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COMMERCIAL GENERAL LIABILITY CG 2196 03 05 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SILICA OR SILICA RELATED DUST EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability 2. Exclusions This insurance does not apply to Silica Or Silica Related Dust a. Bodily injury arising in whole or in part out of the actual alleged threatened or suspected inhalation of or ingestion of sil ica or silica related dust. b. Property damage arising in whole or in part out of the actual alleged threatened or suspected contact with exposure to ex istence of or presence of silica or silica related dust c. Any loss cost or expense arising in whole or in part out of the abaling testing for monitoring cleaning up removing contain ing treating detoxifying neutralizing reme diating or disposing of or in any way re sponding to or assessing the effects of silica or silica related dust by any in sured or by any other person or entity. ollowing exclusion is added to Paragraph 2. sions of Section Coverage A Bodily And Property Damage Liability clusions is insurance does not apply to ica Or Silica Related Dust Bodily injury arising in whole or in part out of the actual alleged threatened or suspected inhalation of or ingestion of sil ica or silica related dust. Property damage arising in whole or in part out of the actual alleged threatened or suspected contact with exposure to ex istence of or presence of silica or silica related dust Any loss cost or expense arising in whole or in part out of the abaling testing for monitoring cleaning up removing contain ing treating detoxifying neutralizing reme diating or disposing of or in any way re sponding to or assessing the effects of silica or silica related dust by any in sured or by any other person or entity. B. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage B Per sonal 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 in gestion of contact with exposure to exis tence 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 contain ing trealing detoxifying neutralizing reme diating or disposing of or in any way re sponding to or assessing the effects of silica or silica related dust by any in sured or by any other person or entity. C. The following definitions are added to the Defini tions Section 1. Silica means silicon dioxide occurring in crystalline amorphous and impure forms sil ica particles silica dust or silica compounds. 2. Silica related dust means a mixture or com bination of silica and other dust or particles. All terms and conditions of this policy apply unless modified by this endorsement. CG 2196 0305 ACP GLAO3026407302 LI3Q 16014 ISO Properties Inc. 2004 INSURED COPY Page 1 of 1 72 0014277 | 2 |
COMMERCIAL GENERAL LIABILITY CG22790413 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. 2. Subject to Paragraph 3. below professional Exclusions of Section Coverage A Bodily services include Injury And Property Damage Liability and a. Preparin roving or failing to prepare or Paragraph 2. Exclusions of Section Coverage B appffve rgs sop drawigngs poginions Personal And Advertising Injury Liability reports surveys field orders change orders 1. This insurance does not apply 10 bodily injufyk or drawings and specifications and property damage or personial and advertising b. Supervisory or inspection activities performed injury arising out of the rendering of or failure to as part of any relaled architectural or render any professional services by you or on your engineering activities. gwggggtggg respect to efther or both of the 3. Professional services 0o not include services within construction means methods techniques a. Providing engineering architectural or sequences and procedures employed by you in surveying services 10 others in your capacity as connection with your operations in your capacity an engineer architect or surveyor and as a construction contractor. b. Providing or hiring independent professionals to provide engineering architectural or surveying services in connection with construction work you perform. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others by that insured if the occurrence which caused the bodily injury or properly damage or the offense which caused the personal and advertising injury involved the rendering of or failure to render any professional services by you or on your behalf with respect 1o the operations described above. All terms and conditions apply unless modified by this endorsement. CG 22790413 Insurance Services Office Inc. 2012 ACP GLAGSD05407302 es 13368 INSURED COPY Page 10f 1 72 0022202 | 2 |
POLICY NUMBER POLICY NUMBER COMMERCIAL GENERAL LIABILITY CG 70 02 07 12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BODILY INJURY TO CO EMPLOYEES COVERAGE This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Specific Em ALL EMPLOYEES ployees Or Specific Job Titles Or Positions 100.00 If no entry appears above this endorsement applies to all employees. A. The following is added to Paragraph 2.a.1 of Section It Who Is An Insured Paragraphs a b and c above do not apply to the specific employees or any employeess holding the specific job titles or positions des ignated in the Schedule of this endorsement with respect 1o bodily injury 1o a coempioyee. B. The following is added to Paragraph 4. Other Insurance Condition under Section IV Com mercial General Liability Conditions The coverage provided by this endorsement is excess over any other valid and collectible insur ance that covers the liability of the designated employees or an employee holding a job tille designated in the Schedule of this endorsement. CG 70020712 Includes copyrighted material of Insurance Services Office Inc. with its permission. ACP GLAO3026407302 L3Q 16014 INSURED COPY Page 1 of 1 72 0014278 | 2 |
CG 70 23 10 96 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION ASBESTOS ELECTRO MAGNETIC RADIATION LEAD AND RADON This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART This policy does not apply to any claims arising out of or alleged to have arisen out of any of the following 1 Asbestos or any asbestos related injury or damage including but not limited to any injury or damage arising out of or alleged to have arisen out of any act error omission failure to warn or failure to disclose the presence of asbestos or other duty involving asbestos its use exposure existence detection removal elimination or avoidance. Electro magnetic emissions or radiation related injury or damage including but not limited to any injury or damage arising out of or alieged to have arisen out of any act error omission failure to warn or other duty in volving any electro magnetic emissions or radiation from use exposure existence detection removal elimi nation or avoidance of electrical energy. Lead or any lead related injury or damage including but not limited to any injury or damage arising out of or alleged to have arisen out of any act error omission failure to warn or other duty involving lead or lead pro ducls their use exposure existence detection removal elimination or avoidance. Radon or any other radioactive emjssions manmade or natural or any related injury or damage including but not limited to any injury or damage arising out of or alleged to have arisen out of any act error omission failure to warn or other duty involving radon or any other radioactive emissions their use exposure existence de tection removal elimination or avoidance. We shall not have a duty to defend any insured against a claim or suit seeking damage to which this insurance does not apply. CG 70 23 10 96 ACP GLAOJ006407302 LiCB 13364 nan nan nan nan 72.0 22205.0 INSURED COPY | 2 |
CG 70 33 03 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ENDORSEMENT TWO OR MORE COVERAGE FORMS OR POLICIES ISSUED BY US This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART The following condition is added to SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS 10. Two or More Coverage Forms or Policies Issued by Us ge Form or policy issued to you by us or any company affitiated with surance under all the Coverage Forms T any one Coverage Form or policy. or an affiliated company specifically If this Coverage Form and any other Covera us apply to the same occurrence the aggregate maximum limit of in ighest applicable Limit of Insurance unde ge Form or policy issued by us This condition does not apply to any Covera rage Form. G 70 33 03 93 ACP GLAG3006407302 LLCB 13364 nan nan nan nan 72.0 22206.0 INSURED COPY | 2 |
CG 7079 4 98 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LIMITED POLLUTION COVERAGE JOB SITES This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Schedule Each Pollution Incident Limit 100000 Pollution Liability Aggregate Limit 100000 Property Damage Deductible o0 Each Pollution Incident Premium 150.00 If no entry appears in the space above for property damage deductible no deductible applies to the coverage pro vided by this endorsement. A. The following is added to COVERAGES Section 1 No other obligation or liability to pay sums or perform acts or services is cov COVERAGE D. LIMITED POLLUTION COVERAGE ered unless explicitly provided for under SUPPLEMENTARY PAYMENTS. 1. Insuring Agreement... b. This insurance applies to bodily injury a. We will pay those sums that the insured property damage and environmental becomes legally obligated to pay damage only if 1 As damages because of 1 The bodily injury property dam age or environmental damage a bodily injury or arises out of a pollution incident b property damage or a on or from your job site in the coverage territory 2 As clean up costs because of en vironmental damage which directly results from physical injury to tangi ble property b that it is demonstrable as begin ning and ending within 72 hours of the poltution incident and. s. c thatitis accidental. to which this insurance applies. We will have the right and duty to defend any 2 The bodily injury property dam suit seeking these damages. We may age or environmental damage at our discretion investigate any pol occurs during the policy period. lution incident and settle any claim or suit that may result. But c. Damages because of bodily injury in clude damages claimed by any person or organization for care loss of services or 1 The amount we will pay for damages A death resuiting at any time from the and clean up costs is limited as described in SECTION Iil LIMITS OF bodily injury. larzURANCE of this endorsement 2. Exclusions. The insurance provided by this endorsement 2 Our right and duty to defend end does not apply to when we have used up the applica ble limit of insurance in the payment a. Bodily injury property damage or of judgments settlements or environmental damage expected or in clean up costs. tended from the standpoint of the insured. CG 7079 4 98 Page 10of 4 ACP GLAO3026407302 L3Q 16014 INSURED COPY 72 0014279 Each Pollution Incident L3Q 16014 INSURED COPY | 2 |
CG 7079 4 98 the products completed operations haz ard. Bodily injury property damage or environmental damage arising out of the ownership or operation of any off shore facility as defined in the Outer Continental Shelf Lands Act Amendment of 1978 or any deepwater port as defined in the Deepwater Port Act of 1974 as amended or as may be amended. Bodily injury property damage or environmental damage arising out of a pollution incident on or from a job site or any part of a job site that is or was at anytime used by you for the storage disposal processing or treatment of waste materials. Bodily injury property damage or environmental damage arising out of the ownership maintenance use or entrustment to others of any aircraft auto rolling stock or watercraft owned or operated by or rented or loaned to any insured. Use includes operation and loading or unioading. This exclusion does not apply to bodily injury property damage or environ mental damage arising out of the opera tion of any of the equipment listed in paragraph f.2 or.3 of the definition of mobile equipment Section V.. Bodily injury property damage or environmental damage arising out of the emission discharge release or es cape of drilling fluid oil gas or other fluids from any oil gas mineral water or geothermal well. Bodily injury property damage or environmental damage arising out of a pollution incident which results from or is directly or indirectly attributable to failure to comply with any applicable statute regulation ordinance directive or order relating to the protection of the environment and promulgated by any governmental body provided that failure to comply is a willful or deliberate act or omission of 1 Aninsured or 2 You or any of your members part ners or executive officers Page 2 of 4 72 0014280 b. Bodily injury property damage or environmental damage for which the insured is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the insured would have in the ab sence of the contract or agreement. c. Any obligation of the insured under a workers compensation disability bene fits or unemployment compensation law or any similar law. d. Bodily injury to 1 An employee of the insured arising out of and in the course of a employment by the insured or b performing duties related to the conduct of the insured s busi ness 2 The spouse child parent brother or sister of that employee as a conse quence of 1 above. This exclusion applies 1 Whether or not the insured may be liable as an employer or in any other capacity and 2 To any obligation to share damages with or repay someone else who may pay damages because of the injury. e. Property damage or environmental damage to 1 A waste facility 2 Property you own rent or occupy now or at any time in the past 3 Premises you sell give away or abandon if the property damage arises out of any part of those prem ises 4 Property loaned to an insured or 5 Personal property in the care cus tody or control of an insured. f. Bodily injury property damage or environmental damage included within CG 7079 4 98 ACP GLAQ3026407302 Q16014 INSURED INSURED COPY u3Q 16014 | 2 |
CG 7079 4 98 1. Paragraph 1 is replaced by the following 1. The Limits of Insurance shown in the Declarations and this endorsement and the rules below fix the most we will pay regardiess of the number of a. Insureds b. Claims made or suits brought or c. Persons or organizations making claims or bringing suits 2. Paragraph 2. is replaced by the following 2. The General Aggregate Limit is the most we will pay for the sum of a. Medical expenses under Coverage C b. Damages under Coverage A except damages because of bodily injury or property damage included in the products completed operations haz ard c. Damages under Coverage B and d. Damages under Coverage D. 3. The following is added 8. Subject to 2. above the General Aggre gate Limit the Poliution Liability Aggre gate Limit is the most we will pay for the sum of a. All damages because of all bodily injury and property damage and b. Al clean up costs incurred be cause of all environmental dam age arising out of all pollution incidents. 9. Subject to 2. above the General Aggre gate Limit and 8. above the Pollution Liability Aggregate Limit the Each Pol lution Limit is the most we will pay for a. All damages because of all bodily injury and property damage and b. ANl clean up costs incurred be cause of all environmental dam age i Bodily injury property damage or environmental damage arising out of acid rain. m. Bodily injury property damage or environmental damage arising out of 1 The transportation of mobile equip ment by an auto owned or oper ated by or rented or loaned to any insured or 2 The use of mobile equipment in or while in practice or preparation for a prearranged racing speed or demolition contest or in any stunting activity. n. Any loss cost or expense arising out of any request demand or order by a gov ernmental body that any insured or oth ers test for monitor clean up remove contain treat detoxify or neutralize or in any way respond to or assess the affects of pollutants at any site which is in cluded or proposed for inclusion on a governmental body s clean up priority list such as but not limited to USA EPA s NPL listing. o. Bodily injury or property damage arising out of heat smoke or fumes from a hostile fire. As used in this exclusion a hostile fire means one which becomes uncontrolla ble or breaks out from where it was in tended to be. p. Any multiple punitive or exemplary dam ages. q. Bodily injury or property damage or from any of your job sites on which any insured or any contractor or subcontrac tor working directly or indirectly on any insured s behalf are performing oper ations if the pollutants are not brought on or to your work site by such insured contractor or subcontractor. B. SUPPLEMENTARY PAYMENTS COVERAGES A AND B is amended to SUPPLEMENTARY PAYMENTS COVERAGES A B AND D. C. SECTION Iii LIMITS OF INSURANCE is amended as follows CG 7079 4 98 ACP GLAO3026407302 Li3Q 16014 INSURED COP Page 3 of 4 72 0014281 L3Q 16014 INSURED COPY | 2 |
CG 7079 4 98 Clean up costs means expenses for the removal or neutralization of poliutants. Environmental damage means the injurious presence of pollutants in or upon land the at mosphere or any water course or body of water. Pollution incident means the actual or alleged emission discharge release or escape of pollutants from your job site provided that such emission discharge release or escape results in environmental damage. All bodily injury property damage and environmental damage arising out of one emission discharge release or escape shall be deemed to be one pollution inci dent. Pollutants means any solid liquid gaseous or thermal irritant or contaminant including smoke vapor soot fumes acids alkalis chemicals and waste. Waste includes materials to be recycled reconditioned or reclaimed. Waste facility means any site to which waste from the operations of your work site is legally consigned for delivery or delivered for storage disposal processing or treatment provided that such site is not and never was owned by rented or loaned to you. Your job site means any site or location on which you or any contractors or subcontractors working directly or indirectly on your behalf are working. Your job site does not include any premises site or location which currently is or was at the time you or any contractors or sub contractors working directly or indirectly on your behalf were working on such premises site or lo cation owned or occupied by or rented or loaned to you. arising out of any one pollution inci dent. Deductible 1. Our obligation under this endorsement to pay damages for property damage or clean up costs because of environ mental damage on your behalf applies only to the amount of damages or clean up costs in excess of any deduct ible amount stated in the schedule of this endorsement as applicable to Each Pol lution Incident. Neither the Each Poliution Incident Limit nor the Pollution Liability Aggregate Limit will be reduced by the application of such deductible amount. 2. The terms of this insurance including those with respect to a. Our right and duty to defend any suits seeking those damages and b. Your duties in the event of a pol lution incident claim or suit apply irrespective of the application of the deductible amount. 3. We may pay any part or all of the deductible amount to effect settlement of any claim or suit and upon notification of the action taken you shall promptly reimburse us of such part of the deduct ible amount as has been paid by us. Paragraph 4. Other Insurance of CONDITIONS Section IV is amended as follows All references to Coverages A or B are amended to read Coverages A B or D. The following definitions are added to SECTION V DEFINITIONS. Page 4 of 4 72 0014282 CG 7079 4 98 ACP GLAG3026407302 e 16014 INSURED COPY | 2 |
COMMERCIAL GENERAL LIABILITY CG 72580908 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION OPERATIONS COVERED BY A CONSOLIDATED WRAP UP INSURANCE PROGRAM This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART The following exclusion is added to paragraph 2. Exclusions of COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY Section I Coverages This insurance including any duly to defend does not apply to bodily injury or property damage arising out of either your ongoing operations or operations included within the products completed operations hazard at any location where a consolidated wrap up insurance program has been provided by the prime contractor project manager or owner of the construction project in which you are involved. This exclusion applies whether or not the consolidated wrap up insurance program 1 Provides coverage identicat to that provided by this Coverage Part 2 Has limits adequate to cover all claims or 3 Remains in effect All terms and conditions of this policy apply uniess modified by this endorsement. CG 72580908 ACP GLAOJ006407302 LCB 13364 Page 10f1 72 0022214 INSURED COPY | 2 |
COMMERCIAL GENERAL LIABILITY CG7287121 m THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DEFINITION OF OCCURRENCE AMENDATORY ENDORSEMENT FOR CONSTRUCTION DEFECTS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Under Section V Definitions definition 13. occurrence is replaced by the following 13. Occurrence means an accidenl including continuous or repeated exposure to substantially the same general harmful conditions. An accident shall include a. Bodily injury or b. Properly damageto 1 The property of others or 2 Your work if your work was a Damaged by the work of a subcontractor who performed work cn your behalf in the construction alteration renovation repair or maintenance of a building structure highway road bridge water line sewer line oil line gas line appurtenance or other improvement to real property including any moving demolition or excavation and b The resulting property damage is included in the products completed operations hazard. All terms and conditions of this poticy apply unless modified by this endorsement. CG 72871211 includes copyrighted material of Insurance Services Office Inc. with ils permission. ACP GLAO3008407302 LLCB 13364 INSURED COPY Page 10f 1 72 0022215 | 2 |
ACP GLAO3026407302 L3Q 16014 COMMERCIAL GENERAL LIABILITY CG73231214 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS ENHANCEMENT PLUS ENDORSEMENT INCLUDING MEDICAL PAYMENTS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM A. Lost Key Coverage 1. Under Section Coverages Coverage A Bodily Injury And Property Damage Liability coverage is extended to include the following It a customer s master or grand key excluding electronic key card is lost while in your care custody or control we will pay the cost of replacing the keys including the master lock and ail keys used in the same lock the cost of adjusting locks to accept the new keys or the cost to replace the locks whichever is less. 2. Limit of Insurance The most we will pay for loss arising out of any one occurrence is 10000 3. Section V Definitions the following is added Loss means unintentional physical damage or destruction to tangible property including theft or disappearance. Tangible properly does not include money or securities. B. Voluntary Property Damage 1. Section Coverages Coverage A Bodily Injury And Property Damage Liability coverage is extended to include the following At your request we will pay for property damage to property of others caused by you and while in your possession arising out of your business operations and occurring during the policy period. 2. Limit of Insurance The most we will pay for loss arising out of any one occurrence is 1500. 3. For the purpose of this extended coverage the following definition is added to Section V Definitions CG73231214 Includes copyrighted material of Insurance Services Office Inc. Loss means unintentional damage or destruction but does not include disappearance theft or loss of use. C. Non Owned Watercraft Under Section Coverages Coverage A Bodily Injury And Property Damage Liability 2. Exclusions exclusion g. Aircraft Auto Or Watercraft Paragraph 2 a is replaced with a Less than 51 feet long and D. Expanded Property Damage Coverage 1. For the purposes of this endorsement only Section Coverages Coverage A Bodily Injury And Property Damage Liability 2. Exclusions exclusion j. Damage to Property is amended as follows a. Paragraphs.3 5 and 6 are deleted in their entirety. b. Paragraph 4 is deleted in its entirety and replaced with 4 Personal property in the care cuslody or control of the insured a for storage or sale at premises you own rent or occupy or b while being transported by any aircraft auto or watercraft owned or operated by or rented to or loaned to any insured c. The coverage provided by this endorsement does not apply 1o property damage 1 Arising out of the disappearance or loss of use of personal property or 2 Included in the products completed operations hazard. Page 10 t 5 with its permission. INSURED COPY 72 0014283 Loss means unintentional damage or destruction but does not include disappearance theft or loss of use. C. Non Owned Watercraft Under Section Coverages Coverage A Bodily Injury And Property Damage Liability 2. Exclusions exclusion g. Aircraft Auto Or Watercraft Paragraph 2 a is replaced with a Less than 51 feet long and D. Expanded Property Damage Coverage 1. For the purposes of this endorsement only Section Coverages Coverage A Bodily Injury And Property Damage Liability 2. Exclusions exclusion j. Damage to Property is amended as follows a. Paragraphs.3 5 and 6 are deleted in their entirety. b. Paragraph 4 is deleted in its entirety and replaced with 4 Personal property in the care cuslody or control of the insured a for storage or sale at premises you own rent or occupy or b while being transported by any aircraft auto or watercraft owned or operated by or rented to or loaned to any insured c. The coverage provided by this endorsement does not apply 1o property damage 1 Arising out of the disappearance or loss of use of personal property or 2 Included in the products completed operations hazard. Page 10 t 5 72 0014283 | 2 |
CG73231214 2. Limit of Insurance The most we will pay for property damage provided by this coverage in any one occurrence is 5000. Deductible Our obligation to pay for a covered loss applies only to the amount of loss in excess of 250. We will pay the deductible amount to effect settlement of any claim or suit and upon notification of this action having been taken you shall promptly reimburse us for the deductible as has been paid by us. This insurance is primary to any expanded property damage coverage provided by a separate endorsement attached to this policy and it will supplant any deductible in said endorsement E. Damage To Premises Rented To You 1. Under Section Coverages Coverage A Bodily Injury And Property Damage Liability the last paragraph of 2. Exclusions is replaced with If Damage to Premises Rented to You is not otherwise excluded exclusions c. through n. do not apply to damage by fire lightning explosion smoke or sprinkler feakage to premises while rented to you or temporarily occupied by you with permission of the owner. Under Section Il Limits Of Insurance paragraph 6 is replaced with 6. Subject to 5. above the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of property damage to any one premises while rented to you or in the case of damage by fire lightning explosion smoke or sprinkler leakage while rented fo you or temporarily occupied by you with permission of the owner. The limit is increased to 300000.. Under Section IV Commercial General Liability Conditions 4. Other Insurance b. Excess Insurance 1 a ii is replaced with ii That is Fire Lightning Explosion Smoke or Sprinkler leakage insurance for premises rented to you or temporarily occupied by you with permission of the owner. F. Supplementary Payments Under Section Coverages Supplementary Payments Coverages A and B paragraphs 1.b and 1.d. are repiaced with b. Up to 2500 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or suit including actual loss of earnings up to 500 a day because of time off from work. G. Newly Formed And Acquired Organizations Under SECTION Il WHO IS AN INSURED paragraph 3.a. is replaced with a. Coverage under this provision is afforded only until the 180 day after you acquire or form the organization or the end of the policy period whichever is earlier H. Additional Insured Automatic Status When Required In An Agreement Or Contract With You Section Il Who Is An Insured is amended o 1. Any persons or organizations described in Paragraph 2. below with whom you have agreed in writing in a contract or written agreement that such person or organization be added as an additional insured on your policy during the policy period shown in the Declarations. 2. Any other person or organization you are required to add as an additional insured under the contract or agreement described in Paragraph 1. above. The person or organization added as an insured by this endorsement is an insured only to the extent you are held liable due to a. Lessors of Leased Equipment with respect to their liability for bodily injury properly damage or personal and advertising injury caused in whole or in part by your maintenance operation or use of equipment leased to you by such persons or organizations. This insurance does not apply to any occurrence which takes place after the equipment lease expires. CG73231214 72 0014284 Includes copyrighted material of Insurance Services Office Inc. with its permission. L3Q 16014 INSURED COPY Page 2015 ACP GLAC3026407302 | 2 |
CG73231214 However such state or political subdivision s status as additional insured under this policy ends when the permit ends. Owners Lessees or Contractors with respect 1o liability forbodily injury property damage or personal and advertising injury caused in whole orin part by 1 Your acts or omissions or 2 The acts or omissions of those acting on your behalf in the performance of your ongoing operations performed for that additional insured whether the work is performed by you or on your behalf. The insurance does not apply to 1 Bodily injury property damage or personal and advertising injury arising out of the rendering of or the failure 1o render any professional architectural engineering or survey services including a The preparing approving or failing to prepare or approve maps shop drawings opinions reports survey field orders change orders or drawings and specifications or Supervisory inspection archi tectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others by that insured if the occurrence which caused the bodily injury or property damage or the offense which caused the personal and advertising injury involved the rendering of or failure to render any b professional architectural engineering or surveying services. 2 Bodily injury or properly camage occurring after However their status as additional insured under this policy ends when their lease contract or agreement with you for such leased equipment expires. Managers or Lessors of Premises with respect 1o liability arising out of the ownership maintenance or use of that part of the premises you own rent lease or occupy. This insurance does not apply to 1 Any occurrence which takes place after you cease to be a tenant in that premises. 2 Structural alterations new con struction or demolition operations performed by or on behalf of the person or organization. However their status as additional insured under this policy ends when you cease 1o be a tenant of such premises. State or Political Subdivision Permits Relating to Premises with respect to the following hazards for which the state or political subdivision has issued a permit or authorization in connection with premises you own rent or control and to which this insurance applies. 1 The existence maintenance repair construction erection or removal of advertising signs awnings canopies cellar entrances coal holes driveways manholes marquees hoist away openings sidewalk vaults street banners or decorations and similar exposures or 2 The construction erection or removal of elevators or 3 The ownership maintenance or use of any elevators covered by this insurance. This insurance does not apply to 1 Bodily injury or property damage or personal or advertising injury arising out of operations performed for the state or municipality or 2 Bodily injury or property damage included within the products completed operations hazard CG73231214 Includes copyrighted material of Insurance Services Office Inc. with its permission. ACP GLAO3026407302 L3Q 16014 INSURED COPY Page3of5 72 0014285 | 2 |
CG73231214 a All work including materials parts or equipment furnished in connection with such work on the project other than service maintenance or repairs to be performed by or on behalf of the additional insureds at the location of the covered operations has been completed or b That portion of your work out of which the injury or damage arises has been put to ils intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. However a person or organization s status as additional insured under this policy ends when your operations for that additional insured are completed. However the insurance afforded to such additional insureds a. d. described above a Only applies to the extent permitted by law and b Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 3. Primary and Noncontributory Other Insurance Conditions The following is added to the Other Insurance Condition and supersedes any provisions to the contrary Primary and Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that a The additional insured is a Named Insured under such other insurance and b You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. Employee Bodily Injury To Another Employee Under Section Il Who Is An insured The following is added to paragraph 2.a.1 Paragraphs 2.a.1 a b and c do not apply to bodily injury to a coemployee in the course of the coemployee s employment by you or to bodily injury to a covolunteer worker while performing duties related to the conduct of your business. Broad Form Named Insured Under Section Il Who Is An Insured The following is added to paragraph 2. e. Any business entity incorporated or organized under the laws of the United State of America including any State thereof its territories or possessions or Canada including any Province thereof in which the Named Insured shown in the Declarations owns during the policy period an interest of more than fifty percent. If other valid collectible insurance is available to any business entity covered by this solely by reason of ownership by the Named Insured shown in the Declarations in excess of fifty percent this insurance is excess over the other insurance whether primary excess contingent or on any other basis.. Aggregate Limit Per Location Under Section l Limits Of Insurance the following is added to paragraph 2 The General Aggregate Limit under Section Ill Limits of Insurance applies separately to each of your locations owned by or rented to you or temporarily occupied by you with the permission of the owner. For the purposes of this provision location means premises involving the same or connecting lots or premises whose connection is interrupted only by a public street roadway waterway or railroad right of way. Aggregate Limit Per Project Under Section lll Limits Of Insurance The following paragraph is added 1o paragraph 2 The General Aggregate Limit under Section HI Limits of Insurance applies separately to each of your construction projects away from premises owned by or rented to you. CG73231214 Page 4 of 5 Includes copyrighted material of Insurance Services Office Inc. with its permission. 16014 INSURED COPY ACP GLAO3026407302 e 16014 nan nan nan nan 72.0 14286.0 | 2 |
CG 73231214 hazards or prior occurrences or offenses is not intentional. This provision does not affect our right 1o collect additional premium or exercise our right of cancellation or non renewal. P. Waiver Of Subrogation Under Section IV Commercial General Liability Conditions 8. Transfer of Rights of Recovery Against Others to Us the following paragraph is added It required by a written contract executed prior to loss we waive any right of subrogation we may have against the contracling person or organization because of payments we make for injury or damage arising out of your ongoing operations or your work done under a contract with that person or organization and included in the products completed operations hazards. Q. Liberalization Under Section IV Commercial General Liability Conditions 10. Liberalization the following paragraph is added I we revise this coverage form 1o provide more coverage without additional premium charge your policy will automatically provide the additional coverage as of the day the revision is effective in your state R. Broadened Bodily Injury Definition Mental Anguish Under Section V Definitions definition 3. Is replaced with 3. Bodily injury means physical injury sickness or disease to a person and if arising out of the foregoing. mental anguish mental injury shock or humiliation including death at any time resulting therefrom. M. Medical Payments Under Section Nl Limits Of Insurance paragraph 7. is replaced with 7. Subject to 5. above the higher of a. 10000 or b. The amount shown in the Declarations for Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of bodily injury sustained by one person. This coverage does not apply if Coverage C Medical Payments is excluded either by the provisions of any coverage forms attached to the policy or by endorsement.. Knowledge Of An Occurrence Under Section IV Commercial General Liability Conditions The following is added to 2. Duties In The Event Of Occurrence Offense Claim Or Suit condition e. Knowledge of an occurrence offense claim or suit by an agent or employee of any insured shall not in itself constitute knowledge of the insured unless you a pariner if you are a partnership or an executive officer or insurance manager if you are a corporation receives such notice of an occurrence offense claim or suit from the agent or employee. f. The requirements in paragraph b. will not be considered breached unless there is knowledge of occurrence as outlined in paragraph e. above. Unintentional Failure To Disclose Hazard Under Section IV Commercial General Liability Conditions 6. Representations the following paragraph is added d. Your failure to disclose all hazards or prior occurrences or offenses existing as of the inception dale of the policy shall not prejudice the coverage afforded by this policy provided such failure to disclose all hazards or prior occurrences or offe not intentional. This provision dc affect our right 1o collect additional p or exercise our right of cancellation renewal. P. Waiver Of Subrogation Under Section IV Commercial C Liability Conditions 8. Transfer of Ri Recovery Against Others to Us the fc paragraph is added It required by a written contract executed loss we waive any right of subrogation v have against the contracting pers organization because of payments we m injury or damage arising out of your o operations or your work done under a with that person or organization and inclt the products completed operations hazar Q. Liberalization Under Section IV Commercial G Liability Conditions 10. Liberalizatic following paragraph is added I we revise this coverage form 1o provide coverage without additional premium your policy will automatically provid additional coverage as of the day the revi effective in your state R. Broadened Bodily Injury Definition Anguish Under Section V Definitions definitior replaced with 3. Bodily injury means physical sickness or disease 10 a person arising out of the foregoing. mental an mental injury shock or humiliation inc death at any time resulting therefrom. All terms and conditions of this policy apply unless modified by this endorsement. PN CG73231214 Page 5 of 5 72 0014287 ACP GLAO3026407302 L3Q 16014 INSURED COPY | 2 |
1L0017 11 88 A. D. 1L0017 11 88 COMMON POLICY CONDITIONS All Coverage Parts included in this policy are subject to the following conditions. Cancellation 1. The first Named Insured shown in the Declara tions may cancel this policy by mailing or deliv ering to us advance written notice of cancelia tion. 2. We may cancel this policy by mailing or deliv ering to the first Named Insured written notice of canceliation at least a. 10 days before the effective date of cancel lation if we cancel for nonpayment of pre mium or b. 30 days before the effective date of cancel lation if we cancel for any other reason. 3. We will mait or deliver our notice to the first Named Insured s last mailing address known to us. 4. Notice of canceliation will state the effective date of cancellation. The policy period will end on that date. 5. If this policy is cancelled we will send the first Named nsured any premium refund due. If we cancel the refund will be pro rata. If the first Named Insured cancels the refund may be less than pro rata. The canceliation will be ef fective even if we have not made or offered a refund. 6. If potice is mailed proof of mailing will be suffi cient proof of notice Changes This policy contains all the agreements between you and us concerning the insurance afforded. The first Named Insured shown in the Declara tions is authorized to make changes in the terms of this policy with our consent. This policy s terms. can be amended or waived only by endorsement issued by us and made a part of this policy.. Examination Of Your Books And Records We may examine and audit your books and re cords as they relate to this policy at any time dur ing the policy period and up to three years after ward Inspections And Surveys 1. We have the right to a. Make inspections and surveys at any time F. b. Give you reports on the conditions we find al. Recommend changes. 2. We are not obligated to make any inspections surveys reports or recommendations and any such actions we do undertake relate only to in surability and the premiums to be charged. We do not make safety inspections. We do not un dertake to perform the duty of any person or organization to provide for the healtn or safety of workers or the public. And we do not warrant that conditions a. Are safe or healthful or b. Comply with faws regulations codes or standards. 3. Paragraphs 1.2and 2. of this condition apply not only to us butalso to any rating advisory rate service or similar organization which makes in surance inspections surveys reports or fec ommendations. 4. Paragraph 2. of this condition does not apply to any inspections surveys reports or fecom mendations we may make relative fo certifica tion under state or municipal statutes ordi nances or regulations of boilers pressure ves sels or elevators. Premiums The first Named Insured shown in the Declara tions 1. Is responsible for the payment of all premiums and 2. Will be the payee for any retumn premiums we pay. Transfer Of Your Rights And Duties Under This Policy Your rights and duties under this policy may not be transferred without our written consent except in the case of death of an individual named in sured. If you die your rights and duties will be transferred o your legal representative but only while acting within the scope of duties as your legal represen tative. Until your legal representative is appointed anyone having proper temporaty custody of your property will have your rights and duties but only with respect to that property. 1ed Insured shown in the Declara ncel this policy by mailing or deliv dvance written notice of cancelia cel this policy by mailing or deliv irst Named Insured written notice 1 at least efore the effective date of cancel e cancel for nonpayment of pre fore the effective date of cancel cancel for any other reason. or deliver our notice to the first d s Jast mailing address known to celiation will state the effective lation. The policy period will end cancelled we will send the first d any premium refund due. If we fund will be pro rata. If the first d cancels the refund may be ata. The cancellation will be ef we have not made or offered a e agreements between he insurance afforded. IL 00 17 1198 Copyright Insurance Services Office Inc. 1998 ACP GLAO3006407302 ucs 13364 INSURED COPY Page 10f1 72 0022224 | 2 |
IL. 00 2105 02 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT Broad Form This endorsement modifies insurance provided under the following COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART FARM COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY 1. The insurance does not apply C. Under any Liability Coverage to bodily injury A. Under any Liability Coverage to bodily injury or property damage resulting from hazard ous properties of nuclear material if or property damage 1 With respect to which an insured under the policy is also an insured under a nu clear energy liability policy issued by Nu ciear Energy Liability Insurance Associa tion Mutual Atomic Energy Liability Under wiiters Nuclear Insurance Association of Canada or any of their successors or would be an insured under any such policy but for its fenmination upon exhaustion of its limit of liability or Resulting from the hazardous properties of nuclear material and with respect to which a any person or organization is re quired to maintain financial protection pur suant to the Afomic Energy Act of 1954 or any law amendatory thereof or b the in sured is or had this policy not been issued wouid be entitied to indemnity from the United States of America or any agency thereof under any agreement entered into by the United States oif America or any agency thereof with any person or organi zation B. Under any Medical Payments coverage fo expenses incurred with respect to bodily in jury resulting from the hazardous properties of nuclear material and arising out of the op eration of a nuclear facility by any person or organization. 2 1 The nuclear material a is at any nuclear facility owned by or operated by or on be half of an insured or b has been dis charged or dispersed therefrom 2 The nuclear material is contained in spent fuel or waste at any time pos sessed handled used processed stored transported or disposed of by or on behalf of an insured or 3 The bodily injury or property damage arises out of the furnishing by an insured of services materials parts or equipment in connection with the planning construction maintenance operation or use of any nu clear facility but if such facility is located within the United Stales of America ils terri tories or possessions or Canada this ex clusion 3 applies only fo property dam age lo such nuclear facility and any property thereat. 2. Asused in this endorsement Hazardous properties includes radioactive toxic or explosive properties. Nuclear material means source material Spe cial nuclear material or by producl material. Page 10f2 72 0022225 IL 00 21 05 02 ACP GLAO3006407302 LeB 13364 INSURED COPY | 2 |
L 00 21 0502 Source malerial special nuclear material and by product material have the meanings given them in the Atomic Energy Act of 1954 or in any c Any equipment or device used for the ing fabricating or alloying of special material if at any time the fotal amount material in the custody of the insured law amendatory thereof Spent fuel means any fuel element or fuel com premises where such equipment or d ponent solid or liquid which has been used or focated consists of or contains more exposed to radiation in a nuclear reactor. grams 0 pltgmuT or uranu hm 2230 Waste means any waste material a containing gfrgzrrzamo or more than by product material other than the tailings or. N wastes produced by the extraclion or concentra d Any structure basin excavation prem place prepared or used for the storage tion of uranium or thorium from any ore processed primarily for ifs source material content and b resulting from the operation by any person or or ganization of any nuclear facilily included under ing is localed all operations conducted o the first two paragraphs of the definition of nu site and all premises used for such operatiol clear facility Nuclear reactor means any apparatus de Nuclear facility means or used to suslain nuclear fission in supporting chain reaction or to confain a posal of wasle and includes the site on which any of the a Any nuclear reactor f fiesionabi terial b Any equipment or device designed or used for nass offissional eiv.na nia 1 separating the isotopes of uranium or plu Property damage includes alf forms of rz tive contamination of property. fonium 2 processing or utilizing spent fuel or 3 handiing processing or packaging waste All terms and conditions of this policy apply uniess modified by this endorsement. c Any equipment or device used for the process ing fabricating or alloying of special nuclear material if at any time the total amount of such material in the custody of the insured at the premises where such equipment or device is located consists of or contains more than 25 grams of plulonium or uranium 233 or any combination thereof or more than 250 grams of uranium 235 d Any structure basin excavation premises or place prepared or used for the storage or dis posal of wasle and includes the site on which any of the forego ing is localed all operations conducted on such site and all premises used for such operations. Nuclear reactor means any apparatus designed or used to suslain nuclesr fission in a self supporting chain reaction or to contain a critical mass of fissionabie material. Property damage includes all forms of radioac tive contamination of property. 1L 00 21 05 02 72 0022226 Page 2 of 2 ACP GLAO3006407302 es 13954 IS0 Properties Inc. 2001 INSURED COPY | 2 |
I 02 59 09 07 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY. NEBRASKA CHANGES CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following CAPITAL ASSETS PROGRAM OUTPUT POLICY COVERAGE PART COMMERGCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EMPLOYMENT RELATED PRACTICES LIABILITY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART 6 Certification to the Director of Insurance of our loss of reinsurance which pro vided coverage o us for all cr a sub A. Paragraphs 2. and 3. of the Cancellation Com mon Policy Condition are replaced by the foliow ing b 2. Canceliation Of Policies In Effect ijzgalmpan of the underlying risk in a 60DaysOrless 7 The determination by the Director of In If this policy has been in effect for 60 days surance that the continuation of the pol or less we may cance this policy for any icy could place us in violation of the Ne reason braska Insurance Laws. b. More Than 60 Days c. If we cancel this policy subject to 2.a. or 2.b. above we will mail to the first Named Insured a written notice of canceilation stating the reasons for canceliation at least 1. 10 days before the effective date of can celfation if we cancel for nonpayment of If this policy has been in effect for more than 60 days or if this is a renewal of a pol icy we issued we may cancel this policy only for one or more of the following rea sons 1 Nonpayment of premium 2 The policy was obtained through mate premium or rial misrepresentation 2. 60 days lefure the effective date of can 3 Any insured has submitted a fraudulent gsr if we cancel for any other rea claim 3. We will.I to thy. We will mail our notice by first class mail to the r d G ve Yi Vil td the terms and first Named Insured s last mailing address lons of this policy. known fo us. A United States Postal Service The risk originally accepted has sub Certificate of Mailing shall be sufficient proof of stantially increased receipt of notice on the third calendar day after the date of the certificate of mailing. iL 02 59 09 07 ACP GLAO3006407302 LLCB 13364 Page 10f2 72 0022227 INSURED COPY | 2 |
i 025909 07 B. Paragraph 6. of the Cancellation Common Policy Condition does not apply. C. The following is added and supersedes any provi sions to the contrary NONRENEWAL 1. If we decide not to renew this policy we will mail written notice of nonrenewal stating the reasons for nonrenewal to the first Named In sured at least 60 days prior to the expiration date of this policy. 2. Any notice of nonrenewal will be mailed by first class mail fo the first Named Insured s last mailing address known to us. A United States Postal Service Certificate of Mailing shall be sufficient proof of receipt of notice on the third calendar day afler the dale of the certificate of mailing. All terms and conditions of this policy apply unless modified by this endorsement. SO Properties Inc. 2006 IL 02 59 08 07 72 0022228 Page 2 of 2 ACP GLAQO3006407302 LLCB 13384 INSURED COPY | 2 |
IL700309 11 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADVANCE NOTICE OF CANCELLATION OR COVERAGE REDUCTION OR RESTRICTION PROVIDED BY US This endorsement modifies insurance provided under the following COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL CRIME COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART COMMERCIAL UMBRELLA LIABILITY POLICY FARM UMBRELLA LIABILITY POLICY LIQUOR LIABILITY COVERAGE PART MERCANTILE UMBRELLA LIABILITY POLICY SCHEDULE Persons or Organizations Address THE WHITING TURNER CONTRACTING CO. ONE SPEEN ST STE 120 FARMINGHAM MA 01701 iE WHITING TURNER CONTRACTING CO. NE SPEEN ST STE 120 ARMINGHAM MA 01701 Number of Days Notice If this policy is cancelled other than nonpayment of premium or if the coverage provided by this policy is reduced or restricted except for any reduction in the Limits of Insurance due to claims payments we will provide written notice to the persons or organizations listed in the Schedule. We will provide this notice by mail 30 days in advance of any policy cancellation or coverage reduction or restric tion or as indicated in the Number of Days Notice in the Schedule. All terms and conditions of this policy apply unless modified by this endorsement. IL70 0309 11 ACP GLAQ3026407302 Includes copyrighted material of Insurance Services Office Inc. with its permission. L3Q 16014 INSURED COPY Page 1 of 1 72 0014288 | 2 |
13614 11 85 ToRig ey THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SPECIAL CONTINUATION PROVISION if we offer to continue and you or your representative do not accept this policy will automatically terminate at the end of the current policy period. Failure to pay the required continuation premium when due shall mean that you have not accepted our offer. 13614 11 85 ACP GLAO3006407302 ues 13384 INSURED COPY nan nan nan nan 72.0 22232.0 | 2 |
RE CG3037 28 01 86 ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE PERFORMING OPERATIONS WHEN YOU AND SUCH PERSON OR ORGANIZATION HAVE AGREED IN WRITING IN A CONTRACT OR AGREEMENT THAT SUCH PERSON OR ORGANIZATION BE ADDED AS AN ADDITIONAL INSURED ON YOUR POLICY 28 01 86 ACP GLAO3026407302 L3Q 16014 INSURED COPY nan nan nan nan 72.0 14289.0 | 2 |
Energy Industries Insurance Coverage cHUBEB Premium Bill Policy Period Effective Date Policy Number Insured AUGUST 1 2013 TO AUGUST I 2014 AUGUST 1 2013 3584 89 10 WUC COMMONWEALTH CHESAPEAKE COMPANY LLC Name of Company FEDERAL INSURANCE COMPANY Date Issued AUGUST 72013 Portion of total premium attributable for terrorism and statutory standard fire where applicable is 600.00 PLEASE SEND PAYMENT TO AGENT OR BROKER RENEWAL Date Payment Due Premium AUGUST 1 2013 20584.00 TOTAL 20584.00 Commission 15.00 Commission WHEN SENDING PAYMENT PLEASE INDICATE POLICY NUMBER ON YOUR CHECK. NOTE PLEASE RETURN THIS BILL WITH PAYMENT AND INCLUDE ANY ADDITIONAL CHANG Producer LOCKTON COMPANIES LLC 444 W 47TH ST STE 900 KANSAS CITY MO 64112 1905 lastpage Form 80 02 9020 Ed. 4 94 Premium Bill Page 1 | 2 |
IMPORTANT NOTICE TO POLICYHOLDERS TERRORISM RISK INSURANCE ACT This Important Notice is being provided with your policy to further satisfy the disclosure requirements of the Terrorism Risk Insurance Act. At the time you received the written offer for this policy we provided you with an Important Notice o Policyholders indicating that the insurance provided in your policy for losses caused by certain acts of terrorism as defined in the Terrorism Risk Insurance Act would be partially reimbursed by the United States of America pursuant to the formula set forth in the Terrorism Risk Insurance Act. In addition as required by the Terrorism Risk Insurance Act we. indicated that we would make available insurance for such losses in the same manner as we provide insurance for other types of losses specified the premium we would charge if any for providing such insurance and except o the extent prohihited by law gave you the opportunity to reject such insurance and have a terrorism exclusion sublimit or other limitation included in your policy. This Important Notice refers back to that Important Notice and provides information about your decision and the manner in which your policy has been subsequently modified. It. You rejected terrorism insurance under the Terrorism Risk Insurance Act your policy includes the appropriate amendatory endorsements.. You did not reject terrorism insurance under the Terrorism Risk Insurance Act the premium charged for your policy including that portion applicable to terrorism insurance under the Terrorism Risk Insurance Act is shown in your policy. To the extent your policy includes a limitation on terrorism insurance it has been modified so that such limitation does not apply to terrorism insurance under the Terrorism Risk Insurance Act. arefully review your policy and the Important Notice previously provided to you for further s. Please remember that only the terms of your policy establish the scope of your insurance protection.. provides commercial property insurance in a jurisdiction that has a statutory standard fire policy the premium we charge for terrorism insurance under the Terrorism Risk Insurance Act includes an amount attributable to the insurance provided pursuant to that standard fire policy. Re jection o f such statutory insurance is legally prohibited. isaworkers compensation policy re jection of insurance for terrorism is legally prohibited. If agaregate insured losses attributable to terrorist acts certified under the Terrorism Risk Insurance Act exceed 100 billion in a Program Year January 1 through December 31 the Treasury shall not make any payment for any portion of the amount of such losses that exceeds 100 billion. If aggregate insured losses atiributable o terrorist acts certified under the Terrorism Risk Insurance Act exceed S100 billion in a Program Year January 1 through December 31 and we have met our insurer deductible under the Terrorism Risk Insurance Act we shall not be liable for the payment of any portion of the amount of such losses that exceeds 100 billion and in such case insured losses up o that amount are subject to pro rata allocation in accordance with procedures established by the Secretary of the Treasury. last page Form 99 10 0732 Rev. 12 07 Important Notice Page 1 | 2 |
IMPORTANT NOTICE TO POLICYHOLDERS cHUBB This Important Notice is not your policy. Please read your policy carefully to determine your rights duties and what is and what is not covered. Only the provisions of your policy determine the scope of your insurance protection. THIS IMPORTANT NOTICE PROVIDES INFORMATION CONCERNING POSSIBLE IMPACT ON YOUR INSURANCE COVERAGE DUE TO COMPLIANCE WITH APPLICABLE TRADE SANCTION LAWS. PLEASE READ THIS NOTICE CAREFULLY.. S R s Various trade or economic sanctions and other laws or regulations prohibit us from providing insurance in certain circumstances. For example the United States Treasury Department s Office of Foreign Asset Control OFAC administers and enforces economic and trade sanctions and places restrictions on transactions with foreign agents front organizations terrorists terrorists organizations and narcotic traffickers. OFAC acts pursuant to Executive Orders of the President of the United States and specific legislation to impose controls on transactions and frecze foreign assets under United States jurisdiction. To learn more about OFAC please refer to the United States Treasury s web site at http www treas.govotac. To the extent that you or any other insured or any person or entity claiming the benefi insurance has violated any applicable sanction laws this insurance will not apply. of this We have added a condition or section that applies to the entire policy called Compliance With Applicable Trade Sanctions which stipulates that your insurance policy does not apply to the extent that trade or economic sanctions or other laws or regulations prohibit us from providing insurance. last page Form 99 10 0792 Ed. 9 04 Important Notice Page 1 | 2 |
POLICYHOLDER NOTICE All of the members of the Chubb Group of Insurance companies doing business in the United States hereinafter Chubb distribute their products through licensed insurance brokers and agents producers. Detailed information regarding the types of compensation paid by Chubb to producers on US insurance transactions is available under the Producer Compensation link located at the bottom of the page at www.chubb.com or by calling 1 866 588 9478. Additional information may be available from your producer. Thank you for choosing Chubb. last page Form 99 10 0872 Ed. 6 07 Policyholder Notice Page 1 | 2 |
cHUBEB Energy Industries Insurance Coverage FOR COMMONWEALTH CHESAPEAKE COMPANY LLC Producer LOCKTON COMPANIES LLC 444 W 47TH ST STE 900 KANSAS CITY MO 64112 1905 Chubb Servicing Office KANSAS CITY 1100 WALNUT SUITE 1800 KANSAS CITY MO 64106 Form 80 02 9000 Ed. 4 94 Page 10f 1 | 2 |
Energy Industries Insurance Coverage Loss Notification How To Report A Loss To report a Loss use the following procedure I an Insured Person has a Loss please contact us by telephone as soon as possible for further assistance Telephone Number 1 800 252 4670 24 hours a day 7 days a week You may also fax the loss report during normal business hours o Fax Number 1 800 300 2538 Fax Number You may mail your loss report to the following address Chubb Group Of Insurance Companies Claim Service Center 600 Independence Parkway P.O. Box 4700 Chesapeake Va. 23327 4700 Mailing Address Form 80 02 9001 Ed. 6 98 How To Report A Loss Page 1 of 1 | 2 |
Energy Industries Insurance Coverage Table Of Contents This Table Of Contents is provided o acquaint you with the overall organization of this policy POLICY ORGANIZATION Insuring Agreement Premium Summary Liability Insurance Section Liability Schedule Of Forms Declarations Liability Contracts Liability Endorsements Common Policy Section Common Policy Conditions Common Policy Endorsements ion has its own Table Of Contents to facilitate your use of them. h contract within a seq Note last page Form 80 02 9100 Ed. 4 94 Table Of Contents Page 1 | 2 |
Insuring Agreement Chubb Group of Insurance Companies Chubb Group of Insurance Companies 15 Mountain View Road Warren NJ 07059 Policy Number 3584 89 10 WUC Effective Date AUGUST 1 2013 Issued by the stock insurance company indicated below herein called the company. FEDERAL INSURANCE COMPANY Incorporated under the laws of INDIANA Named Insured and Mailing Address COMMONWEALTH CHESAPEAKE COMPANY LLC 7500 COLLEGE BLVD SUITE 400 OVERLAND PARK KS 66210 Producer No. 003794999999 Incorporated under the laws of INDIANA Producer LOCKTON COMPANIES LLC 444 W 4TTH ST STE 900 KANSAS CITY MO 64112 1905 S T T Company and Policy Period Insurance is issued by the company in consideration of payment of the required premium. This policy is issued for the period 1201 AM standard time at the Named Insured s mailing address shown above From AUGUST 1 2013 To AUGUST 12014 Your acceptance of this policy terminates effective with the inception of this policy any prior policy of the same number issued to you by us. This Insuring Agreement together with the Premium Summary Schedule OF Forms Declarations Contracts Endorsements and Common Policy Conditions comprise this policy. In Witness Whereof the company issuing this policy has caused this policy to be signed by its authorized officers but this policy shall not be valid unless also signed by a duly authorized representative of the company. Gt 4 F ddithan Secreta President i Secretary Authorized Representative 80 02 9800 Rev. 12 08 Insuring Agreement Page 10f 1 | 2 |
K. cHuEBEB Energy Industries Insurance Coverage Premium Summary Named Insured and Mailing Address COMMONWEALTH CHESAPEAKE COMPANY LLC 7500 COLLEGE BLVD SUITE 400 OVERLAND PARK KS 66210 Producer No. 0037949 99999 Producer LOCKTON COMPAN Chubb Group of Insurance Companies 15 Mountain View Road Warren NJ 07059 Policy Number 3584 89 10 WUC Effective Date AUGUST 1 2013 Issued by the stock insurance company indicated below herein called the company. FEDERAL INSURANCE COMPANY Incorporated under the laws of INDIANA Named Insured and Mailing Address COMMONWE SAPEAKE COMPANY LLC 7500 COLLE J SUITE 400 OVERLAND IRK KS 66210 Producer No. 0037949 99999 Producer LOCKTON COMPANIES LLC 444 W 4TTH ST STE 900 KANSAS CITY MO 64112 1905 Poiiey Period 2. s s. From AUGUST 1 2013 To AUGUST 1 2014 12201 AM. standard time at the Named Insured s mailing address shown above. s e S R O Premium Payment The First Named Insured shown in the Declarations is responsible for the payment of all premiums and will be the payee for any return premiums we pay. R Z R R Premium Audit Certain large increases or decreases in your business results. Based upon our underwriting review of information provided by you we may at our discretion perform a premium audit. You may also request such an audit. If an audit is conducted and additional premiums are due they are payable upon notice o the First Named Insured. If as a result of an audit the premium paid is greater than the carned premium we will return the excess to the First Named Insured. The First Named Insured must keep records of the information we need to perform the audit and send us copies at such times as we may request. S R R R i Coverage Rate Premium LIABILITY INSURANCE SECTION 20584 Issue Date AUGUST 7 2013 continued Form 80 02 9009 Rev. 10 05 Premium Summary Page 1 | 2 |
Premium Summary continued TOTAL 20584 RENEWAI If ATD coverage is provided on this policy additional certificate and handling fees may be imposed during the policy term Coverage Premium Additional certificate and handling fees may be imposed as respects o certification of pressure equipment as mandated by State andor local jurisdictional authorities Payment Plan This policy premium is being billed as follows. The amounts shown are due and payable as of the dates shown below Date Payment Due Amount Due AUGUST 1 2013 20584.00 20584 Issue Date AUGUST 7 2013 last page Form 80 02 9009 Rev. 10 05 Premium Summary Page 2 | 2 |
cHUBEB Liability Insurance Schedule of Forms Policy Period Effective Date Policy Number Insured AUGUST 12013 TO AUGUST 1 2014 AUGUST 1 2013 3584 89 10 WUC COMMONWEALTH CHESAPEAKE COMPANY LLC Name of Company FEDERAL INSURANCE COMPANY Date Issued AUGUST 7 2013 The following is a schedule of forms issued as of the date shown above sued Edition Effective Date Form Number Date Form Name Date Issued 42 02 0040 889 GENERAL LIABILITY DECLARATIONS 080113 080713 42 02 0443 595 2 OF EXPOSURE 080113 080713 42 02 1004 10 01 JABILITY COVERAGE 080113 080713 42 02 1661 10 01 WAIVER OF RIGHTS RECOVERY AGNST OTHS 080113 080713 42 02 1665 10 01 TROMAGNETIC RADIATION EXCEPTION 080113 080713 42 02 1666 10 01 EXCLUSION FAILURE TO SUPPLY 080113 080713 42 02 1670 10 01 EXCLUSION RADIOACTIVE MATERIAL EXCEPTION 080113 080713 42 02 1806 10 02 WHO IS AN INSURED PERSONS OR ORGANIZATIONS 08101713 080713 80 02 6403 1207 CAP ON CERTIFIED TERRORISM L.OSS 080113 080713 80 02 6528 405 EXCLUSION INFORMATION DISTRIBUTION LAWS 080113 080713 80 02 6541 305 CONDITION PREMIUM AUDIT 080113 080713 80 02 2653 7 09 PRIMARY NONCONTRIBUTORY SCHEDULE PERS OR ORG 080113 080713 80 02 6428 804 EXCLUS. 080113 080713 80 02 8290 5 10 LLECTUAL PROPERTY LAWS OR RIGHTS 080113 080713 80 02 8423 4 12 IXI USIN LOSS OF USE ELECTRONIC DATA 080113 080713 last page Form 80 02 2999 ED. 6 95 Schedule of Forms Page 1 | 2 |
Energy Industries Declarations Coverage Summary Chubb Group of Insurance Companies Chubb Group of Insurance Companies 15 Mountain View Road Warren NJ 07059 Policy Number 3584 89 10 WUC Effective Date AUGUST 1 2013 Issued by the stock insurance company indicated below herein called the company. FEDERAL INSURANCE COMPANY Incorporated under the laws of INDIANA Named Insured and Mailing Address COMMONWE PEAKE COMPANY LLC 7500 COLLEGE BL SUITE 400 OVERLAND PARK KS 66210 Producer No. 037949 99999 Producer LOCKTON COMPANIES LLC 444 W 47TH ST STE 900 KANSAS CITY MO 64112 1905 Policy Period From AUGUST 1 2013 To AUGUST 12014 1201 AM. standard time at the Named Insured s mailing address shown above. s Insurance applies only to those coverages for which a Limit of Insurance is shown. Audit period is annual unless otherwise indicated. Coverage Summary Limit Of Insurance GENERAL LIABILITY GENERAL AGGREGATE LIMIT 2000000 PRODUCTS COMPLETED OPERATIONS AGGREGATE LIMIT 2000000 EACH OCCURRENCE LIMIT S 1000000 ADVERTISING INJURY AND PERSONAL INJURY AGGREGATE LIMIT 1000000 DAMAGE TO PREMISES RENTED TO YOU LIMIT 1000000 MEDICAL EXPENSES LIMIT 10000 2000000 2000000 1000000 1000000 1000000 10000 General Liability Insurance Issue Date AUGUST 7 2013 last page Form 42 02 0040 Ed. 8 89 Declarations Page 1 | 2 |
Liability Insurance For Energy Industries General Liability Table Of Contents Section Page No. Coverage s N B. S 3 Investigation Defense And Settlemen Supplementary Payments i.. 4 Coverage Territory 5 Who Is An Insured 5 Limits Of Insurance 8 S o S Bodily Injury Property Dgrgagg Exclusions 9 Advertising Injury Personal Injury Exclusions I I 13 Medical Expenses Exclusions o 15 S B Policy Eygaysmns N. B LI Conditions 19 Definitions Form 42 02 1004 Ed. 10 01 Contract Page 1 of 30 Liability Insurance For Energy Industries General Liability Table Of Contents ravic Ui CUNMNCiiS Section Page No. Coveraggg B.. 3 Investi n Defense And Settlements 4 s S Supplementary Payments S R R CoverggeLTergory I o AS S G Limits Of Insurance 8 ORI A Bodily Injury Property DgrgaggExclusions 9 Advertising Injglgsgqg Injury Exclusions T 13 Medical Expenses Exclusions B 15 S Policy Exclusiol ns 15 S S O Condition i W R T s Definitions S. s 23 | 2 |
THIS PAGE INTENTIONALLY LEFT BLANK Form 42 02 1004 Ed. 10 01 Contract Page 2 of 30 | 2 |
Liability Insurance For Energy Industries cHUBEB Contract S Coverages Bodily Injury And Property Damage Liability Coverage Please read the entire policy carefully. The terms and conditions of this insurance include the various sections of this contract Coverages Investigation Defense And Settlements Supplementary Payments Coverage Territory Who Is An Insured Limits Of Insurance Exclusions Conditions and Definitions as well as the Declarations Common Policy Conditions and any Endorsements and Schedules made a part of this insurance. Throughout this contract the words you and your refer to the Named Insured shown in the Declarations and other persons or organizations qualifying as a Named Insured under this contract. The words we us and our refer o the Company providing this insurance. In addition to the Named Insured other persons or organizations may qualify as insureds. Those persons or organizations and the conditions under which they qualify are identified in the Who Is An Insured section of this contract. Words and phrases that appear in bold print have special meanings and are defined in the Definitions section of this contract Subject to all of the terms and conditions of this insurance we will pay damages that the insured becomes legally obligated to pay by reason of liability imposed by law or Bodily Injury And Property Damage Liability Coverage Advertising Injury And Personal Injury Liability Coverage Subject to all of the terms and conditions of this insurance we will pay damages that the insured becomes legally obligated to pay by reason of liability imposed by law or assumed in an insured contract for bodily injury or property damage caused by an occurrence o which this coverage applies. This coverage applies only to such bodily injury or property damage that occurs during the policy period. Damages for bodily injury include damages claimed by a person or organization for care or loss of services resulting at any time from the bodily injury. Other than as provided under the Investigation Defense And Settlements and Supplementary Payments sections of this contract we have no other obligation or liability to pay sums or perform acts or services under this coverage Subject to all of the terms and conditions of this insurance we will pay damages that the insured becomes legally obligated o pay by reason of liability imposed by law or assumed in an insured contract for advertising injury or personal injury 0 which this coverage applies. This coverage applies only o such advertising injury or personal injury caused by an offense that rst committed during the policy period. Other than as provided under the Investigation Defense And Settlements and Supplementary Payments sections of this contract we have no other obligation or liability to pay sums or perform acts or services under this coverage. S S Liability Insurance Form 42 02 1004 Ed. 10 01 Contract Page 30730 | 0 |
Coverages continued Medical Expenses Subject to all of the terms and conditions of this insurance we will pay medical expenses for Coverage bodily injury caused by an accident 10 which this coverage applies N o Medical Expenses Subje 10 all of the terms and conditions of this insurance we will pay medical expenses for Coverage bodily injury caused by an accident 10 which this coverage applies. that takes place on premises rented to or owned by you or. in connection with your operations provided that such. accident occurs during the policy period expenses are incurred and reported to us within three 3 years of the date of the accident and person who sustained such bodily injury submits o examination at our expense by physicians of our choice as often as we reasonably require. We will make these payments regardless of fault. We have no other obligation or liability under this coverage. S S Investigation Defense Subjcct o all of the terms and conditions of this insurance we will have the right and duty to And Settlements defend the insured against a suit even if such suit is false fraudulent or groundle If such a suit is brought we will pay reasonable attorney fees and necessary litigation expenses o def. the insured and ifapplicable the indemnitee of the insured provided the obligation to defend or the cost of the defense of such indemnitee has been assumed by such insured in an insured contrz ch attorney fees and litigation expenses will be paid as described in the Supplementary Payments section of this contract. We have no duty to defend any person or organization against any suit secking damages to which this insurance does not apply. We may at our discretion investigate any occurrence or offense and settle any claim or suit. Our duty to defend any person or organization ends when we have used up the applicable Limit Of Insurance. Supplementary Subject to all of the terms and conditions of this insurance we will pay with respect o a claim we Payments inst an insured we defend gate or settle or a s Al the expenses we incur. B the costof 1. bail bonds or 2. bonds required appeal judgments or b. release attachments Liability Insurance Form 42 02 1004 Ed. 10 01 Contract Page 4 01 30 | 1 |
Liability Insurance For Energy Industries cHuBB Supplementary but only for bond amounts within the available Limit Of Insurance. We do not ha Payments furnish these bonds. continued. reasonable expenses incurred by the insured at our request 10 assist us in the investigation o defense of such claim or suit including actual loss of earnings up S1000 a day hecause of time off from work. D. costs taxed against the insured in the suit except any 1 attorney fees or litigation expenses or 2. other loss cost or expense in connection with any injunction or other equitable relief. prejudgment interest awarded against the insured on that part of a judgment we pay. If we make an offer to pay the applicable Limit OF Insurance we will not pay any prejudgment interest based on that period of time after the offer. F. interest on the full amount of a judgment that accrues after entry of the judgment and before we have paid offered to pay or deposited in court the part of the judgment that is within the applicable Limit Of Insurance. Supplementary Payments does not include any fine or other penalty. These payments will not reduce the Limits Of Insurance. Our obligation to make these payments ends when we have used up the applicable Limit Of Insurance. R S R R Coverage Territory This insurance applics anywhere provided the insured s responsibility to pay damages o which Wholls An inuci Sole Proprietorships this insurance applies is determined in a suit on the merits brought in the United States of America including its possessions and territories Canada or Puerto Rico or in a settlement to which we agree. If you are an individual you and your spouse are insureds but you and your spouse are only with respect to the conduct of a business of which you are the sole owner. Sole Proprietorships Partnerships Or Joint Ventures If you are an individual you and your spouse are insureds but you and your spouse are insureds only with respect to the conduct of a business of which you are the sole owner. If you die persons or organizations having proper temporary custody of your property are insureds but they are insureds only with respect to the maintenance or use of such property and only for acts until your legal representative has been appointed and your legal representatives are insureds but they are insureds only with respect to their duties as your legal representatives. Such legal representatives will assume your rights and duties under this insurance. If you are a partnership including a limited liability partnership or a joint venture you are an insured. Your members your partners and their spouses are insureds but they are insureds only with respect to the conduct of your business. 24 S s Liability Insurance Form 42 02 1004 Ed. 10 01 Contract Page 50 30 | 1 |
Who Is An Insured continued Limited Liability I you are a limited liability company you arc an insured. Your members and their spouses are Companies reds but they are insureds only with respect to the conduct of your business. Your managers o their duties as your manage sureds only with respe are insureds but they are i Limited Liability Companies Other Organizations Employees Volunteers If you are a limited liability company you arc an insured. Your members and their spouses are insureds but they are insureds only with respect to the conduct of your business. Your managers are insureds but they are insureds only with respect o their duties as your managers. If you are an organization including a professional corporation other than a partnership joint venture or limited liability company you are an insured. Your directors and officers arc insureds but they are insureds only with respect o their duties as your directors or officers. Your stockholders and their spouses are insureds but they are insureds only with respect o their liability as your stockholders Your employees are insureds but they are insureds only for acts within the scope of their employment by you or while performing duties related to the conduct of your business sured for However no employee is an A. bodily injury advertising injury or personal injury 1. 1 you o any of your directors managers members officers or partners whether or not an employee or 1o any co employee while such injured person is either in the course of his or her employment or while performing duties related to the conduct of your business. 2. to the brother child parent sister or spouse of such injured person as a consequence of any injury described in subparagraph A. 1. above or 3. for which there is any obligation to share damages with or repay someone else who must pay damages because of any injury described in subparagraphs A.1. or A.2. above. With respect to bodily jury only this limitation does not apply to. you or to your directors managers members officers partners or supervisors as insureds or your employees s insureds with respect o such damages caused by cardio pulmonary resuscitation or first aid services administered by such an employee or B. property damage o any property owned occupied or used by you or by any of your directors managers members officers or partners whether or not an employee or by any of your employees. This limitation does not apply to property damage to premises while rented to you or temporarily occupied by you with permission of the owner. Persons who are volunteer workers for you are insureds but they are the scope of their activities for you and at your direction. sureds only for acts within Liability Insurance Form 42 02 1004 Ed. 10 01 Contract Page 6 of 30 | 1 |
Liability Insurance For Energy Industries Who Is An Insured continued Real Estate Managers Persons other than mur employees or organizations while acting as your real estate managers are insureds but they ar sureds only with respect to their duties as vour real estate manager. Real Estate Managers Permissive Users Of Mobile Equipment Lessors Of Premises Newly Acquired Or Formed Organizations Persons other than your employees or organizations while acting as your real estate managers are insureds but they are insureds only with respect to their duties as your real estate manager. With respect to mobile equipment registered in your name under a motor vehicle registration law A. persons driving such equipment on a public road with your permission are insureds and B. persons or organizations responsible for the conduct of such persons described in subparagraph A. above are insureds but they are insureds only with respect o the operation of the equipment and only if no other insurance of any kind is available o them However no person or organization is an insured with respect to bodily injury to any co employee of the person driving the equipment or. property damage o any property owned or occupied by or loaned or rented to you or in your charge or the charge of the employer of any person who is an insured under this provision Persons or organizations from whom you lease premises arc insureds but they are insureds only with respect to the ownership maintenance or use of that particular part of such premises leased t you and only if you are contractually obligated to provide them with such insurance as is afforded by this contract. Howe er no such person or organization is an insured with respect o any damages arising out of their sole negligence. occurrence that occurs or offense that is committed after you cease to be a tenant in the premises or structural alteration new construction or demolition operations performed by or on behalf of them. If there is no other insurance available a subsidiary organization of the first named insured shown in the Declarations that such first named insured acquires or forms during the policy period will qualify as a named insured if at the time of loss such first named insured controls cither directly or indirectly more than fifty 50 percent of the interests entitled to vote generally in the clection of the governing body of such organization However coverage under this provision is afforded only for bodily injury or property damage that occurs or. advert g injury or personal injury caused by an offense first commitied within one hundred twenty 120 days after the first named insured acquires or forms the organization or before the end of the policy period whichever is carlier Liability Insurance Form 42 02 1004 Ed. 10 01 Contract Page 70130 | 1 |
Who Is An Insured continued Limitations On Who Is A Except to the extent provided under the Newly Acquired Or Formed Organizations provision An Insured above no person or organization is an insured with respect to the conduct of any person or oreanization that is not shown as a4 named insured in the Declarations Limitations On Who Is An Insured Limits Of Insurance General Aggregate Limit Products Completed Operations Aggregate Limit Advertising Injury And Personal Injury Aggregate Limit A Except o the extent provided under the Newly Acquired Or Formed Organizations provision above no person or organization is an insured with respect to the conduct of any person or organization that is not shown as a named insured in the Declarations B. No person or organization is an insured with respect o the 1. ownership maintenance or use of any assets or 2. conduct of any person or organization whose assets business or organization you acquire either directly or indirectly for any bodily injury or property damage that occurred or. advertising injury or personal injury arising out of an offense first committed in whole or in part before you directly or indirectly acquired such assets business or organization. R z S s The Limits Of Insurance shown in the Declarations and the rules below fix the most we will pay of the number of regardle. insureds claims made or suits brought or persons or organizations making claims or bringing suits. The Limits Of Insurance apply separately o each consecutive annual period and to any remaining period of less than twelve 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 twelve 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. Subject to the Each Occurrence Limit the General Aggregate Limit is the most we will pay for the sum of damages for bodily injury and property damage cxcept damages included in the products completed operations hazard and. medical expenses. Subject o the Each Occurrence Limit the Products Completed Operations Aggregate Limit is the most we will pay for the sum of damages for bodily injury and property damage included in the products completed operations hazard. The Advertising Injury And Personal Injury Aggregate Limit is the most we will pay for the sum of damages for advertising injury and personal injury. General Aggregate Limit ramn s hggreg te f T 5 T s Liability Insurance Form 42 02 1004 Ed. 10 01 Contract Page 8 of 30 | 1 |
cHUBEB Liability Insurance For Energy Industries Limits Of Insurance continued Each Occurrence Limit The Each Occurrence Limit is the most we will pay for the sum of Each Occurrence Limit Damage To Premises Rented To You Limit Medical Expenses Limit Bodily Injury Property Damage Exclusions Aircraft Or Watercraft The Each Occurrence Limit is the most we will pay for the sum of damages for bodily injury and property damage and. medical expenses arising out of any one occurrence. Any amount paid for damages or medical expenses will reduce the amount of the applicable aggregate limit available for any other payment. If the applicable aggregate limit has been reduced to an amount that is less than the Each Occurrence Limit the remaining amount of such aggregate limit is the most that will be available for any other payment. Subject 1o the Fach Occurrence Limit the Damage To Premises Rented To You Limit is the most we will pay for the sum of damages for property damage 0 any one premises while rented to you or temporarily occupied by you with permission of the owner. Subject to the sum of medi one person. ch Occurrence Limit the Medical Expenses Limit is the most we will pay for the expenses under Medical Expenses coverage for bodily injury sustained by any i S R s SR s of the following exclusions except Contracts Expected or Intended Injury and Loss In apply to property damage o premises while rented to you or temporarily occupied by you with permission of the owner. Progra This insurance does not apply to bodily injury or property damage arising out of the ownership maintenance use use includes operation and loading or unloading or entrustment to others of any. aircraft or. watercraft owned or operated by or loaned or rented to any This clusion does not apply to A awatercraft while ashore on premises owned by or rented o you B. awatercraft you do not own provided that it L. s less than forty 40 feet long and 2. does not transport persons or cargo for a charge or. the liability for damages assumed in an insured contract resulting from the ownership maintenance or use by others of an aircraft or watercraft. s s Liability Insurance Form 42 02 1004 Ed. 10 01 Contract Page 90 30 | 1 |
Bodily Injury Property Damage Exclusions continued njury or property damage arising out of the ownership E P TP A Auto This insurance does not apply to bod maintenance. use use includes oneration and loadine or Auto Alcoholic Beverage Type Business Contracts Damage To Alienated Premises This insurance does not apply to bodily injury or property damage arising out of the ownership maintenance use use includes operation and loading or unloading or entrustment to others of any auto by any. insured or. other person or organization This exclusion does not apply to the parking of an auto on premises owned by or rented 0 you provided the auto is not owned by or loaned or rented to any insured or the operation of the equipment described in subparagraphs 2. or F.3. of the definition of mobile equipment. This insurance does not apply to bodily injury or property damage for which any insured may be held liable by reason of. causing or contributing to the intoxication of any person fumnishing alcoholic beverages o a person under the legal drinking age or under the influence of alcohol or. any statute ordinance or regulation relating to the sale gift distribution or use of alcoholic beverages. This exclusion applies only if you are in the business of manufacturing distributing selling serving or furnishing alcoholic heverages. This insurance does not apply to bodily injury or property damage for which the insured is obligated to pay damages by reason of assumption of liability in a contract or agreement. This exclusion does not apply o the liability for damages. that such sured would have in the absence of such contract or agreement or assumed in an oral or written contract or agreement that is an insured contract provided the bodily injury or property damage 0 which this insurance applies occurs after the execution of such contract or agreement. This insurance does not apply to property damage to any premises you sell give away or abandon if the property damage arises out of any part of those premi This exclusion does not apply if the premises are your work and were never oceupied rented or held for rental by you. Contracts Liability Insurance Form 42 02 1004 Ed. 10 01 Contract Page 10 of 30 | 1 |
C Liability Insurance For Energy Industries cHUBEB Bodily Injury Property Damage Exclusions continued Damage To Impaired This insurance does not apply to property damage to Property Or Property Not I.. impaired property or Physically Injured paired property. property that has not been physically injured arising out of any defect deficiency inadequacy or dangerous condition in your product or your work or. delay or failure by you or anyone acting on your behalf to perform a contract or agreement in accordance with its terms and conditions. This exclusion does not apply to the loss of use of other tangible property resulting from sudden and accidental physical injury o your product or your work after it has been put o its intended use Damage To Owned This insurance does not apply to property damage o any property owned by you. Property Damage To Owned Property Damage To Various Property Of Others Care Control Or Custody Damage To Your Product Damage To Your Work This insurance does not apply 10 property damage to any property owned by you. This insurance does not apply to property damage o any personal property loaned or rented to you. property held by you or on your behalf for sale or entrusted to you for safekeeping or storag property on your premises for purposes of performing operations on such property by you or on your behalf twols or equipment used by you or on your behalf in performing operations or. property in your care control or custody that will be erected installed or used in construction operations by you or on your behalf This exclusion does not apply to liability for damages assumed in a sidetrack agreement. This insurance does not apply to property damage o your product arising out of it or any part of it. This insurance does not apply o 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 causing the damage was performed on your behalf by a subcontractor. TR i Liabillty Insurance Form 42 02 1004 Ed. 10 01 Contract Page 110 30 | 1 |
Bodily Injury Property Damage Exclusions continued Employer s Liability A Ihis insurance does notapply to bedily injury an employee of the insured arising out of and in the course Employer s Liability Expected Or Intended Injury Loss In Progress A This insurance does not apply o bedily injury o an employee of the insured arising out of and in the course of. employment by the insured or 2 performing duties related to the conduct of the insured s busine B This insurance does not apply to bedily injury w the brother child parent sister or spouse of such employee as a consequence of any injury described in paragraph A. above. This exclusion applies. whether the insured may be liable as an employer or in any other capacity and tany obligation 1o share damages with or repay someone else who must pay damages because of any injury described in paragraphs A. or B. above. This exclusion does not apply 10 liability for damages assumed by the insured in an insured contract. This insurance does not apply o bodily injury or property damage arising out of an act that isintended by the insured or would be expected from the standpoint of a reasonable person in the circumstances of the insure 1 cause bodily injury or property damage cven if the actual bodily injury or property damage is of a different degree or type than intended or expected. This exclusion does not apply to bodily injury or property damage resulting from the use of reasonable force o protect persons or tangible property. This insurance does not apply o bodily injury or property damage that is a change continuation or resumption of any bodily injury or property damage known by you prior to the beginning of the policy period to have occurred. Bodily injury or property damage will be deemed to be known by you A if such injury or damage is known by or should have been known from the standpoint of a reasonable person in the circumstances of Lo you 2. any of your directors managers members officers or their designees or partners whether or not a employee and B. when any person described in paragraph A. above 1. reports all or any part of any such injury or damage 0 us or any other insurer 2. receives aclaim or a demand for damages hecause of any such injury or damage or 3. becomes aware that any such injury or damage has occurred or has begun o occur. Liability Insurance Form 42 02 1004 Ed. 10 01 Contract Page 12 of 30 | 1 |
L Liability Insurance For Energy Industries cHUBEB Bodily Injury Property Damage Exclusions continued Mobile Equipment This insurance does not apply to bodily injury or property damage arising out of the Transportation transportation of mobile equipment by an auto owned or operated by or loaned or rented 1o any insured. Mobile Equipment Transportation Zvising Injury Personal Injury Exclusions Breach Of Contract This insurance does not apply to bodi injury or property damage arising out of the transportation of mohile equipment by an auto owned or operated by or loaned or rented o any insured. This insurance does not apply o advertising injury or personal injury arising out of breach of contract. Breach Of Contract This insurance does not apply o advertising injury or personal injury arising out of breach of contract. Continuing Offenses This insurance does not apply o advertising injury or personal injury that arises out of that part of an offense that continues or resumes after the later of the end of the policy period of A. this insurance or B. a subsequent continuous renewal or replacement of this insurance that L. isissued o you by us or by an affiliate of ours 2. remains in force while the offense continues and 3. would otherwise apply to advertising injury and personal injury. Contracts This insurance does not apply to advertising injury or personal injury for which the insured is obligated to pay damages by reason of assumption of liability in a contract or agreement This exclusion does not apply to liability for damages. that such red would have in the absence of such contract or agreement or. assumed in a written contract or agreement that is an insured contract provided the advertising injury or personal injury o which this insurance applics is caused by an offense first committed after the execution of such contract or agreement. Crime Or Fraud This insurance does not apply to advertising injury or personal injury arising out of any criminal or fraudulent conduct committed by or with the consent or knowledge of the insured. Contracts Liability Insurance Form 42 02 1004 Ed. 10 01 Contract Page 13030 | 1 |
Advertising Injury Personal Injury Exclusions continued Expected Or Intended Injury This insurance does notapply 1o advertising injury or personal injury arising out of an offense committed by or on hehalf of the insured that Expected Or Intended Injury Failure To Conform To Representations Or Warranties Internet Activities Media Type Businesses Prior Offenses Publications With Knowledge Of Falsity This insurance does notapply o advertising injury or personal injury arising out of an offense committed by or on hehalf of the insured that isintended by such insured or would be expected from the standpoint of a reasonable person in the circumstances of such insured o cause injury. This insurance does not apply to advertising injury or personal injury arising out of the failure of goods products or services to conform with any electronic oral written or other representation or warranty of durability fitness performance quality or use. This insurance does not apply to advertising inj ry or personal injury arising out of. controlling creating designing or developing of another s Internet site. controlling creating designing developing determining or providing the content or material of another s Internet site. controlling facilitating or providing or failing to control facilitate or provide access o the Internet or another s Internet site or publication of content or material on or from the Internet other than material developed by you or at your direction. This insurance does not apply o advertising injury or personal injury arising out of an offense committed by or on behalf of an insured whose business is advertising broadcasting cablecasting publishing telecasting or telemarketing. This exclusion does not apply to personal injury caused by an offense described in subparagraphs A B.or C. of the definition of personal injury This insurance does not apply to advertising injury or personal injury arising out of any offense first commitied before the beginning of the policy period. This insurance does not apply to advertising injury or personal injury arising out of any electronic oral written or other publication of content or material by or with the consent of the insured with knowledge of its falsity or. if a reasonable person in the circumstances of such insured would have known such content or material to be false. ns Or S Y Liability Insurance Form 42 02 1004 Ed. 10 01 Contract Page 1401 30 | 1 |
Advertising Injury Personal Injury Exclusions continued Wrong Description Of Prices Medical Expenses Exclusions Athletic Activities Liability Insurance For Energy Industries This insurance does not apply to advertisi description of the price of goods products or servi or personal injury arising out of the wrong This insurance does not apply to medical expenses arising out of bodily injury to any person iniured while takine part in athletics. Athletic Activities This insurance does not apply to medical expenses arising out of bodily injury to any person injured while taking part in athletics. Injury To Insureds This insurance does not apply to medical expenses arising out of bodi except a volunteer worker. njury to any insured Nuclear Energy This insurance does not apply o medical expenses arising out of bedily injury in any way related o the nuclear hazardous properties of nuclear material and operation of a nuclear facility by any person or organization. Products Completed This insurance does not apply to medical expenses arising out of bod jury included in the Operations Hazard products completed operations hazard. Workers Compensation Or This insurance does not apply to medical expenses arising out of bod jury to any person Similar Laws whether or not an employee of any insured. if benefits for such bodily injury are payable or must be provided under any workers compensation disability benefits or unemployment compensation law or any similar law. Policy Exclusions Asbestos A. This insurance does not apply to bodily injury property damage advertising injury or rv arisine out of the actual alleeed or threatened contaminati o nathooenic B This insurance does not apply to bodily injury property damage advertising injury or personal injury arising out of the actual alleged or threatened contaminative pathogenic toxic or other hazardous properties of ashestos. This insurance does not apply 0 any loss cost or expense arising out of any 1. request demand order or regulatory or statutory requirement that any insured or others test for monitor clean up remove contain treat detoxify or neutralize or in any way respond 0 or assess the effects of asbestos or Liability Insurance Form 42 02 1004 Ed. 10 01 Contract Page 15 of 30 | 1 |
Policy Exclusions Asbestos 2. claimor proceeding by or on behalf of a governmental authority or others for damages continued because of testing for monitoring cleaning up removing containing treating detoxifying or neutralizing or in any way responding to or assessing the effects of Asbestos continued Employment Related Practices Enhancement Maintenance Or Prevention Expenses A B. This exclusion appli 2. claim or proceeding by or on behalf of a governmental authority or others for damages because of testing for monitoring cleaning up removing containing treating detoxifying or neutralizing or in any way responding to or assessing the effects of asbestos. This insurance does not apply to any damages sustained at any time by any person whether or not sustained in the course of employment by any insured arising out of any employment related act omission policy practice or representation directed at such person occurring in whole or in part at any time including any 1 arrest detention or imprisonment 2. breach of any express or implied covenant 3. coercion criticism humiliation prosecution or retaliation 4. defamation or disparagement 5. demotion discipline evaluation o reassignment 6. discrimination harassment or segregation 7. a. eviction or b. invasion or other violation of any right of occupancy 8. failure or refusal to advance compensate employ or promote 9. invasion or other violation of any right of privacy or publicity 10 termination of employment or 1. other employment related act omission policy practice representation or relationship in connection with any insured at any time. This insurance does not apply to any damages sustained at any time by the brother child parent sister or spouse of such person at whom any employment related act omission policy practice or representation is directed as described in paragraph A. above as a consequence thereof. whether the insured may be liable as an employer or in any other capacity and 10 any obligation o share damages with or repay someone else who must pay damages because of any of the foregoing This insurance does not apply to any loss cost o expense incurred by you or others for any A. B. enhancement or maintenance of any property or prevention of any injury or damage to any 1. person or organization or 2. Pproperty you own rent or occupy. Enhancement Maintenance Or Prevention Expenses i Liability Insurance Form 42 02 1004 Ed. 10 01 Contract Fage 16 0f 30 | 1 |
C Liability Insurance For Energy Industries cHUBEB Policy Exclusions continued Intellectual Property This insurance does not apply o any actual or alleged bodily injury property damage Laws Or Rights advertising injury or personal injury arising out of giving rise 0 or in any way related o any actual or all d Intellectual Property Laws Or Rights Nuclear Energy This insurance does not apply to any actual or alleged bodily injury property damage advertising injury or personal injury arising out of giving rise to or in any way related to any actual or alleged. assertion or. infringement or violation by any person or organization including any insured of any intellectual property law or right regardless of whether this insurance would otherwise apply to all or part of any such actual or alleged injury or damage in the absence of any such actual or alleged assertion infringement or violation. This exclusion applies unless such injury s caused by an offense described in the definition of advertising injury and. does not arise out of give rise to or in any way relate to any actual or alleged assertion infringement or violation of any intellectual property law or right other than one described in the definition of advertising injury. A This insurance does not apply to bodily injury nuclear property damage advertising injury or personal injury 1. with respect to which any insured under this policy also has status as an insured under anuclear energy liability policy issued by Nuclear Energy Liability Insurance Association Mutual Atomic Energy Liability Underwriters Nuclear Insurance Association of Canada or any of their successors or would have had status as an insured under any such policy but for its termination upon exhaustion of its limit of insurance or 2. arising out of the nuclear hazardous properties of nuclear material and with respect to which a. any person or organization is required to maintain financial protection pursuant to the United States of America Atomic Energy Act of 1954 or any law amendatory thereof or b. the insured is or had this policy not been issued would be entitled to indemnity from the United States of America or any agency thereof under any agreement entered into by the United States of America or any agency thereof with any person or organization. B. This insurance does not apply to bodily injury nuclear property damage advertising injury or personal injury arising out of the nuclear hazardous properties of nuclear material 1. if the nuclear material a. isatany nuclear facility owned by or operated by or on behalf of any insured b has been discharged or dispersed therefrom or Liability Insurance Form 42 02 1004 Ed. 10 01 Contract Page 17 of 30 | 1 |
Policy Exclusions Nuclear Energy iscontained in nuclear spent fuel or nuclear waste at any time transported continued handled stored disposed of processed treated possessed or used by or on behalf of any insured or Nuclear Energy iscontained in nuclear spent fuel or nuclear waste at any time transported continued handled stored disposed of processed treated possessed or used by or on behalf of any insured or 2. inany way related o the furnishing by any insured of services materials parts or equipment in connection with the planning construction maintenance operation or use of any nuclear facility. But if such facility is located within the United States of America including its possessions or territories or Canada this subparagraph 2. applies only o nuclear property damage o such nuclear facility and any property thereat Pollution A This insurance does not apply to bodily injury property damage advertising injury or personal injury arising out of the actual alleged or threatened discharge dispersal seepage migration release or escape of pollutant 1. ator from any premises site or location which is or was at any time owned or oceupied by or loaned or rented o any insured 2. ator 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 3. which are or were at any time transported handled stored disposed of processed or treated as waste by or for any a sured or b. person or organization for whom any insured may be legally responsible or 4. at or from any premises site or location on which any insured or any contractors or subcontractors working directly or indirectly on any insured s behalf are performing operations. Subparagraphs A.1. and A of heat smoke or fumes from a hostile bove do not apply to hedily injury or property damage arising out e. B. This insurance does not apply to any loss cost or expens arising out of any 1. request demand order or regulatory or statutory requirement that any insured or others est for monitor clean up remove contain treat detoxify or neutralize or in any way respond to or assess the effects of pollutants or 2. claim or proceeding by or on behalf of a governmental authority or others for damages because of testing for monitoring cleaning up removing containing treating detoxifying or neutralizing or in any way responding to or assessing the effects of pollutants. This exclusion applies regardless of whether or not the pollution was accidental expected gradual intended preventable or sudden. s Liabilty Insurance Form 42 02 1004 Ed. 10 01 Contract Page 18 0130 | 1 |
Liability Insurance For Energy Industries Policy Exclusions continued Recall Of Products Work Or Impaired Property Workers Compensation Or Similar Laws R Conditions Arbitration This insurance does not apply to 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 your product your work or. 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. This insurance does not apply o any obligation of the insured under any workers compensation disability benefits or unemployment compensation law or any similar law. We are entitled to exercise all of the insured s rights in the choice of arbitrators and in the conduct of anv arbitration proceedine. excent when the nroceedine is hetween us and the insured Arbitration Bankruptcy Disclosures And Representations Duties In The Event Of Occurrence Offense Claim Or Suit We are entitled to exercise all of the insured s rights in the choice of arbitrators and in the conduct of any arbitration proceeding except when the proceeding is between us and the insured. Bankruptey or insolvency of the insured or of the insured s estate will not relieve us of our obligations under this insurance. We have issued this insurance. based upon representations you made to us and. in reliance upon your representation. Unintentional failure of an employee of the insured to disclose a hazard or other material information will not violate this condition unless an officer whether or not an employee of any insured or an officer s designee knows about such hazard or other material information. A. You must see to it that we and any other insurers are notified as soon as practicable of any occurrence or offense that may result in a claim if the claim may involve us or such other insurers. To the extent possible notice should include 1. how when and where the occurrence or offense happened 2. the names and addresses of any injured persons and witnesses and 3. the nature and location of any injury or damage arising out of the occurrence or offense. Disclosures And Representations Liability Insurance Form 42 02 1004 Ed. 10 01 Contract Page 19 of 30 | 1 |
Conditions Duties In The Event Of Occurrence Offense Claim Or Suit continued B. It a claim is made or suit is brought against any insured you must 1 immediately record the specifics of the claim or suit and the date received 2. notify us and other insurers as soon as practicable and N L Duties In The Event Of Occurrence Offense Claim Or Suit continued Legal Action Against Us B. It a claim is made or suit is brought against any insured you must 1 immediately record the specifics of the claim or suit and the date received 2. notify us and other insurers as soon as practicable and 3 see to it that we receive written notice of the claim or suit as soon as practicable. C. You and any other involved insured must 1. immediately send us copies of any demands notices summonses or legal papers received in connection with the claim or suit 2. authorize us 10 obtain records and other information 3. cooperate with us and other insurers in the a investigation or settlement of the claim or b. defense against the suit and 4 assist us upon our request in the enforcement of any right against any person or organization which may be liable o the insured because of loss to which this insurance may also apply. D. Noinsureds will except at that insured s own cost make any payment assume any obligation or incur any expense other than for first aid without our consent. Notice given by or on behalf of 1 the insured 2. the injured person or any other claimant to a licensed agent of ours with particulars sufficient o identify the insured shall be deemed notice to us. F. Knowledge of an occurrence or offense by an agent or employee of the insured will not constitute knowledge by the insured unless an officer whether or not an employee of any insured or an officer s designee knows about such occurrence or offense. G Failure of an agent or employee of the insured other than an officer whether or not an employee of any insured or an officer s designee 0 notify us of an eccurrence or offense that such person knows about will not affect the insurance afforded to you. H. If a claim or loss does not reasonably involve this insurance but it later develops into a claim or loss to which this insurance applies the failure 1o report it to us will not violate this condition provided the insured gives us immediate notice as soon as the insured is aware that this insurance may apply to such claim or loss. No person or organization has a right under this insurance to. join us as a party or otherwise bring us into a suit seeking damages from an insured or sueuson this insurance unless all of the terms and conditions of this insurance have been fully complied with. Liabiiity Insurance Form 42 02 1004 Ed. 10 01 Contract Page 20 of 30 | 1 |
Conditions Legal Action Against Us continued Liability Insurance For Energy Industries A person or organization may sue us to recover on an agreed settlement or on a final judgment against an insured obtained after an actual Legal Action Against Us A person or organization may sue us o recover on an agreed settlement or on a final judgment continued against an insured obtained after an actual il inacivil proceeding or. arbitration or other alternative dispute resolution proceeding but we will not be liable for damages that are not payable under the terms and conditions of this insurance or that are in excess of the applicable Limits Of Insurance. Other Insurance If other valid and collectible insurance is available 1o the insured for Ic cover under this insurance our obligations are limited as follows. we would otherwi Primary Insurance This insurance is primary except when the Excess Insurance provision described below applies. If this insurance is primary our obligations are not affected unless any of the other insurance is also primary. Then we will share with all that other insurance by the method described in the Method of Sharing provision described below. Excess Insurance This insurance is excess over any other insurance whether primary excess contingent or on any other basis A thatis Fire Extended Coverage Builder s Risk Installation Risk or similar insurance for your work B. that is insurance that applies to property damage to premises rented to you or temporarily occupied by you with permission of the owner C.if the loss arises out of aircraft autos or watercraft to the extent not subject to the Aircraft Or Watercraft or Auto exclusions D. thatis insurance L. provided to you by any person or organization working under contract or agreement for you or 2. under which you are included as an insured or that is insurance under any Property section of this policy. When this insurance is excess we will have no duty o defend the i inst any suit if any other insurer has a duty to defend such insured against such suit. If no other insurer defends we will undertake to do so but we will be entitled to the insured s rights against all those other insurers. When this insurance is excess over other insurance we will pay only our share of the amount of loss if any that exceeds the sum of the total. amount that all other insurance would pay for loss in the absence of this insurance and. of all deductible and self insured amounts under all other insurance. Liability Insurance Form 42 02 1004 Ed. 10 01 Contract Page 2101 30 | 1 |
Conditions Other Insurance We will share the remaining loss if any with any other insurance that is not described in this continued Excess Insurance provision and was not negotiated specifically 10 apply in excess of the Limits Of Insurance shown in the Declarations of this insuran Other Insurance continued Premium Audit Separation Of Insureds Transfer Or Waiver Of Rights Of Recovery Against Others T We will share the remaining loss if any with any other insurance that is not described in this Excess Insurance provision and was not negotiated specifically o apply in excess of the Limits Of Insurance shown in the Declarations of this insuran Method of Sharing If all of the other insurance permits contribution by equal shares we will follow this method also. Under this method each insurer contributes equal amounts until it has paid its applicable limits of insurance or none of the loss remains whichever comes first. If any of the other insurance does not permit contribution by equal shares we will contribute by limits. Under this method each insurer s share is based on the ratio of its applicable limits of insurance o the total applicable limits of insurance of all insurers. We will compute all premiums for this insurance in accordance with our rules and rates In accordance with the Estimated Premiums section of the Premium Summary premiums shown with an asterisk are estimated premiums and are subject 1o audit. In addition to or in licu of such designation in the Premium Summary premiums may be designated as estimated premiums elsewhere in this policy. In that case these premiums will also he subject o audit and the second paragraph of the Estimated Premiums section of the Premium Summary will apply. Except with respect to the Limits Of Insurance and any rights or duties specitically assigned in this insurance o the first named insured this rance applies. asif ch named insured were the only named insured and. separately to each insured against whom claim is made or suit is brought To the extent that the insured s rights to recover all or part of any payment made under this insurance have not been waived those rights are transferred to us. The insured must do nothing after loss to impair them. Atour request the insured will bring suit or transfer those rights to us and help us enforce them. This condition does not apply o medical expenses. SR Liability Insurance Form 42 02 1004 Ed. 10 01 Contract Page 22 of 30 | 1 |
K. Liability Insurance For Energy Industries cHUBB Definitions ANCE UNDER THIS CONTRACT WORDS HAT APPEAR IN BOLD PRINT HAVE THE SPECIAL MEANINGS DESCRIBED BELOW Advertisement Advertisement means an electronic oral written or other notice about goods products or services designed for the specitic purpose of attracting the general public or a specific market segment to use such goods products or services. Advertisement does not include any e mail address Internet domain name or other electronic address or metalanguage. Advertising Injury Advertising injury means injury other than bodily injury property damage or personal injury sustained by a person or organization and caused by an offense of infringing in that particular part of your advertisement about your goods products or services upon their copyrighted advertisement or registered collective mark registered service mark or other registered trademarked name slogan symbol or title. Agreed Settlement Agreed settlement means a settlement and release of liability signed by us the insured and the claimant or the claimant s legal representative Asbestos Asbestos means ashestos in any form including its presence or use in any alloy by product or other material or waste. Waste includes material to be recycled reconditioned or reclaimed. Auto Auto means a land motor vehicle trailer or semi trailer designed for travel on public roads including any attached machinery or equipment. But auto does not include mobile equipment. Bodily Injury Bodily injury means physical injury. sickness or. disease sustained by a person including resulting death humiliation mental anguish mental injury or shock at any time. All such loss shall be deemed to occur at the time of the physical injury sickness or disease that caused it. Employee Employee includes a leased worker. Employee does not include a temporary worker. Hostile Fire Hostile fire means one which becomes uncontrollable or breaks out from where it was intended to be. Advertisement Agreed Settlement Asbestos S Liability Insurance Form 42 02 1004 Ed. 10 01 Contract Page 23 of 30 | 1 |
Definitions continued Impaired Property Insured Insured Contract WHEN USED WITH RESPECT TO INSURANCE UNDER THIS CONTRACT WORDS AND PHRASES THAT APPEAR IN BOLD PRINT HAVE THE SPECIAL MEANIN DESCRIBED BELOW Impaired property means tangible property other than your product or your work that can not be used or is less usetul because. it incorporates your product or your work that is known or thought o be defective deficient inadequate or dangerous or you have failed o fulfill the terms and conditions of a contract or agreement if such property can be restored to use by the repair replacement adjustment or removal of your product or your work or. your fulfilling the terms and conditions of the contract or agreement Insured means a person or an organization qualifying as an insured in the Who Is An Insured section of this contract. Insured contract A means L. alease of premises 2 a sidetrack agreement 3. an easement or license agreement 4. anobligation as required by ordinance to indemnify a municipality except in connection with work for a municipality 5. an elevator maintenance agreement or 6. any other contract or agreement pertaining to your business including an indemnification of a municipality in connection with work performed for such municipality in which you assume the tort liability of another person or organization 0 pay damages o which this insurance applies sustained by a third person or organization. B. does not include L. that part of any contract or agreement that indemnifies an architect engineer or surveyor for damages arising out of 4. preparing approving or failing to prepare or approve maps drawings opinions reports surveys field orders change orders designs or specifications or b. giving directions or instructions or failing o give them. 2. any contract or agreement pertaining to the lease rental or purchase of any mobile equipment S Liability Insurance Form 42 02 1004 Ed. 10 01 Contract Page 24 of 30 | 1 |
Liability Insurance For Energy Industries Definitions continued Intellectual Property Law Or Right Leased Worker Loading Or Unloading Medical Expenses Mobile Equipment WHEN USED WITH RESPE O INSURANCE UNDER THIS CONTRACT WORDS AND PHRASES THAT APPEAR IN BOLD PRINT HAVE THE SPECIAL MEANINGS DESCRIBED BELOW Intellectual property law or right means any. certification mark copyright patent or trademark including collective or service marks. right 10 or judicial or statutory law recognizing an interest in any trade secret or contidential or proprietary non personal information. other right to or judicial or statutory law r likeness name slogan style of doing busine property or enizing an interest in any expression idea ymbol title trade dress or other intellectual other judicial or statutory law concerning piracy unfair competition or other similar practices. Leased worker means a person leased 10 a party by a labor leasing firm in a contract or agreement between such party and the labor leasing firm to perform duties related to the conduct of the party s business. Leased worker does not include a temporary worker. Loading or unloading A means the handling of property 1. after it is moved from the place where it is accepted for movement into or onto an aircraft auto or watercraft 2. whileitis in or on an aircraft auto or watercraft or 3 while it is being moved from an aircraft auto or watercraft to the place where it is finally delivered. B. does not include the movement of property by means of a mechanical device other than a hand truck that is not attached to the aircraft auto or watercraft. Medical expenses means reasonable expenses for necessary first aid administered at the time of an accident medical surgical x ray and dental services including prosthetic devices and ambulance hospital professional nursing and funeral services. Mobile equipment means any of the following types of land vehicles including any attached machinery or equipment A bulldozers farm machinery forklifts and other vehicles designed for use principally off public roads B vehicles maintained for use solely on premises owned by or rented to you C. vehicles that travel on crawler treads Mobile Equipment Liability Insurance Form 42 02 1004 Ed. 10 01 Contract Page 25 of 30 | 1 |
Definitions Mobile Equipment continued Nuclear Facility WHEN USED WITH RESPECT TO INSURANCE UND AND PHRASES THAT APPEAR IN BOLD PRINT HAVE DESCRIBED BELOW THIS CONTRACT WORDS THE SPECIAL MEANINGS D. vehicles whether self propelled or not maintained primarily 1o provide mobility to permanently mounted 1. power cranes shovels loaders digaers or drills or 2. road construction or resurfacing equipment such as araders scrapers or rollers E. vehicles not described in subparagraphs A. B. C. or D. above that are not self propelled and are maintained primarily to provide mobility to permanently attached equipment of the following types 1. air compressors pumps and generators including spraying welding building cleaning geophysical exploration lighting and well servicing equipment or 2. cherry pickers and similar devices used to raise or lower workers and. vehicles not described in subparagraphs A. B. C. or 1 above maintained primarily for purposes other than the transportation of persons or cargo. Mobile equipment does not include self propelled vehicles with the following types of permanently attached equipment and such vehicles will be considered autos 1 equipment designed primarily for a snow removal b. road maintenance but not construction or resurfacing or street cleaning 2. cherry pickers and similar devices mounted on automobile or truck chassis and used to raise or lower workers and 3. air compressors pumps and generators including spraying welding building cleaning geophysical exploration lighting and well servicing equipment. Nuclear facility means any A nuclear reactor B equipment or device designed or used for 1. separating the isotopes of plutonium or uranium 2. processing or utilizing nuclear spent fuel or 3. handling processing or packaging nuclear waste. equipment or device used for the processing fabricating or alloying of nuclear material if atany time the total amount of such material in the custody of the insured at the premises where such equipment or device is located consists of or contains more than 1. twenty five 25 grams of plutonium or uranium 233 or any combination thereof or 2. two hundred fifty 250 grams of uranium 235 or Mobile Equipment continued Liability Insurance Form 42 02 1004 Ed. 10 01 Contract Page 26 of 0 | 1 |
Liability Insurance For Energy Industries SPECIAL MEANINGS cHUBEB Definitions WHEN USED WITH RESPECT TO INSURANCE UNDER THIS CONTRACT WORDS AND PHRASES THAT APPEAR IN BOLD PRINT HAVE TH DESCRIBED BELOW Nuclear Facility D. structure basin excavation premises or place prepared or used for the storage or disposal of continued 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. Nuclear Hazardous Nuclear hazardous properties includes radioactive txic or explosive properties. Properties Nuclear Material Nuclear Property Damage Nuclear Reactor Nuclear Spent Fuel Nuclear Waste Occurrence Officer Nuclear material means by product material source material or special nuclear material. By product material source material and special nuclear material have the meanings given them in the United States of America Atomic Energy Act of 1954 or in any law amendatory thereof. Nuclear property damage includes all forms of radioactive contamination of property. Nuclear reactor means any apparatus designed or used to sustain nuclear fission in a self supporting chain reaction or to contain a critical mass of fissionable material. Nuclear spent fuel means any fuel element or fuel component solid or liquid which has been used or exposed to radiation in a nuclear reactor. Nuclear waste means any waste material containing nuclear material other than the tailings or wastes produced by the extraction or concentration of uranium or thorium from any ore processed primarily for its source material content and resulting from the operation by any person or organization of any nuclear fa in subparagraphs A. or B. of the definition of nuclear facility ity described Occurrence means an accident including continuous or repeated exposure to substantially the same general harmful conditions. Officer means a person holding any of the officer positions created by an organization s charter constitution by laws or any other similar governing document. Nuclear Facility continued S Liability Insurance Form 42 02 1004 Ed. 10 01 Contract Page 2701 30 | 1 |
Definitions continued Personal Injury Pollutants Products Completed Operations Hazard WHEN USED WITH RESPECT TO INSURANCE UNDER THIS CONTRACT WORDS AND PHRASES THAT APPEAR IN BOLD PRINT HAVE THE SPECIAL MEANIN DESCRIBED BELOW Personal injury means injury other than bodily injury property damage or advertisi caused by an offense of A false arrest false detention or other false imprisonment B. malicious prosecution C. wrongful entry into wrongful eviction of a person from or other violation of a person s right of private occupancy of a dwelling premises or room that such person occupies if committed by or on behalf of its landlord lessor or owner D. electronic oral written or other publication of material that 1. libels or slanders a person or organization which does not include disparagement of 200ds products property or services or 2. violates a person s right of privacy or discrimination harassment or segregation based on a person s age color national origin race religion or sex. Pollutants means any solid liquid gaseous or thermal irritant or contaminant including smoke vapor soot fumes acids alkalis chemicals and waste. Waste includes materials to be recycled reconditioned or reclaimed. oducts completed operations hazard A includes all bodily injury and property damage taking place away from premises owned or oceupied by or loaned or rented to you and arising out of your product or your work except 1. products that are still in your physical possession or 2. work that has not yet been completed or abandoned. Your work will be deemed completed when allof the work called for in your contract or agreement has been completed. allof the work o be performed at the site has been completed if your contract or agreement calls for work at more than one site. that part of the work completed at a site has been put 10 its intended use by any person or organization other than another contractor or subcontractor working on the same project Work that may need service maintenance correction repair or replacement but which is otherwise complete will be treated as completed. B. does not include bodily injury or property damage arising out of 1. the transportation of property Pollutants Liability insurance Form 42 02 1004 Ed. 10 01 Contract Page 28 of 30 | 1 |
Definitions Products Completed Operations Hazard continued Property Damage Suit Temporary Worker Your Product Liability Insurance For Energy Industries AND PHRASES THAT APPEAR IN BOLD PRINT HAVE THE DESCRIBED BELOW ECIAL MEANINGS 2 the existence of tools uninstalled equipment or abandoned or unused materials or 3 cts or operations for which the classification in our rules indicates that such or operations are not subject to the Products Completed Operations Aggregate Limit Of Insurance. Property damage means physical injury o tangible property including resulting loss of use of that property. All such loss of use shall be deemed 0 occur at the time of the physical injury that caused it or lossof use of tangible property that is not physically injured. All such loss of use shall be deemed to oceur at the time of the occurrence that caused it Tangible property does not include any software data or other information that is in electronic form. Suit means a civil proceeding in which damages o which this insurance applies are sought. Suit includes arbitration or other dispute resolution proceeding in which such damages are sought and to which the insured must submit or does submit with our consent Temporary worker means a person who is furnished o a party to substitute for a permanent employee on leave or to meet seasonal or short term workload conditions. Your product A means any 1. goods or products other than real property manufactured sold handled distributed or disposed of by a you b others trading under your name or aperson or organization whose assets or business you have acquired and 2 containers other than vehicles materials parts or equipment furnished in connection with such goods or products. B. includes 1 representations or warranties made at any time with respect to the durability fitness performance quality or use of your product and 2. the providing of or failure to provide instructions or warnings.. does not include vending machines or other property loaned or rented to or located for the use of others but not sold. Products Completed Operations Hazard continued S s Suit S Liability Insurance Form 42 02 1004 Ed. 10 01 Contract Page 29 0 30 | 1 |
Definitions continued Your Work THIS CONTRACT WORDS THE SPECIAL MEANINGS WHEN USED WITH R TO INSURANCE UNDE AND PHRASI HAT APPEAR IN BOLD PRINT HAVE DESCRIBED BELOW Your work A means any 1. work or operations performed by a. youoron your behalf or b. aperson or organization whose assets or business you have acquired and 2 materials parts or equipment furnished in connection with such work or operations. B includes 1. representations or warranties made at any time with respect to the durability fitness performance quality or use of your work and 2. the providing of or failure to provide instructions or warnings. Liability Insurance Form 42 02 1004 Ed. 10 01 Contract Page 30 of 30 | 1 |
Energy Industries General Liability Insurance o Schedtlg of Exposure Insured s Name COMMONWEALTH CHESAPEAKE COMPANY LLC 7500 COLLEGE BLVD SUITE 400 OVERLAND PARK KS 66210 Policy Number 3584 89 10 WUC Effective Date AUGUST 1 2013 Name of Company FEDERAL INSURANCE COMPANY This Schedule of Exposure supersedes any Schedules of Exposure with a prior effective date. All other terms and conditions remain unchanged. Estimated Exposure Rate Premium Classification Code Description Estimated Premium Rate VIRGINIA VIHGINIA 3415 WHITE OAK WAY NEW CHURCH VIRGINIA 23415 PREMISES OPERATIONS 00164 01 43736000 0.457 INDIVIDUAL POWER PRODUCTION ELECTRIC BASE LOAD THIS CLASSIFICATION INCLUDES PRODUCTS COMPLETED OPERATIONS PREMIUM BASIS KWIH 97223 00 IFANY 6.828 MACHINERY OR EQUIPMENT NOC INSTALL SVC REPAIR PREMIUM BASIS PAYROLL PRODUCTS COMPLETED OPERATIONS 97223 00 IF ANY 13.161 MACHINERY OR EQUIPMENT NOC INSTALL SVC REPAIR PREMIUM BASIS PAYROLL 19984 nan nan nan nan 6.828 S0 nan nan nan nan 13.161 0 last page Page 1 Form 42 02 0443 Ed. 5 95 | 2 |
Liability Insurance Endorsement Policy Period Effective Date Policy Number Insured AUGUST 1 2013 TO AUGUST 1 2014 AUGUST 1 2013 3584 89 10 WUC COMMONWEALTH CHESAPEAKE COMPANY LLC Name of Company FEDERAL INSURANCE COMPANY Date Issued AUGUST 72013 B This Endorsement applies to the following forms GENERAL LIABILITY The following exclusion is added to this policy and replaces any similar exclusion contained therein. The use of the words damages loss cost or expense in any exclusion does not expand any coverages under this contract. Exclusion Exclusion Endorsement Information Distribution Laws With respect to all coverages under this contract this insurance does not apply to any damages loss cost or expense arising out of any actual or alleged violation of. the United States of America CAN SPAM Act of 2003 or any law amendatory thereof. the United States of America Telephone Consumer Protection Act TCPA of 1991 or any law amendatory thereof or. any other ordinance regulation or statute relating to communicating distribution publication sending or transmitting of content information or material. 1l other terms and conditions remain unchanged. Authorized Representative QO Liability Insurance Exclusion Information Distribution Laws last page Form 80 02 6528 Ed. 4 05 Endorsement Page 1 | 2 |
Liability Insurance Endorsement Policy Period Effective Date Policy Number Insured AUGUST 1 2013 TO AUGUST 12014 AUGUST 1 2013 3584 89 10 WUC COMMONWEALTH CHESAPEAKE COMPANY LLC Name of Company ERAL INSURANCE COMPANY Date Issued AUGUST 72013 This Endorsement applies to the following forms GENERAL LIABILITY Under Conditions the provision titled Premium Audit is deleted and replaced by the following. Conditions Premium Audit We will compute all premiums for this insurance in accordance with our rules and rates. We may audit your books and records as they relate to this insurance at any time during the term of this policy and up to three years afterwards. All other terms and conditions remain unchanged. Authorized Representative 4 Ql Liability Insurance Condition Premium Audit last page Form 80 02 6541 Ed. 3 05 Endorsement Page 1 | 2 |
Liability Insurance Endorsement Policy Period Effective Date Policy Number Insured AUGUST 12013 TO AUGUST 1 2014 AUGUST 1 2013 3584 89 10 WUC COMMONWEALTH CHESAPEAKE COMPANY LLC Name of Company FEDERAL INSURANCE COMPANY Date Issued AUGUST 72013 S This Endorsement applies to the following forms GENERAL LIABILITY The following exclusion is added to this policy and replaces any similar exclusion contained therein. The use of the words damages loss cost or expense in any exclusion does not expand any coverages under this contract. Exclusion Endorsement Intellectual Property Laws Or Rights Intellectual Property With respect to all covera Laws Or Rights N B. under this contract this insurance does not apply to any damages loss cost or expense arising out of giving rise 0 or in any way related to any actual alleged or threatened L. assertion or 2 infringement or violation by any person or organization including any insured of any intellectual property law or right. further this insurance does not apply to the entirety of all allegations in any claim or suit if such claim or suit includes an allegation of or a reference to an infringement or violation of any intellectual property law or right even if this insurance would otherwise apply to any part of the allegations in the claim or suit. this exclusion applies unless the only infringement or violation of an intellectual property law or right is an offense described in the definition of advertising injury o which this insurance applies. B Liability Insurance Exclusion Intellectual Property Laws Or Rights continued Form 80 02 8290 Ed. 5 10 Endorsement Page 1 | 2 |
Liability Endorsement continued The following definition is added to this policy and replaces any similar definition contained therein. Definitions Intellectual Property Law Or Right Intellectual property law or right means any. certification mark copyright patent or trademark including collective or service marks. right 1o or judicial or statutory law recognizing an interest in any trade secret or confidential or proprietary non personal information. other right to or judicial or statutory law recognizing an interest in any expression idea likeness name slogan style of doing business symbol title trade dress or other intellectual property or other judicial or statutory law concerning piracy passing off or similar practices All other terms and conditions remain unchanged Authorized Representative Qo Liability Insurance Exclusion Intellectual Property Laws Or Rights last page Form 80 02 8290 Ed. 5 10 Endorsement Page 2 | 2 |
Liability Insurance Endorsement Policy Period Effective Date Policy Number Insured AUGUST 1 2013 TO AUGUST 1 2014 AUGUST 1 2013 3584 89 10 WUC COMMONWEALTH CHESAPEAKE COMPANY LLC Name of Company FEDERAL INSURANCE COMPANY Date Issued AUGUST 72013 s B This Endorsement applies to the following forms GENERAL LIABILITY R Undu onditions lhc provision titled lmmk.r r Waiver Of Rights Of Ru.nurv ANmI Others is deleted and replaced with the following P armeditimme Conditions Transfer Or Waiver Of Rights Of Recovery Against Others We will waive the right of recovery we would otherwise have had against another person or organization for loss to which this insurance applies provided the insured has waived their rights of recovery against such person or organization in a contract or agreement that is executed before such loss. Any waiver of our right of recovery granted under this endorsement. applies only to payments we make for injury or damage arising out of your ongoing operations and. ends when the contract or agreement requiring such waiver ends. Liability Insurance Blanket Transfer Or Waiver Of Rights Of Recovery Against Others continued Form 42 02 1661 Ed. 10 01 Endorsement Page 1 | 2 |
Conditions Transfer Or Waiver Of Rights Of Recovery Against Others continued To the extent that the insured s rights o recover all or part of any payment made under this insurance have not been waived those rights are transterred o u after loss to impair them. Atour request the insured will bring and help us enforce them he insured must do nothing it 0 transfer those rights to us To the extent that the insured s rights to recover all or part of any payment made under this insurance have not been waived those rights are transferred to us. The insured must do nothing after 1oss o impair them. Atour request the insured will bring suit to transfer those rights 10 us and help us enforce them This condition does not apply o medical expenses. All other terms and conditions remain unchanged. Authorized Representative m Liability Insurance Blanket Transter Or Waiver Of Rights Of Recovery Against Others last page Form 42 02 1661 Ed. 10 01 Endorsement Page 2 | 2 |
cHUBEB Liability Insurance Endorsement Policy Period Effective Date Policy Number Insured AUGUST 1 2013 TO AUGUST I 2014 AUGUST 1 2013 3584 89 10 WUC COMMONWEALTH CHESAPEAKE COMPANY LLC Name of Company FEDERAL INSURANCE COMPANY Date Issued AUGUST 72013 R This Endorsement applies o the following forms GENERAL LIABILITY i s R Under Who Is An Insured the following provision is added Who Is An Insured Persons Or Persons or organizations with whom you have agreed in a written contract or agreement to add as Organizations an insured are insureds but they are insureds only with respect to their liability arising out of Required By Contract your acts or failure o act. However our oblication to snch nersons or oreanizations nsureds ends when Persons or organizations with whom you have agreed in a written contract or agreement 1o add as an insured are insureds but they are insureds only with respect to their liability arising out of your acts or failure o act. However our obligation to such persons or organizations as insureds ends when. the wrilten contract or agreement expires or. this policy expires whichever is carlier. All other terms and conditions remain unchanged. Authorized Representative Qo Liability Insurance Who Is An Insured Persons Or Organizations Required By Contract last page Form 42 02 1806 Ed. 10 02 Endorsement Page 1 | 2 |
cHUBEB Liability Insurance Endorsement Policy Period Effective Date Policy Number Insured AUGUST 12013 TO AUGUST 1 2014 AUGUST 1 2013 3584 89 10 WUC COMMONWEALTH CHESAPEAKE COMPANY LLC Name of Company FEDERAL INSURANCE COMPANY Date Issued AUGUST 72013 This Endorsement applies to the following forms GENERAL LIABILITY I S A new section titled Terrorism Provisions is added to the end of this contract. Terrorism Provisions Cap On Certified Terrorism Losses Cap On Certified If Terrorism Losses aggregate insured losses attributable o one or more certified acts of terrorism under the terrorism law exceed 100 billion in a Program Year January through December 31 and we have met our insurer deductible under the terrorism faw we will not be liable for the payment of any portion of the amount of such losses that exceeds 100 billion and in such case insured losses up to that amount are subject to pro rata allocation in accordance with procedures established by the Secretary of the Treasury. A new section titled Terrorism Definitions is added. Terrorism Definitions Certified Act Of Terrorism Certified 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 A ofterrorism a violent act or an act that is dangerous to human life property or infrastructure and B. that results in damage 1 within the United States or Liability Insurance Cap On Certified Terrorism Losses continued Form 80 02 6403 Rev. 12 07 Endorsement Page 1 Includes copyrighted material of Insurance Services Office Inc. with its permission. | 2 |
Liabiy Insurance continued State Terrorism Law United States 2 outside of the United States in the case of a. an air carrier or vessel as described in the terrorism law or b. the premises of a mission of the United States of America which was committed by an individual or individuals as part of an effort to. coerce the civilian population or. influen the policy or affect the conduct of the Government of the United States. Certified act of terrorism does not include an act the. is committed as part of the course of a war declared by the Congress of the United States or does not result in property and casualty insurance losses that exceed 3 million in the aggregate and are attributable to all types of insurance subject to the terrorism law. State means any state of the United States of America the District of Columbia the Commonwealth of Puerto Rico the Commonwealth of the Northern Mariana Islands American Samoa Guam cach of the United States Virgin Islands and any territory or possession of the United States of America. Terrorism law meuns the Terrorism Risk Insurance Act of 2002 Pub. I.. 107 297 as amended by the Terrorism Risk Insurance Extension Act of 2005 Pub. LL.109 144 and the Terrorism Risk Insurance Program Reauthorization Act of 2007 Pub. L.110 160 United States means. astate and. the territorial sea and the continental shelf of the United States of America as described in the ism law. United States All other terms and conditions remain unchanged. Authorized Representative QLD Liabity Insurance Cap On Certified Terrorism Losses Jast page Form 80 02 6403 Rev. 12 07 Endorsement Page 2 Includes copyrighted material of Insurance Services Office Inc. with its permission. | 2 |
Liability Insurance Endorsement Policy Period Effective Date Policy Number Insured AUGUST 12013 TO AUGUST 1 2014 AUGUST 1 2013 3584 89 10 WUC COMMONWEALTH CHESAPEAKE COMPANY LLC Name of Company FEDERAL INSURANCE COMPANY Date Issued AUGUST 72013 This Endorsement applies o the following forms GENERAL LIABILITY The following exclusion is added to this policy and replaces any similar exclusion contained therein. The use of the words damages loss cost or expense in any exclusion does not expand any coverages under this contract. Eveliicinn Exclusion Endorsement Professional Liability Total ages under this contract this insurance does not apply to any damages loss cost or expense arising out of the rendering of or failure to render any professional service advice or instruction whether or not such service advice or instruction is ordinary o any insured s profession and regardless of whether or not a claim or suit is brought by any client or any other person or organization. With respect o all cover All other terms and conditions remain unchanged. Authorized Representative Qxk Liability Insurance Exclusion Professional Liabiliy Total last page Form 80 02 6428 Ed. 8 04 Endorsement Page 1 | 2 |
cHUBE Liability Insurance Endorsement Policy Period Effective Date Policy Number Insured AUGUST 12013 TO AUGUST 1 2014 AUGUST 1 2013 3584 89 10 WUC COMMONWEALTH CHESAPEAKE COMPANY LLC Name of Company FEDERAL INSURANCE COMPANY Date Issued AUGUST 72013 o T This Endorsement applies to the following forms GENERAL LIABILITY Under Exclusions the following exclusion is added. The use of the words damz expense in any exclusion does not expand any coverages under this contract. cs loss cost or Exclusion Exclusion Endorsement Loss Of Use Of Electronic Data With respect to all coverages under this contract this insurance does not apply to any damages loss costor expense arising out of any. corruption of. inability to acce. inability to manipulate. loss of or other injury or damage to or loss of use of any software data or other information that is in electronic form. This exclusion does not apply o bodily injury or physical injury to tangible property including resulting loss of use of that property. Liability Insurance Exclusion Loss Of Use Of Electronic Data continued Form 80 02 8423 Ed. 4 12 Endorsement Page 1 | 2 |
Liability Endorsement continued All other terms and conditions remain unchanged Authorized Representative Q.Q Liability Insurance Exclusion Loss Of Use Of Electronic Data last page Form 80 02 8423 Ed. 4 12 Endorsement Page 2 | 2 |
Liability Insurance Endorsement Policy Period Effective Date Policy Number Insured AUGUST 12013 TO AUGUST 1 2014 AUGUS L2013 3584 89 10 WUC COMMONWEALTH CHESAPEAKE COMPANY LLC Name of Company FEDERAL INSURANCE COMPANY Date Issued AUGUST 7 2013 R S This Endorsement applies to the following forms GENERAL LIABILITY e R T Under Policy Ixclusions the following exclusion is nddt d Policy Exclusions Radioactive Material A This insurance does not apply to bodil personal iniury arisi y injury property damage advertising injury or o out of the actual alleeed or threatened contaminative nathooenic Radioactive Material A This insurance does not apply to bodily injury property damage advertising injury or personal injury arising out of the actual alleged or threatened contaminative pathogenic toxic or other hazardous properties of radioactive material. B. This insurance does not apply o any loss cost or expense arising out of any 1. request demand order or regulatory or statutory requirement that any insured or others test for monitor clean up remove contain treat detoxify or neutralize or in any way respond 10 or assess the effects of any radioactive material or 2. claimor proceeding by or on behalf of a governmental authority or others for damages because of testing for monitoring cleaning up removing containing treating detoxifying or neutralizing or in any way responding to or as radioactive material ssing the effects of any This exclusion does not apply o radioactive material while used in a well measuring ool or device Liability Insurance Exclusion Radioactive Material Exception continued Form 42 02 1670 Ed. 10 01 Endorsement Page 1 | 2 |
Under Detfinitions the following is added Definitions Radioactive Material Radioactive material means any solid liquid or gaseous substance which emits radiation. Radioactive material means any solid liquid or gascous substance which emits radiation. All other terms and conditions remain unchanged. Authorized Representative Q Liability Insurance Exclusion Radioactive Material Exception last page Form 42 02 1670 Ed. 10 01 Endorsement Page 2 | 2 |
Liability Insurance Endorsement Policy Period Effective Date Policy Number Insured AUGUST 1 2013 TO AUGUST 1 2014 AUGUST 12013 3584 89 10 WUC COMMONWEALTH CHESAPEAKE COMPANY LLC Name of Company Date Issued. A This Endorsement applies o the following forms GENERAL LIABILITY FEDERAL INSURANCE COMPANY AUGUST 7 2013 e s Under Policy Exclusions hc mllnwm LXLJIUH is ddded Policy Exclusions Electromagnetic A This insurance does not apply to bodily injury property damage advertising injury or Radiation personal injury arising out of the actual alleged or threatened contaminative pathogenic toxic or other hazardous nronerties of electromaone B. This insurance does not apply to bodily injury property damage advertising injury or personal injury arising out of the actual alleged or threatened contaminative pathogenic toxic or other hazardous properties of electromagnetic radiation. This insurance does not apply to any loss cost or expense arising out of any 1. request demand order or regulatory or statutory 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 any electromagnetic radiation or 2. claim or proceeding by or on behalf of a governmental authority or others for damages because of testing for monitoring cleaning up removing containing treating detoxifying or neutralizing or in any way responding to or assessing the effects of any electromagnetic radiation. Liability Insurance Exclusion Electromagnetic Radiation Exception continued Form 42 02 1665 Ed. 10 01 Endorsement Page 1 | 2 |
Policy Exclusions Electromagnetic This exclusion does not apply to Radiation continued jury caused by njury property damage advertising injury or perso electrocution or electric shock or Electromagnetic Radiation continued Definitions Electromagnetic Radiation This exclusion does not apply to bodily injury property damage advertising injury or personal injury caused by electrocution or electric shock or property damage caused by power surges Under Lllllhlh the IUUWI is addui Electromagnetic radiation means any electric field magnetic field electromagnetic field Electromagnetic radiation means any. electric field magnetic field electromagnetic field radiation created by any electrical current however generated or radiation. radiofrequency or microway All other terms and conditions remain unchanged. Authorized Representative QJl Liability Insurance Exclusion Electromagnetic Radiation Exception last page Form 42 02 1665 Ed. 10 01 Endorsement Page 2 | 2 |
cHUBEB Liability Insurance Endorsement Policy Period Effective Date Policy Number Insured AUGUST 1 2013 TO AUGUST 1 2014 AUGUST 12013 3584 89 10 WUC COMMONWEALTH CHESAPEAKE COMPANY LLC Name of Company FEDERAL INSURANCE COMPANY Date Issued AUGUST 72013 e T E This Endorsement applies o the following forms GENERAL LIABILITY S S S Under Policy Ixclusions Ihg following LLIIJIUH is added Policy Exclusions Failure To Supply Ihis insurance does not apply o bodily injury property damage advert injury arising out of the complete or partial failure of any i ng injury or personal ured o supply electricity oas oil. This insurance does not apply o bodily injury property damage advert jury arising out of the complete or partial failure of any steam water or any other form of energy. ng injury or personal insured o supply electricity gas oil All other terms and conditions remain unchanged. Authorized Representative Q o S Liability Insurance Exclusion Failure To Supply last page Form 42 02 1666 Ed. 10 01 Endorsement Page 1 | 2 |
K. cHuUBEB Liability Insurance Endorsement Policy Period Effective Date Policy Number Insured AUGUST 1 2013 TO AUGUST 1 2014 AUGUST 1 2013 3584 89 10 WUC COMMONWEALTH CHESAPEAKE COMPANY LLC Name of Company FEDERAL INSURANCE COMPANY Date Issued AUGUST 72013 This Endorsement applies o the following forms GENERAL LIABILITY Under Conditions the following provision is added to the condition titled Other Insurance. Conditions Other Insurance Primary Noncontributory Insurance Scheduled Person Or Organization If you are obligated pursuant to a written contract or agreement o provide the person or organization described in the Schedule that is also included in the Who Is An Insured section of this contract with primary insurance such as is afforded by this policy then this insurance is primary and we will not seck contribution from insurance available o such person or organization. Schedule Persons or organizations described in the Who Is An Insured section of this contract and that you are obligated pursuant to a written contract or agreement o provide with primary insurance as is afforded by this policy but only to the minimum extent required by such contract or agreement. All other terms and conditions remain unchanged. Authorized Representative QD Liability Insurance Conditions Other Insurance Primary Noncontributory Insurance Scheduled Person Or Organization last page Form 80 02 2653 Rev. 7 09 Endorsement Page 1 | 2 |
Common Policy Conditions Section Form 80 02 9099 Ed. 4 94 Common Conditions Common Policy Conditions Section | 2 |
Policy Conditions cHUBEB Schedule of Forms Policy Period Effective Date Policy Number Insured AUGUST 12013 TO AUGUST 12014 AUGUST 1 2013 3584 89 10 WUC COMMONWEALTH CHESAPEAKE COMPANY LLC Name of Company FEDERAL INSURANCE COMPANY Date Issued AUGUST 7 2013 The following is a schedule of forms issued as of the date shown above T Edition Effective Date Form Number Date Form Name Date Issued 80 02 9001 6 98 HOW TO REPORT A LOSS 080113 080713 80 02 9090 6 05 COMMON POLICY CONDITIONS 080113 080713 80 02 9301 298 NAMED INSURED 080113 080713 80 02 9737 396 KANSAS MANDATORY CANCELLATION TERMS 080113 080713 80 02 9800 1208 INSURING AGREEMENT 080113 080713 99 10 0732 12 07 NOTICE TO POLICYHOLDERS TRIPRA 080113 080713 99 10 0792 9 04 IMPORTANT NOTICE OFAC 080113 080713 99 10 0872 6 07 AOD POLICYHOLDER NOTICE 080113 080713 last page Form 80 02 9999 ED. 6 95 Schedule of Forms Page 1 | 2 |
cHuBEB Common Policy Conditions Contract Conditions The following Conditions are included under each part of the policy unless stated otherwise. Audit Of Books And Records Cancellation Changes Compliance By Insureds Compliance With Applicable Trade Sanctions Conformance First Named Insured Inspections And Surveys We may audit your books and records as they relate o this insurance at any time during the term of this policy and up to three years afterwards. The first named insured may cancel this policy or any of its individual coverages at any time by sending us a written request or by returning the policy and stating when thereafter cancellation is to take effect. We may cancel this policy or any of its individual coverages at any time by sending to the first named insured a notice 60 days 20 days in the event of non paymient of premium in advance of the cancellation date. Our notice of cancellation will be mailed the first named insured s la known address and will indicate the date on which coverage is terminated. If notice of cancellation is mailed proof of mailing will be sufficient proof of notice. e carned premium will be computed on a pro rata basis. Any unearned premium will be returned as 00N as practicable. This policy can only be changed by a written endorsement that becomes part of this policy. The endorsement must be signed by one of our authorized representatives. We have no duty to provide coverage under this policy unless you and any other involved insured have fully complied with all of the terms and conditions of the policy This insurance does not apply to the extent that trade or economic sanctions or other laws or regulations prohibit us from providing insurance. Any terms of this insurance which are in conflict with the applicable statutes of the State in which this policy is issued are amended to conform to such statutes. The person or organization first named in the Declarations is primarily responsible for payment of all premiums. The first named insured will act on behalf of all other named insureds for the giving and receiving of notice of cancellation or nonrenewal and the receiving of any return premiums that become payable under this policy. We may make inspections and surveys at any time give you reports on the conditions we find and recommend changes. Common Policy Conditions Form 80 02 9090 Rev. 6 05 Contract Page 1072 | 2 |
Conditions Inspections And Surveys continued Titles Of Paragraphs Transfer Of Rights And Duties When We Do Not Renew Any inspections surveys reports or recommendations relate only to insurability and the premiums 0 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. are safe or healthful or. comply with laws regulations codes or standards. This condition applies not only to us but also to any rating advisory rate service or similar organization which makes insurance inspections surveys reports or recommendations for us. The titles of the various paragraphs of this policy and endorsements if any attached to this policy are inserted solely for convenience or reference and are not to be deemed in any way to limit or affect the provisions to which they relate. Your rights and duties under this insurance may not be transferred without our written consent. However if you dic then your rights and duties will be transferred o your legal representative but only while acting within the scope of duties as your legal representative or o anyone having temporary custody of your property until your legal representative has been appointed. It we decide not to renew this policy we will mail or deliver to the first named insured s last known address written notice of the nonrenewal not less than 60 days before the expiration date. If notice of nonrenewal is mailed proof of mailing will be sufficient proof of notice. Common Policy Conditions Form 80 02 9090 Rev. 6 05 Contract Page 2072 | 2 |
Common Policy Conditions Section Endorsements Form 80 02 9399 Ed. 4 94 Endorsements. Common Policy Conditions Section Endorsements | 2 |
cHUBEB Policy Conditions Endorsement Policy Period Effective Date Policy Number Insured AUGUST 1 2013 TO AUGUST 1 2014 AUGUST 1 2013 3584 89 10 WUC COMMONWEALTH CHESAPEAKE COMPANY LLC Name of Company FEDERAL INSURANCE COMPANY Date Issued AUGUST 72013 R 2 R e This Endorsement applies o the following forms COMMON POLICY CONDITIONS s s e lhg lulluwmu changes are made as respects exposures in the state of Kansas. Under Conditions Can following ation and When We Do Not Renew are deleted and replaced by the Conditions Cancellation We may cancel this policy by mailing or delivering to the first Named Insured written notice of cancellation stating the reasons for cancellation at least 10 days hefore the effective date of cancellation if we cancel for nonpayment of premium or. 30 days before the effective date of cancellation if we cancel for any other reason. If this policy has been in effect for 90 days or more or if it is a renewal of a policy we s may cancel this policy only for one or more of the following reasons. nonpayment of premium. this policy was issued because of a material misrepresentation youorany other insured violated any of the material terms and conditions of this policy. unfavorable underwriting factors specific to the insured existed that were not present at the inception of this policy Policy Conditions Kansas Mandatory continued Form 80 02 9737 Ed. 3 96 Endorsement Page 1 | 2 |
Conditions Cancellation. a determination by the insurance commissioner that continuation of coverage could place us continued in a hazardous financial condition or in violation of the laws of the state of Kansas or o e s o Cancellation continued When We Do Not Renew. a determination by the insurance commissioner that continuation of coverage could place us in a hazardous financial condition or in violation of the laws of the state of Kansas or. a determination by the insurance commissioner that we no longer have adequate reinsurance o meet our needs. If we decide not t renew this policy we will mail or deliver written notice of nonrenewal stating the reasons for nonrenewal o the first Named Insured at least 60 days prior to the expiration date of the policy. Any notice of nonrenewal will be mailed or delivered to the first Named Insured s last mailing address known to us. If notice is mailed proof of mailing will be sufficient proof of notice. All other terms and conditions remain unchanged. Authorized Representative O Policy Conditions Kansas Mandatory last page Form 80 02 9737 Ed. 3 96 Endorsement Page 2 | 2 |
cHUBEB Policy Conditions Endorsement Policy Period Effective Date Policy Number Insured AUGUST 12013 TO AUGUST 1 2014 AUGUST 1 2013 3584 89 10 WUC COMMONWEALTH CHESAPEAKE COMPANY LLC Name of Company FEDERAL INSURANCE COMPANY Date Issued AUGUST 72013 B This Endorsement applies to the following forms LIABILITY DECLARATIONS B The Named Insured is amended to include the following Named Insured COMMONWEALTH CHESAPEAKE COMPANY LLC TYR CHESAPEAKE LLC TYR ENERGY INC. All other terms and conditions remain unchanged. Authorized Representative QO Policy Conditions Named Insured last page Form 80 02 9301 Ed. 2 98 Endorsement Page 1 | 2 |
Nationwide POLICYHOLDER DISCLOSURE DISCLOSURE OF PREMIUM AND FEDERAL PARTICIPATION The Terrorism Risk Insurance Act establishes a program within the Department of the Treasury under which the federal government shares with the insurance industry the risk of loss from future terrorist attacks. The Act applies when the Secretary of the Treasury certifies that an event meets the definition of an act of terrorism. The Act provides that to be certified an act of terrorism must cause losses of at least five million dollars and must have been committed by an individual or individuals as a part of an effort to coerce the government or population of the United States. In accordance with the Terrorism Risk Insurance Act we are required to offer you coverage for losses resulting from an act of terrorism that is certified under the federal program as an act of terrorism. The policy s other provisions will still apply to such an act DISCLOSURE OF PREMIUM The premium for terrorism coverage is Included. DISCLOSURE OF FEDERAL PARTICIPATION IN PAYMENT OF TERRORISM LOSSES The United States Government Department of the Treasury will pay a share of terrorism losses insured under the federal program. The federal share equals 85 of that portion of the amount of such insured losses that exceeds the applicable insurer retention. NW 26654 012008 | 2 |
Nationwide BLANKET PROTECTOR COMMON DECLARATIONS ISSUED BY K K INSURANCE GROUP INC. POLICY NUMBER 6BRPG0000005371300 Named Insured Sports Leisure Entertainment RPG DBA Enrolled Member Vendors at Herschend Family Entertainment Mailing Address 1712 Magnavox Way Fort Wayne IN 46804 POLICY PERIOD From 020113 to 022814 at 1201 A.M. Standard Time at your mailing address Form of Business Other Description of Business Vendors at Herschend Family Entertainment Events IN RETURN FOR THE PAYMENT OF THE PREMIUM AND SUBJECT TO ALL THE TERMS OF THIS POLICY WE AGREE TO PROVIDE YOU WITH THE INSURANCE AS STATED IN THIS POLICY. This policy consists of the coverages indicated as included. The premium may be subject to adjustment. Included Not Included Commercial Property Coverage X Commercial General Liability Coverage X Commercial Crime Coverage Mechanical Electrical and pressure Equipment Coverage Commercial Inland Marine Coverage Commercial Auto Coverage Garage Coverage Farm Coverage Other Coverages Total Advance Premium See SRPG17348 Premium Payable At Inception See SRPG17348 In the event of cancellation by you we shall receive and retain not less than See SRPG26148 as the minimum premium. Forms in common to all Coverage SRPG173481202 IL00171198 1L01580908 1L02720907 Date of Issue February 1 2013 Countersignature Date CAS3228 SRPG261480908 SRPG00210908 1L09850108 Issuing Office Agency At Agent et fodod SRPG261480908 SRPG00210908 CAS 3200A 1 87 | 2 |
POLICY NUMBER 6BRPG0000005371300 DECLARATIONS EXTENSION With respect to CAS3200 A Blanket Protector Common Declarations and wherever else it may appear the Named Insured Policy Period Total Advance Premium and Premium Payable at Inception are amended to read as follows Named Insured Sports Leisure and Entertainment Risk Purchasing Group dba Enrolled Member Vendors at Herschend Family Entertainment Events for which the appropriate premium has been paid and to whom a certificate of insurance has been issued. Policy Period February 1 2013 February 28 2014 Coverage for each enrolled member vendor begins after the approved enrollment form and premium payment are received by the program administrator and is effective for the date and time specified on the certificate. Advance Premium Premium Payable At Inception Premium per vendor per event 100.00 per each 30 days of coverage Premium is fully earned at inception of the event and is not refundable in the event of cancellation. Florida applicants must add the required state mandated Hurricane Catastrophe Assessment Fee to the total premium. SRPG17348 1202 | 2 |
POLICY NUMBER 6BRPG0000005371300 INTERLINE IL0017 1198 A. D. COMMON POLICY CONDITIONS All Coverage Parts included in this policy are subject to the following conditions. Cancellation 1. The first Named Insured shown in the Declarations may cancel this policy by mailing or delivering to us advance written notice of cancellation. 2. We may cancel this policy by 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. Changes This policy contains all the agreements between you and us concerning the insurance afforded. The first Named Insured shown in the Declarations is authorized to make changes in the terms of this policy with our consent. This policy s terms can be amended or waived only by endorsement issued by us and made a part of this policy. Examination Of Your Books And Records We may examine and audit your books and re cords as they relate to this policy at any time during the policy period and up to three years after ward. Inspections And Surveys 1. We have the right to a. Make inspections and surveys at any time b. Give you reports on the conditions we find and c. Recommend changes. 2. We are not obligated to make any inspections surveys reports or recommendations and any such actions we do undertake relate only to insurability and the premiums to be charged. We do not make safety inspections. We do not undertake to perform the duty of any person or organization to provide for the health or safety of workers or the public. And we do not warrant that conditions a. Are safe or healthful or b. Comply with laws regulations codes or standards. 3. Paragraphs 1. and 2. of this condition apply not only to us but also to any rating advisory rate service or similar organization which makes insurance inspections surveys reports or recommendations. 4. Paragraph 2. of this condition does not apply to any inspections surveys reports or recommendations we may make relative to certification under state or municipal statutes ordinances or regulations of boilers pressure vessels or elevators. E. Premiums The first Named Insured shown in the Declarations 1. s responsible for the payment of all premiums and 2. Will be the payee for any return premiums we pay. Transfer Of Your Rights And Duties Under This Policy Your rights and duties under this policy may not be transferred without our written consent except in the case of death of an individual named insured. If you die your rights and duties will be transferred to your legal representative but only while acting within the scope of duties as your legal representative. Until your legal representative is appointed anyone having proper temporary custody of your property will have your rights and duties but only with respect to that property. IL0017 1198 Copyright Insurance Services Office Inc. 1998 Page 10of 1 | 2 |
Nationwide Nationwide Mutual Insurance Company POLICY NUMBER 6BRPG0000005371300 Nationwide Mutual Fire Insurance Company Nationwide Nationwide Property and Casualty Insurance Company Home Office Columbus Ohio 43215 2220 MANDATORY ENDORSEMENT POLICYHOLDER MEMBERSHIP IN THE COMPANY Applicable Only in the Nationwide Mutual Insurance Company or the Nationwide Mutual Fire Insurance Company in All States Except Those Specifically Provided For Because this policy is issued by a mutual insurance company you are a member of the company while this or any other policy is in force. While a member you are entitled to a vote only either in person or by proxy at meetings of the company. You are entitled to any dividends which are declared by the Board of Directors and are applicable to coverages in your policy. The annual meeting of the members of the company issuing your policy the company is indicated on the Declarations Page will be held at the Nationwide Plaza in Columbus Ohio on the first Thursday of April. The time of the meeting for the Nationwide Mutual Fire Insurance Company is 930 A.M. and the time of the meeting for the Nationwide Mutual Insurance Company is 1000 A.M. We will mail notice of any change in meeting dates times or place to you at your address last known to us at least ten days prior to the rescheduled meeting date. This policy is non assessable meaning that you are not subject to any assessment beyond the premiums we require for each policy term. POLICYHOLDER MEMBERSHIP IN THE COMPANY Applicable Only in the Nationwide Mutual Insurance Company or the Nationwide Mutual Fire Insurance Company When This Policy is Issued in The State of Texas 1. MUTUALITY MEMBERSHIP AND VOTING NOTICE. You are notified that by virtue of this policy you are a member of the Nationwide Mutual Insurance Company of Columbus Ohio or the Nationwide Mutual Fire Insurance Company of Columbus Ohio as shown on the Declarations Page of this Policy and you are entitled as is lawfully provided in the charter constitution or by laws to only one vote regardless of the number of policies owned either in person or by proxy in any or all meetings of the company. The annual meetings are held at the Home Office at Columbus Ohio on the first Thursday of April in each year at 930 A.M. for the Nationwide Mutual Fire Insurance Company and 1000 A.M. of the same day for the Nationwide Mutual Insurance Company. 2. MUTUALS PARTICIPATION CLAUSE WITHOUT CONTINGENT LIABILITY. No Contingent Liability This policy is non assessable. You are a member of the company and shall participate to the extent and upon the conditions fixed and determined by the Board of Directors in the distribution of dividends so fixed and determined provided such determinations are in accordance with the provisions of the Texas Insurance Code and other applicable law which includes the rules and regulations of the State Board of Insurance. IN WITNESS WHEREOF Nationwide Mutual Insurance Company Nationwide Mutual Fire Insurance Company or Nationwide Property and Casualty Insurance Company whichever is the issuing company as designated on the Declarations has caused this policy to be signed by its President and Secretary at Columbus Ohio and countersigned by a duly authorized representative of the company. Gt b T O Secretary President ATTEST Ml a. President CAS 3228 | 2 |
POLICY NUMBER 6BRPG0000005371300 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EARNED PREMIUM This endorsement modifies insurance provided under the following ALL LIABILITY COVERAGES The following is in effect only when indicated by X Premium fully earned at inception Premium fully earned at inception Percentage of Policy Term Premium Percentage of Policy Term Premium X Premium fully earned as follows of total premium in the event of cancellation prior to Total policy premium is fully earned in the event of cancellation after Event premiums The following premiums apply to each category of event indicated and are fully earned as of the beginning of each event EVENT As reported and on file with the company PREMIUM PER EVENT 100.00 per vendor per event maximum event duration is 30 days SRPG26148 0908 | 2 |
POLICY NUMBER 6BRPG0000005371300 SRPG 00 21 09 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT Broad Form This endorsement modifies insurance provided under the following COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART HIRED AUTO AND EMPLOYERS NONOWNERSHIP LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY 1. The insurance does not apply C. Under any Liability Coverage to bodily injury or A. Under any Liability Coverage to bodily injury or property damage resulting from hazardous property damage properties of nuclear material if 1 With respect to which an insured under the policy is also an insured under a nuclear energy liability policy issued by Nuclear Energy Liability Insurance Association Mutual Atomic Energy Liability Underwriters Nuclear Insurance Association of Canada or any of their successors or would be an insured under any such policy but for its termination upon exhaustion of its limit of liability or Resulting from the hazardous properties of nuclear material and with respect to which a any person or organization is required to maintain financial protection pursuant to the Atomic Energy Act of 1954 or any law amendatory thereof or b the insured is or had this policy not been issued would be entitled to indemnity from the United States of America or any agency thereof under any agreement entered into by the United States of America or any agency thereof with any person or organization.. Under any Medical Payments coverage to expenses incurred with respect to bodily injury resulting from the hazardous properties of nuclear material and arising out of the operation of a nuclear facilty by any person or organization. 1 The nuclear material a is at any nuclear facility owned by or operated by or on behalf of an insured or b has been discharged or dispersed therefrom The nuclear material is contained in spent fuel or waste at any time possessed handled used processed stored transported or disposed of by or on behalf of an insured or The bodily injury or property damage arises out of the furnishing by an insured of services materials parts or equipment in connection with the planning construction maintenance operation or use of any nuclear facility but if such facility is located within the United States of America its territories or possessions or Canada this exclusion 3 applies only to property damage to such nuclear facility and any property thereat. As used in this endorsement Hazardous properties includes radioactive toxic or explosive properties. Nuclear material means source material special nuclear material or by product material. 2 3 C. Under any Liability Coverage to bodily injury or property damage resulting from hazardous properties of nuclear material if 1 The nuclear material a is at any nuclear facility owned by or operated by or on behalf of an insured or b has been discharged or dispersed therefrom The nuclear material is contained in spent fuel or waste at any time possessed handled used processed stored transported or disposed of by or on behalf of an insured or The bodily injury or property damage arises out of the furnishing by an insured of services materials parts or equipment in connection with the planning construction maintenance operation or use of any nuclear facility but if such facility is located within the United States of America its territories or possessions or Canada this exclusion 3 applies only to property damage to such nuclear facility and any property thereat. As used in this endorsement Hazardous properties includes radioactive toxic or explosive properties. Nuclear material means source material special nuclear material or by product material. 2 3 SRPG 00 21 09 08 Includes copyrighted material of ISO Properties Inc. with its permission. Copyright ISO Properties Inc. 2007 Page 10f 2 | 2 |
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