text stringlengths 1 8.07k | labels int64 0 2 |
|---|---|
Railroad General Liability Liberty N al. RONSHORE INSURANCE AlLiberty Mutual Company LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock In 175 Berkel Toll Free number 1 800 677 9163 nce Company hereinafter the Company DECLARATION EXTENSION SCHEDULE Schedule of forms and endorsements attached at issuance date Endorsement No. NSNS Form Name Declarations Commercial General Liability Coverage Form Occurrence Cancellation Non Renewal Endorsement Oklahoma Service of Suit Clause Oklahoma Additional Insured Designated Person or Organization Additional Insured Owners Lessees Or Contractors Automatic Status When Required In Construction Agreement With You Amendment Duties in the Event of an Occurrence Claim or Suit Common Policy Conditions Contractual Liability Railroads Deductible Liability Insurance Designated Construction Projects General Aggregate Limit Exclusion Asbestos Exclusion Contractors Professional Liability Exclusion Cross Suits Exclusion Employment Relared Practices Exclusion Fungi or Bacteria Exclusion Intellectual Property Rights Exclusion Joint Ventures Exclusion Known Injury or Loss Exclusion Lead Liability Exclusion Nuclear Energy Liability Named Insured Notice of Cancellation to Third Partics Premium Computation Minimum And Deposit Premium Minimum Earned Premium Form Number GL 1001 07 01 CG 00010413 LSI CNOO1 OK Ed. 10 14 SC2 0818 G 202604 13 G 20330413 CGL 1317 1007 CGL 1008 0103 CG 24171001 CG 03 000196 CG 25030509 CGL 1102 0103 CG 22790413 CGL 1105A 1004 CG 21471207 CG 21671204 CGL 1114 0103 CGL 1115 0103 CGL 1117 0103 CGL 1119 0103 CGL 1123 0103 CGL 1030 0203 CGL 1385 1210 CGL 1016 0506 ISR GL 5000 | 2 |
Railroad General Liability Liberty N al. RONSHORE INSURANCE AlLiberty Mutual Company Silica Or Silica Related Dust Exclusion Special Conditions for Subcontractors Endorsement Total Pollution Exclusion Endorsement Unintentional Errors and Omissions Waiver of Transfer of Rights of Recovery Against Others to Us War Liability Exclusion Stop Gap Employers Liability Coverage Broad Form Named Insured FEndorsement Bodily Injury Redefined Disclosure Terrorism Risk Insurance Act Cap on Losses from Certified Acts of Terrorism Sanction Limitation and Exclusion Clause CG 2196 03 05 CGL 1024 0506a CG 214909 99 CGL 1302 0107 CG 24 04 0509 CG 00621202 CGL 1203 1209 CGL 1386 0211 CGL 1325 1207 TRIA N004 0315 TRIA E002 0315 SL OFAC0419 1N GL 5000 | 2 |
Liberty AN Mutual. RONSHORE Railroad General Liability INSURANCE Aliberty MutualCompany LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafter the Company ENDORSEMENT NO. 1 Effective Date Policy Number Issued To June 20 2020 GLHV452159 7 Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CANCELLATION NON RENEWAL ENDORSEMENT OKLAHOMA Wherever used in this endorsement 1 Insurer means we us our or the Company as those terms are defined in the policy and 2 Named Insured means the first person or entity named on the declarations page and 3 Insureds means all persons or entities afforded coverage under the policy. Any cancellation non renewal or termination provisions in the policy are deleted in their cntirety and replaced with the following CANCELLATION AND NON RENEWAL A CANCELLATION 1. The Named Insured may cancel the policy at any time. To do so the Named Insured must return the policy to the Insurer or any of its authorized representatives indicating the cffective date of cancellation or provide a written notice to the Insurer stating when the cancellation is to be cffective. 2. Cancellation by the Insurer Afier this Policy has been in cffect more than forty five 45 business days it may only be canceled for onc of the following reasons a b. Nonpayment of premium Discovery of fraud or material misrepresentation in the procurement of the insurance or with respect to any claims submitted thereunder Discovery of willful or reckless acts or omissions on the part of the Named Insureds which increase any hazard insured against The occurrence of a change in the risk which substantially increases any hazard insured against afer insurance coverage has been issued o rencwed A violation of any local fire health or safety building or construction regulation or ordinance with respect to any insured property or the occupancy thereof which substantially increases any hazard insured against A determination by the Commissioner that the continuation of the Policy would place the insurer in violation of the Oklahoma insurance laws Conviction of the insured of a crime having as onc of its necessary clements an act increasing any hazard insured against o Loss of or substantial changes in applicable reinsurance. N LSI CNOOT OK Ed. 10 14 | 2 |
Railroad General Liability ibe KN Mutual. RONSHORE INSURANCE AlLiberty Mutual Company 3. The Insurer will mail notice of cancellation at least ten 10 days prior to the effective date of such cancellation. B. NON RENEWAL 1. The Insurer has the right to non rencw this policy effective on any policy anniversary date. All written notices of non renewal must be mailed to the Named Insured at the last address known to the Insurer at least forty five 45 days prior to the expiration date and shall provide a specific explanation of the reasons for non rencwal. If notice is given by mail said notice shall be deemed to have been given on the day that said notice is mailed. If notice is mailed less than forty five 45 days before expiration of the Policy coverage shall remain in cffect until forty five 45 days after the notice is mailed. Farned premium for any period of coverage that extends beyond the expiration date shall be considered pro rata based on the previous year s rate. The transfer of a policyholder between Insurers within the same insurance group is not a refusal to renew. In addition changing deductibles changes in premium. changes in the amount of insurance or reductions in policy limits or coverage are not refusals to rencw. Notice of nonrenewal shall not be required if the Insurer within the same insurance group has offered to issuc a renewal policy or if the Named Insured has obtained replacement coverage or has agreed in writing to obtain replacement coverage. If the Insurer provides the notice required by this subscction and thereafter the Insurer extends the policy for ninety 90 days or less an additional notice of nontencwal is not required with respect to the extension C. CONDITIONAL RENEWAL 1. The Insurer shall give to the Named Insured at the last address known to the Insurer written notice of premium increase change in deductible reduction in limits or coverage at least forty five 45 days prior to the expiration date of the policy. If the Insurer fails to provide such notice the premium deductible limits and coverage provided to the Named Insured prior to the change shall remain in cffect until notice is given or until the cffective date of replacement coverage obtained by the Named Insured whichever first occurs. If notice is given by mail said notice shall be deemed to have been given on the day said notice is mailed. If the Named Insured clects not to renew any carned premium for the period of extension of the terminated policy shall be calculated pro rata at the lower of the current or previous year s rate. If the Named Insured accepts the renewal the premium increase if any and other changes shall be cffective the day following the prior policy s expiration or anniversary date. Proof of mailing of notice of cancellation or of nontenewal or of premium or coverage changes to the Named Insured at the address shown in the policy shall be sufficient proof of notice. This subscction shall not apply to a Changes in a tate or plan filed with or approved by the Insurance Commissioner or filed pursuant to the property and Casualty Competitive Loss Cost Rating Act and applicable to an entire class of business or b. Changes based upon the altered nature of extent of the risk insured or c Changes in policy forms filed with or approved by the Insurance Commissioner and applicable to an entire class of busines All other terms and conditions of the Policy remain unchanged. N LSI CNOOT OK Ed. 10 14 | 2 |
Liberty N. Mutudl. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafter the Company ENDORSEMENT NO. 2 Effective Date June 20 2020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SERVICE OF SUIT CLAUSE OKLAHOMA This endorsement modifies insurance provided under the following ALL COVERAGE PARTS IN THIS POLICY The Liberty Surplus Insurance Corporation hereby appoints the Corporation Service Company 10300 Greenbriar Place OKlahoma City OK 73159 7653 as the agent of Liberty Surplus Insurance Corporation in and for the aforesaid State upon whom all lawful process may be served in any action suit or proceeding instituted in the State of Oklahoma against the Liberty Surplus Insurance Corporation arising out of the insurance policy to which this provision is attached. A copy of any process suit complaint or summons may be made upon the Office of the General Counsel North America Specialty Liberty Mutual Insurance C O Liberty Surplus Insurance Corporation 175 Berkeley Street Boston MA 02116. I SC2 0818 | 2 |
Liberty N. Mutudl. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafter the Company ENDORSEMENT NO. 3 Effective Date June 20 2020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations Any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy Any other person or organization you are requited to add as an additional insured under the contract or agreement described in the paragraph above. Information required to complete d hedule if not shown above will be shown in the Declarations. A Scction 1 T 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 o 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 applics 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 111 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 I CG 20260413 Insurance Services Office Inc | 2 |
Liberty N. N Mutual. RONSHORE Railroad General Liability INSURANCE Aliberty MutualCompany 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. I CG 20260413 Insurance Services Office Inc | 2 |
Liberty N. I Mutual. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafter the Company ENDORSEMENT NO. 4 Effective Date June 20 2020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Scction 11 Who Is An Insured is amended to include as an additional insured any person or organization for whom you ate performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. 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 for the additional insured. However the insurance afforded to such additional insurcd 1. Only applies to the extent permitted by law and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person s or organization s status as an additional insured under this endorsement ends when your operations for that additional insured are completed. B. With respect to the insurance afforded to these additional insureds the following additional exclusions apply This insurance does not apply to 1. Bodily injury property damage or personal and advertising injury arising out of the rendering of or the failure to render any professional architectural engincering or surveying services includin a The preparing approving or failing to prepare or approve maps shop drawings opinions reports surveys ficld orders change orders or drawings and specifications or b. Supervisory inspection architectural or engincering activitics. This exclusion applics even if the claims against any insured allege negligence or other wrongdoing in the supervision hiting employment training or monitoring of others by that insured if the occurrence which I CG 20330413 Insurance Services Office Inc. Insurance Services Office Inc. | 2 |
Liberty N. Mutudl. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company 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 engincering o surveying services. 2. Bodily injury or property damage occurring after a All work including materials parts or cquipment furnished in connection with such work on the project other than service maintenance or repairs to be performed by or on behalf of the additional insureds at the location of the covered operations has been completed or b. That portion of your work out of which the injury or damage arises has been put to 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. C. With respect to the insurance afforded to these additional insureds the following is added to Section III 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 you have entered into with the additional insured 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. I CG 20330413 Insurance Services Office Inc. | 2 |
Liberty N. N Mutual. RONSHORE Railroad General Liability INSURANCE Aliberty MutualCompany LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafter the Company ENDORSEMENT NO. 5 Effective Date June 202020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT DUTIES IN THE EVENT OF AN OCCURRENCE CLAIM OR SUIT In addition to your obligations under Section IV COMMERCIAL GENERAL LIABILITY CONDITIONS paragraph 2 Duties In The Event of Occurrence Offense Claim or Suit the following is added e Written notice of an occurrence or an offense which may result in a claim must be sent to Liberty Surplus Insurance Corporation Attn Casualty Claims 28 Liberty Street 5 Floor New York NY 10005 CasualtyClaimsironshore.com This endorsement does not change any other provision of the policy. N CGL 1317 1007 | 2 |
Liberty N. I Mutual. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafter the Company ENDORSEMENT NO. 6 Effective Date June 20 2020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMON POLICY CONDITIONS All Coverage Parts included in this policy are subject to the following conditions. A Cancellation 1. The first Named Insured shown in the Declarations may cancel this policy by mailing or delivering to us advance written notice of cancellation. 2. We may cancel this policy by mailing or delivering to the first Named Insured written notice of cancellation at least a. 10 days before the effective date of cancellation if we cancel for nonpayment of premium or b. 30 days before the effective date of cancellation if we cancel for any other reason. 3. We will mail or deliver our notice to the first Named Insured s last mailing address known to us. 4. Notice of cancellation will state the effective date of cancellation. The policy period will end on that date. 5. If this policy is cancelled we will send the first Named Insured any premium refund due. If we cancel the refund will be pro rata. If the first Named Insured cancels the refund may be less than pro rata. The cancellation will be effective even if we have not made or offered a refund. 6. If notice is mailed proof of mailing will be sufficient proof of notice. B. Changes This policy contains all the agreements between you and us concerning the insurance afforded. The first Named Insured shown in the Declarations is authorized to make changes in the terms of this policy with our consent. This policy s terms can be amended or waived only by endorsement issucd by us and made a part of this policy. C. Examination of Your Books and Records We may examine and audit your books and records as they relate to this policy at any time during the policy period and up to three years afterward. D. Inspections and Surveys N CGL 1008 0103 1. We have the right to | 2 |
ibe KN Mutual. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company 2. Make inspections and surveys at any time b. Give you reports on the conditions we find and c. Recommend changes. 2. We are not obligated to make any inspections sutveys repotts or recommendations and any such actions we do undertake relate only to insurability and the premiums to be charged. We do not make safety inspections. We do not undertake to perform the duty of any person or organization to provide for the health or safety of workers or the public. And we do not warrant that conditions a. Are safe or healthful or b Comply with laws regulations codes or standards. 3. Paragraphs 1. and 2. of this condition apply not only to us but also to any rating advisory rate service or similar organization which makes insurance inspections surveys reports or recommendations. 4. Paragraph 2. of this condition docs not apply to any inspections surveys reports or recommendations we may make relative to certification under state or municipal statute ordinances or regulations of boilers pressure vessls or clevators. Premiums The first Named Insured shown in the Declarations 1. Is responsible for the payment of all premiums and 2. Will be the payee for any return premiums we pay. Transfer of Your Rights And dutics Under This Policy Your rights and duties under this policy may not be transferred without our written consent except in the case of death of an individual named insured. If you die your rights and duties will be transferred to your legal representative but only while acting within the scope of dutics as your legal representative. Until your legal representative is appointed anyone having proper temporary custody of your property will have your rights and duties but only with respect to that property. I CGL 1008 0103 | 2 |
Liberty N. I Mutual. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafter the Company ENDORSEMENT NO. 7 Effective Date June 202020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTUAL LIABILITY RAILROADS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Scheduled Railroad Designated Job Site Per written contract Alls Jobs If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable o this endorsement. With respect to operations performed for or affecting a Scheduled Railroad at a Designated Job Site the definition of insured contract in the Definitions section is replaced by the following 9. Insured Contract means a A contract for a lease of premises. However that portion of the contract for a lease of premises that indemnifics any person or organization for damage by fire to premises while rented to you or temporarily occupied by you with permission of the owner is not an insured contract b. A sidetrack agreement c Any casement o license agreement d. An obligation as required by ordinance to indemnify a municipality except in connection with work for a municipality e An clevator 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. does not include that part of any contract or agreement That indemnifies an architect engincer or surveyor for injury or damage arising out of I CG 24171001 ISO Properties Inc. 2000 15O Propertics Inc. 2000 | 2 |
Liberty N. Mutudl. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company Prepating approving or failing to preparc or approve maps shop drawings opinions reports surveys ficld orders change orders or drawings and specifications or b Giving dircctions or instructions or failing to give them if that is the primary cause of the injury or damage Under which the insured if an architect engincer o surveyor assumes liability for an injury or damage arising out of the insurcd s rendering or failure to render professional services including those listed in Paragraph 1 above and supervisory inspection architectural or engincering activitics. 15O Propertics Inc. 2000 | 2 |
leerty N. I Mutudl. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafter the Company ENDORSEMENT NO. 8 Effective Date June 202020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DEDUCTIBLE LIABILITY INSURANCE This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Coverage Amount and Basis of Deductible PERCLAIM or PER OCCURRENCE Bodily Injury Liability 5000 OR Property Damage Liability OR Bodily Injury Liability andor Property Damage Liability Combincd If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable o this endorsement. APPLICATION OF ENDORSEMENT Enter below any limitations on the application of this endorsement. I no limitation is entered the deductibles apply to damages for all bodily injury and property damage however caused A Our obligation under the Bodily Injury Liability and Property Damage Liability Coverages to pay damages on your behalf applics only to the amount of damages in excess of any deductible amounts stated in the Schedule above as applicable to such coverages. B. You may select a deductible amount on cither a per claim or a per occurrence basis. Your selected deductible applics to the coverage option and to the basis of the deductible indicated by the placement of the deductible amount in the Schedule above. The deductible amount stated in the Schedule above applies as follows 1. PER CLAIM BASIS. If the deductible amount indicated in the Schedule above is on a per claim basis that deductible applics as follows a Under Bodily Injury Liability Coverage to all damages sustained by any one person because of bodily injury Amount and Basis of Deductible PER CLAIMor PER OCCURRENCE 5000 N CG 03000196 Insurance Services Office Inc. 1994 | 2 |
Liberty N. Mutudl. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company b. Under Property Damage Liability Coverage to all damages sustained by any one person because of property damage or c Under Bodily Injury Liability and or Property Damage Liability Coverage Combined to all damages sustained by any one person because of 1 Bodily injury 2 Property damage or 3 Bodily injury and property damage combined as the result of any one occurrence. If damages are claimed for care loss of services or death resulting at any time from bodily injury a separate deductible amount will be applied to cach person making a claim for such damages. With respect to property damage person includes an organization. 2. PER OCCURRENCE BASIS. If the deductible amount indicated in the Schedule above is on a per occurrence basis that deductible amount applies as follows a Under Bodily Injury Liability Coverage to all damages because of bodily injury b. Under Property Damage Liability Coverage o all damages because of property damage or c Under Bodily Injury Liability and or Property Damage Liability Coverage Combined to all damages because of 1 Bodily injury 2 Property damage or 3 Bodily injury and property damage combined as the result of any one occurrence regardless of the number of persons or organizations who sustain damages because of that occurrence. C. The terms of this insurance including those with respect to 1. Our right and duty to defend the insured against any suits secking those damages and 2. Your dutics in the event of an occurrence claim or suit apply irrespective of the application of the deductible amount. D. We may pay any part or all of the deductible amount to cffect settlement of any claim or suit and upon notification of the action taken you shall promptly reimburse us for such part of the deductible amount as has been paid by us. I CG 03000196 Insurance Services Office Inc. 1994 | 2 |
Liberty N. Mutudl. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafter the Company ENDORSEMENT NO. 9 Effective Date June 202020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECTS GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Projects On File with the Company Information required to complete this Schedule if not shown above will be shown in the Declarations. A For all sums which the insured becomes legally obligated to pay as damages caused by occurrences under Scction I Coverage A and for all medical expenses caused by accidents under Section I Coverage C which can be attributed only to ongoing operations at a single designated construction project shown in the Schedule above 1. A separate Designated Construction Project General Aggregate Limit applics to cach designated construction project and that limit is cqual to the amount of the General Aggregate Limit shown in the Declarations. 2. The Designated Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under Coverage A except damages because of bodily injury or property damage included in the products completed operations hazard and for medical expenses under Coverage C regardless of the number of a Insureds b. Claims made ot suits brought or c Persons or organizations making claims or bringing suits. 3. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Designated Construction Project General Ageregate Limit for that designated construction project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Designated Construction Project General Aggregate Limit for any other designated construction project shown in the Schedule above. N CG 25030509 18O Propertics Inc. | 2 |
Liberty N. S Mutual. RONSHORE Railroad General Liability INSURANCE Alibety Mutual Company 4. The limits shown in the Declarations for Each Occurrence Damage To Premises Rented To You and Medical Expense continue to apply. However instead of being subject to the General Aggregate Limit shown in the Declarations such limits will be subject to the applicable Designated Construction Project General Aggregate Limit. B. For all sums which the insured becomes legally obligated to pay as damages caused by occurrences under Scction I Coverage A and for all medical expenses caused by accidents under Section I Coverage C which can not be attributed only to ongoing operations at a single designated construction project shown in the Schedule above 1. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products completed Operations Aggregate Limit whichever is applicable and 2. Such payments shall not reduce any Designated Construction Project General Aggregate Limit. C. When coverage for liability arising out of the products completed operations hazard is provided any payments for damages because of bodily injury or property damage included in the products completed operations hazard will reduce the Products completed Operations Aggregate Limit and not reduce the General Aggregate Limit nor the Designated Construction Project General Aggregate Limit. D. If the applicable designated construction project has been abandoned delayed or abandoned and then restarted o if the authorized contracting partics deviate from plans blucprints designs specifications or timetables the project will still be deemed to be the same construction project. E. The provisions of Section I11 Limits Of Insurance not otherwise modified by this endorsement shall continuc to apply as stipulated. 1N CG 25030509 18O Propertics Inc. | 2 |
Liberty N. Mutudl. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafter the Company ENDORSEMENT NO. 10 Effective Date June 20 2020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION ASBESTOS This policy does not apply to bodily injury property damage or personal and advertising injury arising out of or related in any way cither dircctly or indirectly to 1. asbestos asbestos products asbestos containing materials or products asbestos fibers or asbestos dust including but not limited to manufacture mining use sale installation removal o distribution activitics 2. exposure to testing for monitoring of cleaning up removing containing or treating of asbestos asbestos products asbestos containing materials or products asbestos fibers or asbestos dust or 3. any obligation to investigate scttle or defend o indemnify any person against any claim or suit arising out of or related in any way cither dircctly or indirectly to asbestos products asbestos containing materials or products asbestos fibers or asbestos dust. This endorsement does not change any other provision of the policy. I CGL 1102 0103 | 2 |
Liberty N. Mutudl. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafter the Company ENDORSEMENT NO. 11 Effective Date June 20 2020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION CONTRACTORS PROFESSIONAL LIABILITY This endorsement modifies insurance provided under the following 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 Paragraph 2. Exclusions of Scction I Coverage B Personal And Advertising Injury Liability 1. This insurance does not apply to bodily injury property damage or personal and advertising injury arising out of the rendering of or failure to render any professional services by you or on your behalf but only with respect to cither or both of the following operations a Providing engincering architectural or surveying services to others in your capacity as an engincer architect or surveyor and b. Providing or hiring independent professionals to provide engincering architectural or surveying services in connection with construction work you perform. This exclusion applics even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring cmployment 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 o failure to render any professional services by you or on your behalf with respect to the operations described above. 2. Subject to Paragtaph 3. below professional services include a Preparing approving or failing to preparc o approve maps shop drawings opinions reports surveys field orders change orders or drawings and specifications and b. Supervisory or inspection activities performed as part of any related architectural or engincering activitics. 3. Professional services do not include services within construction means methods techniques sequences and procedures employed by you in connection with your operations in your capacity as a construction contractor. I CG 22790413 Insurance Services Office Inc. | 2 |
Liberty 7N. Mutual. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafter the Company ENDORSEMENT NO. 12 Effective Date June 202020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION CROSS SUITS Itis hereby agreed that this insurance does not apply to Any claim or suit by or from any Named Insured covered under this policy against any other Named Insured covered under this policy. This endorsement does not change any other provision of the policy. I CGL 1105A 1004 | 2 |
Liberty AN Mutual. RONSHORE Railroad General Liability INSURANCE Aliberty MutualCompany LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafter the Company ENDORSEMENT NO. 13 Effective Date June 20 2020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EMPLOYMENT RELATED PRACTICES EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Al The following exclusion is added to Paragraph 2. Exclusions of Section I Coverage A Bodily Injury And Property Damage Liability This insurance does not apply to Bodily injury to A person arising out of any Refusal to employ that person Termination of that person s employment or Employment related practices policies acts or omissions such as coercion demotion evaluation reassignment discipline defamation harassment humiliation discrimination or malicious prosecution dirccted at that person or The spouse child parent brother or sister of that person as a consequence of bodily injury to that person at whom any of the employment related practices described in Patagraphs b or above is directed. This exclusion applics Whether the injury causing event described in Paragraphs 1 b or above occurs before employment during employment or after employment of that person Whether the insured may be liable as an employer or in any other capacity and To any obligation to share damages with or repay someone clse who must pay damages because of the injury. The following exclusion is added to Paragraph 2Exclusions of Section I Coverage B Personal And Advertising Injury Liability This insurance does not apply to Personal and advertising injury to N CG 21471207 18O Propertics Inc. | 2 |
Liberty N Mutual. RONSHORE Railroad General Liabiiy INSURANCE Aliberty Mutual Company I A person arising out of an Refusal to employ that person Termination of that person s employment or Employment related practices policies acts or omissions such as coercion demotion evaluation reassignment discipline defamation harassment humiliation discrimination or malicious prosecution dirccted at that person or The spouse child parent brother or sister of that person as a consequence of personal and advertising injury to that person at whom any of the employment related practices described in Paragraphs b or c above is dirccted. This exclusion applics Whether the injury causing event described in Paragraphs 3b or above occurs before employment during employment or after employment of that person Whether the insured may be liable as an employer or in any other capacity and To any obligation to share damages with o repay somcone clse who must pay damages because of the injury. I CG 21471207 18O Propertics Inc. | 2 |
Liberty N. Mutudl. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafter the Company ENDORSEMENT NO. 14 Effective Date June 20 2020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FUNGI OR BACTERIA EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A The following exclusion is added to Paragraph 2. Exclusions of Section I Coverage A Bodily Injury And Property Damage Liability 2. Exclusions This insurance does not apply to Fungi Or Bacteria a Bodily injury or property damage which would not have occurred in whole or in part but for the actual alleged or threatened inhalation of ingestion of contact with exposure to existence of or presence of any fungi or bacteria on or within a building or structure including its contents regardless of whether any other cause event material or product contributed concurrently or in any sequence to such injury or damage. b. Any loss cost or penses arising out of the abating testing for monitoring cleaning up removing containing treating detoxifying neutralizing remediating o disposing of or in any way responding to or assessing the cffects of fungi or bacteria by any insured or by any other person or entity. This exclusion does not apply to any fungi or bacteria that arc are on or are contained in a good or product intended for bodily consumption. B. The following exclusion is added to Paragraph 2. Exclusions of Section I Coverage B Personal And Advertising Injury Liability 2. Exclusions This insurance does not apply to Fungi Or Bacteria a Personal and advertising injury which would not have taken place in whole or in part but for the actual alleged or threatencd inhalation of ingestion of contact with exposure to existence of or presence of any fungi or bactetia on or within a building or structure N CG 21671204 18O Propertics Inc. | 2 |
ibe KN Mutual. RONSHORE INSURANCE AlLiberty Mutual Company Railroad General Liability including its contents regardless of whether any other cause event material or product contributed concurrently or in any sequence to such injury. b. Any loss cost or expense arising out of the abating testing for monitoring cleaning up removing containing treating detoxifying neutralizing remediating o disposing of o in any way responding to or assessing the cffects of fungi or bacteria by any insured or by any other person or entity. The following definition is added to the Definitions Section Fungi means any type or form of fungus including mold or mildew and any mycotoins spores scents or byproducts produced or released by fungi. I CG 21671204 18O Propertics Inc. | 2 |
Liberty N. Mutudl. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafter the Company ENDORSEMENT NO. 15 Effective Date June 202020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION INTELLECTUAL PROPERTY RIGHTS This insurance does not apply to Any bodily injury property damage or personal and advertising injury arising out of or dircctly or indirectly related to the actual or alleged publication or utterance or oral or written statements which are claimed as an infringement violation or defense of any of the following rights or laws 1. copyright other than infringement of copyrighted advertising materials 2. patent 3. trade secrets 4. trade dress or 5 trade mark or service mark or certification mark or collective matk or trade name other than trademarked or service marked titles or slogans. This endorsement does not change any other provision of the policy. I CGL 1114 0103 | 2 |
Liberty 7N. Mutual. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafter the Company ENDORSEMENT NO. 16 Effective Date June 202020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION JOINT VENTURES Itis hereby agreed that this insurance does not apply to any liability arising from any joint venture. This endorsement does not change any other provision of the policy. I CGL 11150103 | 2 |
Liberty N. Mutual. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafter the Company ENDORSEMENT NO. 17 Effective Date June 202020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION KNOWN INJURY OR LOSS This insurance does not apply to bodily injury property damage personal and advertising injury which began prior to the inception date of this policy and which is alleged to continue into the policy period. This exclusion applies whether or not 1 The damage ot its cause was known to any insured before the inception date of this policy 2 Repeated or continued exposure to conditions causing such bodily injury property damage or personal injury and advertising injury occurred during the policy period or caused additional or progressive bodily injury property damage or personal injury and advertising injury during the policy period or 3 The insured s legal obligation to pay damages was cstablished as of the inception date of this policy. 3 This endorsement does not change any other provision of the policy. I CGL 1117 0103 | 2 |
Liberty N. N Mutual. RONSHORE Railroad General Liability INSURANCE Aliberty MutualCompany LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafter the Company ENDORSEMENT NO. 18 Effective Date June 20 2020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION LEAD LIABILITY This insurance does not apply to 1 Bodily Injury Property Damage Personal and advertising injury arising out of resulting from or in any way caused by or related to any actual alleged or threatened ingestion inhalation absorption or exposute to lead in any form and from any source or 2 Any loss cost expens related to an ability or other type of obligation arising out of resulting from or in any way a Claim suit request demand directive or order by or on behalf of any person entity or governmental authority that any Insured or others test for monitor clean up remove contain treat detoxify neutralize or in any way respond to or assess the cffects of lead in any form from any source or to any b Claim or suit by or on behalf of any person entity or governmental authority for damages or any other relicf or remedy because of testing for monitoring cleaning up removing containing treating detoxifying or neutralizing or in any way responding to or assessing the effects of lead in any form. nan nan nan nan 2.0 b This endorsement does not change any other provision of the policy. I CGL 1119 0103 | 2 |
Liberty N. I Mutual. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafter the Company ENDORSEMENT NO. 19 Effective Date June 20 2020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION NUCLEAR ENERGY LIABILITY This endorsement changes the policy as follows This policy does not apply to A Any liability or loss costs 1. with respect to which any Insured under this policy is also an Insured under a nuclear energy liability policy issucd by Nuclear Encrgy Liability Insurance Association Mutual Atomic Encrgy Liability Underwriters Nuclear Insurance Association of Canada or any of their successors or 2. resulting from the hazardous propertics of nuclear material and with respect to which a a person or organization is required to maintain financial protection pursuant to the Atomic Energy Act of 1954 or any law amendatory thercof or b any Insured is o had this policy not been issued would be entitled to indemnity from the United States of America or any agency thereof under any agreement entered into by the United States of America or any agency thereof with any person or organization. B. Any injury or nuclear property damage resulting from the hazardous properties of nuclear material if 1. the nuclear material a isatany nuclear facility owned by or operated by or on behalf of any Insured or b has been discharged or dispersed therefrom 2. the nuclear material is contained in spent fucl or nuclear waste at any time possessed handled used processed stored transported o disposed of by or on behalf of any Insured or 3. the injury or nuclear property damage arises out of the furnishing by any Insured of services materials parts or cquipment in conncction with the planning construction maintenance operation or use of any nuclear facility but if such facility is located within the United States of America its territorics or possessions or Canada this Exclusion B3 applics only to nuclear property damage to such nuclear facility and any property thercin. As used in this Exclusion 1. Hazardous propertics include radioactive toxic or explosive propertics. N CGL 1123 0103 | 2 |
utual. SURANCE Railroad General Liability 7N IRONSHORE AlLiberty Mutual Company 2. clear facility means a any nuclear reactor. b any cquipment o device designed or used for 1 separating the isotopes of uranium or plutonium 2 processing or utilizing spent fucl or 3 handling processing or packaging nuclear wastc any equipment or device used for the processing fabricating or alloying of special nuclear material if at any time the total amount of such material in the custody of the insured at the premises where such cquipment or device is located consists of or contains more than 25 grams of plutonium or uranium 233 or any combination thercof or more than 250 grams of uranium 235 d any structure basin excavation premises or place prepated or used for the storage or disposal of nuclear waste and includes the site on which any of the foregoing is located all operations conducted on such site and all premises used for such operations 3. Nuclear material means source material special nuclear material or by product material special nuclear material or by product material. 4. Nuclear property damage includes all forms of radioactive contamination of property. 5 Nuclear reactor means any apparatus designed or used to sustain nuclear fission in a slf supporting chain reaction of to contain a critical mass of fissionable material. 6. Nuclear Waste means any nuclear waste material a containing by product material other than the tailings of nuclear wastes produced by the extraction o concentration of uranium or thorium from any ore processed primarily for its source material content and b resulting from the operation by any person or otganization of any nuclear facility included within the definition of nuclear facility under Paragraph 2a or 2b. 7. Source material special nuclear material and by product material have the meanings given them in the Atomic Encrgy Act of 1954 or in any law amendatory thercof. 8. Spent fucl means any fuel clement or fuel component solid or liquid which has been used or exposed to radiation in a nuclear reactor. nan nan nan nan 6.0 This endorsement does not change any other provision of the policy N CGL 1123 0103 | 2 |
Liberty 7N. Mutual. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafter the Company ENDORSEMENT NO. 20 Effective Date June 202020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NAMED INSURED Item 1. Named Insured is hereby amended on the Policy Declarations Page to include the following Freedom Railcar Solutions LLC The Freedom Rail Group LLC Freedom Corporate Services LLC and Freedom Railcar Solutions LLC dba Freedom Locomotive Solutions This endorsement does not change any other provision of the policy. I CGL 1030 0203 | 2 |
Liberty N. N Mutual. RONSHORE Railroad General Liability INSURANCE Aliberty MutualCompany LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafter the Company ENDORSEMENT NO. 21 Effective Date June 202020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO THIRD PARTIES This endorsement modifies insurance provided under the following A If we cancel this policy for any reason other than nonpayment of premium we will notify the persons or organizations shown in the Schedule below. In no event does the notice to the third party exceed the notice to the first named insurcd. B. This advance email notification of a pending cancellation of coverage s intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy. SCHEDULE Name of Other Persons Organizations Email Address or Mailing Address Number Days Notice Hess Corporation 1501 McKinney Street 30 Houston TX 77010 4010 This endorsement does not change any other provision of the policy. I CGL 1385 1210 | 2 |
Liberty N. Mutudl. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafter the Company ENDORSEMENT NO. 22 Effective Date June 20 2020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PREMIUM COMPUTATION ENDORSEMENT MINIMUM AND DEPOSIT PREMIUM MINIMUM EARNED PREMIUM The Deposit Premium is an estimated premium only. The final premium will be calculated according to the premium audit provision of this policy which is amended below. The Deposit Premium is calculated as follows Rate 10.86 Per 1000 of Revenue up to 2500000 In excess of 2500000 7.00 rate per 1000 of Revenue Estimated Exposure 2500000 Deposit Premium Rate times estimated Exposure 27150 TRIA Premium flat charge and not subject to audit 1358 Paragraph 5.b. of SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS is deleted and replaced with the following Premium shown on the Declarations page as Deposit Premium is an estimated premium only. At the close of cach audic period we will compute the carned premium for that period based upon the actual exposure provided by an auditor or by you. If the audited carned premium is greater than the Deposit Premium the difference between them is due and payable to us immediately upon notice to the first Named Insured. If the Deposit Premium and the audited carned premium is less than the Minimum Premium we will not return any premium. In the event the policy is cancelled prior to the expiration date shown in Item 2 of the Declarations Page or if amended via endorsement the applicable pro rata or short rate of the Deposit Premium plus any additional premium added via endorsement or audited carned premium will apply whichever is greater. If the policy is cancelled within 90 days of the cffective date listed on the Declarations Page we will retain no less than 25 of the applicable pro rata or short rate of the Deposit Premium or audited carned premium whichever is greater. If the insured has selected to purchase TRIA coverage a flat charge will apply. This amount is not auditable and will not affect cither the Deposit Premium or audited carned premium. In the case of cancellation the applicable pro rata or short ratc of the TRIA Premium will apply. N CGL 1016 0506 | 2 |
Libelty N 7 Mutudl. RONSHORE Railroad General Liability TINSURANCE Aliberty MutualCompany This endorsement does not change any other provision of the policy. CGL 1016 0506 | 2 |
Liberty N. I Mutual. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafter the Company ENDORSEMENT NO. 23 Effective Date June 20 2020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SILICA OR SILICA RELATED DUST EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A The following exclusion is added to Paragraph 2. Exclusions of Section I Coverage A Bodily Injury And Property Damage Liability 2. Exclusions This insurance does not apply to Silica Or Silica Related Dust a Bodily injury arising in whole or in part out of the actual alleged threatened o suspected inhalation of or ingestion of silica or silica rclated dust. b. Property damage arising in whole or in part out of the actual alleged threatencd or suspected contact with exposute to existence of or presence of silica or silica related dust. c Any loss cost or expense arising in whole of in part out of the abating testing for monitoring cleaning up removing containing treating detoxifying neutralizing remediating or disposing of or in any way responding to or assessing the cffects of silica or silica related dust by any insured or by any other person or entity. B. The following exclusion is added to Paragraph 2. Exclusions of Scction I Coverage B Personal And Advertising Injury Liability 2. Exclusions This insurance does not apply to Silica Or Silica Related Dust a Personal and advertising injury arising in whole or in part out of the actual alleged threatened or suspected inhalation of ingestion of contact with exposure to existence of or presence of silica or silica related dust. b. Any loss cost or expense arising in whole or in part out of the abating testing for monitoring cleaning up removing containing treating detoxifying neutralizing remediating N CG 2196 03 05 18O Propertics Inc. | 2 |
Liberty N. Mutudl. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company or disposing of or in any way responding to or assessing the cffects of silica or silica related dust by any insured or by any other person or entity. C. The following definitions are added to the Definitions Section 1. Silica means silicon dioxide occurring in crystalline amorphous and impure forms silica particles silica dust or silica compounds. 2. Silica related dust means a mixture or combination of silica and other dust or particles. I CG 2196 03 05 18O Propertics Inc. | 2 |
Liberty N. Mutudl. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafter the Company ENDORSEMENT NO. 24 Effective Date June 20 2020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SPECIAL CONDITIONS FOR SUBCONTRACTORS ENDORSEMENT As a condition precedent to an insured s coverage under this Policy for covered liability resulting from a subcontractor working on its behalf in addition to the terms and conditions of the Policy the insured must satisfy the additional requirements noted below 1 Certificates of insurance with limits of liability equal to or greater than those provided by this policy underwritten by an insurance company with at least an A VII Best rating as defined by A.M. Best will be obtained from all subcontractors prior to commencement of any work performed for the insured. Insurance must be maintained during the policy period listed on this policy s declaration page. Note If this policy provides a per location per project aggregate subcontractor policy must provide the sane. 2. The insured will obtain hold harmless or similar indemnity agreements from subcontractors indemnifying you against all losses for work performed for the insured by any and all subcontractors. 3. The insured will be named as Additional Insured on all subcontractors General Liability policies. Failure to comply with the above conditions will result in the following I a chaim is charged to this policy duc to a subcontractors operations an increased deductible or SIR whichever is listed on the Declarations page of this policy of 10000 will apply for any such losscs. Commercial General Liability coverage maintained by subcontractors shall be primary and this policy shall be excess of limits of liability of such insurance notwithstanding the language of the Other Insurance provisions of this policy. All other terms and conditions of this Policy remain unchanged. I CGL 1024 0506a | 2 |
Liberty N. Mutudl. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafter the Company ENDORSEMENT NO. 25 Effective Date June 202020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TOTAL POLLUTION EXCLUSION ENDORSEMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Exclusion. under Paragraph 2. Exclusions of Section I Coverage A Bodily Injury And Property Damage Liability is replaced by the following This insurance does not apply to Pollution Bodily injury or property damage which would not have occurred in whole or part but for the actual alleged o threatened discharge dispersal seepage migration release or escape of pollutants at any time. Any loss cost or expense arising out of any Request demand order or statutory or regulatory requirement that any insured or others test for monitor clean up remove contain treat detoxify or neutralize or in any way respond to or assess the cffects of pollutants or b 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 cffects of pollutants. I CG 21490999 Insurance Services Office Inc. 1998 | 2 |
Liberty 7N. Mutual. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafier the Company ENDORSEMENT NO. 26 Effective Date June 202020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. UNINTENTIONAL ERRORS AND OMISSIONS This endorsement modifies insurance provided under the following SECTION IV COMMERCIAL GENERAL LIABILITY PRODUCTS COMPLETED OPERATIONS LIABILITY CONDITIONS ITEM 6. Representations is changed to the following Itis agreed that failure of the Insured to disclose all hazards existing as of the inception or renewal date of this policy or ctrors or omissions in applications declarations schedules endorsements or other documents shall not prejudice the Insured with respect to the coverage afforded by this policy as long as such failure crrors or omissions are unintentional. This endorsement does not change any other provision of the policy. I CGL 1302 0107 | 2 |
Liberty N. Mutual. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafter the Company ENDORSEMENT NO. 27 Effective Date June 202020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization Any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person o organization be added as an additional insured on your policy Any other person or organization you are required to add as an additional insured under the contract or agreement described in the paragraph above. Information required to complete this Schedule if not shown above will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV Conditions We waive any right of recovery we may have against the person o organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations o your work done under a contract with that person or organization and included in the products completed operations hazard. This waiver applics only to the person or organization shown in the Schedule above. I 24040509 18O Propertics Inc. | 2 |
Liberty N. I Mutual. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafter the Company ENDORSEMENT NO. 28 Effective Date June 20 2020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAR LIABILITY EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Exclusion i. under Paragraph 2. Exclusions of Section I Coverage A Bodily Injury And Property Damage Liability is replaced by the following 2. Exclusions This insurance does not apply to i War Bodily injury or property damage however caused arising dircctly or indirectly out of 1 War including undeclared or civil war or 2 Warlike action by a military force including action in hindering or defending against an actual or expected attack by any government sovercign or other authority using military personnel or other agents or 3 Insurrection rebellion revolution usurped power or action taken by governmental authority in hindering or defending against any of these. B. The following exclusion is added to Paragraph 2. Exclusions of Section I Coverage B Personal And Advertising Injury Liability 2. Exclusions This insurance does not apply to WAR Personal and advertising injury however caused arising dircctly or indirectly out of a War including undeclared or civil war or b. Watlike action by a military force including action in hindering or defending against an actual or expected attack by any government sovereign or other authority using military personnel or other agents or N CG 00621202 | 2 |
Liberty N. N Mutual. RONSHORE Railroad General Liability INSURANCE Aliberty MutualCompany c Insurrection rebellion revolution usurped power or action taken by governmental authority in hindering or defending against any of these. c Exclusion h. under Paragraph 2. Exclusions of Section I Coverage C Medical Payments docs not apply. Medical payments duc to war are now subject to Exclusion g. of Paragraph 2. Exclusions of Section I Coverage C Medical Payments since bodily injury aising out of war is now excluded under Coverage A. I CG 00621202 | 2 |
Liberty 7N. Mutual. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafter the Company ENDORSEMENT NO. 29 Effective Date June 202020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. STOP GAP EMPLOYERS LIABILITY COVERAGE Bodily Injury by Accident Limit 2000000 Bodily Injury by Disease Limit 2000000 Bodily Injury by Disease Policy Limit 2000000 If no entry appears above the information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. A The following is added to Section I Coverages COVERAGE STOP GAP EMPLOYERS LIABILITY 1. Insuring Agreement. a. We will pay those sums that the insured becomes legally obligated by Washington Wyoming North Dakota Ohio Pucrto Rico or US. Virgin Islands Law to pay as damages because of bodily injury by accident or bodily injury by discase to your employee to which this insurance applics. We will have the right and duty to defend the insured against any suit sccking those damages. However we will have no duty to defend the insured against any suit sccking damages to which this insurance does not apply. We may at our discretion investigate any accident and settle any claim or suit that may result. But 1 The amount we will pay for damages is limited as described herein and 2 Our right and duty to defend end when we have used up the applicable limit of insurance in the payment of judgments or settlements under Coverage A Coverage B or this coverage. No other obligation o liability to pay sums o perform acts or services is covered unless explicitly provided for under Supplementary Payments. b. This insurance applics to bodily injury by accident or bodily injury by discase only if 1 The KN CGL 1203 1209 | 2 |
Liberty N. Mutudl. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company 2 Bodily injury by accident or bodil injury by disease takes place in the coverage territory jury by P g Y3 b Bodily injury by accident or bodily injury by discase arises out of and in the course of the injured employee s employment by you and Employee at the time of the injury was covered under a worker s compensation policy and subject to a workers compensation law of Washington Wyoming North Dakota Ohio Puctto Rico or USS. Virgin Islands and 2 The a Bodily injury by accident is caused by an accident that occurs during the policy period or b Bodily injury by discase is caused by or ageravated by conditions of employment by you and the injured cmployec s last day of last exposure to the conditions causing or aggravating such bodily injury by discase occurs during the policy period.. The damages we will pay where recovery is permitted by law include damages 1 For 2 Which you are liable to a third party by reason of a claim or suit against you by that third party to recover the damages claimed against such third party as a result of injury to your employee b Care and loss of services and Consequential bodily injury by accident or bodily injury by discase to a spouse child patent brother or sister of the injured employee provided that these damages are the direct consequence of bodily injury by accident or bodily injury by disease that atises out of and in the course of the injuted employee s employment by you and 2 Because of bodily injury by accident or bodily injury by disease to your employee that arises out of and in the course of employment claimed against you in a capacity other than as employer. 2. Exclusions This insurance does not apply to a. Intentional Injury Bodily injury by accident or bodily injury by discase intentionally caused or aggravated by you or bodily injury by accident or bodily injury by discase resulting from an act which is determined to have been committed by you if it was reasonable to believe that an injuty is substantially certain to occur. b. Fines Or Penalties Any assessment penalty or fine levied by any regulatory inspection agency or authority. c. Statutory Obligations Any obligation of the insured under a workers compensation disability benefits or unemployment compensation law or any similar law. KN CGL 1203 1209 | 2 |
Liberty N. I Mutual. RONSHORE Railroad General Liability INSURANCE Alibety Mutual Company d. Contractual Liability Liability assumed by you under any contract or agreement. c. Violation Of Law Bodily injury by accident or bodily injury by disease suffered or caused by any employee while employed in violation of law with your actual knowledge or the actual knowledge of any of your executive officers. f. Termination Coercion Or Discrimination Damages arising out of coercion criticism demotion evaluation reassignment discipline defamation harassment humiliation discrimination against or termination of any employec or arising out of other employment or personnel decisions concerning the insured. g Failure To Comply With Workers Compensation Law Bodily injury by accident or bodily injury by disease to an employee when you are 1 Deprived of common law defenses or 2 Otherwise subject to penalty because of your failure to secure your obligations or other failure to comply with any workers compensation law. h. Violation Of Age Laws Or Employment Of Minors Bodily injury by accident or bodily injury by disease suffered or caused by any person 1 Knowingly employed by you in violation of any law as to age or 2 Under the age of 14 years regardless of any such law. i. Federal Laws Any premium 1 The Federal Employer s Liability Act 45 USC Section 51 60 2 The Non appropriated Fund Instrumentalitics Act 5 USC Sections 8171 8173 3 The Longshore and Harbor Workers Compensation Act 33 USC Scctions 910 950 4 The Outer Continental Shelf Lands Act 43 USC Section 1331 1356 5 The Defense Base Act 42 USC Sections 1631 1654 6 The Federal Coal Mine Health and Safety Act of 1969 30 USC Sections 901 942 7 The Migrant and Scasonal Agricultural Worker Protection Act 29 USC Sections 1801 1872 ssment penalty fine benefit liability or other obligation imposed by or granted pursuant to 8 Any other workers compensation unemployment compensation or disability laws or any similar law or 9 Any subsequent amendments to the laws listed above. j. Crew Members Bodily injury by accident or bodily injury by discase to a master or member of the crew of any vessel or any member of the flying crew of an aircraft. KN CGL 1203 1209 | 2 |
Liberty N. I Mutual. RONSHORE Railroad General Liability INSURANCE Alibety Mutual Company B. The Supplementary Payments provisions apply to Coverage Stop Gap Employers Liability as well as to Coverages Aand B C. For the purposes of this endorsement Section 1 T Who Is An Insured is replaced by the following If you are designated in the Declarations as 1. An individual you and your spouse are insureds but only with respect to the conduct of a business of which you are the sole owner. 2. A partnership or joint venture you are an insured. Your members your partners and their spouses are also insureds but only with respect to the conduct of your business. 3. A limited liability company you are an insured. Your members ate also insureds but only with respect to the conduct of your business. Your managers arc insurcds but only with respect to their dutics as your managets. 4. An organization other than a partnership joint venture or limited liability company you are an insured. Your exccutive officers and dircctors are insureds but only with respect to their dutics as your officers or directors. Your stockholders are also insureds but only with respect to their liability as stockholders. 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. D. For the purposes of this endorsement Section 111 Limits Of Insurance is replaced by the following 1. The Limits of Insurance shown in the Schedule of this endorsement 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 chaims or bringing suits. 2. The Bodily Injury By Accident Each Accident Limit shown in the Schedule of this endorsement is the most we will pay for all damages covered by this insurance because of bodily injury by accident to one or more employees in any one accident. 3. The Bodily Injury By Discase Aggregate Limit shown in the Schedule of this endorsement s the most we will pay for all damages covered by this insurance and arising out of bodily injury by discase regardless of the number of cmployees who sustain bodily injury by discasc. 4. Subject to Paragraph D3 of this endorsement the Bodily Injury By Discase Each Employec Limit shown in the Schedule of this endorsement is the most we will pay for all damages because of bodily injury by discase to any one employee. 5. The General Aggregate Limit is the most we will pay for the sum of damages under Coverage A Coverage B and this coverage except damages because of injury and damage included in the products completed operations hazard. KN CGL 1203 1209 | 2 |
Liberty N. I Mutual. RONSHORE Railroad General Liability INSURANCE Alibety Mutual Company The limits of the coverage apply separately to cach 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. E. For the purposes of this endorsement Condition 2. Dutics In The Event Of Occurrence Claim Or Suit of the Conditions Section IV is deleted and replaced by the following 2. Duties The Event Of Injury Claim Suit a. You must sce to it that we or our agent are notified as soon as practicable of a bodily injury by accident or bodily injury by discase which may result in a claim. To the extent possible notice should include 1 How when and where the bodily injury by accident or bodily injury by discase took place 2 The names and addresses of any injured persons and witnesses and 3 The nature and location of any injury. b. If a claim is made or suit is brought against any insured you must 1 Immediately record the specifics of the claim or suit and the date reccived and 2 Notify us as soon as practicable. You must see to it that we reccive written notice of the claim or suit as soon as practicable.. You and any other involved insured must 1 Immediately send us copics of any demands notices summonses or legal papers received in connection with the injury claim proceeding or suit 2 Authorize us to obtain records and other information 3 Cooperate with us and assist us as we may request in the investigation or settlement of the claim or defense against the suit 4 Assist us upon our request in the enforcement of any right against any person or organization which may be liable to the insured because of injury to which this insurance may also apply and 5 Do nothing after an injury occurs that would interfere with our right to recover from others. 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. F. For the purposes of this endorsement Paragraph 4. of the Definitions Section is replaced by the following 4. Coverage erritory means a. The United States of America including its territorics 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 a. above or KN CGL 1203 1209 | 2 |
Liberty N. I Mutudl. RONSHORE Railroad General Liability INSURANCE Alibety Mutual Company c. All other parts of the world if the injury or damage arises out of the activitics of a person whose home s in the terriory described in a. above but who s away for a short time on your business provided the insured s responsibility to pay damages is determined in the United States including its territories and possessions Puctto Rico or Canada in a suit on the merits according to the substantive law in such territory or in a settlement we agree to. G. The following are added to the Definitions Section 1. Workers Compensation Law means the Workers Compensation Law and any Occupational Discase Law of Washington Wyoming North Dakota Ohio Puerto Rico or U.S. Virgin Islands. This does not include provisions of any law providing non occupational disability benefits 2. Bodily injury by accident means bodily injury sickness or discase sustained by a person including death resulting from an accident. A discase is not bodily injury by accident unless it results directly from bodily injury by accident. 3. Bodily injury by discase means a discase sustained by a person including death. Bodily injury by discase does not include a discase that results directly from an accident. H. For the purposes of this endorsement the definition of bodily injury docs not apply. All other terms conditions and exclusions of this Policy remain unchanged. KN CGL 1203 1209 | 2 |
Liberty N. Mutudl. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafter the Company ENDORSEMENT NO. 30 Effective Date June 202020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BROAD FORM NAMED INSURED ENDORSEMENT Itis agreed that Throughout this policy the words you and your refer to the Named Insured shown in the Declarations and any business entity incorporated or organized under the laws of the United States of Ametica including any State thereof its territorics or possessions or Canada including any Province thereof in which the Named Insured shown in the Declarations owns during the policy period an interest of more than 50 percent. If other valid and collectible insurance is available to any business entity covered by this policy solely by reason of ownership by the Named Insured shown in the Declarations in excess of 50 percent this insurance is excess over the other insurance whether primary excess contingent or any other basis. This endorsement does not change any other provision of the policy. I CGL 1386 0211 | 2 |
Liberty N. Mutual. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafter the Company ENDORSEMENT NO. 31 Effective Date June 202020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BODILY INJURY REDEFINED The definition of bodily injury in DEFINITIONS is amended as follows Bodily injury means physical injury physical sickness or physical discase sustained by any one person including death there from. Bodily injury does not include shock or emotional mental or psychological distress injury trauma or anguish or other similar condition unless such condition results solely and directly from prior physical injury physical sickness or physical discase otherwise covered under this insurance. This endorsement does not change any other provision of the policy. N CGL 1325 1207 | 2 |
Liberty AN Mutual. RONSHORE Railroad General Liability INSURANCE Aliberty MutualCompany LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafter the Company ENDORSEMENT NO. 32 Effective Date June 20 2020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM This endorsement modifies insurance provided under the above captioned policy. A Cap on Certified Act of Terrorism Losses Certified act of terrorism means an act that is certified by the Secretary of the Treasury in consultation with the Secretary of Homeland Security and the Attorney General of the United States to be an act of terrorism pursuant to the federal Terrorism Risk Insurance Act. The criteria contained in the Terrorism Risk Insurance Act for a certified act of terrorism include the following 1. The act resulted in insured losses in excess of 5 million in the aggregate attributable to all types of insurance subject to the Terrorism Risk Insurance Act and 2. The act is a violent act or an act that is dangerous to human life property or infrastructure and is committed by an individual or individuals as part of an cffort to cocrce the civilian population of the United States or o influence the policy or affect the conduct of the United States Government by coercion. If aggregate insured losses attributable to terrorist acts certified under the Terrorism Risk Insurance Act exceed 100 billion in a calendar year and we have met our insurer deductible under the Terrorism Risk Insurance Act we shall not be liable for the payment of any portion of the amount of such losses that exceeds 100 billion and in such casc insured losses up to that amount are subject to pro rata allocation in accordance with procedures established by the Secretary of the Treasury. Application of Exclusions The terms and limitations of any terrorism exclusion or the inapplicability or omission of a terrorism exclusion do not serve to create coverage for any loss which would otherwise be excluded under this Coverage Part or Policy. TRIA E002 0315 | 2 |
Liberty N. Mutudl. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafier the Company ENDORSEMENT NO. 33 Effective Date June 202020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DISCLOSURE TERRORISM RISK INSURANCE ACT THIS ENDORSEMENT IS MADE PART OF YOUR POLICY PURSUANT TO THE TERRORISM RISK INSURANCE ACT. In accordance with the Terrorism Risk Insurance Act including all amendments TRIA or the Act we are required to provide you with a notice of the portion of your premium attributable to coverage for certified acts of terrorism the federal share of payment of losses from such acts and the limitation or cap on our liability under the Act. Disclosure of Premium The Company has made available coverage for certified acts of terrorism as defined in the Act. If purchased the portion of your premium attributable to coverage for certified acts of terrorism is shown in the Declarations Declarations Extension Schedule or clsewhere by endorsement in your policy. Federal Participation In Payment Of Terrorism Losses If an individual insurer s losses from certified acts of terrorism exceed a deductible amount specified in the Act the federal government will reimburse the insurer for the Federal Share of losses paid in excess of the deductible but only if aggregate industry losses from such acts exceed the Program Trigger. The Federal Share and Program Trigger by calendar year are Calendar Year Federal Share Program Trigger 2015 85 100000000 2016 84 120000000 2017 83 140000000 2018 82 160000000 2019 81 180000000 2020 80 200000000 Cap On Insurer Participation In Payment Of Terrorism Losses If aggregate insured losses attributable to certified acts of terrorism exceed 100 billion in a calendar year and we have met our deductible under the Act we shall not be liable for the payment of any portion of the amount of such losses that exceeds 100 billion. Nor shall Treasury make any payment for any portion of the amount of such losses that exceeds 100 billion. In such case insured losses up to that amount are subject to pro rata allocation in accordance with procedures established by the Secretary of the Treasury. Program Trigger 100000000 120000000 140000000 160000000 180000000 200000000 r Year TRIA N004 0315 | 2 |
Liberty N. Mutual. RONSHORE Railroad General Liability INSURANCE Aliberty Mutal Company LIBERTY SURPLUS INSURANCE CORPORATION A New Hampshire Stock Insurance Company hereinafier the Company ENDORSEMENT NO. 34 Effective Date June 202020 Policy Number GLHV452159 7 Issued To Freedom Railcar Solutions LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SANCTION LIMITATION AND EXCLUSION CLAUSE No Insurer shall be deemed to provide cover and no Insurer shall be liable to pay any claim or provide any benefic hereunder to the extent that the provision of such cover payment of such chaim or provision of such benefit would expose that Insurer to any sanction prohibition or restriction under United Nations resolutions or the trade or cconomic sanctions laws or regulations of the Furopean Union United Kingdom or United States of America. All other terms conditions and exclusions of this policy remain unchanged. I SL OFAC0419 | 2 |
Liberty Mutual Group California Privacy Notice Liberty Mutual Group and its affiliates subsidiarics and partners collectively Liberty Mutual or we L us and our provide insurance to companies and other insurers. This Privacy Notice explains how we gather use and share your data. This Privacy Notice applics to you if you are a Liberty Mutual commercial line insured or are a commercial lin claimant residing in California. It docs not apply to covered employees or claimants under Workers Compensation policies. If this notice does not apply to you go to libertymutual.com privacy to review the applicable Liberty Mutual privacy notice. What Data Does Liberty Mutual Gather We may collect the following categorics of data e Identifiers including a real name alias postal address unique personal identificr online identifier Internet Protocol addre identificrs email address account name Social Security Number driver s license number or other similar e Personal information described in California Civil Code 1798.80c such as your name signature Social Security Number physical characteristics or description address telephone number driver s license or state identification card number insurance policy number education employment employment history bank account number financial information medical information or health insurance information e Protected classification characteristics including age race color national origin citizenship religion or creed marital status medical condition physical or mental disability sex including gender gender identity gender expression pregnancy or childbirth and related medical conditions sexual oricntation o veteran or military status e Commercial information including records of personal property products or services purchased obtained or considered or other purchasing or consuming histories and tendencics e Internct or other similar network activity including browsing history scarch history information on a consumer s interaction with a website application or advertisement e Professional or employment related information including current or past job history or performance cvaluations e Inferences drawn from other personal information such as a profile reflecting a person s preferences characteristics psychological trends predispositions behavior attitudes intelligence abilities and aptitudes e Risk data including data about your driving and or accident history this may include data from consumer reporting agencics such as your motor vehicle records and loss history information health data or criminal convictions and e Claims data including data about your previous and current claims which may include data regarding your health criminal convictions third party reports or other personal data. For information about the types of personal data we have collected about California consumers in the past twelve 12 months please go to libertymutual.comprivacy and click on the link for the California Supplemental Privacy Polic How We Get the Personal Data We gather your personal data directly from you. For example you provide us with data when you also gather your personal data from other people. For example ask about buy insurance or file a claim your insurance agent or broker pay your policy your employer association or business if you are insured through them visit our websites call us or visit our office our affiliates or other insurance companies about your transactions with them I Version 1.0 last updated October 13 2019 | 2 |
consumer reporting agencics Motor Vehicle Departments and inspection services to gather your credit history driving record chaims history or value and condition of your property other public directories and sources third partics including other insurers brokers and insurance support organizations who you have communicated with about your policy or claim anti fraud databases sanctions lists court judgments and other databases government agencics open clectoral register or in the event of a claim third partics including other partics to the claim witnesses experts loss adjustors and claim handlers other third partics who take out a policy with us and are required to provide your data such as when you are named as a beneficiary or where a family member has taken out a policy which requires your personal data For information about how we have collected personal data in the past twelve 12 months please go to libertymutual.comprivacy and click on the link for the California Supplemental Privacy Policy. How Does Liberty Mutual Use My Datai Liberty Mutual uses your data to provide you with our products and services and as otherwise provided in this Privacy Notice. Your data may be used to Business Purpose Data Categories Market sell and provide insurance. This includes for e Identificrs example o Personal Information o calculating your premium o Protected Classification Characteristics o determining your eligibility for a quote Commercial Information e confirming your identity and service your policy o Internet or other similar network activity o Professional or employment related information Inferences drawn from other personal information Risk data Claims data Manage your claim. This includes for example o Idenificrs. i o Personal Information o managing your claim if any B o Protected Classification Characteristics o conducting claims investigations 5O o Commercial Information o conducting medical examinations 5 o Internct o other similar network activity o conducting inspections appraisals. A Professional or employment related information e providing roadside assistance POy ot o Inferences drawn from other personal information Risk data Claims data e providing rental car replacement or repairs mation sification Characteristics formation et similar network activity r employment related information wn from other personal information ralidgt yyvuh WAantd AR AP o managing your claim if any o conducting claims investigations o conducting medical examinations o conducting inspections appraisals o providing roadside assistance e providing rental car replacement or repair mation sification Characteristics formation et similar network activity r employment related information wn from other personal information I Version 1.0 last updated October 13 2019 | 2 |
Day to Day Business and Insurance Operations. This. Identifiers includes for example Personal Information o creating maintaining customizing and sccuring Protected Classification Characteristics accounts Commercial Information o supporting day to day business and insurance Internet or other similar nerwork activity related functions Professional or employment related information e doing internal rescarch for technology development Inferences drawn from other personal information o marketing and creating products and services Risk data e conducting audits related to a current contact with a Claims data consumer and other transactions e asdescribed at or before the point of gathering personal data or with your authorization Security and Fraud Detection. This includes for example Identifiers o detecting security issues Personal Information o protecting against fraud or illegal activity and to Protected Classification Characteristics comply with regulatory and law enforcement Commercial Information authoritics Internet or other similar network activity o managing risk and securing our systems assets Professional or employment related information infrastructure and premises roadside assistance Inferences drawn from other personal information rental car replacement or repairs Risk data o help o ensure the safety and security of Liberty Claims data staff assets and resources which may include physical and virtual access controls and access rights management o supervisory controls and other monitoring and reviews as permitted by law and emergency and business continuity management Regulatory and Legal Requirements. example. This includes for controls and access rights management to evaluate or conduct a merger divestiture restructuring reorganization dissolution or other sale or transfer of some or all of Liberty s assets whether as a going concern or as part of bankruptcy liquidation or similar proceeding in which personal data held by Liberty is among the assets transferred exercis ing and defending our legal rights and positions to meet Liberty contract obligations to respond to law enforcement requests and as required by applicable law court order or governmental regulations as otherwise permitted by law. Identifiers Personal Information Protected Classification Characteristics Commercial Information Internet or other similar network activity Profes Inferences drawn from other personal information Risk data Claims data fonal or employment related information dacntncrs Personal Information Protected Classification Characteristics Commercial Information Internet or other similar network activity Professional or employment related information Inferences drawn from other personal information Risk data Claims data dacntncrs Personal Information Protected Classification Characteristics Commercial Information Internet or other similar network activity Professional or employment related information Inferences drawn from other personal information Risk data Claims data dacntncrs Personal Information Protected Classification Characteristics Commercial Information Internet or other similar network activity Professional or employment related information Inferences drawn from other personal information Risk data Claims data I tights and I Version 1.0 last updated October 13 2019 | 2 |
Improve Your Customer Experience and Our Products. This includes for example o improve your customer experience our products and service e to provide support personalize and develop our website products and services o creatc and offer new products and services Identifiers Personal Information Commercial Information Internet or other similar network activit Professional or employment related information Inferences drawn from other personal information Risk data Claims data Analytics to identify understand and manage our risks and products. This includes for example o conducting analytics to better identify understand and manage risk and our products Identifiers Personal Information Protected Classification Characteristics Commercial Information Internet or other similar network activity Professional or employment related information Inferences drawn from other personal information Risk data Claims data Customer service and technical support. This includes for example o answer questions and provide notifications o provide customer and technical support Identifiers Personal Information Commercial Information Internet or other similar network activity Professional or employment related information Inferences drawn from other personal information Risk data Claims data How Does Liberty Mutual Share My Data Liberty Mutual does not sell your personal data as defined by the California Consumer Privacy Act. Liberty Mutual shares personal data of California consumers with the following categorics of third partics e Liberty Mutual affiliates e Service Providers e Public cntitics and institutions c.g. regulatory quasi regulatory tax or other authoritics law cnforcement agencics courts arbitrational bodies and fraud prevention agencics e Professional advisors including law firms accountants auditors and tax advisors e Insurers re insurers policy holders and chimants and e As permitted by law. Liberty Mutual shares the following catcgories of personal data regarding California consumers to service providers for business purposes Identifiers Protected Classification Characteristics Internet or other similar network activity Inferences drawn from other personal information Personal Data Commercial Information Claims Data Risk Data Professional cmployment and education information For information about how we have shared personal information in the past twelve 12 months please libertymutual.com privacy and click on the link for the California Supplemental Privacy Policy. to mation formation et similar network activity r employment related information wn from other personal information mation sification Characteristics formation et similar network activity r employment related information wn from other personal information N I S mation formation et similar network activity r employment related information wn from other personal information o answer questions and provide notifications o provide customer and technical support ssification Characteristics her similar network activity awn from other personal information emblovment and eduication information I Version 1.0 last updated October 13 2019 | 2 |
What Privacy Rights Do I Havei The California Consumer Privacy Act provides California residents with specific rights regarding personal information. These rights arc subject to certain exceptions. Our response may be limited as permitted under law. Access or Deletion You may have the right to request that Liberty Mutual disclose certain information to you about our collection and use of your personal data in the twelve 12 months preceding such request including a copy of the personal data we have collected. You also may have the right to request that Liberty Mutual delete personal data that Liberty Mutual collected from you subject to certain exceptions. Specifically you have the right to request that we disclose the following to you in cach case for the twelve 12 month period preceding your request e the catcgories of personal data we have collected about you e the catcgories of sources from which the personal data was is collected our busines or commercial purpose for collecting personal data e the catcgories of third partics with whom we share personal data e the specific picces of data we have collected about you e the categorics of personal data about you if any that we have disclosed for monctary or other valuable consideration including the categorics of third partics to which we have disclosed the data by category or categories of personal data for cach third party to which we disclosed the personal data and e the catcgories of personal data about you that we disclosed for a business purpose. You can make a request by either Calling 800 344 0197 Online libertymutualgroup.comprivacypolicydatarequest Mai Liberty Mutual Insurance Company 175 Berkeley S 6th Floor Boston MA 02116 Attn Privacy Office You may also make a verifiable consumer request on behalf of your minor child. You or your authorized agent may only make a verifiable consumer request for access or data deletion twice within a twelve 12 month period. The verifiable consumer request must provide sufficient information that allows Liberty Mutual to reasonably verify that you are the person about whom Liberty Mutual collected personal data or an authorized representative of such person and describe your request with sufficient detail that allows Liberty Mutual to properly understand evaluate and respond to it. For more information about how Liberty Mutual will verify your identity and how an authorized agent may make a request on your behalf g0 to libertymutual.comprivacy and click on the California Supplemental Privacy Policy. Response Timing Liberty Mutual will respond to a verifiable consumer request within forty five 45 days of its receipt. If more time is needed Liberty Mutual will inform you of the reason and extension period in writing. Any disclosures that will be provided will only cover the twelve 12 month period preceding our receipt of the verifiable consumer request. If Liberty Mutual is unable to fulfill your request you will be provided with the reason that the request can not be completed. For more information about how we will respond to requests go to libertymutual.comprivacy and click on the California Supplemental Privacy Policy. Rights to opt in and out of data selling California consumers have the right to direct businesses not to sell your personal data opt out rights and personal data of minors under 16 years of age will not be sold as is their right without theis o their parents opt in consent. Liberty Mutual does not sell the personal data of consumers. For mote information go to libertymutual.comprivacy and click on the California Supplemental Privacy Policy. No account needed I Version 1.0 last updated October 13 2019 | 2 |
ou do not need to create an account with Liberty Mutual to exercise your rights. Liberty Mutual will only use personal data You d d h Liberty Mutual your ights. Liberty Mutual will only use p I d provided in a request to review and comply with the request. No discrimination You have the right not to be discriminated against for exercising any of your CCPA rights. Unless permitted by the CCPA exercising your rights will not cause Liberty Mutual to e Deny you goods or services e Charge you different prices or rates for goods or services including through granting discounts or other benefits o imposing penaltics e Provide you a different level or quality of goods or services or o Suggest that may receive a different price or rate for goods or services or a different level or quality of goods or services. Will Liberty Mutual Update This Privacy Notice Wi reserve the right to makes changes to this notice at any time and for any reason. The updated version of this policy will be effective once it is accessible. You are responsible for reviewing this policy to stay informed of any changes or updates. Who Do I Contact Regarding Privacy If you have any questions or comments about this Notice or the Supplemental CCPA Notice your rights or are requesting the Notice in an alternative format please do not hesitate to contact Liberty Mutual at Phone 800 344 0197 Email privacylibertymutual.com Postal Address Liberty Mutual Insurance Company 175 Berkeley St. 6th Floor Boston MA 02116 Attn Privacy Office I Version 1.0 last updated October 13 2019 | 2 |
Allied Insurance a Nationwide company On Your Side s s omoez AMERICAN FENCE COMPANY INC AMERICA S h 3301 N 35TH ST LINCOLN NE 68504 1559 PLEASE KEEP THIS FOR YOUR RECORDS We are pleased to serve your business insurance needs. Our company is committed to providing you high quality insurance protection and superior service. If you should have any questions about your insurance portfolio or if you wish to make a change to your policy please contact your agent. IMPORTANT INFORMATION ABOUT YOUR POLICY... Please spend a few minutes to read and understand your policy. Some items to which you should pay special attention are as follows e Special Required State Notices. These notices when included point out specific items concerning your policy. We urge you to read them. o Declarations Page. This shows such information as your name address the coverages provided the policy term policy limits list of coverage forms premium amounts and other individualized information. e Coverage and Endorsement Forms. This is the section of your policy WhIDh provides policy and coverage information. Please read it carefully. POLICY NUMBER BILLING ACCOUNT NUMBER ACP 72 0 6182500 915022723 Your Commercial Insurance Portfollo Courtesy of.. REEWED 2N ocT 03 0 LOCKTON AGENCY NE 11456 LOCKTON COMPANIES LLC 1015 N 98TH ST STE 101 OMAHA NE 68114 2357 AGENCY PHONE 402 970 6100 R DIRECT BILL 74EN 092613 INSURED Cupy ACP 7206182500 72 0000729 005819 0L dJV IDVIIVd TVIOUININOD 00 20 20 80408 0 BILLING. 9150227 LOCKTON COMPANIES LLC 1015 N 98TH ST STE 101 OMAHA NE 68114 2357 AGENCY PHONE 402 970 6100 AC DIRECT BILL 74EN nan nan nan nan 92613.0 | 2 |
Allied Insurance a Natlonwide company 0n Your Side B AMERICAN FENCE COMPANY INC AMERICA S 15225 INDUSTRIAL RD OMAHA NE 68144 3249 PLEASE KEEP THIS FOR YOUR RECORDS We are pleased to serve your business insurance needs. Our company is committed to providing you high quality insurance protection and superior service. If you should have any questions about your insurance portfolio or if you wish to make a change to your policy please contact your agent. IMPORTANT INFORMATION ABOUT YOUR POLICY.... Please spend a few minutes to read and understand your policy. Some items to which you should pay special attention are as follows Special Required State Notices. These notices when included point out specific items concerning your policy. We urge you to read them. Declarations Page. This shows such information as your name address the coverages provided the policy term policy limits list of coverage forms premium amounts and other individualized information. Coverage and Endorsement Forms. This is the section of your policy which provides policy and coverage information. Please read it carefully. POLICY NUMBER BILLING ACCOUNT NUMBER ACP 72 0 6182500 916022723 Your Commercial Insurance Portfolio Courtesy of AGENCY NE 11456 LOCKTON COMPANIES LLC 1015 N 98TH ST STE 101 OMAHA NE 68114 2357 AGENCY PHONE 402 970 6100 DIRECT BILL 74CA R 101713 INSURED COPY ACP 72 0 6182500 72 0000189 0052819 0 2. dJV IDVYMIVd TVIOUININOD 00 00 80408 BILLING 9150227 LOCKTON COMPANIES LLC 1015 N 98TH ST STE 101 OMAHA NE 68114 2357 AGENCY PHONE 402 970 6100 DIRECT BILL INSURED COPY 74CA R 101713 ACP 72 0 6182500 nan nan nan nan 72.0 189.0 | 2 |
Allied Insurance a Nationwide company On Your Side H kK kK IMPORTANT INSURANCE INFORMATION K k Kk ok ok IN 74 4203 07 Please read this Notice carefully. No coverage is provided by this notice nor can it be construed to replace any provision of your policy. You should read your policy and review your declarations page for complete information on the coverages you are provided. If there is any conflict between the policy and this notice the provisions of the policy shall prevail. CONSUMER REPORT INQUIRY NOTICE Consumer reports including credit history may have been ordered from a consumer reporting agency to underwrite andor rate your insurance policy. You have the right to access this information and request correction of any inaccuracies. Your consumer reports including your credit history are not affected in any way by our inquiry. We are committed to respecting your privacy and safeguarding your personal information. Page 10f 1 72 0000190 IN 74 4203 07 ACP 72 0 6182500 74CA R 13289 IN7442030700 0002 INSURED COPY | 2 |
Allied Insurance a Nationwide company On Your Side ALLIED COM PAK SUMMARY REPRINTED 10172013 1100 LOCUST ST DEPT 1100 DES MOINES IA 50391 2000 Number ACP 7206182500 Effective from 091972013 tooorerz01a Named Insured AMERICAN FENCE COMPANY INC AMERICA S FENCE STORE INC Mailing Address 15225 INDUSTRIAL RD OMAHA NE 68144 3249 26 11456 002 402970 6100 2 Agency Name LOCKTON COMPANIES LLC Agency Address OMAHA NE 68114 2357 Producer JACK H STRUYK JR Division Program omMmo oo COMMERCIAL GENERAL LIABILITY AMCO COMMERCIAL PROPERTY DEPOSITORS BUSINESS AUTO DEPOSITORS COMMERCIAL INLAND MARINE NATIONWIDE COMMERCIAL CRIMENATIONWIDE WORKERS COMPENSATION EMP. LIAB. AMCO COMMERCIAL UMBRELLA LIABILITY AMCO Total Premium 35357.00 20080.93 57199.00 3123.00 1647.00 365266.00 30576.00 INot a bill. Your bill is sent separately. lar Estimated Total Premium 513248.93 Fiis Com Fak 1 3 poriolia of individual policies which serves 1o combins arious insurance coverages writien undar a group of separate contracts ot insurance. EELO28 74CA R 2013289 INSURED COPY ACP 7206182500 72 00001 PAKSUM 01 08 bill. Your bill is sent separately. nan nan nan nan 72.0 191.0 ACP 7206182500 | 2 |
IN72390108 NOTICE OF TERRORISM INSURANCE COVERAGE NOTICE DISCLOSURE OF PREMIUM Applies to all Commercial Policies except for Farmowners Multiperil Business Auto Crime and Workers Compensation This disclosure notice does not Jrovide coverage and it does not replace any provisions of your policy. You should read your policy for complete information on the coverages you are provided. If there is any conflict between the policy and this notice the provisions of the policy shall prevail. Coverage for acts of terrorism is included in your policy. You are hereby notified that under the Terrorism Risk Insurance Act as amended in 2007 the definition of act of terrorism has changed. As defined in Section 1021 of the Act The term act of terrorism means any act that is certified by the Secretary of the Treasury in concurrence with the Secretary of State and the Attorney General of the United States to be an act of terrorism to be a violent act or an act that is dangerous to human life property or infrastructure to have resuited in damage within the United states or outside the United States in the case of certain air carriers or vessels or the premises of a United Sates mission and to have been committed by an individual or individuals as part of an effort to coerce the civilian population of the United Sates or to influence the policy or affect the conduct of the United States Government by coercion. Under your coverage any losses resulting from certified acts of terrorism may be partially reimbursed by the United States Government under a formula established by the Terrorism Risk Insurance Act as amended. However your policy may contain other exclusions which might affect your coverage such as an exclusion for nuclear events. Under the formula the United States Government generally reimburses 85 of covered terrorism losses exceeding the statutorily established deductible paid by the insurance company providing the coverage. The Terrorism Risk Insurance Act as amended contains a 100 billion cap that limits U.S. Government reimbursement as well as insurer s liability for losses resulting from certified acts of terrorism when the amount of such losses exceeds 100 billion in any one calendar year. If the aggregate insured losses for all insurers exceed 100 billion your coverage may be reduced. The portion of your annual premium that is attributable to coverage for acts of terrorism is 0 and does not include any charges for that portion of losses covered by the United States Government under the Act. IN 72390108 EELO28 Page 1of 1 72 0000192 74CA R 2013289 INSURED COPY ACP 7206182500 | 2 |
nan nan nan nan 11456.0 AMCO INSURANCE COMPANY 11456 1100 LOCUST ST DEPT 1100 DES MOINES IA 50391 2000 CHANGE OF DECLARATIONS ENDORSEMENT COMMERCIAL GENERAL LIABILITY Policy Number ACP GLAO7206182500 Named Insured AMERICAN FENCE COMPANY INC AMERICA S FENCE STORE INC Address SEE NAMED INSURED SCHEDULE 15225 INDUSTRIAL RD OMAHA NE 68144 Policy Period Covers From 091913 TO 091914 1201 A.M. Standard Time Effective Date of This Endorsement 091913 1201 A.M. Standard Time Agent LOCKTON COMPANIES LLC 26 11456 002 Address 1015 N 98TH ST STE 101 HA NE OMAI 68114 This policy is changed as follows OTHER xlxixiixxxxxuxnkxl HAZARD CHANGED FOOOBEOEO000OEBONNNNNK PREM. RATES ND DESCRIPTION BASIS OTHER PR CO GROSS SALES PER THOUSAND 001 FENCE DEALERS 12651 19315923 0.489 1.196 FOOOBHBHHOHHOBOONOOOOE. HAZARD CHANGED 3666606060000000ENENOOON000OE ITEM PREMIUM RATES NO DESCRIPTION BASIS OTHER PR CO ACRES PER ACRE 003 VACANT LAND 49451 1 0.829 0.000 PRODUCTSCOMPLETED OPERATIONS ARE IOEHHHHOHNNNNBNNVNOONN0 HAZARD CHANGED 366666666660800000000OE0NE ITEM PREMIUM RATES NO DESCRIPTION BASIS OTHER PR CO ACRES PER ACRE 004 VACANT LAND 49451 7 0.665 0.000 PRODUCTS COMPLETED OPERATIONS ARE FFOOOEOOHOOOOVOOO00 ENDORSEMENT CHANGES 16666060000GEEO000000ER X ITEM CG2010 0413 HAS BEEN ADDED A NEW COPY OF THIS FORM HAS BEEN PRINTED ADD TERRITORY OF 502 ADD CLASS CODE OF 49950 FORM CG2010 0413 VARIABLE INFORMATION HAS BEEN ADDED A NEW COPY OF THIS FORM HAS BEEN PRINTED FORM CG2010 0413 VARIABLE INFORMATION HAS BEEN ADDED A NEW COPY OF THIS FORM HAS BEEN PRINTED FORM CG2010 0413 VARIABLE INFORMATION HAS BEEN ADDED A NEW COPY OF THIS FORM HAS BEEN PRINTED ITEM CG2037 0413 HAS BEEN ADDED A NEW COPY OF THIS FORM HAS BEEN PRINTED ADD TERRITORY OF 502 ADD CLASS CODE OF 49950 THIS IS NOT A BILL SEE YOUR BILLING STATEMENT PREMIUMS CO nan nan nan nan 12651.0 GL AM EN 06 90 DIRECT BILL LLIB 13200 ACP GLAO 7206182500 915022723 72 0000193 INSURED COPY | 2 |
nan nan nan nan 11456.0 AMCO INSURANCE COMPANY 11456 1100 LOCUST ST DEPT 1100 DES MOINES IA 50391 2000 CHANGE OF DECLARATIONS ENDORSEMENT COMMERCIAL GENERAL LIABILITY Policy Number ACP GLAO7206182500 Named Insured AMERICAN FENCE COMPANY INC AMERICA S FENCE STORE INC Address SEE NAMED INSURED SCHEDULE 15225 INDUSTRIAL RD OMAHA NE 68144 Policy Period Covers From 091813 TO 091914 1201 A.M. Standard Time Effective Date of This Endorsement 091913 1201 A.M. Standard Time Agent LOCKTON COMPANIES LLC 26 11456 002 Address 1015 N 98TH ST STE 101 OMAHA NE 68114 This policy is changed as follows OAAA PREMIUMS OTHER PR CO R FORM CG2037 0413 VARIABLE INFORMATION HAS BEEN ADDED A NEW COPY OF THIS FORM HAS BEEN PRINTED FORM CG2037 0413 VARIABLE INFORMATION HAS BEEN ADDED A NEW COPY OF THIS FORM HAS BEEN PRINTED FBHHHOOHBHBHHNONRBBHHONNNNNE TOTAL 30668000000008080000000000N0BH0NE NO CHARGE THIS IS NOT A BILL SEE YOUR BILLING STATEMENT GL AM EN 06 90 DIRECT BILL LLIB 13280 INSURED COPY ACP GLAO 7206182500 915022723 72 0000194 | 2 |
POLICY NUMBER POLICY NUMBER COMMERCIAL GENERAL LIABILITY CG20100413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations M A MORTENSON CONSTRUCTION 700 MEADOW LANE N MINNEAPOLIS MN 55422 Locations Of Covered Operations ANY AND ALL PROJECTS Information required to complete this Schedule if not shown above will be shown in the Declarations. ACP GLAO7206182500 74EN 13200 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 injui roperty damage or personal and advertising injury caused in whole or in part by 1. Your acts or omissions or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insureds at the locations designated above. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and CG201004 13 Insurance Services Office Inc. 2012 INSURED COPY 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 thal which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following additional exclusions apply This insurance does not apply to bodily injury or property damage occuring after 1. Al work including materials parts or equipment furnished in connection with such work on the project other than service maintenance or repairs o be performed by or on behalf of the additional insureds at the location of the covered operations has been completed or Page 1 of 2 72 0000195 e s i A P iR N TRV TN 700 MEADOW LANE N MINNEAPOLIS MN 55422 AT AN Akl FWARW e | 2 |
CG 20100413 2. That portion of your work out of which the injury or damage arises has been put fo 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 C. With respect to the insurance afforded to these additional insureds the following is added to Section Hli Limits Of Insurance If coverage provided 1o 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 a 2. Available under the appli Insurance shown in the Decla whichever is less. This endorsement shall nof applicable Limits of Insurance Declarations. All terms and conditions apply unless modified by this endorsement. 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 ACP GLAQ7206182500 Insurance Services Office Inc. 2012 74N 13200 INSURED COPY G201004 13 72 0000196 | 2 |
POLICY NUMBER POLICY NUMBER COMMERCIAL GENERAL LIABILITY CG 20370413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations M A MORTENSON CONSTRUCTION 700 MEADOW LANE N MINNEAPOLIS MN 55422 Location and Description Of Completed Operations ANY AND ALL PROJECTS Information required to complete this Schedule if not shown above will be shown in the Declarations. required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury or property damage caused in whole or in part by your work at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the products completed operations hazard. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are additional insureds the following is added to Section Il Limits Of Insurance If coverage provided to the additional insured is required by a confract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contracl or agreement or 2. Available under 1the 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 terms and conditions apply unless modified by this endorsement. UCTION NY AND ALL PROJECTS CG 20370413 ACP GLAO7206182500 74EN 13290 Insurance Services Office Inc. 2012 INSURED COPY Page 1 of 1 72 0000197 | 2 |
DEPOSITORS INSURANCE COMPANY COMMERCIAL PROPERTY STATEMENT OF VALUES Coinsurance Percentage Applicable is 0J 90 X 100 Policy Number ACP CPPD 7206182500 Policy Period From 081913 To 091914 Named Insured AMERICAN FENCE COMPANY INC AMERICAAgent LOCKTON COMPANIES LLC Address OMAHA NE 68114 Blanket buildings contents and business income separately Loc. Bld. item Description Coverage Type Value Replacement Cost 1 1 1 PERSONAL PROPERTY 6592 YES 2 BUSINESS INCOME 10000 3 PERSONAL PROPERTY 125000 YES 2 1 1 BUILDING 620500 YES 2 PERSONAL PROPERTY 53045 YES 3 BUSINESS INCOME 40000 4 PERSONAL PROPERTY 125000 YES 3 1 1 PERSONAL PROPERTY 6592 YES 2 BUSINESS INCOME 25000 3 PERSONAL PROPERTY 125000 YES 4 1 1 BUILDING 2186217 YES 3 BUSINESS INCOME 150000 5 1 1 BUILDING 1202000 YES 2 PERSONAL PROPERTY 79310 YES 3 BUSINESS INCOME 50000 4 PERSONAL PROPERTY 125000 YES 2 1 BUILDING 16480 YES 6 1 1 BUILDING 2258340 YES 7 1 1 BUILDING 668367 YES 2 PERSONAL PROPERTY 100000 YES 3 PERSONAL PROPERTY 125000 YES 2 1 BUILDING 4125 YES 8 1 1 BUILDING 2200000 YES 2 PERSONAL PROPERTY 276761 YES 3 BUSINESS INCOME 100000 4 PERSONAL PROPERTY 525000 YES 9 1 1 BUILDING 100000 YES 2 1 BUILDING 170000 YES 2 PERSONAL PROPERTY 62500 YES 3 1 BUILDING 240000 YES 2 PERSONAL PROPERTY 62500 YES nan nan nan nan 68114.0 The values shown on this statement of values may be different from the actual limits of insurance applicable. Please refer to the Commercial Property Schedule. These values and sheets attached are correct to the best of my knowledge and belief. Signed By Date Insured Signed By CP SV 05 94 Date Agent IRECT BILL 74KS 13268 RETURN COPY ACP CPPD 7206182500 915022723 72 0000728 CP SV 05 94 DIRECT BILL 74KS 13268 | 2 |
Allied Insurance aNationwide company On Your Side K k Kk ok k IMPORTANT INSURANCE INFORMATION K k ok Kk k IN 74 42 03 07 Please read this Notice carefully. No coverage is provided by this notice nor can it be construed to replace any provision of your policy. You should read your policy and review your declarations page for complete information on the coverages you are provided. If there is any conflict between the policy and this notice the provisions of the policy shall prevail. CONSUMER REPORT INQUIRY NOTICE Consumer reports including credit history may have been ordered from a consumer reporting agency to underwrite andor rate your insurance policy. You have the right to access this information and request correction of any inaccuracies. Your consumer reports including your credit history are not affected in any way by our inquiry. We are committed to respecting your privacy and safeguarding your personal information. IN 74 4203 07 ACP 720 6182500 74EN 13268 Page 10f 1 72 0000730 INSURED COPY IN7442030700 0002 | 2 |
Workers Compensation Rights and Responibilities Your employer is subject to the Kansas Workers Compensation Law which provides compensation for job related injuries. This notice applies to dates of accidents on or after May 15 2011. This notice must be posted and maintained by the employer in one or more conspicuous places. WHAT TO DO IF AN INJURY OCCURS ON THE JOB NOTIFY YOUR EMPLOYER IMMEDIATELY. Per K.S.A. 44 520. a claim may be denied if an employee fails to notify their employer within the earliest of the following dates A 30 calendar days from the date of accident or the date of injury by repetitive trauma B if the employee is working for the employer against whom benefits are being sought and such employee seeks medical treatment for any injury by accident or repetitive trauma 20 calendar days from the date such medical treatment is sought or C if the employee no longer works for the employer against whom benefits are being sought 20 calendar days after the employee s last day of actual work for the employer. Notice may be given orally or in writing. Where nofice is provided orally if the employer has designated an individual or department to whom notice must be given and such designation has been communicated in writing to the employee notice to any other individual or department shall be insufficient under this section. If the employer has not designated an individual or department to whom notice must be given notice must be provided to a supervisor or manager. Where notice is provided in writing notice must be sent to a supervisor or manager at the employee s principal location of employment. The notice whether provided orally or in writing shall include the time date place person injured and particulars of such injury. It must be apparent from the content of the notice that the employee is claiming benefits under the workers. compensation act or has suffered a work related injury. BENEFITS. Benefits are paid by the employer s insurance carrier or self insurance program. Benefits include medical treatment partial wage replacement for lost time and if the injury results in permanent disability. for additional benefits. An employer is required to fumish all necessary medical treatment and has the right to designate the treating physician. If the employee seeks treatment from a doctor not authorized by the employer the employer or its insurance carrier is only Hable up to 500.00 dollars for the unauthorized medical treatment. QUE HACER SI UNA LESION OCURRE EN EL TRABAJO NOTIFIQUE A SUEMPLEADOR INMEDIATAMENTE. De acuerdo con el articulo de ley K.S.A. 44 520 un reclamo puede ser negado si el empleado no notifica a su empleador dentro de antes de las siguientes fechas A 30 dias a partir de la fecha del accidente o la fecha de la lesion debido a trauma por movimientos repetitivos B si el empleado estd trabajando con el empleador en contra del cual se estin buscando beneficios y dicho empleado busca tratamiento mdico por cualquier lesin por accidente o trauma repetitiva. 20 dias a partir de la fecha que dicho tratamiento mdico ha sido obtenido o C si el empleado ya no trabaja para el empleador en contra del cual se estan buscando beneficios 20 dias despus del iiltimo dia de trabajo para dicho empleador. Fl aviso puede darse oralmente o por escrito. Donde el aviso se da oralmente si el empleador ha designado un individuo o departamento a quien el aviso se debe dar y tal designacin ha sido comunicada por escrito al empleado aviso a cualquier ofro individuo o departamento deber ser insuficiente bajo esta seccion. Si el empleador no ha designado a un individuo o departamento a quien se debe dar el aviso el aviso puede darse a un supervisor o gerente. Donde el aviso se hace por escrito el aviso debe ser enviado aun supervisor o gerente de la oficina principal de empleo del trabajador. El aviso sea que se haga oralmente o por escrito debe incluir la hora fecha lugar persona lesionada y detalles de tal lesin. Debe ser visible a partir del contenido del aviso que el empleado esta reclamando beneficios bajo la ley de compensacion del trabajador o que ha sufrido una lesion relacionada con el trabajo. BENEFICIOS. Los beneficios son pagados por la compaiia aseguradora del empleador o programa de seguro propio. Los beneficios incluyen tratamiento mdico reemplazo de sueldo parcial por tiempo perdido y si la lesion resulta en incapacidad permanente para beneficios adicionales. El empleador debe proporcionar todo el tratamiento mdico necesario y tiene el derecho de designar el doctor para dicho tratamiento. Si el empleado busca tratamiento con un doctor que no ha sido autorizado por el empleador el empleador o su compafiia aseguradora seran responsables de pagar solamente los primeros 500.00 dlares para tratamiento mdico no autorizado. WHERE TO GET HELP WITH YOUR CLAIM DONDE CONSEGUIR AYUDA CON SU RECLAMO Employer s Insurance Carrier Compafifa Aseguradora del Empleador Telephone Telfono de 1a Aseguradora Address Direccion de 1a Aseguradora For questions about Workers Compensation Law contact Para preguntas acerca de la Ley de Compensacion del Trabajador KANSAS DEPARTMENT OF LABOR Division of Workers Compensation Ombudsman 401 SW Topeka Blvd. Suite 2 Topeka KS 66603 3105 Website www.dol.ks.govwcabout.html Email wcdolks.gov Phone 800 332 0353 or 785 296 4000 Persons with impaired hearing or speech utilizing a telecommunications device may access the above numbers by using the Kansas Relay Center at 800 766 3777. www.dol.ks.gov KANSAS DEPARTMENT OF LABOR K WC 40 Rev. 6 12 nan nan nan nan 3105.0 | 2 |
DEPARTMENTO LABORAL DE KANSAS www.dol.k.gov INFORMACION PARA TRABAJADORES LESIONADOS K WC 270 A Revisado 4 13 Pagina 1 de 2 ESTE AVISO APLICA A FECHAS DE ACCIDENTE A PARTIR O DESPUES DE ABRIL 25 2013 Empleadores son requeridos de proveer sta informacin a cada trabajador que se lesiona QUE HACER SI LE SUCEDE UN ACCIDENTE EN EL TRABAJO Si tiene preguntas acerca de beneficios de compensacion del trabajador contacte la unidad mencionada al final de pagina. Asistencia en Espafiol esta disponible. 1 NOTIFIQUE A SU EMPLEADOR INMEDIATAMENTE De acuerdo con el articulo de la ley K.S.A. 44 520 un reclamo puede ser negado si el empleado no notifica a su empleador antes de las siguientes fechas A 20 dias a partir de la fecha del accidente o la fecha de la lesion debido a trauma por movimientos repetitivos B si el empleado esta trabajando con el empleador en contra del cual se estan buscando beneficios y dicho empleado busca tratamiento mdico por cualquier lesion por accidente o trauma repetitiva 20 dias a partir de la fecha que dicho tratamiento mdico ha sido obtenido o C si el empleado ya no trabaja para el empleador en contra del cual se estan buscando beneficios 10 dias despus del ultimo dia de trabajo para dicho empleador. El aviso puede darse oralmente o por escrito. Donde el aviso se da oralmente si el empleador ha designado un individuo o departamento a quien el aviso se debe dar y tal designaci6n ha sido comunicada por escrito al empleado aviso a cualquier otro individuo o departamento deberd ser insuficiente bajo esta seccion. Si el empleador no ha designado a un individuo o departamento a quien se debe dar el aviso el aviso puede darse a un supervisor o gerente. Donde el aviso se hace por escrito el aviso debe ser enviado a un supervisor o gerente de la oficina principal de empleo del trabajador. El aviso sea que se haga oralmente o por escrito debe incluir la hora fecha lugar persona lesionada y detalles de tal lesion. Debe ser visible a partir del contenido del aviso que el empleado esta reclamando beneficios bajo la ley de compensacion del trabajador o que ha sufrido una lesin relacionada con el trabajo. 2 SIGA LAS INSTUCCIONES DE SU EMPLEADOR para conseguir ayuda mdica y siga las instrucciones del doctor. 3 BENEFICIOS MEDICOS El trabajador lastimado tiene derecho a todo servicio mdico razonablemente necesario para curar y aliviar al trabajador de los efectos de la lesion. El empleador tiene el derecho de seleccionar el doctor quien dara el tratamiento necesario. El trabajador tiene derecho de escoger los servicios de otro doctor no autorizado hasta llegar al limite de 500.00 dlares. El trabajador puede solicitar al Director de Compensacion de Trabajadores el cambio del doctor autorizado. Los gastos incurridos en viajes hechos para obtener tratamiento mdico seran reembolsados segilin sean estipulados por ley por viajes que incluyen mas de cinco millas viaje redondo. 4 BENEFICIOS SEMANALES Los beneficios son pagados por la compaiiia aseguradora del empleador o programa de seguro propio. Los trabajadores lesionados no tienen derecho a compensacion por la primera semana a menos que estn sin trabajar tres semanas consecutivas. DIVISION OF WORKERS COMPENSATION OMBUDSMAN CLAIMS ADVISORY UNIT 401 SW Topeka Bivd. Ste. 2 Topeka KS 66603 3105 Phone 785 296 4000 800 332 0353 Fax 785 296 0025 | 2 |
Departmento Laboral de Kansas Informacion para Trabajadores Lesionados K WC 270 A Revisado 4 13 Pagina 2 de 2 El primer pago de compensacion normalmente se vence al fin de los 14 dias de estar sin trabajar. Un trabajador lesionado tiene derecho a una cantidad semanal de 66 23 por ciento de su sueldo promedio semanal hasta un maximo de 75 por ciento del sueldo promedio semanal del estado. Estos beneficios estan sujetos a cambios por la legislatura. Si la lesion resulta en incapacidad permanente la ley del Estado de Kansas para Compensacion de Trabajadores provee beneficios adicionales. RESPONSABILIDADES DEL EMPLEADOR El empleador debe reportar cada accidente de los trabajadores a la Division of Compensacin de Trabajadores dentro de 28 dias de la fecha del accidente o de la fecha en que el empleador se haya dado cuenta del accidente cuando el trabajador est completa o parcialmente incapacitado por lo que resta del dia o del turno. Los empleadores deben suministrar el pago de los reclamos sin costo a los empleados. Los empleadores deben exhibir un Aviso de Compensacion al trabajador preparado por el Director. Los empleadores deben pagar beneficios de compensacion sin importar la cobertura de seguro. Tan pronto como se reciba el aviso de una lesion el empleador debe proveer informacin por escrito para ayudar al trabajador lesionado a entender sus derechos y responsabilidades al obtener compensacion. EMPLEADORES DEBEN COMPLETAR LA SIGUIENTE INFORMACION PARA LOS TRABAJADORES LESIONADOS SU RECLAMO SERA MANEJADO POR Compaiiia Direccin Persona de Contacto Telfono Correo electronico DIVISION OF WORKERS COMPENSATION OMBUDSMAN CLAIMS ADVISORY UNIT 401 SW Topeka Blvd. Ste. 2 Topeka KS 66603 3105 Phone 785 296 4000 800 332 0353 Fax 785 296 0025 | 2 |
KANSAS DEPARTMENT OF LABOR Page 10f 2 www.dol.ks.gov INFORMATION FOR INJURED EMPLOYEES K WC 27 A Rev. 4 13 THIS NOTICE APPLIES TO ACCIDENTS ON OR AFTER APRIL 25 2013 Employers are required to provide this information to each injured worker WHAT TO DO IF AN INJURY OCCURS ON THE JOB If you have any questions about workers compensation benefits contact the Division of Workers Compensation at the phone number at the bottom of the page. Assistance in Spanish is available. 1 NOTIFY YOUR EMPLOYER IMMEDIATELY Per K.S.A. 44 520 a claim may be denied if an employee fails to notify their employer within the earliest of the following dates A 20 calendar days from the date of accident or the date of injury by repetitive trauma B if the employee is working for the employer against whom benefits are being sought and such employee seeks medical treatment for any injury by accident or repetitive trauma 20 calendar days from the date such medical treatment is sought or C if the employee no longer works for the employer against whom benefits are being sought 10 calendar days after the employee s last day of actual work for the employer. Notice may be given orally or in writing. Where notice is provided orally if the employer has designated an individual or department to whom notice must be given and such designation has been communicated in writing to the employee notice to any other individual or department shall be insufficient under this section. If the employer has not designated an individual or department to whom notice must be given notice must be provided to a supervisor or manager. Where notice is provided in writing notice must be sent to a supervisor or manager at the employee s principal location of employment. The notice whether provided orally or in writing shall include the time date place person injured and particulars of such injury. It must be apparent from the content of the notice that the employee is claiming benefits under the workers compensation act or has suffered a work related injury. 2 FOLLOW YOUR EMPLOYER S INSTRUCTIONS for getting medical aid and follow the doctor s instructions. 3 MEDICAL BENEFITS An injured worker is entitled to all medical services reasonably necessary to cure and relieve the worker from the effects of the injury. The employer has the right to select the doctor who will treat the injury. A worker may seek the services of an unauthorized doctor up to a limit of 500.00. A worker may apply to the Workers Compensation Director to change the authorized treating doctor. Reimbursement for travel to obtain medical treatment is payable at a rate set by law for trips that are five miles or more round trip. 4 WEEKLY BENEFITS Benefits are paid by the employer s insurance carrier or self insurance program. Injured workers are not entitled to compensation for the first week they are off work unless they lose three consecutive weeks. The first compensation payment is normally due at the end of the 14 day of lost time. An injured employee is entitled to a weekly amount of 66 percent of his her average weekly wage up to a maximum of 75 percent of the state s average weekly wage. These benefits are subject to legislative changes. If the injury results in permanent disability the Kansas Workers Compensation law provides for additional benefits. Page 10f 2 DIVISION OF WORKERS COMPENSATION OMBUDSMAN CLAIMS ADVISORY UNIT 401 SW Topeka Bivd. Ste. 2 Topeka KS 86603 3105 Phone 785 296 4000 800 332 0353 Fax 785 296 0025 | 2 |
Kansas Department of Labor Information for Injured Employees K WC 27 A Rev. 4 13 Page 2 of 2 RESPONSIBILITIES OF THE EMPLOYER. Employers must report all employee injuries to the Division of Workers Compensation within 28 days from the date of injury or the date the employer learned about the injury when the employee is wholly or partially incapacitated for more than the remainder of the day turn or shift.. Employers must provide for the payment of workers compensation claims without any charge to employees.. Employers must post the Workers Compensation Notice prepared by the Director. Employers must pay compensation benefits regardless of insurance coverage. Upon receiving notice of an injury the employer must provide the employee written information to assist the injured worker in understanding his her rights and responsibilities in obtaining compensation. EMPLOYERS MUST COMPLETE THE FOLLOWING INFORMATION FOR INJURED WORKERS YOUR CLAIM WILL BE HANDLED BY Company Address Contact Person Phone. Email DIVISION OF WORKERS COMPENSATION OMBUDSMAN CLAIMS ADVISORY UNIT 401 SW Topeka Bivd Ste. 2 Topeka KS 66603 3105 Phone 785 296 4000 800 332 0353 Fax 785 296 0025 | 2 |
Report any injury to your supervisor as soon as Cooperate with all requests for information concerning possible no matter how minor it may appear. You your claim. may lose the right to workers compensation benefits if you do not make a timely report of the injury to your employer. The time limit may be as short as 14 days. The law allows the workers compensation insurer to obtain medical information related to your work injury without your authorization but they must send you Provide your employer with as much information as written notification when they request the information. ossible about your injury. P outyo ry The insurer can not obtain other medical records Get any necessary medical treatment as soon uniess you sign a written authorization. as possible. If you are not covered by a certified managed care organization CMCO you may treat Get written confirmation from your doctor about any with a doctor of your choice. Your employer must authorization to be off work. The note should be as notify you in writing if you are covered by a CMCO. specific as possible. Medical care for your work injury as long as it is Vocational rehabilitation services if you can not return reasonable and necessary. to your pre injury job or to your pre injury employer. due to your work injury. Wage loss benefits for part of your lost income. 4 njury. Compensation for permanent damage to or loss of Benefits to your spouse andor dependents if you die function of a body part. as a result of a work injury. The insurer must investigate your claim promptly. If you If the insurer denies your claim for wage loss have been disabled for more than three calendar days benefits and you have been disabled for more the insurer must begin payment of benefits or send you than three calendar days The insurer will send a denial of liability within 14 days after your employer notice to you within 14 days. The notice must clearly knew you were off work or had lost wages because of explain the facts and reasons why they believe your your claimed injury. injury or iliness did not resuit from your work or why the claimed wage loss benefits are not related to your If the insurer accepts your claim for wage loss injury. benefits and you have been disabled for more than three calendar days The insurer will notify you If you disagree with the denial talk with the insurance and must start paying wage loss benefits within the claims adjuster who is handling your claim. If you are 14 days noted above. The insurer must pay benefits not satisfied and still disagree with the denial call the on time. Wage loss benefits are paid at the same Minnesota Department of Labor and Industry s intervals as your work paychecks. Workers Compensation Hotline at 1 800 342 5354. Collecting workers compensation benefits you are not entitled to is theft. If you have reason to suspect someone is committing workers. compensation fraud call 1 888 FRAUD MN 1 888 372 8366. nore information about workers compensation you need assistance wvth aclaim contact 651284 5032. 1.800 DIALDLI 1 8003425354 dh workeompstate mn.us st Pau MN 55155. Posting required by law in a conspicuous location wherever the employer is engaged in business. This materialcan be providedito you in iferent formats Braile large print o aucio if you call 651 264 5005 oifroe at 1 800 DIAL DL 1 800 342 5354 or ia TTY at 851 2974196 Apri 2012 WC8457N 0412 22 ear. You on benefits jury to your as 14 days. ormation as S soon L sem SIS me. ages because of r wage loss ed for more than jill notify you efits within the ust pay benefits at the same | 2 |
Informe cualquier lesion a su supervisor tan pronto le sea posible no importa qu tan leve le pueda parecer. Usted podria perder el derecho a los beneficios de compensacion laboral si no presenta a tiempo un informe de la lesion a su empleador. El tiempo limite puede ser tan corto como 14 dias. Provea a su empleador la mayor cantidad de informacion posible sobre su lesion. Obtenga el tratamiente mdico que necesite lo mas pronto posible. Si no esta cubierto por una organizacion de atencion mdica certificada CMCO por sus siglas en ingls usted puede recibir tratamiento con el doctor que usted elija. Su empleador debe notificarle por escrito si tiene cobertura con una CMCO. oy Atencion mdica razonable y necesaria para su lesion ocurrida en el trabajo. Beneficios por salario perdido para cubrir parte de los ingresos no recibidos. Compensacion por dafios permanentes o por prdida de la funcion de una parte del cuerpo. La compaiiia aseguradora debera investigar su reclamo con prontitud. Si usted ha estado incapacitado por mas de tres dias calendario la aseguradora debe iniciar el pago de beneficios o enviarle un aviso de negacion de responsabilidades dentro de los 14 dias despus que su empleador se enterd de su ausencia laboral o habia perdido parte de su salario debido a una demanda por lesion. Sila compahia aseguradora acepta su reclamo de beneficios por prdida de salario y usted ha estado incapacitado por mas de tres dias consecutivos La aseguradora le notificara y debera iniciar el pago de los beneficios por prdida de salario dentro de los 14 dias mencionados anteriormente. La aseguradora debera pagar los beneficios puntualmente. Los beneficios por prdida de salario se pagan en los mismos intervalos que sus cheques de nmina. Colabore con todas las solicitudes de informacin relacionadas con su reclamo. La ley permite que la aseguradora de compensacion laboral obtenga la informacion mdica retacionada con su lesion sin su autorizacion pero le debe enviar una notificacion por escrito cuando solicite la informacion. La compafiia aseguradora no puede obtener otros expedientes mdicos a menos que usted firme una autorizacion por escrito. Cualquier autorizacion para ausentarse del trabajo necesitara una confirmacion escrita de su mdico. La nota debe ser lo mas especifica posible. Servicios de rehabilitacion vocacional si usted no puede regresar al trabajo o a su empleador previo al accidente debido a su lesion en el trabajo. Beneficios para su conyuge o dependientes si usted fallece como consecuencia de una lesion laboral. Si la compaiiia aseguradora deniega su reclamo de beneficios por prdida de salario y usted ha estado incapacitado por mas de tres dias consecutivos La aseguradora le enviard una notificacion dentro de los 14 dias. La notificacion debe explicar claramente los hechos y motivos por los cuales ellos consideran que su lesion o enfermedad no fue resultado de su trabajo o por qu los beneficios por prdida de salarios que reclama no estan relacionados con su lesion. Si usted no est de acuerdo con la denegacion hable con el ajustador de reclamos de la aseguradora a cargo de su reclamo. Si usted no esta satisfecho y aln esta en desacuerdo con la denegacion comuniquese con la unidad de Compensacion para Trabajadores del Departamento de Trabajo e Industria de Minnesota Minnesota Department of Labor and Industry al telfono gratuito 1 800 342 5354. Cobrar beneficios de compensacion laboral a los cuales no tiene derecho se considera robo. Si tiene motivos para sospechar que alguien esta cometiendo fraude con el programa de compensacion laboral llame al 1 888 FRAUD MN 1 888 372 8366. Para obtener informacion adicional sobre oompensacan laboral 0 smecsslla ayuda oon un reclamo comunlquese con el Department of Labor and lndustry. 651 284 5032 s Workers Compensation 1 800 DIAL DLI 1 800 342 5354 443 Lafayette Road N. dll.workcompstate.mn.us St. Paul MN 55155 WWW. dh mn ov. Nimero de lelefono Por ley esta informacin se debe colocar en un lugar visible en todas las dreas en las que la empresa hace negocios. Esto materal st disponie on ierenes formatos Brae ora do imprenta grando 0 aud i foma al 851 2845005 lemads gratua i 1 600 DIAL DLI 1 00342 5354 o via TTY retansrisin al 851267 4198 Abrildo 2012 WC7647C 0412 22 S. e esp U rdido v N agar los ealaring | 2 |
COMMERCIAL GENERAL LIABILITY AMCO 72 0000738 ACP 7206182500 INSURED COPY 74EN ACP 7206182500 nan nan nan nan 72.0 738.0 INSURED COPY 74EN | 2 |
IN7584 11 11 ek K kA Aok IMPORTANT INSURANCE INFORMATION s k Please read this Notice carefully. No coverage is provided by this notice nor can it be consirued to replace any provision of your policy. You should read your policy and review your declarations page for complete information on the coverages you are provided. If there is any conflict between the policy and this notice the provisions of the policy shall prevail. NOTICE TO POLICYHOLDERS COMMERCIAL GENERAL LIABILITY CONTRACTORS ENHANCEMENT OR CONTRACTORS ENHANCEMENT PLUS ENDORSEMENT The purpose of this notice is to make you aware of a change to the endorsements listed below. Your policy includes one of the following endorsements e CG72880310 Contractors Enhancement Endorsement e CG72890310 Contractors Enhancement Endorsement CG 73230510 Contractors Enhancement Plus Endorsement e G 73250510 Contractors Enhancement Plus Endorsement e CG 73300610 New York Contractors Enhancement Endorsement e CG73310610 Virginia Contractors Enhancement Endorsement e CG 73320610 Virginia Contractors Enhancement Plus Endorsement e CG73670610 New York Contractors Enhancement Plus Endorsement The additional insured coverage within these endorsements has been revised to specifically require that in order for there to be coverage for an additional insured the injury or damage must be caused in whole or in part by the acts or omissions of you or those acting on your behalf. This revision clarifies that coverage is not extended for injuries or damages caused by an additional insured s sole negligence. IN758411 11 ACP GLAO 7206182500 DIRECT BILL 74EN1326 Page 1 of 1 72 0000739 INSURED COPY nan nan nan nan 9915022723.0 | 2 |
COMMERCIAL GENERAL LIABILITY iIN76890413 GENERAL LIABILITY FORMS REVISION ADVISORY NOTICE TO POLICYHOLDERS Your General Liability policy is changing but the basic coverages are similar. No coverage is provided by this summary nor can it be construed to replace any provision of your policy. You should read your policy and review your Declarations page for complete information on the coverages you are provided. If there is any conflict between the policy and this summary THE PROVISIONS OF THE POLICY SHALL PREVAIL. If your current policy includes any of the following endorsements the coverage has been broadened clarified or reduced as noled below. This notice does not reference every editorial change made in your policy. We have followed the policy sequence of provisions in setting out this material. CG 70 02 BODILY INJURY TO CO EMPLOYEES COVERAGE Minor corrections were made with no impact to coverage. HIRED AUTO AND NON OWNED AUTO LIABILITY COVERAGE Replacing CG 72 02 with CG 70 03 12 12 in Maryland only. Replacing CG 72 47 with CG 70 03 12 12 in Maine only. Replacing CG 70 48 with CG 70 03 12 12 in Kansas only. Replacing CG 70 50 with CG 70 03 12 12 in Minnesota only. Replacing CG 70 51 with CG 70 03 12 12 in Montana only. Replacing CG70 03 with updated CG 70 03 12 12 edition in all other states. A. REDUCTIONS IN COVERAGE 1. The feilow Employee Exclusion has been modified to exclude bodily injury of people in familial relationships with the insured. 2. Who s an Insured has been modified with regard to non owned autos to limit coverage to pariners executive officers while non owned autos are being used in your business and employee s if they or those with familial relationships do not own the non owned auto being used in the insured s business. 3. We will no longer provide coverage for liability arising from the maintenance of Non Owned autos. 4. We will no longer provide coverage for attorney fees and litigation expenses assumed through Contractual Liability. 5. We will no longer provide coverage for liability assumed under a sidetrack agreement. B. CLARIFICATIONS IN COVERAGE The Other Insurance Provision has been modified to clarify that coverage will be excess over any primary insurance. CG 70 68 GOLF COURSE ADDITIONAL INSURED ENDORSEMENT IN76 890413 Includes copyrighted material of Insurance Services Office Inc. with its permission ACP GLAO 7206182500 DIRECT BILL 74EN1326 INSURED COPY 9915022723 Page 1 0f 2 72 0000740 | 2 |
COMMERCIAL GENERAL LIABILITY IN76890413 A. CLARIFICATIONS IN COVERAGE Who Is An Insured has been modified to remove volunteer workers as this is a defined term within the CG 00 01. B. EXCLUSIONS Coverage C. Medical Payments has been modified to exclude payment of expenses for bodily injury to users of golf carts. CG 70 78 EXCLUSION TOBACCO PRODUCTS Minor corrections were made with no impact to coverage. CG 71 59 DAMAGE TO YOUR PRODUCT AUTO SERVICE A. CLARIFICATIONS IN COVERAGE The title of the form has been modified to clarify that the endorsement only applies to Auto Service risks. COMMERCIAL GENERAL LIABILITY COVERAGE ENHANCEMENT ENDORSEMENT Replacing CG 72 29 with CG 72 12 12 11 in New Hampshire only. Replacing CG72 12 with updated CG 72 12 12 11 edition in all other states. A. CLARIFICATIONS IN COVERAGE Clarification added regarding the application of the deductible. GL 2199 EXCLUSION SUBSIDENCE OF LAND Replacing GL 21 99 with CG 74 20 12 11. A. REDUCTIONS IN COVERAGE Definition has been modified to include artificial causes and the result of erosion contraction and setlling. 11ICIARIC IN 76 89 0413 72 0000741 Page 2 of 2 Includes copyrighted material of Insurance Services Office Inc. with its permission. ACP GLAO72 0 6182500 74EN 13269 INSURED COPY IN7689041300 0000 | 2 |
BR 9955 02 10 BR 9955 02 10 The policy you have just received is subject to a premium adjustment When your policy was issued the premium was estimated When your policy expires the actual premium must be determined. Please take a few minutes to read this information about your premium audit. WHY MAKE A PREMIUM This policy was issued with an estimated premium which requires an ADJUSTMENT adjustment after the policy expires. Premium bases for this type of policy vary according to such factors as payroll sales receipts number of admissions contract costs number of units etc. incurred during the term of the policy. After the policy expires and the actual amount of these variables can be determined the estimated premium is adjusted to develop the final premium. If the final premium is less than the estimated premium the difference will be refunded. If it is more you will receive a bill for the additional premium. HOW WILL THE When the policy expires a final audit will be requested. This will be done by PREMIUM ADJUSTMENT one of the following methods BE MADE 1 Mailing a Policyholder s Report Audit Inquiry to you or 2 Apremium auditor representing our company will call you for an audit of your recordsor 3 A premium auditor representing our company will visit you for an audit of your records. This audit of your records will pertain to the variable factors that apply to your policy. You are assured of complete confidentiality by the auditor and the insurance company personnel. WHAT WILL THE The premium auditor will ask to examine your books of original entry and PREMIUM AUDITOR DO ledger accounts that pertain to the variable factors on which the premium is based. The auditor will also routinely verify payroll and sales figures by comparison with quarterly tax reports. Insurance rates differ by the type of work performed. The premium auditor must place each employee in the proper insurance occupational classification. In some cases these classifications are assigned by the state. This step of the audit requires your guidance and assistance. When all the different functions of your operation have been identified and the payrolls sales costs and other applicable variables have been assigned to the proper classification the appropriate rates will be applied and the final premium developed. PREMIUM BASES The basis of premium for a Workers Compensation or General Liability policy may be total remuneration including wages and other considerations given to an employee for services rendered. Remuneration includes monies paid out and may also include other considerations such as meals and housing free merchandise or merchandise discounts commissions and bonuses payments for holidays vacations illnesses and overtime incentive plans or profit sharing agreements. Remuneration does notinclude your contributions to employee benefit plans such as group insurance and pension plans or rewards for individual inventions. Under a General Liability policy remuneration does not include payrolls for clerical office employees sales persons and drivers unless specifically included by a classification wording. BR 9955 02 10 Page 10f3 GLAO7206182500 74EN 13269 INSURED COPY 72 0000742 WHAT WILL THE PREMIUM AUDITOR DO PREMIUM BASES BR 9955 02 10 ACP GLAO7206182500 74EN 13269 INSURED COPY | 2 |
BR 9955 02 10 NOTE In most cases there are predetermined payroll amounts which must be used for sole proprietors partners and executive officers. When your policy is audited the auditor will use the predetermined amount rather than actual payroll for individuals in these groups. Contact your agent if you have questions about the amount of payroll which will be used for sole proprietors partners and executive officers. Also included is the payroll of mobile equipment operators and their helpers and drivers of automobiles when such persons are provided under contract at the time the mobile equipment or automobiles are hired. Under a General Liability policy fees paid to employment agencies for temporary personnel provided to you are counted as remuneration. The basis of premium for some classes can include variables such as area number of units admissions to an insured event conducted on your premises or receipts covering your gross earnings for goods or products sold or for operations performed. For subcontracted work the basis of premium is total cost. This means the total cost of all work let or subletin connection with each specific project and includes the cost of all labor materials and equipment furnished used or delivered for use in the performance of the work. Also all fees bonuses or commissions made paid or due are included. It is to your advantage to obtain Certificates of Insurance from your subcontractors and have them available for the premium auditor showing that they have generalliability insurance with an occurrence limit preferably equal to your own occurrence limit. Regardless of the occurrence limit carried by the subcontractor in the event you can not furnish the premium auditor with their Certificate of Insurance their payroll will be attributed to you and your premium will be increased. In most jurisdictions you must have Workers Compensation certificates from each subcontractor as well. When sales or receipts are the basis of premium for a coverage the gross amount of money you or others operating or trading under your name have charged for goods or products sold or operations performed is the figure which should be used. With respect to the ownership andor use of automobiles in connection with your business operations the basis of premium will vary. For owned autos the auditor will need to verify the accuracy of the schedule of autos on your policy plus the date of any sales andor purchases during the policy period. Any premium for the use of nonowned autos will be rated based on the total number of employees at all locations. Any premium for the use of hired autos will be rated based on the cost of hire during the policy period. The best sources of information for a premium audit are the following records. 1. Payroll journals providing monthly total and division of payroll by type of work performed. 2. Individual earnings records with an indication of work performed. The date hired andor terminated should be indicated. Gross payroll and overtime should be totaled by month and quarter. 3. Cash disbursements journals with monthly totals disbursed to various accounts including materials subcontractors and casual labor. 4. Cash receipts in sales journals totaled by month and assigned to various Page 2 of 3 INSURED COPY 72 0000743 RECORD KEEPING AIDS BR 9955 02 10 ACP GLAO7206182500 74EN 13269 INSURED COPY | 2 |
BR 9955 02 10 categories. 5. Vehicle titles registrations or ownership tax receipts. 6. Workers Compensation andor General Liability certificates of insurance indicating coverage for subcontractors. 7. Data processing printouts or computerized records can differ greatly in their value to the auditor depending on the type of records provided. We hope this information will serve as a guide to help you prepare for your premium audit. Our premium auditor is available to help you with any problem or questions you may have with record keeping. Remember for more information contact your agent. FINALLY BR 9955 02 10 ACP GLAO7206182500 74EN 13269 Page 30f 3 72 0000744 INSURED COPY | 2 |
AMCO INSURANCE COMPANY 11456 1100 LOCUST ST DEPT 1100 NEW BUSINESS DES MOINES 1A 50391 2000 COMMERCIAL GENERAL LIABILITY DECLARATIONS Policy Number ACP GLAO 7206182500 Named Insured AMERICAN FENCE COMPANY INC AMERICA S FENCE STORE INC SEE NAMED INSURED SCHEDULE Address 3301 N 35TH ST LIN ICOLN NE 68504 1559 Agent LOCKTON COMPANIES LLC 26 11456 002 Address OMAHA NE 68114 PRODUCER JACK H STRUYK JR Policy Period From 091913 to 091914 1201 A.M. standard time at the address of the named insured as stated herein. In return for the payment of the premium and subject to all the terms of this policy we agree with you to provide the insurance as stated in this policy. LIMITS OF INSURANCE GENERAL AGGREGATE LIMIT other than roducs comleted operations 2000000 PRODUCTS COMPLETED OPERATIONS AGGREGATE LIMIT 2000000 PERSONAL AND ADVERTISING INJURY LIMIT 1000000 EACH OCCURRENCE LIMIT 1000000 DAMAGE TO PREMISES RENTED TO YOU LIMIT any one premises 100000 MEDICAL EXPENSE LIMIT any one person 10000 11456 NEW BUSINESS Retroactive Date CG0002 only The Named Insured is CORPORATION Business of the Named Insured is FENCE CONTRACTORS Audit Period ANNUAL ENDORSEMENTS ATTACHED TO THIS POLICY SEE COMMERCIAL GENERAL LIABILITY FORMS AND ENDORSEMENTS SCHEDULE TOTAL ADVANCE PREMIUM 35357.00 Replacement or Renewal Number A PACKAGE MODIFICATION FACTOR HAS BEEN APPLIED Countersigned By Authorized Representative GL D 10 98 DIRECT BILL 74EN 13269 INSURED COPY ACP GLAO 7206182500 915022723 72 0000745 INSURED COPY | 2 |
AMCO INSURANCE COMPANY IN WITNESS WHEREOF the Company has caused this policy to be signed by its president and secretary and countersigned on the declarations page by a duly authorized representative of the company. W1 ot PRESIDENT ot o SECRETARY SP 00020108 Page 1 of 1 nan nan nan nan 915022723.0 ACP GLAO 7206182500 INSURED COPY nan nan nan nan 72.0 746.0 | 2 |
AMCO INSURANCE COMPANY 1100 LOCUST ST DEPT 1100 DES MOINES IA 50391 2000 COMMERCIAL GENERAL LIABILITY SCHEDULE Policy Number ACP GLAO 7206182500 Item No. Location Code Premium Advance Premium and Description No. Basis of Hazards OTHER PR CO 001A NE502 12651 GROSS SALES PER THOUSAND FENCE DEALERS 19315923 689 1.196 9429 23080 3301 N 35TH ST LINCOLN NE685041559 003A IA501 49651 ACRES PER ACRE VACANT LAND 1.829 1 PRODUCTS COMPLETED OPERATIONS ARE SUBJECT TO THE GENERAL AGGREGATE LIMIT OTHER THAN NOT FOR PROFIT 1922 DELAWARE AVE DES MOINES IA503176343 004A SD001 49451 ACRES PER ACRE VACANT LAND 7.665 5 PRODUCTS COMPLETED OPERATIONS ARE SUBJECT TO THE GENERAL AGGREGATE LIMIT OTHER THAN NOT FOR PROFIT 47061 CHARLOTTE CT SIOUX FALLS SD571088166 0028 NE502 49950 G67246 1500 006B NE502 66644 28 100 001c NE502 77505 FLAT CHARGE CONTRACTORS 600 ENHANCEMENT PLUS 500001 AND ABOVE PAYROLL CG7323 IN7584 PER ACRE.829 1 PER ACRE 65 5 1500 100 600 Total Advance Other and PR CO TOTAL ADVANCE PREMIUM NOTE For classes based on payroll each Executive Officer Sole Proprietor or Partner may be subject to a fixed amount. GL DS 12 93 DIRECT BILL 74EN 13269 INSURED COPY ACP GLAO 7206182500 915022723 72 00007 INSURED COPY ACP GLAO 7206182500 915022723 72 0000747 | 2 |
AMCO INSURANCE COMPANY 1100 LOCUST ST DEPT 1100 DES MOINES 1A 50391 2000 COMMERCIAL GENERAL LIABILITY SCHEDULE Policy Number ACP GLAO 7206182500 Item No. Location. i and Description Code Premium Rates Advance Premium of Hazards No. Basis otrer Prico oTHER PRICO 003c NE502 77394 EMPLOYEES EMPLOYEE EMPLOYEE BENEFITS 45 319 LIABILITY CG0435 CG435D NE502 90115 FLAT CHARGE LIMITED POLLUTION 323 COVERAGE JOB SITES SEE CG7079 C G7079 323 Total Advance Other and PR CO 12277 23080 TOTAL ADVANCE PREMIUM 35357 NOTE For classes based on payroll each Executive Officer Sole Proprietor or Partner may be subject to a fixed amount. GL DS 12 93 DIRECT BILL 74EN 13269 INSURED COPY ACP GLAO 7206182500 915022723 72 00007 INSURED COPY ACP GLAO 7206182500 915022723 72 0000748 | 2 |
AMCO INSURANCE COMPANY 1100 LOCUST ST DEPT 1100 DES MOINES IA 50391 2000 COMMERCIAL GENERAL LIABILITY SCHEDULE OF INSUREDS POLICY Number ACP GLAO7206182500 POLICY Period From 09 18 13 To 09 18 14 Named Insured AMERICAN FENCE COMPANY INC AMERICA S FENCE STORE INC Insured Names 001 AMERICAN FENCE COMPANY INC s AMERICA S FENCE STORE INC 003 AMERICAN FENCE COMPANY INC AMERICA S FENCE STORE INC 004 AMERICAN FENCE COMPANY OF IOWA 005 TLMV INC DBA 006 AMERICAN FENCE CO OF SOUTH DAKOTA 007 AMERICAN FENCE OF LINCOLN INC 008 TLCB INC DBA 009 AMERICAN FENCE OF WESTERN NEBRASKA 010 LAVIGNE TODD J 011 10705 SOUTH 147TH ST LLC 012 12012 CARY CIRCLE LLC 013 NORTHERN PROPERTIES 014 TLDB INC DBA 015 AMERIFENCE CORPORATION 016 AMERICAN FENCE MANUFACTURING CO 017 AMERICAN FENCE COMPANY LLC 018 SEC ACCOMODATOR LXII LLC 019 AMERICAN FENCE COMPANY OF MINNESOTA LLC 020 NORTHERN PROPERTIES LLC GL DI1 06 90 DIRECT BILL 74EN 13269 INSURED COPY ACP GLAO 7206182500 915022723 72 0000749 | 2 |
AMCO INSURANCE COMPANY 1100 LOCUST ST DEPT 11 DES MOINES IA 50391 2000 1 515 280 4211 COMMERCIAL GENERAL LIABILITY FORMS AND ENDORSEMENTS Number ACP GLAO 7206182500 Period From 091913 To 091914 Named Insured AMERICAN FENCE COMPANY INC AMERICA S FENCE STORE INC Form Date Title CG0001 0413 COMMERCIAL GENERAL LIABILITY COVERAGE FORM CG0116 0298 SOUTH DAKOTA CHANGES APPRAISAL. CG0144 1011 SOUTH DAKOTA CHANGES CG0300 0196 DEDUCTIBLE LIABILITY INSURANCE CG0435 1207 EMPLOYEE BENEFITS LIABILITY COVERAGE CG2147 1207 EMPLOYMENT RELATED PRACTICES EXCLUSION CG2167 1204 FUNGI OR BACTERIA EXCLUSION CG2170 0108 CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM CG435D 1001 EMPLOYEE BENEFITS ADMINISTRATION LIABILITY COVERAGE PART CG7023 1096 EXCL ASBESTOS ELECTRO MAGNETIC RADIATION LEAD AND RADON CG7033 0393 TWO OR MORE COVERAGE FORMS OR POLICIES ISSUED BY US CG7079 0498 LIMITED POLLUTION COVERAGE JOB SITES CG7138 0302 EXCLUSION PUNITIVE DAMAGES CG7246 0212 BLANKET ADDITIONAL INSURED ENDORSEMENT COMMERCIAL CONTRACTORS COVERAGE CG7258 0308 EXCLUSION OPERATIONS COVERED BY A CONSOLIDATED WRAP UP INS PROGRAM CG7323 1111 CONTRACTORS ENHANCEMENT PLUS ENDORSEMENT 1L0017 1198 COMMON POLICY CONDITIONS 1L0021 0502 NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT 1L0232 0908 SOUTH DAKOTA CHANGES CANCELLATION AND NONRENEWAL 1L0259 0907 NEBRASKA CHANGES CANCELLATION AND NONRENEWAL 1L0276 0908 IOWA CHANGES CANCELLATION AND NONRENEWAL IL7003 0911 ADVANCE NOTICE OF CANCELLATION OR COVERAGE REDUCTION OR RESTRICTION PROVIDED 13614 1185 SPECIAL CONTINUATION PROVISION 28 0186 BLANK ENDORSEMENT IMPORTANT NOTICES 1111 NOTICE TO POLICYHOLDERS COMM GL CONTRACTORS ENHANCEMENT OR ENHANCEMENT PLU 0413 GENERAL LIABILITY FORMS REVISION ADVISORY NOTICE TO POLICYHOLDERS IN7584 IN7689 GLDF 02 93 DIRECT BILL 74EN 13269 ACP GLAO 7206182500 915022723 72 0000750 INSURED COPY | 2 |
POLICY NUMBER POLICY NUMBER COMMERCIAL GENERAL LIABILITY CG 03000196 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DEDUCTIBLE LIABILITY INSURANCE This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE PER CLAIM SCHEDULE Coverage Amount and Basis of Deductible PER CLAIM or PER OCCURRENCE Bodily Injury Liability OR Property Damage Liability 10000 OR Bodily Injury Liability andor Property Damage Liability Combined If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. APPLICATION OF ENDORSEMENT Enter below any limitations on the application of this endorsement. If no limitation is entered the deductibles apply to damages for all bodily injury and property damage however caused Amount and Basis of Deductible PER OCCURRENCE 10000 or Bodily Injury Liability and Coverages to pay dam es only to the amount of any deductible amounts above as applicable to tible amount on either a irrence basis. Your se to the coverage option ductible indicated by the le amount in the Sched e amount stated in the s follows f the deductible amount dule above is on a per tible applies as follows Liability Coverage to all I by any one person be iy b. Under Property Damage Liability Coverage to all damages sustained by any one per son because of property damage or. Under Bodily Injury Liability andor Property Damage Liability Coverage Combined to all damages sustained by any one person because of 1 Bodily injury 2 Property damage or 8 Bodily injury and property damage combined as the result of any one occurrence. If damages are claimed for care loss of ser vices or death resulting at any time from bodily injury a separate deductible amount will be applied to each person making a claim for such damages. With respect to property damage person in cludes an organization. Copyright Insurance Services Office Inc. 1994 Page 1 of 2 13269 INSURED COPY 72 0000751 A. Our obligation under the Bodily Injury Liability and Property Damage Liability Coverages to pay dam ages on your behalf applies only to the amount of damages in excess of any deductible amounts stated in the Schedule above as applicable to such coverages. B. You may select a deductible amount on either a per claim or a per occurrence basis. Your se lected deductible applies to the coverage option and to the basis of the deductible indicated by the placement of the deductible amount in the Sched ule above. The deductible amount stated in the Schedule above applies as follows 1. PER CLAIM BASIS. If the deductible amount indicated in the Schedule above is on a per claim basis that deductible applies as follows a. Under Bodily Injury Liability Coverage to all damages sustained by any one person be cause of bodily injury CG 03000196 ACP GLAO7206182500 74EN Page 1 of 2 72 0000751 | 2 |
CG 03000196 2. PER OCCURRENCE BASIS. If the deductible amount indicated in the Schedule above is on a per occurrence basis that deductible amount applies as follows a. Under Bodily injury Liability Coverage to all damages because of bodily injury b. Under Property Damage Liability Coverage to all damages because of property dam age or. Under Bodily Injury Liability andor Property Damage Liability Coverage Combined to all damages because of 1 Bodily injury 2 Property damage or 3 Bodily injury and property damage combined as the result of any one occurrence regard less of the number of persons or organizations who sustain damages because of that occur rence. C. The terms of this insurance including those with respect to 1. Our right and duty to defend the insured against any suits seeking those damages and 2. Your duties in the event of an occurrence claim or suit apply irrespective of the application of the de ductible amount. D. We may pay any part or all of the deductible amount to effect settlement of any claim or suit and upon notification of the action taken you shall promptly reimburse us for such part of the de ductible amount as has been paid by us.. Page 2 of 2 ACP GLAO7206182500 Copyright Insurance Services Office Inc. 1994 13269 INSURED COPY CG 03000196 72 0000752 74EN | 2 |
COMMERCIAL GENERAL LIABILITY CG 00010413 COMMERCIAL GENERAL LIABILITY COVERAGE FORM Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights duties and what is and is not covered. Throughout this policy the words you and your refer to the Named Insured shown in the Declarations and any other person or organization qualifying as a Named Insured under this policy. The words we us and our refer o the company providing this insurance. The word insured means any person or organization qualifying as such under Section H Who Is An Insured. Other words and phrases that appear in quotation marks have special meaning. Refer to Section V Definitions. SECTION COVERAGES COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY 1. Insuring Agreement a. We will pay those sums that the insured becomes legally obligated o pay as damages because of bodily injury or property damage to which this insurance applies. We will have the right and duty to defend the insured against any suit seeking those damages. However we will have no duty to defend the insured against any suit seeking damages for bodily injury or property damage to which this insurance does not apply. We may at our discretion investigate any occurrence and settle any claim or suit that may result. But 1 The amount we will pay for damages is limited as described in Section Hl Limits Of Insurance and 2 Our right and duty to defend ends when we have used up the applicable limit of insurance in the payment of judgments or settlements under Coverages A or B or medical expenses under Coverage C. No other obligation or liability to pay sums or perform acts or services is covered unless explicitly provided for under Supplementary Payments Coverages A and B. b. This insurance applies to bodily injury and property damage only if 1 The bodily injury or property damage is caused by an occurrence that takes place in the coverage territory 2 The 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 Hl 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 properly 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 It Who Is An Insured or any employee authorized by you to give or receive notice of an occurrence or claim includes any continuation change or resumption of that bodily injury or property damage after the end of the policy period. d. Bodily injury or property damage will be deemed to have been known to have occurred at the earliest time when any insured listed under Paragraph 1. of Section Il Who Is An Insured or any employee authorized by you to give or receive notice of an occurrence or claim 1 Reports all or any part of the bodily injury or property damage fo us or any other insurer 2 Receives a written or verbal demand or claim for damages because of the bodily injury or property damage or 3 Becomes aware by any other means that bodily injury or property damage has occurred or has begun to occur. e. Damages because of bodily injury include damages claimed by any person or organization for care loss of services or death resulting at any time from the bodily injury. CG 00010413 Insurance Services Office Inc. 2012 ACP GLAO7206182500 74EN 13269 INSURED COPY Page 1 of 16 72 0000753 | 0 |
CG 00010413 2. Exclusions This insurance does not apply to a. Expected Or Intended Injury Bodily injury or property damage expected or intended from the standpoint of the insured This exclusion does not apply 1o bodily injury resulling from the use of reasonable force to protect persons or property. b. Contractual Liability Bodily injury or property damage for which the insured is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply 1o liability for damages 1 That the insured would have in the absence of the conlract or agreement or 2 Assumed in a contract or agreement that is an insured contract provided the bodily injury or properly damage occurs subsequent to the execution of the contract or agreement. Solely for the purposes of liability assumed in an insured contract reasonable attorneys fees and necessary litigation expenses incurred by or for a party other than an insured are deemed to be damages because of bodily injury or property damage provided a Liability to such parly for or for the cost of that party s defense has also been assumed in the same insured contract and b Such attomeys fees and litigation expenses are for defense of that party against a civil or alternative dispute resolution proceeding in which damages to which this insurance applies are alleged. c. Liquor Liability Bodily injury or property damage for which any insured may be held liable by reason of 1 Causing or contributing 1o the intoxication of any person 2 The furnishing of alcoholic beverages to a person under the legal drinking age or under the influence of alcohol or 3 Any statute ordinance or regulation relating to the sale gift distribution or use of alcoholic beverages. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in a The supervision hiring employment training or monitoring of others by that insured or b Providing or failing to provide transportation with respect to any person thal may be under the influence of alcohol if the occurrence which caused the bodily injury or property damage involved that which is described in Paragraph 1 2 or 3 above. However this exclusion applies only if you are in the business of manufacturing distributing selling serving or fumishing alcoholic beverages. For the purposes of this exclusion permitting a person to bring alcoholic beverages on your premises for consumption on your premises whether or not a fee is charged or a license is required for such activity is not by itself considered the business of selling serving or furnishing alcoholic beverages.. Workers Compensation And Similar Laws Any obligation of the insured under a workers compensation disabilily benefits or unemployment compensation law or any similar law.. Employer s Liability Bodily injury to 1 An employee of the insured arising out of and in the course of a Employment by the insured or b Performing duties related to the conduct of the insured s business or 2 The spouse child parent brother or sister of that employee as a consequence of Paragraph 1 above. This exclusion applies whether the insured may be liable as an employer or in any other capacity and to any obligation to share damages with or repay someone else who must pay damages because of the injury. This exclusion does not apply to liability assumed by the insured under an insured contract. Page 2 of 16 ACP GLAO7206182500 Insurance Services Office Inc. 2012 74EN 13269 INSURED COPY CG 00010413 72 0000754 | 1 |
CG 00010413 d At or from any premises site or location on which any insured or any contractors or subcontractors working directly or indireclly on any insured s behalf are performing operations if the pollutants are brought on or to the premises site or location in connection with such operations by such insured contractor or subcontractor. However this subparagraph does not apply to i Bodily injury or properly damage arising out of the escape of fuels lubricants or other operating fluids which are needed 1o perform the normal eleclrical hydraulic or mechanical functions necessary for the operation of mobile equipment or its parts if such fuels lubricants or other operating fluids escape from a vehicle part designed to hold store or receive them. This exception does not apply if the bodily injury or property damage arises out of the intentional discharge dispersal or release of the fuels Iubricants or other operating fluids or if such fuels lubricants or other operating fluids are brought on or fo the premises site or location with the infent that they be discharged dispersed or released as part of the operations being performed by such insured contractor or subcontractor i Bodily injury or property damage sustained within a building and caused by the release of gases fumes or vapors from materials brought into that building in connection with operations being performed by you or on your behalf by a contractor or subcontractor or iii Bodily injury or property damage arising out of heat smoke or fumes from a hostile fire. e Ator from any premises site or location on which any insured or any contractors or subcontractors working directly or indirectly on any insured s behalf are performing operations if the operations are 1o test for monitor clean up remove contain ftreat detoxify or neutralize or in any way respond to or assess the effects of pollutants.. Pollution 1 Bodily injury or property damage arising out of the actual alleged or threatened discharge dispersal seepage migration release or escape of pollutants a Ator from any premises site or location which is or was at any time owned or occupied by or rented or loaned to any insured. However this subparagraph does not apply to i Bodily injury if sustained within a building and caused by smoke fumes vapor or soot produced by or originating from equipment that is used to heat cool or dehumidify the building or equipment that is used to heat water for personal use by the building s occupants or their guests ii Bodily injury or property damage for which you may be held liable if you are a contractor and the owner or lessee of such premises site or location has been added to your policy as an additional insured with respect o your ongoing operations performed for that additional insured at that premises site or location and such premises site or location is not and never was owned or occupied by or rented or loaned to any insured other than that additional insured or iii Bodily injury or property damage arising out of heat smoke or fumes from a hostile fire b At or from any premises site or location which is or was at any time used by or for any insured or others for the handling storage disposal processing or treatment of waste c Which are or were at any time transporled handled stored treated disposed of or processed as waste by or for i Any insured or i Any person or organization for whom you may be legally responsible or CG 00010413 Insurance Services Office Inc. 2012 ACP GLAO7206182500 74EN 13269 INSURED COPY Page 3 of 16 72 0000755 | 1 |
CG 00010413 2 Any loss cost or expense arising out of any a Request demand order or statutory or regulatory requirement that any insured or others test for monitor clean up remove contain treat detoxify or neutralize or in any way respond to or assess the effects of pollutants or b Claim or suit by or on behalf of a governmental authority for damages because of testing for monitoring cleaning up removing containing treating detoxifying or neutralizing or in any way responding 1o or assessing the effects of pollutants. However this paragraph does not apply to liability for damages because of property damage that the insured would have in the absence of such request demand order or statutory or regulatory requirement or such claim or suit by or on behalf of a governmental authority. g. Aircraft Auto Or Watercraft Bodily injury or property damage arising out of the ownership maintenance use or entrustment to others of any aircraft auto or watercraft owned or operated by or rented or loaned to any insured. Use includes operation and loading or unloading. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring employment fraining or monitoring of others by that insured if the occurrence which caused the bodily injury or property damage involved the ownership maintenance use or entrustment 1o others of any aircraft auto or watercraft that is owned or operated by or rented or loaned to any insured. This exclusion does not apply to 1 A watercraft while ashore on premises you own or rent 2 A watercraft you do not own that is a Less than 26 feet long and b Not being used to carry persons or property for a charge 3 Parking an auto on or on the ways next 10 premises you own or rent provided the auto is not owned by or rented or loaned 1o you or the insured 4 Liability assumed under any insured contract for the ownership maintenance or use of aircraft or watercraft or 5 Boddy injury or property damage arising out of a The operation of machinery or equipment that is atlached to or part of a land vehicle that would qualify under the definition of mobile equipment if it were nol subject 10 a compulsory or financial responsibility law or other motor vehicle insurance law where it is licensed or principally garaged or The operation of any of the machinery or equipment listed in Paragraph 1.2 or 3 of the definition of mobile equipment. h. Mobile Equipment Bodily injury or property damage arising out of 1 The transporiation of mobile equipment by an auto owned or operated by or rented or loaned to any insured or 2 The use of mobile equipment in or while in practice for or while being prepared for any prearranged racing speed demolition or stunting activity. i. War Bodily injury or property damage however caused arising directly or indirectly out of 1 War including undeclared or civil war 2 Warlike action by a military force including action in hindering or defending against an actual or expected attack by any government sovereign or other authority using military personnel or other agents or Insurrection rebellion revolution usurped power or action taken by governmental authority in hindering or defending against any of these. j. Damage To Property Property damage to 1 Property you own rent or occupy including any costs or expenses incurred by you or any other person organization or entity for repair replacement enhancement restoration or maintenance of such property for any reason including prevention of injury to a person or damage to another s property Premises you sell give away or abandon if the property damage arises out of any part of those premises 3 Property loaned to you b Insurance Services Office Inc. 2012 74EN 13269 INSURED COPY CG 00010413 72 0000756 Page 4 of 16 ACP GLAO7206182500 | 1 |
CG 00010413 This exclusion does not apply to the loss of use of other property arising out of sudden and accidental physical injury to your product or your work after it has been put to its intended use.. Recall Of Products Work Or Impaired Property Damages claimed for any loss cost or expense incurred by you or others for the loss of use withdrawal recall inspection repair replacement adjustment removal or disposal of 1 Your product 2 Your work or 3 Impaired property if such product work or property is withdrawn or recalled from the market or from use by any person or organization because of a known or suspected defect deficiency inadequacy or dangerous condition in it. Personal And Advertising Injury Bodily injury arising out of personal and advertising injury.. Electronic Data Damages arising out of the loss of loss of use of damage to corruption of inability to access or inability to manipulate electronic data. However this exclusion does not apply to liability for damages because of bodily injury. As used in this exclusion electronic data means information facts or programs stored as or on created or used on or transmitted to or from computer software including systems and applications software hard or floppy disks CD ROMs tapes drives cells data processing devices or any other media which are used with electronically controlled equipment.. Recording And Distribution Of Material Or Information In Violation Of Law Bodily injury or property damage arising directly or indirectly out of any action or omission that violates or is alleged to violate 1 The Telephone Consumer Protection Act TCPA including any amendment of or addition to such law 2 The CAN SPAM Act of 2003 including any amendment of or addition to such law 3 The Fair Credit Reporting Act FCRA and any amendment of or addition to such law including the Fair and Accurate Credit Transactions Act FACTA or 4 Personal property in the care custody or control of the insured 5 That particular part of real property on which you or any contractors or subcontractors working directly or indirectly on your behalf are performing operations if the property damage arises out of those operations or That particular part of any property that must be restored repaired or replaced because your work was incorrectly performed on it. Paragraphs 1 3 and 4 of this exclusion do not apply to property damage other than damage by fire to premises including the contents of such premises rented 1o you for a period of seven or fewer consecutive days. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section Hl Limits Of Insurance. Paragraph 2 of this exclusion does not apply if the premises are your work and were never occupied rented or held for rental by you. Paragraphs 3 4 5 and 6 of this exclusion do not apply to liability assumed under a sidetrack agreement Paragraph 6 of this exclusion does not apply to property damage included in the products completed operations hazard.. Damage To Your Product Property damage to your product arising out of it or any part of it. Damage To Your Work Property damage to your work arising out of it or any part of it and included in the products completed operations hazard. This exclusion does not apply if the damaged work or the work out of which the damage arises was performed on your behalf by a subcontractor.. Damage To Impaired Property Or Property Not Physically Injured Property damage to impaired property or property that has not been physically injured arising out of 1 A defect deficiency inadequacy or dangerous condition in your product or your work or 2 A delay or failure by you or anyone acting on your behalf to perform a contract or agreement in accordance with its terms. CG 00010413 Insurance Services Office Inc. 2012 ACP GLAO7206182500 74EN 13269 INSURED COPY Page 5 of 16 72 0000757 | 1 |
CG 00010413 4 Any federal state or local statute ordinance or regulation other than the TCPA CAN SPAM Act of 2003 or FCRA and their amendments and additions that addresses prohibits or limits the printing dissemination disposal collecting recording sending transmitting communicating or distribution of material or information. Exclusions. through n. do not apply to damage by fire to premises while rented fo you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to this coverage as described in Section I Limits Of Insurance. COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY 1. Insuring Agreement a. We will pay those Sums that the insured becomes legally obligated to pay as damages because of personal and advertising injury to which this insurance applies. We will have the right and duty to defend the insured against any suit seeking those damages. However we will have no duly to defend the insured against any suit seeking damages for personal and advertising injury to which this insurance does not apply. We may at our discretion investigate any offense and settle any claim or suit that may result. But 1 The amount we will pay for damages is limited as described in Section Hil Limits Of Insurance and Qur right and duty to defend end when we have used up the applicable limit of insurance in the payment of judgments or settlements under Coverages A or B or medical expenses under Coverage C. No other obligation or liability to pay sums or perform acts or services is covered unless explicitly provided for under Supplementary Payments Coverages A and B. b. This insurance applies to personal and advertising injury caused by an offense arising out of your business but only if the offense was commitied in the coverage territory during the policy period. 2 2. Exclusions This insurance does not apply to Knowing Violation Of Rights Of Another Personal and advertising injury caused by or al the direction of the insured with the knowledge that the act would violate the righls of another and would inflict personal and advertising injury.. Material Published With Knowledge Of Falsity Personal and advertising injury arising out of oral or written publication in any manner of material if done by or at the direction of the insured with knowledge of its falsity.. Material Published Prior To Policy Period Personal and advertising injury arising out of oral or written publication in any manner of material whose first publication took place before the beginning of the policy period.. Criminal Acts Personal and advertising injury arising out of a criminal act committed by or at the direction of the insured.. Contractual Liability Personal and advertising injury for which the insured has assumed liability in a contract or agreement. This exclusion does not apply to liability for damages that the insured would have in the absence of the contract or agreement.. Breach Of Contract Personal and advertising injury arising out of a breach of contract except an implied contract to use another s adverlising idea in your advertisement.. Quality Or Performance Of Goods Failure To Conform To Statements Personal and advertising injury arising out of the failure of goods products or services to conform with any statement of quality or performance made in your adverlisement.. Wrong Description Of Prices Personal and advertising injury arising out of the wrong description of the price of goods products or services stated in your advertisement. CG 00010413 72 0000758 Insurance Services Office Inc. 2012 74EN 13269 INSURED COPY Page 6 of 16 ACP GLAO7206182500 | 1 |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.