. We will pay medical expenses as described below for bodily injury caused by an accident 1 On premises you own or rent 2 On ways next to premises you own or rent or 3 Because of your operations provided that a The accident takes place in the coverage territory and during the policy period b The expenses are incurred and reported to us within three years of the date of the accident and c The injured person submits to examination at our expense by physicians of our choice as often as we reasonably require. Paragraph 1. b.. under Supplementary Payments Coverages A And B is deleted and replaced with the following b. The 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. The following is added to paragraph 2 of Section II Who Is An Insured. T TR TN T O A U GL1060 D CW 092009 Page 1of 3 Includes copyrighted material of Insurance Services Office Inc. with its permission. | 2 |
e. Your subsidiaries and subsidiaries of your subsidiaries will qualify as Named Insureds if shown as a Named Insured in the Declarations or if not shown as a Named Insured in the declaratior 1 Such entity has been incorporated or organized prior to the effective date of this policy under the laws of the United States of America including any state thereof its territories or possessions or Canada including any province thereof and 2 You currently own an interest in such entity of more than fifty percent. Unless shown as a named insured in the Declarations coverage under this provision is afforded only until the 1801 day after the effective date of 1 Your first Commercial General Liability Coverage Part policy period with us or 2 Your first Commercial General Liability Coverage Part policy period with us after twelve or more months from the expiration of your last Commercial General Liability Coverage Part with us. Paragraph 3. a. of Section I Who Is An Insured is deleted and is replaced by the following a. Coverage under this provision if afforded only until the 1800 the end of the policy period whichever is carlier day after you acquire or form the organization or The following last paragraph of Section II Who Is An Insured is deleted No person or organization is an insured with respect to the conduct of any current or past partnership joint venture or limited liability company that is not shown as a Named Insured in the Declarations. The following is added to Section I Who Is An Insured 4. With respect to the product completed operations hazard only you are an insured for your bodily injury and property damage liability arising out of a terminated partnership or joint venture. However no person or organi zation is an insured with respect to the conduct of any a. Current partnership or joint venture that is not shown as a Named Insured in the Declarations or b. Current or past limited liability company that is not shown as a Named Insured in the Declarations. The insurance provided by this provision will not inure to the benefit of any party except you.. Paragraph 6. of Section III Limits Of Insurance is deleted and replaced with the following 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 spe cific perils while rented to you or temporarily occupied by you with permission of the owner.. The following is added to paragraph 2. Duties In the Event of Occurrence Claim or Suit of Section IV Commercial General Liability Conditions e. Knowledge of an occurrence claim or suit by the agent servant or employee of an insured shall not in itself constitute your knowledge unless your officer manager or partner has received notice of the occurrence claim or suit f. Failure by an agent servant or employee of an insured other than an officer manager or partner of an insured to notify us of an occurrence will not be considered a failure to comply with paragraph a. and b. above.. Paragraph b. 1 a ii of item 4. Other Insurance under Section IV Commercial General Liability Conditions is de leted and replaced with the following b That is building insurance for premises rented to you or temporarily occupied by you with permission of the owner U GL1060 D CW 092009 Page 20f 3 Includes copyrighted material of Insurance Services Office Inc.. with ts permission. | 2 |
. The following is added to paragraph b. 1 of 4. Other Insurance under Section IV Commercial General Liability Con ditions Any other insurance that is or was purchased to insure i Your participation in a partnership or joint venture which terminated or ended prior to the effective date of this policy or ii A subsidiary not shown as a Named Insured to the extent such subsidiary is an insured as described in paragraph 2.. of Section I Who Is An Insured.. The following is added to Section IV Commercial General Liability Conditions 10. Unintentional Errors and Omissions. Any unintentional error or omission in the description of or failure to completely describe any pre mi tions intended to be covered by this Coverage Part will not invalidate or affect coverage for those prem tions. However you must report such error or omission to us as soon as practicable after its discovery. s or opera s or opera 11. Two or More Coverage Forms or Policies Issued by Us If this Coverage Form and any other Coverage Form or policy issued to you by us or any company affiliated with us apply to the same occurrence the maximum Limit of Insurance under all the Coverage Forms or policies shall not exceed the highest applicable Limit of Insurance under any one Coverage Form or policy and only that limit shall apply to that occurrence. This condition does not apply to any Coverage Form or policy issued by us or an affiliated company specifically to apply as excess insurance over this Coverage Form.. Item 3. of Section V Definitions is deleted and replaced with the following 3. Bodily injury means bodily injury sickness or discase sustained by a person including death resulting from any of these at any time. This includes mental anguish mental injury shock fright or death resulting from bodily injury sickness or disease.. Itema. Insured Contract of 9. under Section V Definitions is deleted and replaced with the following a. A contract for a lease of premises. However that portion of the contract for a lease of premises that inde mnifies any person or organization for damages by specified perils to premises while rented to you or temporarily occupied by you with permission of the owner is not an insured contract. The following is added to item 9. f. of Section V Definitions 4 That indemnifies a person or organization for personal and advertising injury a Arising out of advertising publishing broadcasting or telecasting done for you or on your behalf or b To an employee of such person or organization. 5 That part of any contract or agreement that indemnifies a labor leasing firm for bodily injury to leased workers.. Itema. 1 of 22. Your Work under Section V Definitions is deleted and replaced with the following 1 Work or operations performed by you or on your behalf but does not include work or operations performed by an other entity who joined with you to form a partnership or joint venture not shown as a Named Insured in the Decla rations which terminated or ended prior to the effective date of this policy and. The following are added to Section V Definitions 23. Specific Perils means Fire lightning explosion windstorm or hail smoke aircraft or vehicles riot or civil commotion vandalism leakage from fire extinguishing equipment weight of snow ice or sleet or water damage. 24. Water damage means accidental discharge or leakage of water or steam as the direct result of the breaking or cracking of any part of a system or appliance containing water or steam. U GL1060 D CW 092009 Page3of 3 Includes copyrighted material of Insurance Services Office Inc.. with ts permission. | 2 |
Z ZURICH EXCESS COVERAGE FOR INSURED S INTEREST IN SPECIFIED CONTROLLED INSURANCE PROGRAM Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer 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 SCHEDULE Controlled Insurance Program Name PER SCHEDULE ON FILE WITH THE COMPANY Location Project Number Controlled Insurance Program Insurance Carrier Controlled Insurance Program Policy Term Controlled Insurance Program GL policy number Controlled Insurance Program GL Limit of Liability If no entries appear above information required to complete the above SCHEDULE will be shown in the Declarations as applicable to this endorse ment. Paragraph 4. Other Insurance b. Excess Insurance 1 of Section IV Commercial General Liability Conditions is replaced by the following b. Excess Insurance 1. This insurance is excess over a. Any of the other insurance whether primary excess contingent or on any other basis i. That is Fire Extended Coverage Builders Risk Installation Risk or similar coverage for your work ii. That is building insurance for premises rented to you or temporarily occupied by you with the permission of the owner iii. That is insurance purchased by you to cover your liability as a tenant for property damage to premises rented to you or temporarily occupied by you with permission of the owner iv. If the loss arises out of the maintenance or use of aircraft auto or watercraft to the extent not subject to Exclusion g. of Section I Coverage A Bodily Injury and Property Damage or v. For your ongoing operations or operations included within the products completed operations hazard during the policy period for the construction project which is covered by the controlled insurance program described above in the SCHEDULE of this endorse ment. ontrolled Insurance Program Name PER SCHEDULE ON FILE WITH THE ocation roject Number ontrolled Insurance Program Insurance Carrier ontrolled Insurance Program Policy Term ontrolled Insurance Program GL policy number ontrolled Insurance Program GL Limit of Liability COMPANY Includes copyrighted material of Insurance Services Office Inc.. with its permission. U GL1146 B TX 052007 Page 1 of | 2 |
Fungi Or Bacteria Exclusion Endorsement Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer 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 L. Coverage A Bodily Injury And Property Damage Liability and paragraph 2. Exclusions of Coverage B Personal And Advertising Injury Liability 2. Exclusions This insurance does not apply to Fungi or Bacteria A. Bodily injury property damage or personal and advertising injury caused directly or indirectly by the actual alleged or threatened inhalation of ingestion of contact with exposure to existence of or presence of any 1. Fungior bacteria or 2. Substance vapor or gas produced by or arising out of any fungi or bacteria. Loss costs or expenses arising out of the abating testing for monitoring cleaning up removing containing treating detoxifying neutralizing remediating or disposing of or in any way responding to or assessing the effects of fungi or bacteria by any insured or by any other person or entity. For the purposes of this exclusion the following definitions are added 1. Fungi means any type or form of fungus including mold or mildew and any mycotoxins spores scents or byproducts produced or released by fungi. 2. Spores means reproductive bodies produced by or arising out of fungi. 3. Bacteria means any type or form of bacteria and any materials or substances that are produced or released by bacteria. This exclusion does not apply to any fungior bacteria that are are on or are contained in an edible good or edible product intended for human or animal consumption. U GL1171 AC W 0703 Page L of Includes copyrighted material of Insurance Services Office Inc. with its permission | 2 |
Z ZURICH Additional Insured Owners Lessees Or Contractors Scheduled Person Or Organization 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. Named Insured Address including ZIP Code This endorsement modifies insurance provided under the Commercial General Liability Coverage Part SCHEDULE Name Of Additional Insured Persons Or Organizations Location And Description Of Covered Operations FLORIDA DEPARTMENT OF TRANSPORTATION 3400 WEST COMMERCIAL BLVD FORT LAUDERDALE FL 33309 ATV AMB AALIMTY AF CAM ED AMCICAA CITY AND COUNTY OF SAN FRANSISCO SAN FRANSISCO PUBLIC UTILITIES COMM CONTRACT ADMINISTRATION BUREAU LOS ANGELES WORLD AIRPORTS LOS ANGELES WORLD AIRPORTS RISK MANAGEMENT PO BOX 92216 LOS ANGELES CA 90009 A. Section Il Who Is An Insured is amended to include as an additional insured the person or organization shown in the Schedule above whom you are required to add as an additional insured on this policy under a written contract or written agreement. Such person or organization is an additional insured only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by 1. Your acts or omissions or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations or your work as included in the products completed operations hazard which is the subject of the written contract or written agreement at the Location designated and described in the Schedule above. However the insurance afforded to such additional insured 1. Only applies to the extent permitted by law and 2. Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following additional exclusion applies U GL1177 F CW 0413 Page 1 of 2 Includes copyrighted material of Insurance Services Office Inc. with its permission. | 2 |
This insurance does not apply to Bodily injury property damage or personal and advertising injury arising out of the rendering or failure to render any professional architectural engineering or surveying services including a. The preparing approving or failing to prepare or approve maps shop drawings opinions reports surveys field orders change orders or drawings and specifications or b. Supervisory inspection architectural 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 the failure to render any professional architectural engineering or surveying services. C. The following is added to Paragraph 2. Duties In The Event Of Occurrence Offense Claim Or Suit of Section IV Commercial General Liability Conditions The additional insured must see to it that 1. We are notified as soon as practicable of an occurrence or offense that may result in a claim 2. We receive written notice of a claim or suit as soon as practicable and 3. A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non contributory. D. For the purpose of the coverage provided by this endorsement 1. The following is added to the Other Insurance Condition of Section IV Commercial General Liability Conditions Primary and Noncontributory insurance This Insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that a. The additional insured is a Named Insured under such other insurance and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV Commercial General Liability Conditions This insurance is excess over Any of the other insurance whether primary excess contingent or on any other basis available to an additional insured in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same occurrence offense claim or suit. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non contributory basis. E. With respect to the insurance afforded to the additional insureds under this endorsement the following is added to Section Ill Limits Of Insurance The most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement referenced in Paragraph A. of this endorsement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms and conditions of this policy remain unchanged. U GL1177 F CW 0413 Page 2 of 2 Includes copyrighted material of Insurance Services Office Inc. with its permission. | 2 |
Z ZURICH Limited Operations Coverage Work Excluded Under A Consolidated Wrap Up Insurance Program Policy No. I Exp. Date of Pol. Eff. Date of End. Agency No. Addl. Prem. Return Prem. Named Insured CHICAGO BRIDGE IRON COMPANY Address including ZIP Code DELAWARE 2103 RESEARCH FOREST DR THE WOODLANDS TX 77380 2624 This endorse ment modifies insurance provided under the Commercial General Liability Coverage Part N N I A N THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SCHEDULE Description and Location of Operations ANY LOCATION WHERE THE INSURED HAS OR HAD OPERATIONS INSURED BY A CONSOLIDATED WRAP UP INSURANCE PROGRAM. THIS EXCLUSION DOES NOT APPLY TO ANY LOCATIONS THAT MAY BE DESCRIBED IN U GL1146 EXCESS COVERAGE FOR INSUREDS INTEREST IN SPECIFIED WRAP UP PROGRAMS If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. A. The following exclusion is added to paragraph 2. Exclusions of Coverage A Bodily Injury and Property Damage Liability Section Coverages This insurance does not apply to bodily injury or property damage arising out of either your ongoing opera tions or operations included within the products completed operations hazard at the location described in the SCHEDULE of this endorsement as 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 identical to that provided by this Coverage Part 2. Has limits adequate to cover all claims or 3. Remains in effect. B. The exclusion in A. above shall not apply to your ongoing operations at the location shown in the SCHEDULE for your service maintenance correction repair or replacement of the original work performed and insured under the consolidated wrap up insurance program. U GL1294 A CW 1006 Page 1 of 2 | 2 |
However this extension of coverage does not apply to damages because of bodily injury or property damage due to any service maintenance correction repair or replacement work 1. as respects the products completed operations hazard or 2. for which coverage is afforded under the consolidated wrap up insurance program. For the application of the coverage provided by this endorsement in paragraph B. above SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONSparagraph 4 Other Insurance is replaced by the following This insurance is excess over any other insurance whether primary excess contingent or on any other ba sis. If any other insurance responds or can respond to this loss we shall have the right but not the duty to defend any suit. When this insurance is excess over other insurance we will pay only our share of the amount of the loss if any that exceeds the sum of 1. The total amount that all such other insurance would pay for the loss in the absence of this insurance and 2. The total of all deductible and self insured amounts under all that other insurance. We will share the remaining loss if any with any other insurance that may apply and that was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. Countersigned Authorized Representative U GL1294 A CW 1006 Page 2 of 2 | 2 |
Z4 ZURICH Earlier Notice of Cancellation or Non Renewal ZURICH THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE 1. Number of days required for notice of non renewal other than for nonpayment of premium 90 If the number of days is not provided above please see the nonrenewal provisions of your policy. 2. Number of days required for notice of cancellation other than for nonpayment of premium 90 If the number of days is not provided above please see the cancellation provisions of your policy. 3. Number of days required for notice of cancellation for nonpayment of premium 10 If the number of days is not provided above please see the cancellation provisions of your policy. Number of days required for notice of cancellation for nonpayment of premium 10 If the number of days is not provided above please see the cancellation provisions of your policy. A. For any statutorily permitted reason for non renewal other than nonpayment of premium the number of days required for notice of non renewal as provided in the Commercial General Liability Conditions as amended by an applicable state endorsement or as provided by an applicable state s change in coverage regulation is increased to the number of days shown in Paragraph 1. in the Schedule above. B. For any statutorily permitted reason for cancellation other than nonpayment of premium the number of days required for notice of cancellation as provided in the Common Policy Conditions as amended by an applicable state endorsement or as provided by an applicable state s change in coverage regulation is increased to the number of days shown in Paragraph 2. in the Schedule above. C. For nonpayment of premium the number of days required for notice of cancellation as provided in the Common Policy Conditions as amended by an applicable state endorsement or as provided by an applicable state s change in coverage regulation is increased to the number of days shown in Paragraph 3. in the Schedule above. All other terms and conditions of your policy remain the same. Includes copyrighted material of Insurance Services Office Inc. with its permission. U GL1298 C CW 082008 Page 1 of 1 | 2 |
Z ZURICH Broad Form Additional Insured Coverage Owners Lessees Or Contractors Scheduled Person or Organization Policy No Eff. Date of Pol. Exp. Date of Pol. Eff. DateofEnd. 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 Name Of Additional Insured Persons Or Organizations Location And Description Of Covered Operations ANY PERSON OR ORGANIZATION FOR WHOM ANY LOCATION WHERE YOU ARE REQUIRED YOU ARE REQUIRED TO PROVIDE ADDITIONAL TO PROVIDE ADDITIONAL INSURED INSURED COVERAGE IN A WRITTEN CONTRACT COVERAGE IN A WRITTEN CONTRACT OR OR AGREEMENT PRIOR TO THE OCCURRENCE AGREEMENT EXECUTED PRIOR TO THE OR OFFENSE OCCURRENCE OR OFFENSE A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule of this endorsement. B. The insurance provided to the additional insured shown in the Schedule of this endorsement applies only to bodily injury property damage or personal and advertising injury covered under Section Coverage A Bodily Injury And Property Damage Liability and Section Coverage B Personal And Advertising Injury Liability but only with respect to liability for bodily injury property damage or personal and advertising injury caused 1. In whole or in part by your acts or omissions or the acts omissions of those acting on your behalf or 2. Unless prohibited by law solely by acts or omissions of such additional insured if coverage for sole acts or omissions of the additional insured is required by written contract or written agreement and resulting from a. Your ongoing operations or b. Your work completed as included in the products completed operations hazard performed for the additional insured at the location designated and described in the Schedule of this endorsement. However 1. The Insurance afforded to such additional insured VLLURRLEBNLE UR VUELLNOL vELD LNoL U GL1321 E CW 1013 Page 10f3 Includes copyrighted material of Insurance Services Office Inc. with its permission. | 2 |
Only applies to the extent permitted by law and a. Will not apply to any insurance coverage that is not provided to you in this policy and If coverage provided to the additional insured is required by a written contract or written agreement the insurance afforded to such additional insured will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. C. With respect to the insurance afforded to the additional insured shown in the Schedule of this endorsement the following additional exclusion applies This insurance does not apply to Bodily injury property damage or personal and advertising injury arising out of the rendering or failure to render any professional architectural engineering or surveying services including a. The preparing approving or failing to prepare or approve maps shop drawings opinions reports surveys field orders change orders or drawings and specifications and b. Supervisory inspection architectural 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 the failure to render any professional architectural engineering or surveying services. D. The additional insured shown in the Schedule of this endorsement must see to it that 1. 2. 3. We are notified as soon as practicable of an occurrence or offense that may result in a claim We receive written notice of a claim or suit as soon as practicable and A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by another insurer under which such additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this insurance be primary and non contributory. E. For purposes of the coverage provided by this endorsement 1. F. The following is added to the Other Insurance Condition under Section IV Commercial General Liability Conditions Primary and Noncontributory insurance This Insurance is primary to and will not seek contribution from any other insurance available to an additional insured under this endorsement provided that a. The additional insured is a Named Insured under such other insurance and b. You are required by a written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition under Section IV Commercial General Liability Conditions This insurance is excess over Any of the other insurance whether primary excess contingent or on any other basis available to an additional insured in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same occurrence offense claim or suit. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non contributory basis. With respect to the insurance afforded to the additional insureds under this endorsement the following is added to Section Il Limits Of Insurance U GL1321 E CW 1013 Page 2 0f 3 Includes copyrighted material of Insurance Services Office Inc. with its permission. | 2 |
If coverage provided to the additional insured is required by a written contract or written agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the written contract or written agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms and conditions of this policy remain unchanged. U GL1321 E CW 1013 Page 30f 3 Includes copyrighted material of Insurance Services Office Inc. with its permission. | 2 |
Z ZURICH Deductible Policy No. Eff. Date of Pol. Eff. Date of End. ZURICH THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part Employee Benefits Liability Coverage Part Liquor Liability Coverage Part Stop Gap Employers Liability Coverage Part DEDUCTIBLE SCHEDULE Coverage Deductible Amount Basis Coverage Bodily Injury and Property Damage Liability All persons or organizations 3000000 EachOccurrence Bodily Injury Liability Only All persons or organizations Each Occurrence Property Damage Liability Only All persons or organizations Each Occurrence Coverage Bodily Injuryand Property Damage Liability Each Claim Bodily Injury Liability Only Each Claim Property Damage Liability Only Each Claim Coverage Personal and Advertising Injury Liability By offense Any one person or organization 3000000 Each Claim Coverage Medical Payments 3000000 AnyOnePerson Additional Employee Benefits Liability Each Act Error or Coverage 3000000 Omission Additional Liquor Liability Coverage Each Common Cause Additional Stop Gap Employers Liability Each Accident Coverage Stop Gap Employers Liability disease Each Employee Aggregate Deductible Amount Adjustable at a L rate of per of Flat Initial Exposure EEgaany Minimum Aggregate Deductible Amount U GL1326 8 CW 102007 Page 10f 6 | 2 |
ALLOCATED LOSS ADJUSTMENT EXPENSE SELECTION SCHEDULE Select One Option 1 X As respects each Deductible Amount you will reimburse us for all allocated loss adjustment expense even if there is no payment for other than allocated loss adjustment expense. Allocated loss adjustment expense reimbursements will contribute toward your Deductible Amount and your Aggregate Deductible Amount as shown in the Deductible Schedule. Option 2 As respects each Deductible Amount you will reimburse us for allocated loss a If the total amount payable for other than allocated loss adjustment expense as respects the basis for each Deductible Amount is equal to or less than the Deductible Amounts or if there is no amount payable other than allocated loss adjustment expense then you will reimburse us for all allocated loss adjustment expense. Allocated loss adjustment expense reimbursements will not contribute toward either your Deductible Amount or your Aggregate Deductible Amount as shown in the Deductible Schedule or b If the total amount payable for other than allocated loss adjustment expense exceeds the Deductible Amount you will reimburse us a pro rata share of total allocated loss adjustment expense based on the ratio of the Deductible Amount divided by the total amount payable for other than allocated loss adjustment expense as respects the basis for each Deductible Amount. Allocated loss adjustment expense reimbursements will not contribute toward either your Deductible Amount or your Aggregate Deductible Amount as shown in the Deductible Schedule. Option 3 As respects each Deductible Amount you will reimburse us for all allocated loss adjustment expense even if there is no payment for other than allocated loss adjustment expense. Allocated loss adjustment expense reimbursements will not contribute toward either your Deductible Amount or your Aggregate Deductible Amount as shown in the Deductible Schedule. If no option is selected Option 3 will apply. A. How the Deductible Amount Applies You will reimburse us for the Deductible Amounts shown in the Deductible Schedule and for allocated loss adjustment expensesincurred based on the Allocated Loss Adjustment Expense Selection Schedule. The Deductible Amounts applies as follows 1. If an Each Occurrence Deductible is shown the Deductible Amount applies to all sums payable because of any one Occurrence regardless of the number of persons or organizations who sustain damages because of that Occurrence. If an Each Claim Deductible is shown the Deductible Amount applies to all sums payable for each claim sustained by any one person or organization. a. For Other than Coverage B to all sums payable for each claim sustained by any one person or organization and b. For Coverage B to all damages sustained by any one person or organization as the result of an offense. Medical Payments If an Any One Person limit is shown the Deductible Amount applies to all sums payable to any one person as a result of an accident sustained by that person. U GL1326 8 CW 102007 Page 2of 6 | 2 |
Employee Benefits Liability If an Each Act Error or Omission Deductible is shown the Deductible Amount applies to all sums payable for all damages sustained by any one Employee including the Employee s dependents and beneficiaries because of acts errors or omissions committed in the administration of employee benefit programs. Liquor Liability If a Common Cause Deductible is shown the Deductible Amount applies to all sums payable for all injury sustained by one or more persons or organizations as the result of the selling serving or furnishing of any alcoholic beverage to any one person. Stop Gap Employers Liability If an Each Accident Deductible is shown the Deductible Amount applies to all sums payable as the result of an accident regardless of the number of people who sustain damages because of that accident. Stop Gap Employers Liability disease If an Each Employee Deductible is shown the Deductible Amount applies to all sums payable because of any one disease and applies separately to each affected Employee. B. Deductible Provisions 1. If more than one Deductible Amount applies to sums payable arising from the same incident because more than one Coverage applies you will be responsible for each and every applicable Deductible Amount. Deductible Amounts apply separately to each consecutive annual period and to any remaining period of less than 12 months starting with the beginning of the policy period shown in the Declarations. Your obligation to pay the Deductible Amounts shown on this policy is not fulfilled by a. The payment of a Deductible Amount under any other policy or b. Any payment made by us or another insurance company even if 3.a. or 3.b. above applies to the same incident as the Deductible Amount due under this policy. If more than one policy issued by us applies to sums payable because of a single continuous incident the Deductible Amounts applies separately to each policy that we issue to which this endorsement or a similar Deductible Endorsement applies. Deductible Amounts also apply separately to each annual period and any remaining period of less than 12 months as described in B.2. above. If a Coverage Part or Additional Coverage of this policy specifically applies a separate deductibles a. the separate additional deductible amount applies to any loss separately and before the Deductible Amounts shown on the Schedule of this endorsement and b. the Deductible Amounts shown on the Schedule of this endorsement applies only if the loss exceeds the separate additional deductible amount described in 5.a. above subject to the other terms and conditions of this endorsement. C. Aggregate Deductible Amount 1. The Aggregate Deductible Amount shown in the Deductible Schedule is the most you must reimburse us for the sum of a. all applicable Deductible Amounts as shown in the Deductible Schedule and b. all applicable allocated loss adjustment expense in accordance with the Allocated Loss Adjustment Expense Selection Schedule above. U GL1326 8 CW 102007 Page 3of 6 | 2 |
This single Aggregate Deductible Amount applies to the entire policy period and to any remaining extension pe riod. If an Aggregate Deductible Amount is shown in the Deductible Schedule and is designated as adjustable the final Aggregate Deductible Amount will be determined at the end of the policy period by an audit of your records and will be based upon the Rate shown in the Deductible Schedule multiplied by the final audited Exposure. The amount shown in the Deductible Schedule as the Aggregate Deductible Amount is an estimated amount and is based on an estimate of what the audit of your records will develop. In no event will the final audited Aggregate Deductible Amount be less than the Aggregate Deductible Amount shown in the Deductible Schedule unless a Minimum Aggregate Deductible Amount is shown in the Deductible Schedule. If a Minimum Aggregate Deductible Amount is shown the final audited Aggregate Deductible Amount will not be less than the Minimum Aggregate Deductible Amount. If an Aggregate Deductible Amount is shown in the Deductible Schedule and is designated as Flat the Aggregate Deductible Amount will not be adjusted. In no event will the Flat Aggregate Deductible Amount be less than or more than the Aggregate Deductible Amount shown in the Deductible Schedule. If no Aggregate Deductible Amount is stated in the Deductible Schedule then your obligation to reimburse us for the sum of all applicable Deductible Amounts as shown in the Deductible Schedule and all applicable allocated loss adjustment expense in accordance with the Allocated Loss Adjustment Expense Selection Schedule above is unlimited. D. Allocated Loss Adjustment Expense Reimbursement In accordance with the Allocated Loss Adjustment Expense Selection Schedule 1. If Option 1 is selected allocated loss adjustment expense reimbursements made by you contribute to your Deductible Amount and Aggregate Deductible Amount. If Option 2 or Option 3 is selected then you will reimburse us for all or pro rata allocated loss adjustment expense as may apply in accordance with the Allocated Loss Adjustment Expense Selection Schedule above even if the Deductible Amount or the Aggregate Deductible Amount if applicable is exceeded. E. Application of the Deductible Amount to Payable Amounts 1. You will reimburse us for allocated loss adjustment expense according to the option selected in the Allocated Loss Adjustment Expense Selection Schedule. Upon settlement or final adjudication of a claim we will apply the Deductible Amount against payable amounts as follows a. Sums other than those attributable to allocated loss adjustment expense then b. Allocated loss adjustment expense already reimbursed by you then c. Allocated loss adjustment expense yet to be reimbursed by you if applicable. F. Effect of Deductible Amount on Limits of Insurance The applicable limits of insurance for the coverage part to which a Deductible Amount applies will be reduced only by that portion of the Deductible Amount that is not attributable to allocated loss adjustment expenses. G. Conditions 1. Voluntary Payments I PP U GL1326 8 CW 102007 Page 4 of 6 | 2 |
If you voluntarily make any payment assume any obligation or incur any expense without our consent then you do so at your own cost. Any such voluntary payment assumed obligation or incurred expense does not contribute towards any applicable Deductible Amounts or Aggregate Deductible Amount under this policy. 2. Application of Recovered Amounts We have your rights and the rights of persons entitled to the benefits of this insurance to recover sums that are reimbursable under this endorsement and any Deductible Amount from anyone liable for the injury or damages. You will do everything necessary to protect those rights for us and to help us enforce them. If we recover any payment made under this policy from anyone liable for injury or damages the recovered amount will first be applied to any payments made by us in excess of the Deductible Amount. The remainder of the recovery if any will then be applied to reduce the Deductible Amount reimbursed or reimbursable by you as respects that injury or damages. 3. Payment of Amounts Owed Under This Endorsement a. We may pay any part or all of any Deductible Amounts or allocated loss adjustment expense to effect settlement of any claim and upon notification of the action taken you will reimburse us for such part of any Deductible Amounts or allocated loss adjustment expense as shown on the billing from us. You must pay us for all amounts for which you are responsible under this endorsement and reimburse us for any such amounts that we pay by the due date shown on the billing from us. b. If you fail to reimburse us for any amounts as required by this endorsement or policy we may cancel this policy for nonpayment in accordance with the applicable law. Cancellation of this policy does not relieve you from any deductible obligations reimbursable by you. c. The first Named Insured shown in the Declarations is authorized to and will reimburse us for all amounts paid by us on behalf of all insureds. d. Each Named Insured is jointly and severally liable for all reimbursements due to us under this endorsement whether or not that Named Insured is involved in the claim proceeding or suit causing any such amount to be due to us. H. Definitions 1. Allocated loss adjustment expenseis an expense directly allocable to a specific claim including but not limited to all supplementary payments as set forth in this policy all court costs fees and expenses all costs fees and expenses for or incurred in connection with all attorneys witnesses experts depositions reported or recorded statements summonses service of process legal transcripts or testimony copies of any public records alternative dispute resolution proceedings interest investigative services non employee adjusters medical examinations autopsies medical cost containment declaratory judgment subrogation claims and proceedings and any other fees costs or expenses reasonably chargeable to the investigation negotiation settlement or defense of a claim or a loss under this policy. 2. Incident for purposes of this endorsement only means an occurrence offense claim accident act error or omission common cause disease or any other event as defined or used in our policy to which a Deductible Amounts applies. I. Other Terms 1. The terms of this insurance apply irrespective of the application of any Deductible Amounts including those with respect to a. Our right and duty to investigate or defend the insured against any suits seeking those damages and U GL1326 8 CW 102007 Page 50f 6 | 2 |
b. Your duties in the event of a claim or circumstances likely to result in a claim. 2. You understand that your duties under this endorsement may continue after this policy expires or is cancelled. U GL1326 8 CW 102007 Page 6 of 6 | 2 |
Z ZURICH Other Insurance Amendment Primary And Non Contributory 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. Named Insured Address including ZIP Code This endorsement modifies insurance provided under the Commercial General Liability Coverage Part 1. The following paragraph is added to the Other Insurance Condition of Section IV Commercial General Liability Conditions This insurance is primary insurance to and will not seek contribution from any other insurance available to an additional insured under this policy provided that a. The additional insured is a Named Insured under such other insurance and b. You are required by a written contract or written agreement that this insurance would be primary and would not seek contribution from any any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV Commercial General Liability Conditions This insurance is excess over Any of the other insurance whether primary excess contingent or on any other basis available to an additional insured in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same occurrence offense claim or suit. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non contributory basis. All other terms and conditions of this policy remain unchanged. UGL1327 B CW 0413 Page 1of 1 Includes copyrighted material of Insurance Services Office Inc. with its permission. | 2 |
Z ZURICH In Rem Policy No. Exp. Date of Pol. Eff. Date of End Agency No. Addl. Prem. Return Prem. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured CHICAGO BRIDGE IRON COMPANY DELAWARE Address including ZIP Code This endorsement modifies insurance provided under the Commercial General Liability Coverage Part It is agreed that coverage provided by the policy shall not be denied solely on the basis that a claim or suit brought against the insured is based upon an in rem proceeding. U GL1340 A CW 0208 Page 1 of | 2 |
2 ZURICH Resulting Damage To Your Work Policy No. Exp. Date of Pol. Eff. Date of End. Agency No. Addl.Prem Return Prem. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured Address including ZIP Code This endorsement modifies insurance provided under the Commercial General Liability Coverage Part Section Coverage A Bodily Injury and Property Damage Liability 1. Insuring Agreement is deleted and replaced by the following 1. Insuring Agreement We will pay those sums that the insured becomes legally obligated to pay as damages because of bodily injury or property damage subject to the property damage provisions of Paragraph g. below to which this insurance applies. We will have the right and duty to defend the insured against any suit seeking those damages. However we will have no duty to defend the insured against any suit seeking damages for bodily injury or property damage to which this insurance does not apply. We may at our discretion investigate any occurrence and settle any claim or suit that may result. But 1 The amount we will pay for damages is limited as described in Section Il Limits of Insurance and 2 Our right and duty to defend ends when we have used up the applicable limit of insurance in the payment of judgments or settlements under Coverages A or B or medical expenses under Coverage C. No other obligation or liability to pay sums or perform acts or services is covered unless explicitly provided for under Section Supplementary Payments Coverages A and B. c. 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 bodily injury or property damage occurs during the policy period and 3 Prior to the policy period no insured listed under Paragraph 1. of Section Il Who Is An Insured and no employee authorized by you to give or receive notice of an occurrence or claim knew that the bodily injury or property damage had occurred in whole or in part. If such a listed insured or authorized employee knew prior to the policy period that the bodily injury or property damage occurred then any continuation change or resumption of such bodily injury or property damage during or after the policy period will be deemed to have been known prior to the policy period. Bodily 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 Includes copyrighted material of Insurance Services Office Inc. with permission U GL1344 A 0907 Page 1 of 2 | 2 |
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. e. 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 oceur. f. 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. g. Damages because of property damage include damages the insured becomes legally obligated to pay because of property damage to your work and shall be deemed to be caused by an occurrence but only if 1 The property damage is entirely the result of work performed on your behalf by a subcontractors that is not a Named Insured 2 The work performed by the subcontractors is within the products completed operations hazard and 3 The property damage is unexpected and unintended from the standpoint of the insured. All other terms conditions provisions and exclusions of the policy not changed by this endorsement shall continue to apply as written. Includes copyrighted material of Insurance Services Office Inc. with permission U GL1344 A 0907 Page 2 of 2 | 2 |
Z ZURICH EXCLUSION RADIOACTIVE MATERIALS Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer 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 to Paragraph 2. Exclusions of Coverage B Personal And Advertising Injury Liability 2. Exclusions This insurance does not apply to Radioactive Materials A. Bodily injury property damage or personal and advertising injury arising out of the actual alleged or threatened contamination by or pathogenic toxic or other harmful or hazardous properties of any radioactive material or B. 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 moni tor clean up remove contain treat detoxify or neutralize or in any way respond to or assess the effects of any radioactive material or Claim or suit by or on behalf of a governmental authority for damages because of testing for monitoring cleaning up removing containing treating detoxifying or neutralizing or in any way responding to or assessing the effects of radioactive material. All other terms and conditions of this policy remain unchanged. U GL1386 A CW 0109 Page 1of 1 Includes copyrighted material of Insurance Services Office Inc. with its permission. | 2 |
Z ZURICH Watercraft Exclusion Amendment Scheduled Written Contract 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 SCHEDULE Written Contract WRITTEN CONTRACT RITTEN CONTRACT A. Watercraft Exclusion Amendment Paragraph 2 of Exclusion 2.g. Aircraft Auto Or Watercraft under Section Coverage A Bodily Injury And Property Damage Liability is replaced by the following 2 A watercraft you do not own that is not being used to carry persons or property for a charge B. The additional coverage provided in Paragraph A. above applies only if 1. Such additional coverage is required under the written contract described in the Schedule above and 2. Any bodily injury or property damage occurs subsequent to the execution of the written contract described in the Schedule above. All other terms and conditions of this policy remain unchanged. UGL1393 A CW 0409 Page 1 of 1 Includes copyrighted material of Insurance Services Office Inc. with its permission. | 2 |
Asbestos Exclusion Endorsement Policy No Eff. Date of Pol. Exp. Date of Pol. EIf. Date of End. AddL Prem r P 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 I Coverage A Bodily Injury And Property Damage Liability and Coverage B Personal And Advertising Injury Liability 2. Exclusions This insurance does not apply to Asbestos A. Bodily injury property damage or personal and advertising injury arising out of or which would not have oc curred in whole or in part but for the actual alleged or threatened discharge dispersal release leakage leaching friability flaking escape or presence of asbestos regardless of whether any other cause event material or product contributed concurrently or in any sequence to the injury or damage or B. Any sums that any insured or other entity must pay repay or reimburse because of any 1. Request demand order statutory or regulatory requirement direction or determination that any insured or others test for investigate monitor clean up remove study. contain treat encapsulate control or take any other action regarding asbestos or 2. Claim or suit for damages arising out of or relating in any way to any request demand order statutory or regulatory requirement direction or determination that any insured or others test for investigate monitor clean up remove study contain treat encapsulate control or take any other action regarding asbestos or C. Any other loss cost or expense arising out of or relating in any way to asbestos. U GL1178 A CW 0703 Page 1 of Includes copyrighted material of Insurance Services Office Inc. with its permission. | 2 |
Z ZURICH Premium And Reports Agreement Composite Rated Policies THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY This endorsement modifies insurance provided under any of the following Commercial General Liability Coverage Part Products Completed Operations Liability Coverage Part Owners Contractors Protective Coverage Part Railroad Protective Coverage Part 1. Unit of Exposure Sche dule Gross sales Area Gallons Each Rooms General Liability Payroll Admissions Units Rounds plaved Total Cost Total Operating Expenditures Occupied rooms Licensed Autos Workers Compensation Payroll X Other WComp and Stop Gap payroll as developed under all written Wcomp and polici es effective 070114 to 070115 Coverage Description Unit of Exposure Rates Estimated Pre miums PAYROLL PREMISES 1976654744.0924 1826429 PRODS COMPL OPER TERRORISM 18185 TAXES SURCHARGEP 1350.82 TOTAL PREMIUM 1838047.82 Add more rows as required 3. Deposit Premium 4. Minimum Pre mium 5 1838047.82 s INCL Sche dule U GL872 B CW 0409 Page 1 of 2 | 2 |
Condition 5 Premium Audit of Section IV Commercial General Liability Conditions is replaced by the following 5. Premium Audit a. We will compute all premiums for this Coverage Part according to our rules and the composite rates shown in the Schedule above or attached hereto. b. For policies other than Annual Reporting the deposit premium shown in the Schedule is due and payable on the first day of the policy period. The first Named Insured will pay within 20 days following the mailing or delivery of the statement of audited premium for each audit period the earned premium due.. Within 180 days after this Coverage Part expires we will conduct an audit which may not be waived. We will com pute the earned premium for the policy period by multiplying the composite rate against the total developed expo sure. If the earned premium is greater than the sum of the deposit and any interim adjustment premiums the first Named Insured will pay us the excess if less we will return the unearned portion to the first Named Insured. How ever the earned premium will not be less than the Minimum Premium as shown in the Schedule. d. The first Named Insured must maintain records of the information we need for premium computation and send us copies at such times as we may request. e. The units of exposure shown in the Schedule are defined as follows 1. Admissions means the total number of persons other than employees of the named insured admitted to events conducted on the insured premises whether on paid admissions tickets complimentary tickets or passes. 2. Gallons means the total number of gallons of liquefied petroleum gasses invoiced on any basis to any customer whether or not the insured actually takes possession of such gases. 3. Gross sales means gross sales invoiced before discounts but does not include taxes collected for any govern mental unit. 4. Licensed auto means the final average of the number of autos at policy inception and the number of autos at policy termination. 5. Occupied rooms means the number of rooms actually rented during the policy year in a hotel or other place of lodging. 6. General Liability payroll means total remuneration for all employees of the insured as defined in our rating manuals. 7. Workers Compensation payroll means total remuneration for all employees of the insured as defined in our rating manuals. 8. Rounds played means the number of both paid and gratuitous rounds of golf played on an 18 hole golf course during the policy year. Rounds that are less then 10 holes will be counted as a half round toward the total num ber of rounds of golf played. 9. Each means the total number of exposure units as described in the exposure basis. 10. Rooms mean the total number of rooms available for rent in a hotel or other place of lodging. 11. Total cost means the total cost of all work let or sublet in connection with each specified project including the cost of all labor material and equipment furnished used or delivered in the execution of the work however do not include the cost of finished equipment installed but not furnished by the subcontractor if the subcontractor does no other work on or in connection with such equipment and all fees bonuses or commissions made paid or due. 12. Total Operating Expenditures means expenditures including grants entitlements and shared revenue without regard to source of revenue including accounts payable. 13. Units means a single room or group of rooms intended for occupancy as separate living quarters by a family by a group of unrelated persons living together or by a person living alone. 14. Area means the total number of square feet of floor space at the insured premises they occupy or lease to oth ers. 15. Other means the unit of exposure as defined in the Unit of Exposure Schedule of this endorse ment U GL872 B CW 0409 Page 20f 2 | 2 |
COMMERCIAL GENERAL LIABILITY CG 01 03 06 06 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TEXAS CHANGES This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. With regard to liability for Bodily Injury Property Damage and Personal And Advertising Injury unless we are prejudiced by the insured s or your failure to comply with the requirement no provi sion of this Coverage Part requiring you or any insured to give notice of occurrence claim or suit or forward demands notices summonses or legal papers in connection with a claim or suit will bar coverage under this Coverage Part. CG 01 03 06 06 ISO Properties Inc. 2005 Page 10f 1 m | 2 |
COMMERCIAL GENERAL LIABILITY CG 017907 10 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. VIRGINIA CHANGES This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Paragraph f.1ai under Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability is replaced by the following i Bodily injury or property damage 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. CG 0179 07 10 Insurance Services Office Inc. 2010 Page 10f 1 | 2 |
COMMERCIAL GENERAL LIABILITY CG 022003 12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FLORIDA 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. Paragraph 2. of the Cancellation Common Policy 2 The policy was obtained by a material Condition is replaced by the following misstatement 2. Cancellation Of Policies In Effect 3 Failure to comply with underwriting requirements established by the insurer a. For 90 Days Or Less within 90 days of the effective date of If this policy has been in effect for 90 days coverage or less we may cancel this policy by mailing or delivering to the first Named 4 Asubslaqtia change in the risk covered Insured written notice of cancellation by the policy or accompanied by the reasons for 5 The cancellation is for all insureds under cancellation at least such policies for a given class of 1 10 days before the effective date of insureds. cancellation if we cancel for nonpayment of premium or 2 20 days before the effective date of cancellation if we cancel for any other reason except we may cancel immediately if there has been A material misstatement or misrepresentation or b A failure to comply with the underwriting requirements established by the insurer. If we cancel this policy for any of these reasons we will mail or deliver to the first Named Insured written notice of cancellation accompanied by the reasons for cancellation at least a 10 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 of the other reasons stated in Paragraph 2.b. b. For More Than 90 Days If this policy has been in effect for more than 90 days we may cancel this policy only for one or more of the following reasons 1 Nonpayment of premium B. Paragraph 3. of the Cancellation Common Policy Condition is replaced by the following 3. We will mail or deliver our notice to the first Named Insured at the last mailing address known to us. CG 02200312 Insurance Services Office Inc. 2011 Page 10f 2 | 2 |
C. Paragraph 5. of the Cancellation Common Policy Condition is replaced by the following 5. If this policy is cancelled we will send the first Named Insured any premium refund due. If we cancel the refund will be pro rata. If the first Named Insured cancels the refund may be less than pro rata. If the return premium is not refunded with the notice of cancellation or when this policy is returned to us we will mail the refund within 15 working days after the date cancellation takes effect unless this is an audit policy. If this is an audit policy then subject to your full cooperation with us or our agent in securing the necessary data for audit we will return any premium refund due within 90 days of the date cancellation takes effect. If our audit is not completed within this time limitation then we shall accept your own audit and any premium refund due shall be mailed within 10 working days of receipt of your audit. The cancellation will be effective even if we have not made or offered a refund. D. 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 to the first Named Insured written notice of nonrenewal accompanied by the reason for nonrenewal at least 45 days prior to the expiration of this policy. 2. Any notice of nonrenewal will be mailed or delivered to the first Named Insured at the last mailing address known to us. If notice is mailed proof of mailing will be sufficient proof of notice. Page 20f 2 Insurance Services Office Inc. 2011 CG 02200312 | 2 |
COMMERCIAL GENERAL LIABILITY CG33890513 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. KENTUCKY CHANGES YOUR RIGHT TO CLAIM INFORMATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART CLAIMS MADE VERSION Paragraph 10. Your Right To Claim And Occurrence Information of Section IV Commercial General Liability Conditions is replaced by the following 10. Your Right To Claim And Occurrence Information a. If we receive a written request from an insured or our agent we will provide that insured or agent the following information relating to this and any preceding general liability claims made Coverage Part we have issued to you during the previous five years 1 A list or other record of each occurrence not previously reported to any other insurer of which we were notified in accordance with Paragraph 2.a. of the Section IV Duties In The Event Of Occurrence Offense Claim Or Suit Condition. We will include the date and brief description of the occurrence if that information was in the notice we received. 2 A summary by policy year of payments made and amounts reserved stated separately under any applicable General Aggregate Limit and Products Completed Operations Aggregate Limit. Amounts reserved are based on our judgment. They are subject to change and should not be regarded as ultimate settlement values. The insured must not disclose this information to any claimant or any claimant s representative without our consent. We will provide this information to the insured or our agent within 20 days of receipt of the written request. We compile claim and occurrence information for our own business purposes and exercise reasonable care in doing so. In providing this information to the insured or our agent we make no representations or warranties to insureds insurers or others to whom this information is furnished by or on behalf of any insured. Any cancellation or nonrenewal of this Coverage Part will be effective even if we inadvertently provide inaccurate information.. If Paragraph a. does not apply and we cancel or elect not to renew this Coverage Part we will provide the first Named Insured shown in the Declarations the following information relating to this and any preceding general liability claims made Coverage Part we have issued to you during the previous three years 1 A list or other record of each occurrence not previously reported to any other insurer of which we were notified in accordance with Paragraph 2.a. of the Section IV Duties In The Event Of Occurrence Offense Claim Or Suit Condition. We will include the date and brief description of the occurrence if that information was in the notice we received. 2 A summary by policy year of payments made and amounts reserved stated separately under any applicable General Aggregate Limit and Products Completed Operations Aggregate Limit. Amounts reserved are based on our judgment. They are subject to change and should not be regarded as ultimate settlement values. CG 33890513 Insurance Services Office Inc. 2012 Page 10f 2 | 2 |
You must not disclose this information to any claimant or any claimant s representative without our consent. We will provide such information no later than 30 days before the date of policy termination. We compile claim and occurrence information for our own business purposes and exercise reasonable care in doing so. In providing this information to the first Named Insured we make no representations or warranties to insureds insurers or others to whom this information is furnished by or on behalf of any insured. Cancellation or nonrenewal will be effective even if we inadvertently provide inaccurate information. Insurance Services Office Inc. 2012 Page 20f 2 CG 33890513 | 2 |
Z ZURICH Expanded Occurrence Definition Hawaii Policy No. Eff. Date of Pol. Exp. Date of Pol. EH. Date of End. Addl. Prem THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part Solely with respect to any premises site or location in Hawaii the occurrence definition under the Definitions Section is replaced by the following Occurrence means an accident including continuous or repeated exposure to substantially the same general harmful conditions. Faulty workmanship in and of itself does not constitute an occurrence. But if the insured becomes legally obligated to pay damages because of property damage due to faulty workmanship performed 1. By you or on your behalf that causes property damage to property other than your work 2. On your behalf by a subcontractor that causes property damage to your work or any part of your work included in the products completed operations hazard or 3. By you that causes property damage to that part of your work that was performed on your behalf by a subcontractor then such property damage will be deemed to be caused by an occurrence but only if the property damage is unexpected or unintended from the standpoint of the insured. All other terms and conditions of this policy remain unchanged. U GL1464 B HI 0910 Page 1of 1 Includes copyrighted material of Insurance Services Office Inc. with its permission. | 2 |
Z ZURICH Deductible Endorsement Occurrence Policy No. Exp. Date of Pol. Eff. Date of End. Agency No. Addl. Prem. Return Prem. I S N N S THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Employee Benefits Liability Coverage Part It is agreed that the following deductible provisions are added to the policy as respects the Employee Benefit Li ability Coverage Part Deductible 1000 1. The deductible amount stated above shall be de ducted from the amount of all claims arising out of the same act error or omission. We shall be liable only for the difference between such deductible amount and the amount of insurance otherwise ap plicable on a per act error or omission basis. The Aggregate Limit will not be reduced by the appli cation of such deductible. The terms of this Coverage Part apply regardless of the application of the deductible amount. This in cludes those terms with respect to b. The insured s duties in the event of an act er sion or a claim or suit. We may pay any part or all of the deductible amount to effect settlement of any claim or suit. You shall promptly reimburse us for such part of the deductible amount as has been paid by us after we notify you of our action. The terms of this Coverage Part apply regardl the application of the deductible amount. This in cludes those terms with respect to a. Our rights and duties with respect to the de fense of suits and b. The insure n the event of an act er ror or omission or a claim or suit. We may pay any part or all of the deductible amount to effect settlement of any claim or suit. You shall promptly reimburse us for such part of the deductible amount as has been paid by us after we notify you of our action. U GL852 A CW 796 Page 1 of | 2 |
POLICY NUMBER GLO 5821847 01 POLICY NUMBER GLO 5821847 01 COMMERCIAL GENERAL LIABILITY CG 02241093 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EARLIER NOTICE OF CANCELLATION PROVIDED BY US This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Number of Days Notice 9 0 If no entry appears above information required to complete this Schedule will be shown in the Declarations as applicable to this endorsement. For any statutorily permitted reason other than nonpayment of premium the number of days required for notice of cancellation as provided in paragraph 2. of either the CANCELLATION Common Policy Condition or as amended by an applicable state cancellation endorsement is increased to the number of days shown in the Schedule above. CG 02241093 Copyright Insurance Services Office Inc. 1992 Page 10f 1 o | 2 |
COMMERCIAL GENERAL LIABILITY CG 04241093 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COVERAGE FOR INJURY TO LEASED WORKERS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART With respect to the Employer s Liability exclusion Section 1 only the definition of employeein the DEFINITIONS Section is replaced by the following Employee does not include a leased worker or a temporary worker. CG 04241093 Copyright Insurance Services Office Inc. 1992 Page 10f 1 m | 2 |
POLICY NUMBER GLO 5821847 01 POLICY NUMBER GLO 5821847 01 COMMERCIAL GENERAL LIABILITY CG 04371204 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ELECTRONIC DATALIABILITY This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Schedule Loss Of Electronic Data Limit 2000000 Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Exclusion 2.p. of Coverage A Bodily Injury And Property Damage Liabilityin Section Coverages is replaced by the following 2. Exclusions This insurance does not apply to p. 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 that does not result from physical in jury to tangible property. B. The following paragraph is added to Section Il Limits Of Insurance Subject to 5. above the Loss of Electronic Data Limit shown in the Schedule above is the most we will pay under Coverage A for property damage because of all loss of electronic data arising out of any one occurrence. C. The following definition is added to the Definitions Section Electronic data means information facts or pro grams stored as or on created or used on or transmitted to or from computer software includ ing systems and applications software hard or floppy disks CD ROMS tapes drives cells data processing devices or any other media which are used with electronically controlled equipment. D. For the purposes of the coverage provided by this endorsement the definition of Property Damage in the Definitions Section is replaced by the follow ing 17. Property damage means a. Physical injury to tangible property includ ing all resulting loss of use of that property. All such loss of use shall be deemed to oc cur at the time of the physical injury that caused it b. Loss of use of tangible property that is not physically injured. All such loss of use shall be deemed to occur at the time of the oc currence that caused it or c. Loss of loss of use of damage to corrup tion of inability to access or inability to properly manipulate electronic data result ing from physical injury to tangible prop erty. All such loss of electronic data shall be deemed to occur at the time of the oc currence that caused it. For the purposes of this insurance electronic data is not tangible property. CG 04371204 ISO Properties Inc. 2003 Page 10f 1 m | 2 |
POLICY NUMBER GLO 5821847 01 POLICY NUMBER GLO 5821847 01 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations Locations Of Covered Operations STP NUCLEAR OPERATING COMPANY Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by 1. Your acts or omissions or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insureds at the locations desig nated above. B. With respect to the insurance afforded to these additional insureds the following additional exclu sions apply This insurance does not apply to bodily injury or property damage occurring after 1. All work including materials parts or equip ment furnished in connection with such work on the project other than service maintenance or repairs to be performed by or on behalf of the additional insureds at the location of the covered operations has been completed or 2. That portion of your work out of which the injury or damage arises has been put to its in tended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a princi pal as a part of the same project. CG 20 10 07 04 ISO Properties Inc. 2004 Page 10f 1 m | 2 |
POLICY NUMBER GLO 5821847 01 POLICY NUMBER GLO 5821847 01 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations Locations Of Covered Operations CITY OF NEW YORK Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by 1. Your acts or omissions or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insureds at the locations desig nated above. B. With respect to the insurance afforded to these additional insureds the following additional exclu sions apply This insurance does not apply to bodily injury or property damage occurring after 1. All work including materials parts or equip ment furnished in connection with such work on the project other than service maintenance or repairs to be performed by or on behalf of the additional insureds at the location of the covered operations has been completed or 2. That portion of your work out of which the injury or damage arises has been put to its in tended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a princi pal as a part of the same project. CG 20 10 07 04 ISO Properties Inc. 2004 Page 10f 1 m | 2 |
POLICY NUMBER GLO 5821847 01 POLICY NUMBER GLO 5821847 01 COMMERCIAL GENERAL LIABILITY CG 201007 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations Locations Of Covered Operations Any person or organization that specifically CG 2010 by written contract or agreement. U GL1321 applies to any additional insured where the CG 2010 is not specifically required by written contract or agreement. Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by 1. Your acts or omissions or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insureds at the locations desig nated above. B. With respect to the insurance afforded to these additional insureds the following additional exclu sions apply This insurance does not apply to bodily injury or property damage occurring after 1. All work including materials parts or equip ment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional insureds at the loca tion of the covered operations has been com pleted or 2. That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. 1y person or organization that specifically G 2010 by written contract or agreement. GL1321 applies to any additional insured here the CG 2010 is not specifically required written contract or agreement. CG 201007 04 Copyright ISO Properties Inc. 2004 Page 1 of 1 UNIFORM | 2 |
POLICY NUMBER GLO 5821847 01 POLICY NUMBER GLO 5821847 01 COMMERCIAL GENERAL LIABILITY CG20110413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designation Of Premises Part Leased To You ANY PERSON OR ORGANIZATION WHEN REQUIRE BY WRITTEN CONTRACT OR AGREEMENT EXCEPT WHEN OTHERWISE COVERAGE BY WRAP UPS OR OTHER CONSOLIDATED INSURANCE PROGRAM Name Of Persons Or Organizations Additional Insured Additional Premium INCL. Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability arising out of the ownership maintenance or use of that part of the premises leased to you and shown in the Schedule and subject to the following additional exclusions This insurance does not apply to 1. Any occurrence which takes place after you cease to be a tenant in that premises. 2. Structural alterations new construction or demolition operations performed by or on behalf of the persons or organizations shown in the Schedule. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following is added to Section IIl Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG20110413 Insurance Services Office Inc. 2012 Page 10f 1 | 2 |
POLICY NUMBER GLO 5821847 01 POLICY NUMBER GLO 5821847 01 COMMERCIAL GENERAL LIABILITY CG20120413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision ANY STATE OR POLITICAL SUBDIVISION BUY ONLY WHEN SPECIFICALLY REQUIRED BY WRITTEN CONTRACT Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured any state or governmental agency or subdivision or political subdivision shown in the Schedule subject to the following provisions 1. This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. However a. The insurance afforded to such additional insured only applies to the extent permitted by law and b. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 2. This insurance does not apply to a. Bodily injury property damage or personal and advertising injury arising out of operations performed for the federal government state or municipality or b. Bodily injury or property damage included within the products completed operations hazard. B. With respect to the insurance afforded to these additional insureds the following is added to Section IIl Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. ANY STATE OR POLITICAL SUBDIVISION BUY ONLY WHEN SPECIFICALLY REQUIRED BY WRITTEN CONTRACT CG20120413 Insurance Services Office Inc. 2012 Page 10f 1 | 2 |
POLICY NUMBER GLO 5821847 01 POLICY NUMBER GLO 5821847 01 COMMERCIAL GENERAL LIABILITY CG 2026 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE 53589 Name Of Additional Insured Persons Or Organizations 1VILLAGE OF MOUNT HOREB WI AND STRAND ASSOCIATES INC138 EAST MAIN ST MOUNT HOREB WI 53572PROJECT140840 ELEVATED WATER TANK CONSTRUCTION 2STRAND ASSOCIATES INC. ITS OFFICERS DIRECTORS PARTNERS EMPLOYEES AGENTS CONSULTANTS SUBCONTRACTORS 910 WEST WINGRA DRIVE MADISON WI 53715 3CITY OF LANCASTER ITS OFFICERS DIRECTORS PARTNERS EMPLOYEES AGENTS CONSULTANTS SUBCONTRACTORS 206 SOUTH MADISON STREET LANCASTER WI 53813 4STOUGHTON UTILITIES ITS OFFICERS DIRECTORS PARTNERS EMPLOYEES AGENTS CONSULTANTS AND SUBCONSULTANTS 600 FOURTH STREET MADISON WI Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by your acts or omissions or the acts or omissions of those acting on your behalf 1. In the performance of your ongoing operations or 2. In connection with your premises owned by or rented to you. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following is added to Section Ill Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 2026 0413 Insurance Services Office Inc. 2012 Page 10of 1 Wolters Kluwer Financial Services Uniform Forms | 2 |
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