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POLICY NUMBER GL 4056109 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BOATS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Description of Watercraft Any boat you rent up to 100 feet in length that is operated by a paid crew and is not transporting passengers or property for a charge. Additional Premium Included If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. 1. Exclusion g. of COVERAGE A Section does not apply to any watercraft owned or used by or rented to the insured shown in the Schedule. 2. WHO IS AN INSURED Section Il is amended to include as an insured any person or organization legally re sponsible for the use of any such watercraft you own provided the actual use is with your permission. CG24121185 Copyright Insurance Services Office Inc. 1984 1992 Page 1 of 1
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BROADENED NAMED INSURED ENDORSEMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART CHANGE Throughout this policy the words you and your refer to the Named Insured shown in the Declarations and any subsidiaries affiliated associated controlled or allied companies corporations or firms in which the Named Insured shown in the Declarations owns during the policy period an interest of more than 50 percent. This insurance shall be excess over any other valid and collectible insurance available to the above entities but only to the extent that the amount of loss exceeds the Limits of Insurance for Liability Coverage of the other insurance and then only for an amount not exceeding the difference between any higher applicable Limits of Insurance for Liability Coverage stated in the Declarations of this policy and the Limits of Insurance for Liability Coverage of the other insurance. The first Named Insured shown in the Declarations by acceptance of this policy is authorized to act and agrees to act on behalf of all persons or organizations insured under the policy with respect to all matters pertaining to the insurance afforded by the policy including the provision or receipt of notice of cancellation the payment of premiums and the receiving of return premiums if any. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By Countersignature by the Broker or Agent shall only occur in the mailing states that require countersignature SNGL 048 0514 Safety National Casualty Corporation Page 1 of 1
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COMMERCIAL GENERAL LIABILITY CG21700115 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART This endorsement modifies insurance provided under the following 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. If aggregate insured losses attributable to terrorist acts certified under the federal Terrorism Risk Insurance Act exceed 100 billion in a calendar year and we have met our insurer deductible under the Terrorism Risk Insurance Act we shall not be liable for the payment of any portion of the amount of such losses that exceeds 100 billion and in such case insured losses up to that amount are subject to pro rata allocation in accordance with procedures established by the Secretary of the Treasury. Certified act of terrorism means an act that is certified by the Secretary of the Treasury in accordance with the provisions of the federal Terrorism Risk Insurance Act to be an act of terrorism pursuant to such Act. The criteria contained in the Terrorism Risk Insurance Act for a certified act of terrorism include the following 1. The act resulted in insured losses in excess of 5 million in the aggregate attributable to all types of insurance subject to the Terrorism Risk Insurance Act and 2. The act is a violent act or an act that is dangerous to human life property or infrastructure and is committed by an individual or individuals as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. B. The terms and limitations of any terrorism exclusion or the inapplicability or omission of a terrorism exclusion do not serve to create coverage for injury or damage that is otherwise excluded under this Coverage Part. CG21700115 Insurance Services Office Inc. 2015 Page 1 of 1
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY CO EMPLOYEE EXCLUSION DELETED This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART This endorsement changes the policy effective on the inception date of the policy unless another endorsement effective date is indicated below. CHANGES Section Il Who is an Insured 2. a. 1 a is amended to read a To you to your partners or members if you are a partnership or joint venture to your members if you are a limited liability company or to your other volunteer workers while performing duties related to the conduct of your business Section Il Who is an Insured 2. a. 1 b is amended to read b To the spouse child parent brother or sister of that volunteer worker as a consequence of Paragraph 1a above This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By SNGL 012 1209 Safety National Casualty Corporation Page 1 of 1
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COMMON POLICY CHANGE ENDORSEMENT SAFETY NATIONAL CASUALTY CORP ST.LOUIS MO 63146 888 995 5300 Policy Number Effective Date GL 4056109 01012019 Endorsement Number 1201 AM. Standard Time at the described location Named Insured and Address Agent FIRST DATA CORPORATION 5565 GLENRIDGE CONNECTOR NE ATLANTA GA 30342 WILLIS INSURANCE SERVICES OF GEORGIA INC. 5 CONCOURSE PARKWAY 18TH FLOOR ATLANTA GA 30328 Telephone CHANGE DESCRIPTION At your request and as agreed to by us your attached policy is hereby endorsed and amended as follows This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM With respect to coverage provided by this endorsement the provisions of the Coverage Forms apply unless modified by this endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. IONAL CASUALTY CORP 3146 565 GLENRIDGE CONNECTOR NE TLANTA GA 30342 CONCOURSE PARKWAY 18TH FLOOR TLANTA GA 30328 AMENDED OTHER INSURANCE CLAUSE Section 4.b. titled Other Insurance Excess Insurance under SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows Subsection 4.b.1a is deleted in its entirety and replaced by a Any of the other insurance whether primary excess contingent or on any other basis unless such insurance is specifically purchased by you to apply on an excess basis over this policy or you are contractually obligated to provide primary insurance. Subsection 4.b.1ai through iv are deleted in their entirety. Subsection 4.b.1b is deleted in its entirety. Subsection 4.b.2 is deleted in its entirety and replaced by 2 When this insurance is excess we will have no duty under Coverages A or B to defend the insured against any claim or suit if any other insurer has a duty to defend the insured against that claim or 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 Subsection 3 is deleted in its entirety. GLM 099 1217 Page 1 of 1 IL 10 0512 08
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMPOSITE RATING PLAN PREMIUM ENDORSEMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART The premium for the insurance afforded under this policy will be computed on the basis of the composite rates and basis of premium shown below and in accordance with our rules rates rating plans premiums minimum premium and other terms of the policy. Rates and Premiums Physical Damage Deductible... Comp.Spec. Coverage Vehicle Premium Base Estimated Composite Advafce Causes of Collision Type Base Exposure Rate Premium Loss G 1 Per U.S oenera Employee 13075 3.359 Included Liability Headcount Final Audited TRIA Commercial Included 0.0115 Included General Liability Premium TRIA TRIA This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By Countersignature by the Broker or Agent shall only occur in the mailing states that require countersignature SNGL 045 0514 Safety National Casualty Corporation Page 1 of 1
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COMMERCIAL GENERAL LIABILITY CG 21391093 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTUAL LIABILITY LIMITATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART The definition of insured contract in the DEFINI TIONS Section is replaced by the following Insured contract means a. A contract for a lease of premises. However that portion of the contract for a lease of premises that indemnifies any person or organization for dam age by fire to premises while rented to you or tem porarily occupied by you with permission of the owner is not an insured contract b. A sidetrack agreement. Any easement or license agreement except in connection with construction or demolition opera tions on or within 50 feet of a railroad. An obligation as required by ordinance to indem nify a municipality except in connection with work for a municipality. An elevator maintenance agreement. CG 21391093 Copyright Insurance Services Office Inc. 1992 Page 1 of 1
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY DEDUCTIBLE LIABILITY COVERAGE Allocated Loss Adjustment Expenses Within Deductible Paid by You This endorsement modifies insurance provided under the following Coverage Part COMMERCIAL GENERAL LIABILITY LIQUOR LIABILITY OWNERS AND CONTRACTORS PROTECTIVE LIABILITY RAILROAD PROTECTIVE LIABILITY PRODUCTS COMPLETED OPERATIONS LIABILITY POLLUTION LIABILITY UNDERGROUND STORAGE TANK LIABILITY ELECTRONIC DATA LIABILITY PRODUCT WITHDRAWAL SCHEDULE Coverage Bodily Injury Liability wn Amount and Basis of Deductible NA No NA No NA No NA No NA No Coverage Coverage Coverage Coverage Coverage 250000 NA No Coverage 250000 250000 250000 NA No Coverage per claim per occurrence per claim per occurrence per claim per occurrence per claim per any one person or organization per premises or per fire if indicated as such in your policy per person per Property Damage Liability Bodily Injury Liability and Property Damage Liability Combined Personal and Advertising Injury 250000 Damage to Premises Rented to You or Fire Damage if indicated as such in your policy Medical Expenses 250000 Other NA No Coverage Coverage Deductible Aggregate NA No Coverage If no entry appears in the Schedule above information required to complete this endorsement will be shown in the Declarations as applicable to this Endorsement. SNGL 018 0210 Safety National Casualty Corporation Page 1 0of 3
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The Policy is changed as follows DEDUCTIBLE A Our obligation under the Policy to pay damages on behalf of any insured applies only to the amount of damages in excess of any deductible amounts stated in the above Schedule as applicable to such coverages. The Limits of Insurance set forth in the Declarations applicable to this Endorsement for such coverages will be reduced by the amount of such deductible excluding Allocated Loss Adjustment Expenses within deductible paid by you. The Aggregate Limits of Insurance stated in the Declarations of the Policy for such coverages shall be reduced by the application of such deductible amount excluding Allocated Loss Adjustment Expenses within deductible paid by you. If the policy period is longer than one year the Deductible Aggregate amount applies separately to each policy year. Each policy year begins with the inception or anniversary date of the policy and ends at the earlier of the next anniversary date or the expiration of the policy. The terms of this insurance including those with respect to 1. Ourright and duty to defend any suit seeking those damages and 2. Your duties in the event of an occurrence claim or suit apply irrespective of the application of the deductible amount. The deductible amounts stated in the above Schedule on a per claim basis a per occurrence basis per any one person or organization basis per premises or per fire if indicated as such in your policy basis and as an Aggregate apply as follows 1. PER CLAIM BASIS if the deductible is on a per claim basis the deductible amount applies a. Under the Bodily Injury Liability or Property Damage Liability coverage respectively i To all damages because of bodily injury sustained by one person or i To all damages because of property damage sustained by one person or organization as the result of any one occurrence. b. Under Bodily Injury Liability and Property Damage Liability coverage combined to all damages because of bodily injury and property damage sustained by one person or organization as the result of any one occurrence. c. Under the Personal and Advertising Injury coverage to all damages because of all personal injury and all advertising injury or personal and advertising injury if defined as such in your policy sustained by one person or organization. 2. PER OCCURRENCE BASIS if the deductible is on a per occurrence basis the deductible amount applies a. Under Bodily Injury Liability or Property Damage Liability Coverage respectively i To all damages because of bodily injury as the result of any one occurrence or i To all damages because of property damage as the result of any one occurrence regardless of the number of persons or organizations who sustain damages because of that occurrence. b. Under Bodily Injury Liability and Property Damage Liability Coverage combined to all damages because of bodily injury and property damage as the result of any one occurrence regardless of the number of persons or organizations who sustain damages because of that occurrence. SNGL 018 0210 Safety National Casualty Corporation Page 2 of 3
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3. DEDUCTIBLE AGGREGATE If a Deductible Aggregate is shown in the above Schedule a. When as a result of the application of deductibles the total of all deductibles paid by you exceeds the amount shown as Deductible Aggregate in the above Schedule we will then pay for all damages that would otherwise be payable without applying any further deductibles but the amount we will pay is limited as described under all provisions of the Policy applying to the Limits of Insurance. b. The Deductible Aggregate amount applies separately to each Policy year. Each Policy year i begins with the inception or anniversary date of the Policy and i ends at the next anniversary date or the expiration of the Policy. ALLOCATED LOSS ADJUSTMENT EXPENSES Allocated Loss Adjustment Expenses for claims within the Deductible amount shall be paid by you and shall reduce the Deductible amount stated in the above Schedule. After the Deductible amount has been exceeded by your payments of claims and related Allocated Loss Adjustment Expenses or after exhaustion of any Deductible Aggregate we shall pay all Allocated Loss Adjustment Expenses. Allocated Loss Adjustment Expenses shall not reduce the applicable Limit of Insurance shown in the policy. Allocated Loss Adjustment Expenses is defined as those expenses under the Supplementary Payments section of the policy which we directly allocate to a particular claim or suit. OUR RIGHT TO REIMBURSEMENT When we pay all or any part of any Deductible shown in the Schedule you must promptly reimburse us for a the Deductible or that part of the Deductible amount paid by us and b all related Allocated Loss Adjustment Expenses within the Deductible amount we incur in accordance with Section Il thereof. If we require collateral or other security to secure deductible amounts and other obligations under the Deductible Liability Coverage Endorsement you shall provide such collateral or other security in the amount and form as we may determine. Upon notification of payment by us you will promptly reimburse us for any such amounts that we have paid. If you fail to reimburse us or fail to provide us with any security or collateral in an amount or form as we may require we may treat such failure as non payment of premium and we may at our option cancel this Policy by mailing or delivering to you not less than ten days advance written notice stating when the cancellation is to take effect. Any resulting return premium may be applied to the reimbursement amounts due. We may mutually agree upon a final payment amount to satisfy your present and future payment obligations under this Deductible Liability Coverage Endorsement. Payment by you of such amount will end your obligations to make payments to us under that endorsement. All other terms conditions and exclusions of the policy including any other endorsements thereto not inconsistent with the provisions of this endorsement remain in full force and effect. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By SNGL 018 0210 Safety National Casualty Corporation Page 3 of 3
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POLICY NUMBER GL 4056109 FOLICY NUMBERD GL 4056109 IL 09 850115 THIS ENDORSEMENT IS ATTACHED TO AND MADE PART OF YOUR POLICY IN RESPONSE TO THE DISCLOSURE REQUIREMENTS OF THE TERRORISM RISK INSURANCE ACT. THIS ENDORSEMENT DOES NOT GRANT ANY COVERAGE OR CHANGE THE TERMS AND CONDITIONS OF ANY COVERAGE UNDER THE POLICY. DISCLOSURE PURSUANT TO TERRORISM RISK INSURANCE ACT SCHEDULE SCHEDULE PART Terrorism Premium Certified 505 Acts This premium is the total Certified Acts premium attributable to the following Coverage Parts Coverage Forms andor Policyies Additional information if any concerning the terrorism premium SCHEDULE PART Il Federal share of terrorism losses Year 20 Refer to Paragraph B. in this endorsement. Federal share of terrorism losses Year 20 Refer to Paragraph B. in this endorsement. Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Disclosure Of Premium In accordance with the federal Terrorism Risk Insurance Act we are required to provide you with a notice disclosing the portion of your premium if any attributable to coverage for terrorist acts certified under the Terrorism Risk Insurance Act. The portion of your premium attributable to such coverage is shown in the Schedule of this endorsement or in the policy Declarations. cts his premium is the total Certified Acts premium attributable to the following Coverage Parts overage Forms andor Policyies dditional information if any concerning the terrorism premium Year 20 Year 20 Insurance Services Office Inc. 2015 Page 1 of 2 IL 09 850115
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B. Disclosure Of Federal Parti ipation 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 a percentage as shown in Part Il of the Schedule of this endorsement or in the policy Declarations of that portion of the amount of such insured losses that exceeds the applicable insurer retention. However if aggregate insured losses attributable to terrorist acts certified under the Terrorism Risk Insurance Act exceed 100 billion in a calendar year the Treasury shall not make any payment for any portion of the amount of such losses that exceeds 100 billion. C. Cap On Insurer Participation In Payment Of Terrorism Losses If aggregate insured losses attributable to terrorist acts certified under the Terrorism Risk Insurance Act exceed 100 billion in a calendar year and we have met our insurer deductible under the Terrorism Risk Insurance Act we shall not be liable for the payment of any portion of the amount of such losses that exceeds 100 billion and in such case insured losses up to that amount are subject to pro rata allocation in accordance with procedures established by the Secretary of the Treasury. Page 2 of 2 Insurance Services Office Inc. 2015 IL 09850115
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ERISA EXCLUSION This endorsement modifies insurance provided under the following Coverage Part COMMERCIAL GENERAL LIABILITY CHANGES This policy shall not apply to claims for which the insured is liable because of liability imposed by the Employment Retirement Income Security Act of 1974 ERISA including subsequent amendments or any similar federal state or local law or regulation. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By SNGL 002 0908 Safety National Casualty Corporation Page 1 of 1
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POLICY NUMBER GL 4056109 ICY NUMBER GL 4056109 COMMERCIAL GENERAL LIABILITY CG 02241093 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EARLIER NOTICE OF CANCELLATION PROVIDED BY US This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Number of Days Notice 90 days except 10 days notice for non payment of premium where allowed by state law. If no entry appears above information required to complete this Schedule will be shown in the Declarations as applicable to this endorsement. For any statutorily permitted reason other than nonpayment of premium the number of days required for notice of cancellation as provided in paragraph 2. of either the CANCELLATION Common Policy Condition or as amended by an applicable state cancellation endorsement is increased to the number of days shown in the Schedule above. CG 02241093 Copyright Insurance Services Office Inc. 1992 Page 1 of 1
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EARLIER NOTICE OF NONRENEWAL This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART CHANGE If we decide not to renew this policy the minimum number of days for notice of nonrenewal as provided by the policy or any applicable state nonrenewal endorsement is increased to 90 days. If any applicable state nonrenewal endorsement provides for more than the specified number of days notice of nonrenewal shown above this provision shall not apply. This earlier notice of nonrenewal shall be void if we do not receive adequate renewal information needed to underwrite the renewal of the account prior to the above specified time frame for providing notice of nonrenewal. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By Countersignature by the Broker or Agent shall only occur in the mailing states that require countersignature SNGL 049 0514 Safety National Casualty Corporation Page 1 of 1
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POLICY NUMBER GL 4056109 POLICY NUMBER GL 4056109 COMMERCIAL GENERAL LIABILITY CG 04351207 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EMPLOYEE BENEFITS LIABILITY COVERAGE THIS ENDORSEMENT PROVIDES CLAIMS MADE COVERAGE. PLEASE READ THE ENTIRE ENDORSEMENT CAREFULLY. This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Each Employee Coverage Limit Of Insurance Deductible Premium Employee Benefits 1000000 each employee Programs 250000 Included 2000000 aggregate Retroactive Date 112005 Information required to complete this Schedule if not shown above will be shown in the Declarations. A. The following is added to Section Coverages No other obligation or liability to pay sums COVERAGE EMPLOYEE BENEFITS or perform acts or services is covered un less explicitly provided for under Sup LIABILITY plementary Payments. 1. Insuring Agreement b. This insurance applies to damages only if a. We will pay those sums that the insured becomes legally obligated to pay as dam ages because of any act error or omission of the insured or of any other person for whose acts the insured is legally liable to which this insurance applies. We will have the right and duty to defend the insured against any suit seeking those damages. However we will have no duty to defend the insured against any suit seeking dam ages to which this insurance does not ap ply. We may at our discretion investigate any report of an act error or omission and settle any claim or suit that may result. But 1 The amount we will pay for damages is limited as described in Paragraph D. Section lll Limits Of Insurance and 2 Our right and duty to defend ends when we have used up the applicable limit of insurance in the payment of judgments or settlements. 1 The act error or omission is negligently committed in the administration of your employee benefit program 2 The act error or omission did not take place before the Retroactive Date if any shown in the Schedule nor after the end of the policy period and A claim for damages because of an act error or omission is first made against any insured in accordance with Paragraph c. below during the policy period or an Extended Reporting Period we provide under Paragraph F. of this endorsement.. A claim seeking damages will be deemed to have been made at the earlier of the fol lowing times 1 When notice of such claim is received and recorded by any insured or by us whichever comes first or CG 04351207 1SO Properties Inc. 2006 Page 1 of 6
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2 When we make settlement in accord ance with Paragraph a. above. A claim received and recorded by the in sured within 60 days after the end of the policy period will be considered to have been received within the policy period if no subsequent policy is available to cover the claim. d. All claims for damages made by an em ployee because of any act error or omission or a series of related acts errors or omissions including damages claimed by such employee s dependents and benefi ciaries will be deemed to have been made at the time the first of those claims is made against any insured.. Exclusions This insurance does not apply to a. Dishonest Fraudulent Criminal Or Malicious Act Damages arising out of any intentional dis honest fraudulent criminal or malicious act error or omission committed by any in sured including the willful or reckless viola tion of any statute. b. Bodily Injury Property Damage Or Personal And Advertising Injury Bodily injury property damage or per sonal and advertising injury. c. Failure To Perform A Contract Damages arising out of failure of per formance of contract by any insurer. d. Insufficiency Of Funds Damages arising out of an insufficiency of funds to meet any obligations under any plan included in the employee benefit pro gram. e. Inadequacy Of Performance Of Investment Advice Given With Respect To Participation Any claim based upon 1 Failure of any investment to perform 2 Errors in providing information on past performance of investment vehicles or 3 Advice given to any person with respect to that person s decision to participate or not to participate in any plan included in the employee benefit program. f. Workers Compensation And Similar Laws Any claim arising out of your failure to comply with the mandatory provisions of any workers compensation unemployment compensation insurance social security or disability benefits law or any similar law. g. ERISA Damages for which any insured is liable because of liability imposed on a fiduciary by the Employee Retirement Income Secu rity Act of 1974 as now or hereafter amended or by any similar federal state or local laws. h. Available Benefits Any claim for benefits to the extent that such benefits are available with reasonable effort and cooperation of the insured from the applicable funds accrued or other col lectible insurance. i. Taxes Fines Or Penalties Taxes fines or penalties including those imposed under the Internal Revenue Code or any similar state or local law. j. Employment Related Practices Damages arising out of wrongful termina tion of employment discrimination or other employment related practices. B. For the purposes of the coverage provided by this endorsement 1. All references to Supplementary Payments Coverages A and B are replaced by Supple mentary Payments overages A B and Em ployee Benefits Liability. 2. Paragraphs 1.b. and 2. of the Supplementary Payments provision do not apply. C. For the purposes of the coverage provided by this endorsement Paragraphs 2. and 3. of Section Il Who Is An Insured are replaced by the following 2. Each of the following is also an insured a. Each of your employees who is or was authorized to administer your employee benefit program. b. Any persons organizations or employees having proper temporary authorization to administer your employee benefit program if you die but only until your legal repre sentative is appointed. e of per ficiency of Page 2 of 6 1SO Properties Inc. 2006 CG 04351207
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c. Your legal representative if you die but only with respect to duties as such. That repre sentative will have all your rights and duties under this Endorsement. 3. Any organization you newly acquire or form other than a partnership joint venture or limited liability company and over which you maintain ownership or majority interest will qualify as a Named Insured if no other similar insurance applies to that organization. However a. Coverage under this provision is afforded only until the 90th day after you acquire or form the organization or the end of the poli cy period whichever is earlier. b. Coverage under this provision does not apply to any act error or omission that was committed before you acquired or formed the organization. The Limits of Insurance of this endorsement apply separately to each consecutive annual period and to any remaining period of less than 12 months starting with the beginning of the policy period shown in the Declarations of the policy to which this endorsement is attached unless the policy period is extended after issu ance for an additional period of less than 12 months. In that case the additional period will be deemed part of the last preceding period for purposes of determining the Limits Of Insur ance.. Deductible a. Our obligation to pay damages on behalf of the insured applies only to the amount of damages in excess of the deductible amount stated in the Schedule as applica ble to Each Employee. The limits of insur ance shall not be reduced by the amount of D. For the purposes of the coverage provided by this endorsement Section Ill Limits Of Insurance is replaced by the following 1. Limits Of Insurance this deductible. b. The deductible amount stated in the Schedule applies to all damages sustained a. The Limits of Insurance shown in the Schedule and the rules below fix the most we will pay regardless of the number of 1 Insureds 2 Claims made or suits brought 3 Persons or organizations claims or bringing suits 4 Acts errors or omissions or 5 Benefits included benefit program. b. The Aggregate Limit is the most we will pay for all damages because of acts errors or omissions negligently committed in the administration of your employee benefit program. c. Subject to the Aggregate Limit the Each Employee Limit is the most we will pay for all damages sustained by any one em ployee including damages sustained by such employee s dependents and benefi ciaries as a result of 1 An act error or omission or 2 A series of related acts errors or omis sions negligently committed in the administra tion of your employee benefit program. However the amount paid under this endorsement shall not exceed and will be subject to the limits and restrictions that apply to the payment of benefits in any plan included in the employee benefit program. making in your employee by any one employee including such employee s dependents and beneficiaries because of all acts errors or omissions to which this insurance applies. c. The terms of this insurance including those with respect to 1 Our right and duty to defend any suits seeking those damages and 2 Your duties and the duties of any other involved insured in the event of an act error or omission or claim apply irrespective of the application of the deductible amount. d. We may pay any part or all of the deducti ble amount to effect settlement of any claim or suit and upon notification of the action taken you shall promptly reimburse us for such part of the deductible amount as we have paid. E. For the purposes of the coverage provided by this endorsement Conditions 2. and 4. of Section IV Commercial General Liability Conditions are replaced by the following 2. Duties In The Event Of An Act Error Or Omission Or Claim Or Suit a. You must see to it that we are notified as soon as practicable of an act error or omis sion which may result in a claim. To the extent possible notice should include 1 What the act error or omission was and when it occurred and CG 04351207 1SO Properties Inc. 2006 Page 3 of 6
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2 The names and addresses of anyone who may suffer damages as a result of the act error or omission. b. If a claim is made or suit is brought against any insured you must 1 Immediately record the specifics of the claim or suit and the date received and 2 Notify us as soon as practicable. You must see to it that we receive written notice of the claim or suit as soon as practicable. c. You and any other involved insured must 1 Immediately send us copies of any demands notices summonses or legal papers received in connection with the claim or suit 2 Authorize us to obtain records and other information Cooperate with us in the investigation or settlement of the claim or defense against the suit and Assist us upon our request in the en forcement of any right against any per son or organization which may be liable to the insured because of an act error or omission to which this insurance may also apply. 4 d. No insured will except at that insured s own cost voluntarily make a payment assume any obligation or incur any expense without our consent.. Other Insurance If other valid and collectible insurance is avail able to the insured for a loss we cover under this endorsement our obligations are limited as follows a. Primary Insurance This insurance is primary except when Par agraph b. below applies. If this insurance is primary our obligations are not affected un less any of the other insurance is also pri mary. Then we will share with all that other insurance by the method described in Par agraph c. below. b. Excess Insurance 1 This insurance is excess over any of the other insurance whether primary ex cess contingent or on any other basis that is effective prior to the beginning of the policy period shown in the Schedule of this insurance and that applies to an act error or omission on other than a claims made basis if a No Retroactive Date is shown in the Schedule of this insurance or b The other insurance has a policy period which continues after the Ret roactive Date shown in the Schedule of this insurance. 2 When this insurance is excess we will have no duty to defend the insured against any suit if any other insurer has a duty to defend the insured against that suit. If no other insurer defends we will undertake to do so but we will be entitled to the insured s rights against all those other insurers. 3 When this insurance is excess over other insurance we will pay only our share of the amount of the loss if any that exceeds the sum of the total amount that all such other insurance would pay for the loss in absence of this insurance and the total of all deductible and self insured amounts under all that other insurance. 4 We will share the remaining loss if any with any other insurance that is not de scribed in this Excess Insurance provi sion and was not bought specifically to apply in excess of the Limits of Insur ance shown in the Schedule of this en dorsement. c. Method Of Sharing If all of the other insurance permits contri bution by equal shares we will follow this method also. Under this approach each in surer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains whichever comes first. If any of the other insurance does not per mit contribution by equal shares we will contribute by limits. Under this method each insurer s share is based on the ratio of its applicable limits of insurance to the total applicable limits of insurance of all insurers. Page 4 of 6 1SO Properties Inc. 2006 CG 04351207
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F. For the purposes of the coverage provided by this endorsement the following Extended Reporting Period provisions are added or if this endorse ment is attached to a claims made Coverage Part replaces any similar Section in that Coverage Part EXTENDED REPORTING PERIOD 1. You will have the right to purchase an Extend ed Reporting Period as described below if a. This endorsement is canceled or not re newed or b. We renew or replace this endorsement with insurance that 1 Has a Retroactive Date later than the date shown in the Schedule of this en dorsement or 2 Does not apply to an act error or omis sion on a claims made basis. 2. The Extended Reporting Period does not ex tend the policy period or change the scope of coverage provided. It applies only to claims for acts errors or omissions that were first committed before the end of the policy period but not before the Retroactive Date if any shown in the Schedule. Once in effect the Ex tended Reporting Period may not be canceled. 3. An Extended Reporting Period of five years is available but only by an endorsement and for an extra charge. You must give us a written request for the en dorsement within 60 days after the end of the policy period. The Extended Reporting Period will not go into effect unless you pay the addi tional premium promptly when due. We will determine the additional premium in accordance with our rules and rates. In doing s0 we may take into account the following a. The employee benefit programs insured b. Previous types and amounts of insurance c. Limits of insurance available under this endorsement for future payment of damage es and d. Other related factors. The additional premium will not exceed 100 of the annual premium for this endorsement. The Extended Reporting Period endorsement applicable to this coverage shall set forth the terms not inconsistent with this Section appli cable to the Extended Reporting Period include ing a provision to the effect that the insurance afforded for claims first received during such period is excess over any other valid and col lectible insurance available under policies in force after the Extended Reporting Period starts.. If the Extended Reporting Period is in effect we will provide an extended reporting period aggregate limit of insurance described below but only for claims first received and recorded during the Extended Reporting Period. The extended reporting period aggregate limit of insurance will be equal to the dollar amount shown in the Schedule of this endorsement under Limits of Insurance. Paragraph D.1.b. of this endorsement will be amended accordingly. The Each Employee Limit shown in the Schedule will then continue to apply as set forth in Paragraph D.1.c. G. For the purposes of the coverage provided by this endorsement the following definitions are added to the Definitions Section 1. Administration means a. Providing information to employees including their dependents and beneficiaries with respect to eligibility for or scope of employee benefit programs b. Handling records in connection with the employee benefit program or c. Effecting continuing or terminating any employee s participation in any benefit included in the employee benefit program. However administration does not include handling payroll deductions.. Cafeteria plans means plans authorized by applicable law to allow employees to elect to pay for certain benefits with pre tax dollars.. Claim means any demand or suit made by an employee or an employee s dependents and beneficiaries for damages as the result of an act error or omission. CG 04351207 1SO Properties Inc. 2006 Page 5 of 6
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4. Employee benefit program means a program providing some or all of the following benefits to employees whether provided through a cafeteria plan or otherwise a. Group life insurance group accident or health insurance dental vision and hearing plans and flexible spending accounts pro vided that no one other than an employee may subscribe to such benefits and such benefits are made generally available to those employees who satisfy the plan s el igibility requirements b. Profit sharing plans employee savings plans employee stock ownership plans pension plans and stock subscription plans provided that no one other than an em ployee may subscribe to such benefits and such benefits are made generally available to all employees who are eligible under the plan for such benefits c. Unemployment insurance social security benefits workers compensation and disa bility benefits d. Vacation plans including buy and sell pro grams leave of absence programs includ ing military maternity family and civil leave tuition assistance plans transporta tion and health club subsidies and e. Any other similar benefits designated in the Schedule or added thereto by endorse ment. H. For the purposes of the coverage provided by this endorsement Definitions 5. and 18. in the Defini tions Section are replaced by the following 18. Employee means a person actively em ployed formerly employed on leave of ab sence or disabled or retired. Employee in cludes a leased worker. Employee does not include a temporary worker. Suit means a civil proceeding in which dam ages because of an act error or omission to which this insurance applies are alleged. Suit includes a. An arbitration proceeding in which such damages are claimed and to which the in sured must submit or does submit with our consent or b. Any other alternative dispute resolution proceeding in which such damages are claimed and to which the insured submits with our consent. Page 6 of 6 1SO Properties Inc. 2006 CG 04351207
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COMMERCIAL GENERAL LIABILITY CG 21471207 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EMPLOYMENT RELATED PRACTICES EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability This insurance does not apply to Bodily injury to 1 A person arising out of any a Refusal to employ that person b Termination of that person s employment or c Employment related practices policies acts or omissions such as coercion demotion evaluation reassignment discipline defamation harassment humiliation discrimination or malicious pro secution directed at that person or 2 The spouse child parent brother or sister of that person as a consequence of bodily injury to that person at whom any of the employment related practices described in Paragraphs a b or c above is directed. This exclusion applies 1 Whether the injury causing event described in Paragraphs a b or c above occurs before employment during employment or after em ployment of that person 2 Whether the insured may be liable as an em ployer or in any other capacity and 3 To any obligation to share damages with or re pay someone else who must pay damages be cause of the injury. B. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage B Person al And Advertising Injury Liability This insurance does not apply to Personal and advertising injury to 1 A person arising out of any a Refusal to employ that person b Termination of that person s employment or c Employment related practices policies acts or omissions such as coercion demotion evaluation reassignment discipline defamation harassment humiliation discrimination or malicious pro secution directed at that person or 2 The spouse child parent brother or sister of that person as a consequence of personal and advertising injury to that person at whom any of the employment related practices de scribed in Paragraphs a b or c above is directed. This exclusion applies 1 Whether the injury causing event described in Paragraphs a b or c above occurs before employment during employment or after em ployment of that person 2 Whether the insured may be liable as an em ployer or in any other capacity and 3 To any obligation to share damages with or re pay someone else who must pay damages be cause of the injury. CG 21471207 1SO Properties Inc. 2006 Page 1 of 1
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COMMERCIAL GENERAL LIABILITY CG 21070514 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION ACCESS OR DISCLOSURE OF CONFIDENTIAL OR PERSONAL INFORMATION AND DATA RELATED LIABILITY LIMITED BODILY INJURY EXCEPTION NOT INCLUDED This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Exclusion 2.p. of Section Coverage A B. The following is added to Paragraph 2. Bodily Injury And Property Damage Liability is Exclusions of Section Coverage B replaced by the following Personal And Advertising Injury Liability 2. Exclusions 2. Exclusions This insurance does not apply to This insurance does not apply to p. Access Or Disclosure Of Confidential Or Access Or Disclosure Of Confidential Or Personal Information And Data related Personal Information Liability Personal and advertising injury arising out of Damages arising out of any access to or disclosure of any person s or 1 Any access to or disclosure of any organization s confidential or personal person s or organization s confidential or personal information including patents trade secrets processing methods customer lists financial information credit card information health information or any other type of nonpublic information or The loss of loss of use of damage to corruption of inability to access or inability to manipulate electronic data. information including patents trade secrets processing methods customer lists financial information credit card information health information or any other type of nonpublic information. This exclusion applies even if damages are claimed for notification costs credit monitoring expenses forensic expenses public relations expenses or any other loss cost or expense incurred by you or others arising out of any access to or disclosure of any person s or organization s confidential or personal information. This exclusion applies even if damages are claimed for notification costs credit monitoring expenses forensic expenses public relations expenses or any other loss cost or expense incurred by you or others arising out of that which is described in Paragraph 1 or 2 above. As used in this exclusion electronic data means information facts or programs stored as or on created or used on or transmitted to or from computer software including systems and applications software hard or floppy disks CD ROMs tapes drives cells data processing devices or any other media which are used with electronically controlled equipment. CG 21070514 Insurance Services Office Inc. 2013 Page 1 of 1
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POLICY NUMBER GL 4056109 POLICY NUMBER GL 4056109 COMMERCIAL GENERAL LIABILITY CG21160413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION DESIGNATED PROFESSIONAL SERVICES This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Description Of Professional Services 1. Printers Errors Omissions Information required to complete this Schedule if not shown above will be shown in the Declarations. With respect to any professional services shown in the Schedule the following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability and Paragraph 2. Exclusions of Section Coverage B Personal And Advertising Injury Lial y This insurance does not apply to bodily injury property damage or personal and advertising injury due to the rendering of or failure to render any professional service. 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 professional service. CG 21160413 Insurance Services Office Inc. 2012 Page 1 of 1
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COMMERCIAL GENERAL LIABILITY CG 223807 98 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION FIDUCIARY OR REPRESENTATIVE LIABILITY OF FINANCIAL INSTITUTIONS 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 Bod ily Injury And Property Damage Liability This insurance does not apply to bodily injury or property damage arising out of the ownership maintenance or use including all re lated operations of property for which you are acting in a fiduciary or representative capacity. B. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage B Per This insurance does not apply to personal and advertising injury arising out of the ownership maintenance or use including all related operations of property for which you are acting in a fiduciary or representative capacity. CG 22380798 Copyright Insurance Services Office Inc. 1997 Page 1 of 1 m
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COMMERCIAL GENERAL LIABILITY CG 22480413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION INSURANCE AND RELATED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability and Paragraph 2. Exclusions of Section Coverage B Personal And Advertising Injury Liability This insurance does not apply to bodily injury property damage or personal and advertising injury for which the insured may be held liable 1. Because of a. Any obligation assumed by any insured or b. The failure to discharge or the improper discharge of any obligaton or duty contractual or otherwise with respect to any contract or treaty of insurance reinsurance suretyship annuity endowment or employee benefit plan including applications receipts or binders 2. Because of the membership in or contribution to or management or administration of any insurance plan pool association insolvency or guarantee fund or any similar insurance fund organization or association whether voluntary or involuntary or 3. Resulting from the rendering of or failure to render the following professional services a. Advising inspecting reporting or making recommendations in the insured s capacity as an insurance company consultant broker agent or representative thereof b. Effecting insurance reinsurance or suretyship coverages c. Investigating defending or settling any claim under any contract or treaty of insurance self insurance reinsurance or suretyship d. Auditing or maintaining accounts or records of others e. Conducting an investment loan or real estate department or operations f. Acting in any capacity as a fiduciary or trustee for mutual funds pension or welfare funds annuities endowments employee benefit plans or other similar activities or g. Performing any claim investigative adjustment engineering inspection consulting survey audit appraisal actuarial or data processing service for a fee. 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 that which is described in Paragraph 1. 2. or 3. roper duty y of nuity uding k. CG 22480413 Insurance Services Office Inc. 2012 Page 1 of 1
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXPECTED OR INTENDED ACTS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE FORM OWNERS CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM RAILROAD PROTECTIVE LIABILITY COVERAGE FORM POLLUTION LIABILITY COVERAGE FORM CHANGE Paragraph 2. Exclusions a. Expected or Intended Injury of the BODILY INJURY AND PROPERTY DAMAGE LIABILITY section within the COVERAGES section of the above referenced forms except the POLLUTION LIABILITY COVERAGE FORM is deleted in its entirety and replaced as follows a. Expected Or Intended Injury Bodily injury or property damage expected or intended from the standpoint of the insured. This exclusion does not apply to bodily injury or property damage resulting from the use of reasonable force to protect persons or property. For the POLLUTION LIABILITY COVERAGE FORM Paragraph 4. Exclusions b. Expected Or Intended Injury of the POLLUTION LIABILITY COVERAGE section is deleted in its entirety and replaced as follows b. Expected Or Intended Injury Bodily injury or property damage expected or intended from the standpoint of the insured. This exclusion does not apply to bodily injury or property damage resulting from the use of reasonable force to protect persons or property. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By SNGL 030 1111 Safety National Casualty Corporation Page 1 of 1
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXTENDED DEFINITION PERSONAL ADVERTISING INJURY This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM CHANGE Item g. of Paragraph 14. Personal and Advertising Injury under SECTION V DEFINITIONS is deleted in its entirety and replaced as follows g. Infringing upon another s copyright trade dress trademark trade name service mark or slogan in your advertisement. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL. 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By SNGL 036 1111 Safety National Casualty Corporation Page 1 of 1
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COMMERCIAL GENERAL LIABILITY CG 21671204 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FUNGI OR BACTERIA EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2. B. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liabil 2. Exclusions This insurance does not apply to i Fungi Or Bacts a. Bodily injury or property damage which would not have occurred in whole or in part but for the actual alleged or threatened inhalation of ingestion of con tact with exposure to existence of or pres ence of any fungi or bacteria on or within a building or structure including its contents regardless of whether any other cause event material or product contrib uted concurrently or in any sequence to such injury or damage. b. Any loss cost or expenses arising out of the abating testing for monitoring clean ing up removing containing treating detoxifying neutralizing remediating or dis posing of or in any way responding to or assessing the effects of fungi or bacteria by any insured or by any other person or entity. This exclusion does not apply to any fungi or bacteria that are are on or are contained in a good or product intended for bodily consumption. Exclusions of Section Coverage B Person al And Advertising Injury Liability 2. Exclusions This insurance does not apply to Fungi Or Bacteria a. Personal and advertising injury which would not have taken place in whole or in part but for the actual alleged or threatened inhalation of ingestion of con tact with exposure to existence of or pres ence of any fungi or bacteria on or within a building or structure including its contents regardless of whether any other cause event material or product contrib uted concurrently or in any sequence to such injury. b. Any loss cost or expense arising out of the abating testing for monitoring cleaning up removing containing treating detoxifying neutralizing remediating or dis posing of or in any way responding to or assessing the effects of fungi or bacteria by any insured or by any other person or entity. C. The following definition is added to the Defini tions Section Fungi means any type or form of fungus includ ing mold or mildew and any mycotoxins spores scents or byproducts produced or released by fungi. 1age which wvhole or in alleged or ion of con of or pres on or within cluding its r any other uct contrib equence to ising out of ring clean g treating ating or dis nding to or or bacteria r person or 1 CG21671204 1SO Properties Inc. 2003 Page 1 of 1
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. INCIDENTAL EMERGENCY MEDICAL MALPRACTICE LIABILITY This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE FORM CHANGE SECTION Il WHO IS AN INSURED 2.a.1d is deleted in its entirety and replaced by the following d Arising out of his or her providing or failing to provide professional health care services. However the following Good Samaritan type activities shall not be considered rendering of professional medical health care services and shall not be excluded by this Item Rendering of emergency medical first aid without charge by a nurse paramedic emergency medical technician or a doctor when such services are outside the normal scope of duties such persons performs for you and when rendered by such persons due to the unavailability of other appropriate professional medical or paramedical practitioners at the time of the emergency. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By SNGL 032 1111 Safety National Casualty Corporation Page 1 of 1
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. KNOWLEDGE OF OCCURRENCE This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE FORM LIQUOR LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM RAILROAD PROTECTIVE LIABILITY COVERAGE FORM POLLUTION LIABILITY COVERAGE FORM CHANGE The following is added to the Duties In the Event of Occurrence Offense Injury Pollution Incident Claim or Suit under the CONDITIONS section of the above listed coverage forms Itis agreed that knowledge of an occurrence offense injury pollution incident claim or suit by your agent servant or employee will not in itself be considered to be your knowledge of the occurrence offense claim or suit unless the individuals in the following positions or departments shall have received such notice from the agent servant or employee Knowledge by any person in the Risk Management Department Human Resources Department Law Department or a Corporate Executive that is responsible for receiving or acting on such information. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By SNGL 020 1111 Safety National Casualty Corporation Page 1 of 1
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LEAD CONTAMINATION EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Description of Premises Work or Operations All your premises work and operations. This endorsement applies only with respect to the premises work or operations listed in the Schedule above. If no entry appears in the Schedule this endorsement applies with respect to all premises work and operations. This insurance does not apply to 1. Bodily injury or property damage arising out of the actual or alleged or suspected a. Ingestion inhalation absorption or prolonged physical exposure or threat of exposure to lead in any form or goods or products containing any form of lead b. Use of any form of lead in constructing or manufacturing any good product or structure c. Removal of any form of lead from any good product or structure or d. Manufacture sale transportation storage or disposal of lead or goods or products containing any form of lead 2. Any loss cost or expense arising out of any request demand or order that any insured or others identify abate test for sample monitor clean up remove cover contain treat detoxify decontaminate neutralize or mitigate or in any way respond to or assess the effects of lead or repair replace or improve any property as a result of such effects or 3. Any loss cost or expense arising our of any claim or suit by or on behalf of a governmental authority for damages because of identification of abatement of testing for sampling monitoring cleaning up removing covering containing treating detoxifying decontaminating neutralizing or mitigating or in any way responding to or assessing the effects of lead or repairing replacing or improving any property as a result of such effects. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By Countersignature by the Broker or Agent shall only occur in the mailing states that require countersignature SNGL 043 0514 Safety National Casualty Corporation Page 1 of 1
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. MAJORITY INTEREST BROADENED NAMED INSURED ENDORSEMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART CHANGE Throughout this policy the words you and your refer to the Named Insured shown in the Declarations and any subsidiaries affiliated associated controlled or allied companies corporations or firms in which during the policy period the Named Insured shown in the Declarations owns a majority interest. This insurance shall be excess over any other valid and collectible insurance available to the above entities but only to the extent that the amount of loss exceeds the Limits of Insurance for Liability Coverage of the other insurance and then only for an amount not exceeding the difference between any higher applicable Limits of Insurance for Liability Coverage stated in the Declarations of this policy and the Limits of Insurance for Liability Coverage of the other insurance. The first Named Insured shown in the Declarations by acceptance of this policy is authorized to act and agrees to act on behalf of all persons or organizations insured under the policy with respect to all matters pertaining to the insurance afforded by the policy including the provision or receipt of notice of cancellation the payment of premiums and the receiving of return premiums if any. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By Countersignature by the Broker or Agent shall only occur in the mailing states that require countersignature SNGL 046 0514 Safety National Casualty Corporation Page 1 of 1
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IL 00 23 07 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 GENERAL LIABILITY COVERAGE PART FARM COVERAGE PART LIQUOR 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 SPECIAL PROTECTIVE AND HIGHWAY LIABILITY POLICY NEW YORK DEPARTMENT OF TRANSPORTATION 1. The insurance does not apply C. Under any Liability Coverage to bodily injury A. Under any Liability Coverage to bodily injury or Prtpery fdfimalge resllinl frfcnm hazardous or property damage properties of nuclear material if 1 With respect to which an insured under 1 The nuclear materia a is at any the policy is also an insured under a nucle ar energy liability policy issued by Nuclear Energy Liability Insurance Association Mu tual 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 re quired to maintain financial protection pur suant to the Atomic Energy Act of 1954 or any law amendatory thereof or b the insured is or had this policy not been is sued 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. Under any Medical Payments coverage to ex penses incurred with respect to bodily injury resulting from the hazardous properties of nuclear material and arising out of the opera tion of a nuclear facility by any person or organization. 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 fa cility 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. 2 3. 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. 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 2 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 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 nuclear facility but if such fa cility 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. 1SO Properties Inc. 2001 Page 1 of 2 IL 00 23 07 02
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Source material special nuclear material and by product material have the meanings given them in the Atomic Energy Act of 1954 or in any law amendatory thereof. Spent fuel means any fuel element or fuel component solid or liquid which has been used or exposed to radiation in a nuclear reactor. Waste means any waste material a containing by product material other than the tailings or wastes produced by the extraction or concentra tion of uranium or thorium from any ore pro cessed primarily for its source material content and b resulting from the operation by any per son or organization of any nuclear facility in cluded under the first two paragraphs of the defin ition of nuclear facility. Nuclear facility means a Any nuclear reactor b Any equipment or device designed or used for 1 separating the isotopes of uranium or plutonium 2 processing or utilizing spent fuel or 3 handling processing or packaging waste c Any equipment or device used for the processing fabricating or alloying of special nuclear material if at any time the total amount of such material in the custody of the insured at the premises where such equipment or device is located consists of or contains more than 25 grams of plutonium 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 waste and includes the site on which any of the forego ing is located all operations conducted on such site and all premises used for such operations. Nuclear reactor means any apparatus designed or used to sustain nuclear fission in a self supporting chain reaction or to contain a critical mass of fissionable material. Property damage includes all forms of radioactive contamination of property. Page 2 of 2 1SO Properties Inc. 2001 IL 00 23 07 02
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IL 00 21 07 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 LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART PROFESSIONAL LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY 1. The insurance does not apply A. Under any Liability Coverage to bodily injury or property damage 1 With respect to which an insured under the policy is also an insured under a nucle ar energy liability policy issued by Nuclear Energy Liability Insurance Association Mu tual 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 ter mination 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 Atomic Energy Act of 1954 or any law amendatory thereof or b the insured is or had this policy not been is sued 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. Under any Medical Payments coverage to ex penses incurred with respect to bodily injury resulting from the hazardous properties of nuclear material and arising out of the opera tion of a nuclear facility by any person or organization. C. Under any Liability Coverage to bodily injury or property damage resulting from hazardous properties of nuclear material if 1 The nuclear material a is at any nuclear facility owned by or operated by or on be half of an insured or b has been dis charged or dispersed therefrom 2 The nuclear material is contained in spent fuel or waste at any time possessed 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 facil ity 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. ISO Properties Inc. 2001 Page 1 of 2 IL 00 21 07 02
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c d Any equipment or device used for the processing fabricating or alloying of special nuclear material if at any time the total amount of such material in the cus tody of the insured at the premises where such equipment or device is located con sists of or contains more than 25 grams of plutonium or uranium 233 or any combina tion thereof or more than 250 grams of uranium 235 Any structure basin excavation premises or place prepared or used for the storage or disposal of waste and includes the site on which any of the forego ing is located all operations conducted on such site and all premises used for such operations. Nuclear reactor means any apparatus designed or used to sustain nuclear fission in a self supporting chain reaction or to contain a critical mass of fissionable material. Property damage includes all forms of radioact i ve contamination of property. 2. As used in this endorsement Hazardous properties includes radioactive toxic or explosive properties. Nuclear material means source material Special nuclear material or by product material. Source material special nuclear material and by product material have the meanings given them in the Atomic Energy Act of 1954 or in any law amendatory thereof. Spent fuel means any fuel element or fuel component solid or liquid which has been used or exposed to radiation in a nuclear reactor. Waste means any waste material a containing by product material other than the tailings or wastes produced by the extraction or concentra tion of uranium or thorium from any ore processed primarily for its source material content and b resulting from the operation by any person or or ganization of any nuclear facility included under the first two paragraphs of the definiton of nuclear facility. Nuclear facility means a Any nuclear reactor b Any equipment or device designed or used for 1 separating the isotopes of uranium or plutonium 2 processing or utilizing spent fuel or 3 handling processing or packaging waste Page 2 of 2 ISO Properties Inc. 2001 IL 00 21 07 02
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IL 00 21 09 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT Broad Form This endorsement modifies insurance provided under the following COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY 1. The insurance does not apply A. Under any Liability Coverage to bodily injury or C. Under any Liability Coverage to bodily injury or property damage resulting from property damage 1 With respect to which an insured under the policy is also an insured under a nuclear en ergy liability policy issued by Nuclear Energy Li ability Insurance Association Mutual Atomic Energy Liability Underwriters Nuclear Insur ance Association of Canada or any of their successors or would be an insured under any such policy but for its termination upon exhaus tion of its limit of liability or 2 Resulting from the hazardous properties of nuclear material and with respect to which a any person or organization is required to main tain 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 in demnity 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. Under any Medical Payments coverage to ex penses incurred with respect to bodily injury res ulting from the hazardous properties of nuclear material and arising out of the operation of a nuclear facility by any person or organization. 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 2 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 facil ity 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. 3. As used in this endorsement Hazardous properties includes radioactive toxic or explosive properties. means source material material or by product Nuclear material special nuclear material. 1SO Properties Inc. 2007 Page 1 of 2 IL 00 21 09 08
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Source material special nuclear material and by product material have the meanings given them in the Atomic Energy Act of 1954 or in any law amendatory thereof. Spent fuel means any fuel element or fuel component solid or liquid which has been used or exposed to radiation in a nuclear reactor. Waste means any waste material a containing by product material other than the tailings or wastes produced by the extraction or concentra tion of uranium or thorium from any ore pro cessed primarily for its source material content and b resulting from the operation by any per son or organization of any nuclear facility in cluded under the first two paragraphs of the defini tion of nuclear facility. Nuclear facility means a Any nuclear reactor b Any equipment or device designed or used for 1 separating the isotopes of uranium or plutonium 2 processing or utilizing spent fuel or 3 handling processing or packaging waste c Any equipment or device used for the processing fabricating or alloying of special nuclear material if at any time the total amount of such material in the cus tody of the insured at the premises where such equipment or device is located con sists of or contains more than 25 grams of plutonium or uranium 233 or any combina tion thereof or more than 250 grams of uranium 235 d Any structure basin excavation premises or place prepared or used for the storage or disposal of waste and includes the site on which any of the forego ing is located all operations conducted on such site and all premises used for such operations. Nuclear reactor means any apparatus designed or used to sustain nuclear fission in a self supporting chain reaction or to contain a critical mass of fissionable material. Property damage includes all forms of radioact i ve contamination of property. Page 2 of 2 1SO Properties Inc. 2007 IL 00 21 09 08
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IL 00 21 05 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 A. Under any Liability Coverage to bodily injury or property damage 1 With respect to which an insured under the policy is also an insured under a nucle ar energy liability policy issued by Nuclear Energy Liability Insurance Association Mu tual 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 re quired to maintain financial protection pur suant to the Atomic Energy Act of 1954 or any law amendatory thereof or b the insured is or had this policy not been is sued 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. Under any Medical Payments coverage to ex penses incurred with respect to bodily injury resulting from the hazardous properties of nuclear material and arising out of the opera tion of a nuclear facility by any person or organization. 2. 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 2 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 fumishing by an insured of services materials parts or equipment in connection with the planning construction maintenance op eration or use of any nuclear facility but if such facility is located within the United States of America its territories or pos sessions or Canada this exclusion 3 ap plies only to property damage to such nuclear facility and any property thereat. 3 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. 1SO Properties Inc. 2001 Page 1 of 2 IL 00 21 05 02
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Source material special nuclear material and by product material have the meanings given them in the Atomic Energy Act of 1954 or in any law amendatory thereof. Spent fuel means any fuel element or fuel component solid or liquid which has been used or exposed to radiation in a nuclear reactor. Waste means any waste material a containing by product material other than the tailings or wastes produced by the extraction or concentration of uranium or thorium from any ore processed primarily for its source material content and b resulting from the operation by any person or organ ization of any nuclear facility included under the first two paragraphs of the definition of nuclear facility. Nuclear facility means a Any nuclear reactor b Any equipment or device designed or used for 1 separating the isotopes of uranium or plutonium 2 processing or utilizing spent fuel or 3 handling processing or packaging waste c Any equipment or device used for the processing fabricating or alloying of special nuclear material if at any time the total amount of such material in the custody of the insured at the premises where such equip ment or device is located consists of or con tains more than 25 grams of plutonium or urani um 233 or any combination thereof or more than 250 grams of uranium 235 Any structure basin excavation premises or place prepared or used for the storage or dis posal of waste and includes the site on which any of the forego ing is located all operations conducted on such site and all premises used for such operations. d Nuclear reactor means any apparatus designed or used to sustain nuclear fission in a self supporting chain reaction or to contain a critical mass of fissionable material. Property damage includes all forms of radioact i ve contamination of property. Page 2 of 2 1SO Properties Inc. 2001 IL 00 21 05 02
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COMMERCIAL GENERAL LIABILITY CG22750413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PROFESSIONAL LIABILITY EXCLUSION COMPUTER SOFTWARE 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 and Section Coverage B Personal And Advertising Injury Liability This insurance does not apply to bodily injury property damage or personal and advertising injury arising out of the rendering of or failure to render any service by you or on your behalf in connection with the selling licensing franchising or furnishing of your computer software including electronic data processing programs designs specifications manuals and instructions. 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 service described above. B. With respect to the rendering of or failure to render any service by you or on your behalf in connection with the selling licensing franchising or furnishing of your computer software including electronic data processing programs designs specifications manuals and instructions Exclusion 2.b. Contractual Liability under Section Coverage A Bodily Injury And Property Damage Liability is replaced by the following 2. Exclusions This insurance does not apply to b. Bodily injury or property damage for which the insured is obligated to pay damages by reason of the assumption of liability in a contract or agreement. CG 22750413 Insurance Services Office Inc. 2012 Page 1 of 1
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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. B. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Exclusions of Section Coverage B Person Injury And Property Damage Liability al And Advertising Injury Liability 2. Exclusions 2. Exclusions This insurance does not apply to This insurance does not apply to Silica Or Silica Related Dust Silica Or Silica Related Dust a. Bodily injury arising in whole or in part a. Personal and advertising injury arising in out of the actual alleged threatened or whole or in part out of the actual alleged suspected inhalation of or ingestion of threatened or suspected inhalation of in silica or silica related dust. gestion of contact with exposure to exist b. Property damage arising in whole or in ence of orpresence of silica or silica part out of the actual alleged threatened related dust. or suspected contact with exposure to ex b. Any loss cost or expense arising in whole istence of or presence of silica or silica or in part out of the abating testing for related dust. monitoring cleaning up removing containing treating detoxifying neutralizing remediating or disposing of or in any way responding to or assessing the effects of silica or silica related dust by c. Any loss cost or expense arising in whole or in part out of the abating testing for monitoring cleaning up removing containing treating detoxifying neutralizing remediating or disposing of or any insured or by any other person or in any way responding to or assessing the entity. effects of silica or silica related dust by C. The following definitions are added to the Defini any insured or by any other person or tions Section entity. 1. Silica means silicon dioxide occurring in crystalline amorphous and impure forms silica particles silica dust or silica compounds. 2. Silica related dust means a mixture or com bination of silica and other dust or particles. or in part eatened or gestion of whole or in threatened sure to ex a or silica 1 g in whole testing for removing detoxifying osing of or PP CG 2196 03 05 1SO Properties Inc. 2004 Page 1 of 1
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COMMERCIAL GENERAL LIABILITY CG 21651204 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TOTAL POLLUTION EXCLUSION WITH A BUILDING HEATING COOLING AND DEHUMIDIFYING EQUIPMENT EXCEPTION AND A HOSTILE FIRE EXCEPTION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Exclusion f. under Paragraph 2. Exclusions of Sec tion Coverage A Bodily Injury And Property Damage Liability is replaced by the following This insurance does not apply to f. Pollution 1 Bodily injury or property damage which would not have occurred in whole or part but for the actual alleged or threatened discharge dispersal seepage migration release or es 2 An cape of pollutants at any time. This exclusion does not apply to a Bodily injury if sustained within a building which is or was at any time owned or occu pied by or rented or loaned to any insured and caused by smoke fumes vapor or soot produced by or originating from equip b ment that is used to heat cool or dehumidi fy the building or equipment that is used to heat water for personal use by the building s occupants or their guests or Bodily injury or property damage arising out of heat smoke or fumes from a hostile fire unless that hostile fire occurred or originated i At 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 treat ment of waste or b ij At any premises site or location on which any insured or any contractors or subcontractors working directly or indir ectly on any insured s behalf are per forming operations to test for monitor clean up remove contain treat detoxify neutralize or in any way re spond to or assess the effects of pollutants. 2 Any loss cost or expense arising out of any a b Request demand order or statutory or reg ulatory requirement 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 effects of pollutants or Claim or suit by or on behalf of a govern mental authority for damages because of testing for monitoring cleaning up removing containing treating detoxifying or neutralizing or in any way responding to or assessing the effects of pollutants. CG 21651204 1SO Properties Inc. 2003 Page 1 of 1
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. UNINTENDED FAILURE TO PROVIDE NOTICE OF OCCURRENCE This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTS COMPLETED OPERATIONS COVERAGE FORM LIQUOR LIABILITY COVERAGE FORM OWNERS CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM RAILROAD PROTECTIVE LIABILITY COVERAGE FORM POLLUTION LIABILITY COVERAGE FORM CHANGE Paragraph 2. Duties in the Event of Occurrence Offense Claim or Suit of the CONDITIONS section of each of the above referenced forms except OWNERS CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM where Paragraph 4. Duties in the Event of Occurrence Offense Claim or Suit applies and RAILROAD PROTECTIVE LIABILITY COVERAGE FORM where Parapraph B. 2. Duties in the Event of Occurrence Offense Claim or Suit applies is amended to add the following e. We will not deny coverage as the result of an unintentional failure meaning no intent to conceal misrepresent or defraud by you to provide notice of an occurrence an offense that may result in a claim a claim or a suit as long as notice is given by you to us as soon as practicable after becoming aware that the coverage afforded by this Coverage Form may apply. Paragraph 2. Duties in the Event of Occurrence Offense Claim or Suit of the CONDITIONS section of the PRODUCTS COMPLETED OPERATIONS COVERAGE FORM is amended to add the following c. We will not deny coverage as the result of an unintentional failure meaning no intent to conceal misrepresent or defraud by you to provide notice of an occurrence an offense that may result in a claim a claim or a suit as long as notice is given by you to us as soon as practicable after becoming aware that the coverage afforded by this Coverage Form may apply. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By SNGL 038 1111 Safety National Casualty Corporation Page 1 of 1
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS OR OCCURRENCES This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE FORM LIQUOR LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM RAILROAD PROTECTIVE LIABILITY COVERAGE FORM POLLUTION LIABILITY COVERAGE FORM CHANGE Paragraph 6. Representations of the CONDITIONS section of each of the above listed coverage forms is amended to add the following Your failure to disclose all hazards or prior occurrences existing as of the inception date of this policy shall not prejudice the coverage afforded by this policy provided such failure to disclose all hazards or prior occurrences is not intentional meaning there is or was no intent to conceal misrepresent or defraud. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By SNGL 021 1111 Safety National Casualty Corporation Page 1 of 1
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POLICY NUMBER GL 4056109 CY NUMBER GL 4056109 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization Persons or Organizations as required by written contract when such written contract is executed prior to an occurrence offense or loss to which this endorsement applies. Any individually scheduled Waivers shall not be construed to override nor negate this blanket Waiver. Information required to complete this Schedule if not shown above will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV Conditions We waive any right of recovery we may have against the person or organization shown in the Schedule above 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 hazard. This waiver applies only to the person or organization shown in the Schedule above. equired by written contract when such r to an occurrence offense or loss to s shall not be construed to override nor CG 24 04 05 09 Insurance Services Office Inc. 2008 Page 1 of 1
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POLICY NUMBER GL 4056109 FOLICY NUMBERD GL 4056109 IL 01210908 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ALASKA CHANGES ATTORNEY S FEES This endorsement modifies insurance provided under the following COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL LIABILITY UMBRELLA COVERAGE PART COMMERCIAL PROPERTY LEGAL LIABILITY COVERAGE FORM COMMERCIAL PROPERTY MORTGAGEHOLDER S ERRORS AND OMISSIONS COVERAGE FORM FARM COVERAGE PART FARM UMBRELLA LIABILITY POLICY LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART SCHEDULE Attorney s Fees For A Judgment Of Additional Premium If Any Included Information required to complete this Schedule if not shown above will be shown in the Declarations. In any suit we defend in Alaska our obligation under Supplementary Payments to pay all costs taxed against the insured is amended by the following A We will pay that portion of the attorney s fees awarded as costs which does not exceed the amount allowed for a contested case in the sched ule of attorney s fees contained in Alaska Civil Rule 82 for a judgment equal to the applicable Limit of Insurance. However if a premium and a judgment amount are shown in the Schedule we will pay instead of the attorney s fees provided in Paragraph A. above that portion of the attorney s fees awarded as costs which do not exceed the amount allowed for a contested case in Civil Rule 82 for the judg ment amount shown in the Schedule. Insurance Services Office Inc. 2008 Page 1 of 1 IL 012109 08
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IL 02 80 09 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ALASKA CHANGES CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following CAPITAL ASSETS PROGRAM OUTPUT POLICY COVERAGE PART COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL LIABILITY UMBRELLA COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EMPLOYMENT RELATED PRACTICES LIABILITY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART FARM UMBRELLA LIABILITY POLICY LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART A. The Cancellation Common Policy Condition is replaced by the following 1. The first Named Insured shown in the Declarations may cancel this policy by mailing to us advance written notice of cancellation. 2. We may cancel this policy by mailing to you and the agent or broker of record written notice of cancellation. Such notice stating the reason for cancellation must be sent by first class mail at least a. 10 days before the effective date of cancellation if we cancel for 1 Conviction of the insured of a crime having as one of its necessary elements an act increasing a hazard insured against or Fraud or material misrepresentation by the insured or a representative of the insured in obtaining the insurance or by the insured in pursuing a claim under this policy or b. 20 days before the effective date of cancellation if we cancel for 1 Nonpayment of premium or 2 Failure or refusal of the insured to provide the information necessary to confirm exposure or determine the policy premium or c. 60 days before the effective date of cancellation if we cancel for any other reason. 3. We will mail our notice to your last known address and the last known address of the agent or broker of record. 4. Notice of cancellation will state the effective date of cancellation. The policy period will end on that date. 5. A post office certificate of mailing or certified mail receipt will be sufficient proof of mailing of notice. Insurance Services Office Inc. 2008 Page 1 of 2 IL 02 80 09 08
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6. If this policy is cancelled we will return any premium refund due to the agent or broker of record or directly to the first Named Insured or if applicable to the premium finance company. If a. We cancel the refund will be the pro rata unearned premium. The refund will be returned or credited before the effective date of cancellation. However if cancellation is for 1 Nonpayment of premium 2 Conviction of the insured of a crime having as one of its necessary elements an act increasing a hazard insured against Discovery of fraud or material misrepresentation made by the insured or a representative of the insured in obtaining the insurance or by the insured in pursuing a claim under the policy or Failure or refusal of the insured to provide the information necessary to confirm exposure or necessary to determine the policy premium any unearned premium shall be returned or credited within 45 days after the cancellation notice is given or b. The first Named Insured cancels the refund 4 1 Will be the pro rata unearned premium minus a cancellation fee of 7.5 of the pro rata unearned premium. However we will not retain this cancellation fee if this policy is cancelled a And rewritten with us or in our company group At our request Because you no longer have a financial or insurable interest in the property or business operation that is the subject of this insurance or After the first year for a prepaid policy written for a term of more than one year or 2 Will be returned or credited a By the effective date of cancellation or b c b Within 45 days of your request to cancel whichever is later. If the policy is selected for audit we will complete the audit within 45 days of receipt of the request for cancellation. The refund will be returned within 45 days of completion of an audit or the effective date of cancellation whichever is later. B. The following is added and supersedes any provision to the contrary Nonrenewal 1. If we decide not to renew this policy we will mail written notice of nonrenewal by first class mail to you and the agent or broker of record at least 45 days before a. The expiration date or b. The anniversary date if this policy has been written for more than one year or with no fixed expiration date. 2. We need not mail notice of nonrenewal if a. We have manifested in good faith our willingness to renew or b. The first Named Insured has failed to pay any premium required for this policy or c. The first Named Insured fails to pay the premium required for renewal of this policy. 3. Any notice of nonrenewal will be mailed to your last known address and the last known address of the agent or broker of record. A post office certificate of mailing or certified mail receipt will be sufficient proof of mailing of notice.. The following Condition is added Notice Of Premium Or Coverage Changes On Renewal If the premium to renew this policy increases more than 10 for a reason other than an increase in coverage or exposure basis or if after the renewal there will be a material restriction or reduction in coverage not specifically requested by the insured we will mail written notice to your last known address and the last known address of the agent or broker of record at least 45 days before 1. The expiration date or 2. The anniversary date if this policy has been written for more than one year or with no fixed expiration date. e T R R Page 2 of 2 Insurance Services Office Inc. 2008 IL 02 80 09 08
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COMMERCIAL GENERAL LIABILITY CG 26701001 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ALASKA CHANGES DEFINITION OF METATAG This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to Section V Definitions Metatag means hidden or embedded text or code that is not seen by persons viewing the web site but that operates to attract search engines to that site. B. Exclusion I. under Paragraph 2. of Section Coverage B Personal And Advertising Injury is replaced by the following 2. Exclusions This insurance does not apply to I. Unauthorized Use Of Another s Name Or Product Personal and advertising injury arising out of the unauthorized use of another s name or product in your e mail address domain name or metatag or any other similar tactics to mislead another s po tential customers. CG 26701001 1SO Properties Inc. 2001 Page 1 of 1 m
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COMMERCIAL GENERAL LIABILITY CG 21300413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ALASKA RECORDING AND DISTRIBUTION OF MATERIAL OR INFORMATION IN VIOLATION OF LAW EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Exclusion q. under Paragraph 2. Exclusions of B. Exclusion p. under Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Section Coverage B Personal And Property Damage Liability is replaced by the Advertising Injury Liability is replaced by the following following 2. Exclusions 2. Exclusions This insurance does not apply to q. Recording And Distribution Of Material Or Information In Violation Of Law Bodily injury or property damage arising out of any action or omission that violates oris alleged to violate 1 The Telephone Consumer Protection Act TCPA including any amendment of or addition to such law The CAN SPAM Act of 2003 including any amendment of or addition to such law The Fair Credit Reporting Act FCRA and any amendment of or addition to such law including the Fair and Accurate Credit Transactions Act FACTA or Any federal state or local statute ordinance or regulation other than the TCPA CAN SPAM Act of 2003 or FCRA and their amendments and additions that addresses prohibits or limits the 4 printing dissemination disposal collecting recording sending transmitting communicating or distribution of material or information. This insurance does not apply to p. Recording And Distribution Of Material Or Information In Violation Of Law Personal and advertising injury arising out of any action or omission that violates or is alleged to violate 1 The Telephone Consumer Protection Act TCPA including any amendment of or addition to such law or 2 The CAN SPAM Act of 2003 including any amendment of or addition to such law or The Fair Credit Reporting Act FCRA and any amendment of or addition to such law including the Fair and Accurate Credit Transactions Act FACTA or Any federal state or local statute ordinance or regulation other than the TCPA CAN SPAM Act of 2003 or FCRA and their amendments and additions that addresses prohibits or limits the printing dissemination disposal collecting recording sending transmitting communicating or distribution of material or information. 4 CG 21300413 Insurance Services Office Inc. 2012 Page 1 of 1
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COMMERCIAL GENERAL LIABILITY CG 327309 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ALASKA 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. B. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Exclusions of Section Coverage B Person Injury And Property Damage Liability al And Advertising Injury Liability 2. Exclusions 2. Exclusions This insurance does not apply to This insurance does not apply to Silica Or Silica Related Dust Silica Or Silica Related Dust a. Bodily injury arising out of the actual a. Personal and advertising injury arising alleged threatened or suspected inhalation of or ingestion of silica or silica related dust.. Property damage arising out of the actual alleged threatened or suspected contact with exposure to existence of or presence of silica or silica related dust. c. Any loss cost or expense arising out of the abating testing for monitoring cleaning up removing containing treating detoxifying neutralizing remediating or dis posing of or in any way responding to or assessing the effects of silica or silica related dust by any insured or by any oth er person or entity. out of the actual alleged threatened or suspected inhalation of ingestion of con tact with exposure to existence of or pres ence of silica or silica related dust. b. Any loss cost or expense arising out of the abating testing for monitoring cleaning up removing containing treating detoxifying neutralizing remediating or dis posing of or in any way responding to or assessing the effects of silica or silica related dust by any insured or by any oth er 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 silica particles silica dust or silica compounds. 2. Silica related dust means a mixture or com bination of silica and other dust or particles. the actual d inhalation ilica related out of the suspected tence of or ated dust. g out of the g cleaning treating ating or dis PP CG 32730908 Insurance Services Office Inc. 2008 Page1of1 0O
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COMMERCIAL GENERAL LIABILITY CG 26 97 03 06 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ALASKA WAR LIABILITY EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Exclusion i. under Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability is replaced by the following 2. Exclusions This insurance does not apply to i. War Bodily injury or property damage however caused arising out of 1 War including undeclared or civil war or 2 Warlike action by a military force includ ing action in hindering or defending against an actual or expected attack by any government sovereign or other au thority using military personnel or other agents or Insurrection rebellion revolution usurped power or action taken by gov ernmental authority in hindering or de fending against any of these. B. Exclusion o. under Paragraph 2. Exclusions of Section Coverage B Personal And Advert ising Injury Liability is replaced by the following 2. Exclusions This insurance does not apply to o. War Personal and advertising injury however caused arising out of 1 War including undeclared or civil war or 2 Warlike action by a military force includ ing action in hindering or defending against an actual or expected attack by any government sovereign or other au thority using military personnel or other agents or Insurrection rebellion revolution usurped power or action taken by gov ernmental authority in hindering or de fending against any of these. C. Exclusion h. under Paragraph 2. Exclusions of Section Coverage C Medical Payments does not apply. Medical payments due to war are now subject to Exclusion g. of Paragraph 2. Ex clusions of Section Coverage C Medical Payments since bodily injury arising out of war is now excluded under Coverage A. e Liabili is relacd By the does not apply to jury or property damage used arising out of luding undeclared or civil war or action by a military force includ ion in hindering or defending an actual or expected attack by ernment sovereign or other au ising military personnel or other or tion rebellion revolution power or action taken by gov tal antharity in hinderina Ar Ao CG 26 97 03 06 1SO Properties Inc. 2005 Page 1 of 1 m
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IL 02581214 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ARIZONA CHANGES CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following CAPITAL ASSETS PROGRAM OUTPUT POLICY COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL LIABILITY UMBRELLA COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART FARM UMBRELLA LIABILITY POLICY LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART. The following is added to the Cancellation Common Policy Condition and applies except in situations where B. below applies 7. Cancellation Of Policies In Effect For 60 Days Or More If this Policy has been in effect for 60 days or more or if this Policy is a renewal of a policy we issued we may cancel this Policy only for one or more of the following reasons a. Nonpayment of premium b. Your conviction of a crime arising out of acts increasing the hazard insured against c. Acts or omissions by you or your representative constituting fraud or material misrepresentation in the procurement of this Policy in continuing this Policy or in presenting a claim under this Policy d. Substantial change in the risk assumed except to the extent that we should have reasonably foreseen the change or contemplated the risk in writing the contract e. Substantial breach of contractual duties or conditions f. Loss of reinsurance applicable to the risk insured against resulting from termination of treaty or facultative reinsurance initiated by our reinsurer or reinsurers g. Determination by the Director of Insurance that the continuation of the Policy would place us in violation of the insurance laws of this state or would jeopardize our solvency or h. Acts or omissions by you or your representative which materially increase the hazard insured against. If we cancel this Policy based on one or more of the above reasons we will mail by certified mail or by first class mail using Intelligent Mail barcode or another similar tracking method used or approved by the United States Postal Service to the first Named Insured and mail to the agent if any written notice of cancellation stating the reasons for cancellation. We will mail this notice to the last mailing addresses known to us at least a. 10 days before the effective date of cancellation if we cancel for nonpayment of premium or b. 45 days before the effective date of cancellation if we cancel for any of the other reasons. Insurance Services Office Inc. 2014 Page 10f 3 IL02581214
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B. If the Commercial Property Coverage Part Capital Assets Program Output Policy Coverage Part or the Farm Property Farm Dwellings Appurtenant Structures And Household Personal Property Coverage Form provides coverage for 1. Real property which is used predominantly for residential purposes and consists of one through four dwelling units andor 2. Personal property except business or farm personal property of a person residing in such real property the following provisions apply instead of those provided in Item A. above with respect to cancellation of such coverage If this Policy has been in effect for 60 days or more or is a renewal of a policy we issued we may cancel only for one or more of the following reasons a. Nonpayment of premium b. Your conviction of a crime arising out of acts increasing the hazard insured against c. Acts or omissions by you or your representative constituting fraud or material misrepresentation in obtaining the Policy continuing the Policy or presenting a claim under the Policy d. Discovery of grossly negligent acts or omissions by you substantially increasing any of the hazards insured against e. Substantial change in the risk assumed by us since the Policy was issued except to the extent that we should reasonably have foreseen the change or contemplated the risk in writing the contract f. A determination by the Director of Insurance that the continuation of the Policy would place us in violation of the insurance laws of this state or g. Your failure to take reasonable steps to eliminate or reduce any conditions in or on the insured premises which contributed to a loss in the past or will increase the probability of future losses. If we cancel this Policy based on one or more of these reasons we will mail written notice of cancellation stating the reasons for cancellation to the first Named Insured. We will mail this notice to the last mailing address known to us at least 1 10 days before the effective date of cancellation if we cancel for nonpayment of premium or 2 30 days before the effective date of cancellation if we cancel for any of the other reasons. C. The following is added and supersedes any provision to the contrary and applies except in situations where D. below applies Nonrenewal 1. If we elect not to renew this Policy we will mail by certified mail or by first class mail using Intelligent Mail barcode or another similar tracking method used or approved by the United States Postal Service to the first Named Insured and mail to the agent if any written notice of nonrenewal. We will mail this notice to the last mailing addresses known to us at least 45 days prior to the expiration of this Policy. 2. If notice is mailed proof of mailing will be sufficient proof of notice. 3. If either one of the following occurs we are not required to provide written notice of nonrenewal a. We or a company within the same insurance group has offered to issue a renewal policy or b. You have obtained replacement coverage or agreed in writing to do so. 4. If written notice of nonrenewal is mailed less than 45 days prior to expiration of this Policy and neither 3.a. nor 3.b. applies the coverage shall remain in effect until 45 days after the notice is mailed. Earned premium for any period of coverage that extends beyond the expiration date of this Policy shall be considered pro rata based upon the previous year s rate.. If the Commercial Property Coverage Part Capital Assets Program Output Policy Coverage Part or the Farm Property Farm Dwellings Appurtenant Structures And Household Personal Property Coverage Form provides coverage for 1. Real property which is used predominantly for residential purposes and consists of one through four dwelling units andor 2. Personal property except business or farm personal property of a person residing in such real property the following provisions apply instead of those provided in Item C. above with respect to nonrenewal of such coverage 1. If we elect not to renew we will mail written notice of nonrenewal to the first Named Insured. We will mail this notice to the last mailing address known to us at least 30 days before the end of the policy period. Proof of mailing will be sufficient proof of notice. 1gs Apunenanl situs rsonal Property Non for redominantly for T onsists of one or t isiness or farm L residing in such nstead of those vith respect to for 60 days or y we issued we of the following 3.1 e arising out of 1sured against you or your fraud or material ning the Policy esenting a claim 4. gligent acts or ttially increasing 1gainst risk assumed by ssued except to raacnnably have N Page 2 of 3 Insurance Services Office Inc. 2014 IL02581214
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2. If either one of the following occurs we are not required to provide notice of nonrenewal a. You have agreed to nonrenewal or b. You have accepted replacement coverage. 3. If our nonrenewal is based on the condition of the premises you will be given 30 days notice to remedy the identified conditions. If the identified conditions are remedied coverage will be renewed. If the identified conditions are not remedied to our satisfaction you will be given an additional 30 days upon payment of premium to correct the defective conditions. E. The following condition is added Renewal 1. If we elect to renew this Policy and the renewal is subject to any of the following a. Increase in premium b. Change in deductible c. Reduction in limits of insurance or d. Substantial reduction in coverage we will mail or deliver written notice of the changes to the first Named Insured at the last mailing address known to us at least 30 days before the anniversary or expiration date of the Policy. 2. If renewal is subject to any condition described in 1.a. through 1.d. above and we fail to provide notice 30 days before the anniversary or expiration date of this Policy the following procedures apply a. The present policy will remain in effect until the earlier of the following 1 30 days after the date of mailing or delivery of the notice or 2 The effective date of replacement coverage obtained by the first Named Insured. b. If the first Named Insured elects not to renew any earned premium for the period of extension of the terminated policy will be calculated pro rata at the lower of the following rates 1 The rates applicable to the terminated policy or 2 The rates presently in effect. c. If the first Named Insured accepts the renewal the premium increase if any and other changes are effective the day following this Policy s anniversary or expiration date. Insurance Services Office Inc. 2014 Page 3 of 3 IL02581214
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COMMERCIAL GENERAL LIABILITY CG 014207 11 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ARKANSAS CHANGES This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Pursuant to Arkansas Code Section 23 79 155 B. The definition of occurrence required by this A. The definition of occurrence includes faulty section of Arkansas law does not serve to limit or workmanship and restrict the applicability of any exclusion for bodily injury or property damage under this Coverage Part. CG 01420711 Insurance Services Office Inc. 2011 Page 1 of 1
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IL 023109 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ARKANSAS CHANGES CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following CAPITAL ASSETS PROGRAM OUTPUT POLICY COVERAGE PART COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL LIABILITY UMBRELLA COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EMPLOYMENT RELATED PRACTICES LIABILITY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART FARM UMBRELLA LIABILITY POLICY LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART A. Paragraph 5. of the Cancellation Common Policy Condition is replaced by the following 5.a. If this policy is cancelled we will send the first Named Insured any premium refund due. b. We will refund the pro rata unearned premium c. 4 if the policy is 1 Cancelled by us or at our request 2 Cancelled but rewritten with us or in our company group Cancelled because you no longer have an insurable interest in the property or busi ness operation that is the subject of this insurance or Cancelled after the first year of a prepaid policy that was written for a term of more than one year. If the policy is cancelled at the request of the first Named Insured other than a cancellation described in b.2 3 or 4 above we will re fund 90 of the pro rata unearned premium. However the refund will be less than 90 of the pro rata unearned premium if the refund of such amount would reduce the premium re tained by us to an amount less than the minim um premium for this policy. d. The cancellation will be effective even if we have not made or offered a refund. e. If the first Named Insured cancels the policy we will retain no less than 100 of the premium subject to the following 1 We will retain no less than 250 of the premium for the Equipment Break down Coverage Part. We will retain the premium developed for any annual policy period for the General Liability Classifications if any shown in the Declarations. 3 If the Commercial Auto Coverage Part covers only snowmobiles or golfmobiles we will retain 100 or the premium shown in the Declarations whichever is greater. 4 If the Commercial Auto Coverage Part covers an auto with a mounted amusement device we will retain the premium shown in the Declarations for the amusement device and not less than 100 for the auto to which it is attached. 1SO Properties Inc. 2007 Page 1 of 2 IL 023109 08
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B. The following is added to the Cancellation Com mon Policy Condition 7. Cancellation Of Policies In Effect More Than c. The following applies to the Farm Umbrella Liability Policy Commercial Liability Um brella Coverage Part and the Commercial 60 Days a. If this policy has been in effect more than 60 days or is a renewal policy we may cancel only for one or more of the following reasons 1 Nonpayment of premium 2 Fraud or material misrepresentation made by you or with your knowledge in obtaining the policy continuing the policy or in presenting a claim under the policy 3 The occurrence of a material change in the risk which substantially increases any hazard insured against after policy issuance 4 Violation of any local fire health safety building or construction regulation or or dinance with respect to any insured prop erty or its occupancy which substantially increases any hazard insured against un der the policy 5 Nonpayment of membership dues in those cases where our by laws agree ments or other legal instruments require payment as a condition of the issuance and maintenance of the policy or 6 A material violation of a material provi sion of the policy. b. Subject to Paragraph 7.c. if we cancel for 1 Nonpayment of premium we will mail or deliver written notice of cancellation stat ing the reason for cancellation to the first Named Insured and any lienholder or loss payee named in the policy at least 10 days before the effective date of cancellation. 2 Any other reason we will mail or deliver notice of cancellation to the first Named Insured and any lienholder or loss payee named in the policy at least 20 days be fore the effective date of cancellation. Automobile Coverage Part 1 If we cancel for nonpayment of premium we will mail or deliver written notice of cancellation stating the reas on for cancellation to the first Named Insured and any lienholder or loss pay ee named in the policy and any lessee of whom we have received notification prior to the loss at least 10 days before the effective date of cancellation 2 If we cancel for any other reason we will mail or deliver notice of cancellation to the first Named Insured and any lien holder or loss payee named in the policy and any lessee of whom we have received notification prior to the loss at least 20 days before the effect i ve date of cancellation. C. Paragraph g. of the Mortgageholders Condition if any is replaced by the following g. If we elect not to renew this policy we will give written notice to the mortgageholder 1 As soon as practicable if nonrenewal is due to the first Named Insured s failure to pay any premium required for renewal or 2 At least 60 days before the expiration date of this policy if we nonrenew for any other reason. D. The following Condition is added and supersedes any other provision to the contrary NONRENEWAL 1. If we decide not to renew this policy we will mail to the first Named Insured shown in the Declarations and to any lienholder or loss pay ee named in the policy written notice of nonre newal at least 60 days before a. Its expiration date or b. Its anniversary date if it is a policy written for a term of more than one year and with no fixed expiration date. However we are not required to send this no tice if nonrenewal is due to the first Named Insured s failure to pay any premium required for renewal. The provisions of this Paragraph 1. do not ap ply to any mortgageholder.. We will mail our notice to the first Named Insured s mailing address last known to us. If notice is mailed proof of mailing will be suffi cient proof of notice. Page 2 of 2 1SO Properties Inc. 2007 IL 02 3109 08
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POLICY NUMBER GL 4056109 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ARKANSAS CHANGES MULTI YEAR POLICIES This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Common Policy Conditions G. MULTI YEAR POLICIES We may issue this policy for a term in excess of twelve months with the premium adjusted on an annual basis in accordance with our rates and rules. CG 26 08 04 90 Copyright Insurance Services Office Inc. 1990 Page 1 of 1
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IL 0199 09 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ARKANSAS CHANGES TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL LIABILITY UMBRELLA COVERAGE PART FARM LIABILITY COVERAGE FORM FARM UMBRELLA LIABILITY POLICY LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition We will be entitled to recovery only after the insured insured has been fully compensated for the loss or damage sustained including expenses incurred in ob taining full compensation for the loss or damage. 1SO Properties Inc. 2007 Page 1 of 1 IL 0199 09 08
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IL 027009 12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CALIFORNIA CHANGES CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following CAPITAL ASSETS PROGRAM OUTPUT POLICY COVERAGE PART COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EMPLOYMENT RELATED PRACTICES LIABILITY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART. Paragraphs 2. and 3. of the Cancellation 3. All Policies In Effect For More Than 60 Days Comrron Policy Condition are replaced by the a. If this policy has been in effect for more following than 60 days or is a renewal of a policy we 2. All Policies In Effect For 60 Days Or Less issued we may cancel this policy only upon If this policy has been in effect for 60 days or the oceurrence after the effective dvate of less and is not a renewal of a policy we have the policy of one or more of the following previously issued we may cancel this policy by 1 Nonpayment of premium including mailing or delivering to the first Named Insured payment due on a prior policy we issued at the mailing address shown in the policy and and due during the current policy term to the producer of record advance written covering the same risks. notice of cancellation stating the reason for cancellation at least a. 10 days before the effective date of cancellation if we cancel for 2 Discovery of fraud or material misrepresentation by a Any insured or his or her representative in obtaining this 1 Nonpayment of premium or insurance or 2 Discovery of fraud by b You or your representative in a Any insured or his or her pursuing a claim under this policy. representative in obtaining this 3 A judgment by a court or an insurance or administrative tribunal that you have violated a California or Federal law having as one of its necessary elements an act which materially increases any of b. 30 days before the effective date of the risks insured against. cancellation if we cancel for any other reason. ou or your representative in b Y tati i pursuing a claim under this policy. Insurance Services Office Inc. 2012 Page 1 of 4 IL02700912
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4 Discovery of willful or grossly negligent acts or omissions or of any violations of state laws or regulations establishing safety standards by you or your representative which materially increase any of the risks insured against. 5 Failure by you or your representative to implement reasonable loss control requirements agreed to by you as a condition of policy issuance or which were conditions precedent to our use of a particular rate or rating plan if that failure materially increases any of the risks insured against. 6 A determination by the Commissioner of Insurance that the a Loss of or changes in our reinsurance covering all or part of the risk would threaten our financial integrity or solvency or b Continuation of the policy coverage would i Place us in violation of California law or the laws of the state where we are domiciled or ii Threaten our solvency. 7 A change by you or your representative in the activities or property of the commercial or industrial enterprise which results in a materially added increased or changed risk unless the added increased or changed risk is included in the policy.. We will mail or deliver advance written notice of cancellation stating the reason for cancellation to the first Named Insured at the mailing address shown in the policy and to the producer of record at least 1 10 days before the effective date of cancellation if we cancel for nonpayment of premium or discovery of fraud or 2 30 days before the effective date of cancellation if we cancel for any other reason listed in Paragraph 3.a. B. The following provision is added to the Cancellation Common Policy Condition 7. Residential Property This provision applies to coverage on real property which is used predominantly for residential purposes and consisting of not more than four dwelling units and to coverage on tenants household personal property in a residential unit if such coverage is written under one of the following Commercial Property Coverage Part Farm Coverage Part Farm Property Farm Dwellings Appurtenant Structures And Household Personal Property Coverage Form a. If such coverage has been in effect for 60 days or less and is not a renewal of coverage we previously issued we may cancel this coverage for any reason except as provided in b. and c. below. b. We may not cancel this policy solely because the first Named Insured has 1 Accepted an offer of earthquake coverage or 2 Cancelled or did not renew a policy issued by the California Earthquake Authority CEA that included an earthquake policy premium surcharge. However we shall cancel this policy if the first Named Insured has accepted a new or renewal policy issued by the CEA that includes an earthquake policy premium surcharge but fails to pay the earthquake policy premium surcharge authorized by the CEA. c. We may not cancel such coverage solely because corrosive soil conditions exist on the premises. This restriction c. applies only if coverage is subject to one of the following which exclude loss or damage caused by or resulting from corrosive soil conditions 1 Commercial Property Coverage Part Causes Of Loss Special Form or 2 Farm Coverage Part Causes Of Loss Form Farm Property Paragraph D. Covered Causes Of Loss Special. Page 2 of 4 Insurance Services Office Inc. 2012 IL 027009 12
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C. The following is added and supersedes any provisions to the contrary Nonrenewal 1. Subject to the provisions of Paragraphs C.2. and C.3. below if we elect not to renew this policy we will mail or deliver written notice stating the reason for nonrenewal to the first Named Insured shown in the Declarations and to the producer of record at least 60 days but not more than 120 days before the expiration or anniversary date. We will mail or deliver our notice to the first Named Insured and to the producer of record at the mailing address shown in the policy. 2. Residential Property This provision applies to coverage on real property used predominantly for residential purposes and consisting of not more than four dwelling units and to coverage on tenants household property contained in a residential unit if such coverage is written under one of the following Commercial Property Coverage Part Farm Coverage Part Farm Property Farm Dwellings Appurtenant Structures And Household Personal Property Coverage Form a. We may elect not to renew such coverage for any reason except as provided in b. c. and d. below. b. We will not refuse to renew such coverage solely because the first Named Insured has accepted an offer of earthquake coverage. However the following applies only to insurers who are associate participating insurers as established by Cal. Ins. Code Section 10089.16. We may elect not to renew such coverage after the first Named Insured has accepted an offer of earthquake coverage if one or more of the following reasons applies 1 The nonrenewal is based on sound underwriting principles that relate to the coverages provided by this policy and that are consistent with the approved rating plan and related documents filed with the Department of Insurance as required by existing law 2 The Commissioner of Insurance finds that the exposure to potential losses will threaten our solvency or place us in a hazardous conditon. A hazardous condition includes but is not limited to a condition in which we make claims payments for losses resulting from an earthquake that occurred within the preceding two years and that required a reduction in policyholder surplus of at least 25 for payment of those claims or 3 We have a Lost or experienced a substantial reduction in the availability or scope of reinsurance coverage or b Experienced a substantial increase in the premium charged for reinsurance coverage of our residential property insurance policies and the Commissioner has approved a plan for the nonrenewals that is fair and equitable and that is responsive to the changes in our reinsurance position. c. We will not refuse to renew such coverage solely because the first Named Insured has cancelled or did not renew a policy issued by the California Earthquake Authority that included an earthquake policy premium surcharge. d. We will not refuse to renew such coverage solely because corrosive soil conditions exist on the premises. This restriction d. applies only if coverage is subject to one of the following which exclude loss or damage caused by or resulting from corrosive soil conditions 1 Commercial Property Coverage Part Causes Of Loss Special Form or 2 Farm Coverage Part Causes Of Loss Form Farm Property Paragraph D. Covered Causes Of Loss Special. 3. We are not required to send notice of nonrenewal in the following situations a. If the transfer or renewal of a policy without any changes in terms conditions or rates is between us and a member of our insurance group. Insurance Services Office Inc. 2012 Page 3 of 4 IL02700912
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b. If the policy has been extended for 90 days or less provided that notice has been given in accordance with Paragraph C.1.. If you have obtained replacement coverage or if the first Named Insured has agreed in writing within 60 days of the termination of the policy to obtain that coverage.. If the policy is for a period of no more than 60 days and you are notified at the time of issuance that it will not be renewed. e. If the first Named Insured requests a change in the terms or conditions or risks covered by the policy within 60 days of the end of the policy period. f. If we have made a written offer to the first Named Insured in accordance with the timeframes shown in Paragraph C.1. to renew the policy under changed terms or conditions or at an increased premium rate when the increase exceeds 25. Page 4 of 4 Insurance Services Office Inc. 2012 IL 027009 12
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IL 02 28 09 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COLORADO CHANGES CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following CAPITAL ASSETS PROGRAM OUTPUT POLICY COVERAGE PART COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL LIABILITY UMBRELLA COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EMPLOYMENT RELATED PRACTICES LIABILITY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART FARM UMBRELLA LIABILITY POLICY LIQUOR LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART A. Paragraph 2. of the Cancellation Common Policy Condition is replaced by the following 2. If this policy has been in effect for less than 60 days we may cancel this policy by mailing or de livering to the first Named Insured written notice of cancellation at least a. 10 days before the effective date of cancella tion premium or if we cancel for nonpayment of b. 30 days before the effective date of cancella tion if we cancel for any other reason. B. The following is added to the Cancellation Com mon Policy Condition 7. Cancellation Of Policies In Effect For 60 Days Or More a. If this policy has been in effect for 60 days or more or is a renewal of a policy we issued we may cancel this policy by mailing through first class mail to the first Named Insured written notice of cancellation 1 Including the actual reason at least 10 days before the effective date of cancellation if we cancel for nonpayment of premium or 2 At least 45 days before the effective date of cancellation if we cancel for any other reason. We may only cancel this policy based on one or more of the following reasons 1 Nonpayment of premium 2 A false statement knowingly made by the insured on the application for insurance or 3 A substantial change in the exposure or risk other than that indicated in the applic ation and underwritten as of the effective date of the policy unless the first Named Insured has notified us of the change and we accept such change. C. The following is added and supersedes any other provision to the contrary NONRENEWAL If we decide not to renew this policy we will mail through first class mail to the first Named Insured shown in the Declarations written notice of the non renewal at least 45 days before the expiration date or its anniversary date if it is a policy written for a term of more than one year or with no fixed expira tion date. If notice is mailed proof of mailing will be sufficient proof of notice. 1SO Properties Inc. 2006 Page 1 of 2 IL 02 28 09 07
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D. The following condition is added INCREASE IN PREMIUM OR DECREASE IN COV ERAGE We will not increase the premium unilaterally or de crease the coverage benefits on renewal of this policy unless we mail through first class mail writ ten notice of our intention including the actual reason to the first Named Insured s last mailing ad dress known to us at least 45 days before the ef fective date. Any decrease in coverage during the policy term must be based on one or more of the following reasons 1. Nonpayment of premium 2. A false statement knowingly made by the in sured on the application for insurance or 3. A substantial change in the exposure or risk oth er than that indicated in the application and un derwritten as of the effective date of the policy unless the first Named Insured has notified us of the change and we accept such change. If notice is mailed proof of mailing will be sufficient proof of notice. Page 2 of 2 1SO Properties Inc. 2006 IL 02 28 09 07
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IL01251113 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COLORADO CHANGES CIVIL UNION COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART This endorsement modifies insurance provided under the following COMMERCIAL LIABILITY UMBRELLA COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART FARM COVERAGE PART FARM UMBRELLA LIABILITY POLICY LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCT WITHDRAWAL COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY. The term spouse is replaced by the following Spouse or party to a civil union recognized under Colorado law.. Under the Commercial Automobile Coverage Part the term family member is replaced by the following and supersedes any other provisions to the contrary Family member means a person related to 1. The individual Named Insured by blood adoption marriage or civil union recognized under Colorado law who is a resident of such Named Insured s household including a ward or foster child 2. The individual named in the Schedule by blood adoption marriage or civil union recognized under Colorado law who is a resident of the individual s household including a ward or foster child if the Drive Other Car Coverage Broadened Coverage For Named Individuals endorsement is attached. C. With respect to coverage for the ownership maintenance or use of covered autos provided under the Commercial Liability Umbrella Coverage Part the term family member is replaced by the following Family member means a person related to you by blood adoption marriage or civil union recognized under Colorado law who is a resident of your household including a ward or foster child. Insurance Services Office Inc. 2013 Page 1 of 1 IL01251113
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COMMERCIAL GENERAL LIABILITY CG 33780510 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COLORADO CHANGES EMPLOYEE BENEFITS LIABILITY COVERAGE This endorsement modifies insurance provided under the following EMPLOYEE BENEFITS LIABILITY COVERAGE ENDORSEMENT For the purposes of the coverage provided by Em ployee Benefits Liability Coverage Endorsement CG 04 35 the following condition is added and super sedes any provision to the contrary Your Right To Claim And Act Error Or Omission Information We will provide the first Named Insured shown in the Declarations the following information relating to this and any preceding Employee Benefits Liability Cover age Endorsement we have issued to you during the previous three years a. A list or other record of each act error or omission not previously reported to any other insurer of which we were notified in accordance with Paragraph 2.a. of the Duties In The Event Of An Act Error Or Omission Or Claim Or Suit condition Paragraph E.. We will include the date and brief description of the act error or omission if that information was in the notice we received. b. A summary by policy year of payments made and amounts reserved stated separately under any applicable Aggregate Limit. Amounts reserved are based on our judgment. They are subject to change and should not be regarded as ultimate settlement values. If we cancel or elect not to renew the Employee Bene fits Liability Coverage Endorsement we will provide such information no later than 30 days before the date of policy termination. In other circumstances we will provide this information only if we receive a writ ten request from the first Named Insured within 60 days after the end of the policy period. In this case we will provide this information within 30 days of re ceipt of the request. We compile claim and acts errors or omissions in formation for our own business purposes and exer cise reasonable care in doing so. In providing this in formation to the first Named Insured we make no rep resentations or warranties to insureds insurers or others to whom this information is furnished by or on behalf of any insured. Cancellation or nonrenewal will be effective even if we inadvertently provide inaccur ate information. CG 33780510 Insurance Services Office Inc. 2009 Page 1 of 1
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INTERLINE IL 02 60 02 10 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONNECTICUT CHANGES CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following CAPITAL ASSETS PROGRAM OUTPUT POLICY COVERAGE PART COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL LIABILITY UMBRELLA COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EMPLOYMENT RELATED PRACTICES LIABILITY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART FARM UMBRELLA LIABILITY POLICY LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART STANDARD PROPERTY POLICY A. The Cancellation Common Policy Condition is re placed by the following 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 cancellation. 2. Cancellation of policies in effect for less than 60 days. If this policy has been in effect for less than 60 days and is not a renewal of a policy we issued we may cancel this policy for any reas on by giving you written notice of cancellation at least a. 10 days before the effective date of cancel lation if we cancel for nonpayment of premium or b. 30 days before the effective date of cancel lation if we cancel for any other reason. 3. Cancellation of policies in effect for 60 days or more. a. If this policy has been in effect for 60 days or more or this is a renewal of a policy we issued we may cancel this policy by giving you written notice of cancellation at least 1 10 days before the effective date of can cellation if we cancel for one or more of the following reasons a Nonpayment of premium b Conviction of a crime arising out of acts increasing the hazard insured against Discovery of fraud or material mis representation by you in obtaining the policy or in perfecting any claim thereunder Discovery of any willful or reckless act or omission by you increasing the hazard insured against or c Insurance Services Office Inc. 2009 Page 1 of 2 IL 02 60 02 10
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e A determination by the Commission er that continuation of the policy would violate or place us in violation of the law or 2 60 days before the effective date of can cellation if we cancel for one or more of the following reasons a Physical changes in the property which increase the hazard insured against A material increase in the hazard in sured against or A substantial loss of reinsurance by us affecting this particular line of insurance. b. We may not cancel policies in effect for 60 days or more or renewal policies for any reason other than the reasons described in Paragraph 3.a. above. c. If we cancel for nonpayment of premium you may continue the coverage and avoid the effect of the cancellation by payment in full at any time prior to the effective date of cancellation. d. Notice of cancellation will be delivered or sent by 1 Registered mail 2 Certified mail or 3 Mail evidenced by a United States Post Office certificate of mailing.. We will give notice to you at your last mailing address known to us.. Notice of cancellation will state the specific reason for the cancellation and the effective date of cancellation. The policy period will end on that date. b c 6. 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 ef fective even if we have not made or offered a refund. 7. If notice is mailed proof of mailing will be suffi cient proof of notice. B. The following is added and supersedes any other provision to the contrary Nonrenewal 1. If we decide not to renew this policy we will mail or deliver to you a written notice of nonrenewal stating the specific reason for nonrenewal at least 60 days before the expira tion date of this policy. The notice will be sent to your address last known to us. 2. This notice will be delivered or sent by a. Registered mail b. Certified mail or c. Mail evidenced by a certificate of mailing. If notice is mailed proof of mailing is sufficient proof of notice. 3. However we are not required to send this no tice if nonrenewal is due to your failure to pay any advance premium required for renewal. 4. With respect to automobile liability insurance policies only your policy shall terminate on the effective date of any other insurance policy you purchase with respect to any automobile designated in both policies. Page 2 of 2 Insurance Services Office Inc. 2009 IL 02 60 02 10
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IL 01 40 09 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONNECTICUT CHANGES CIVIL UNION This endorsement modifies insurance provided under the following COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL LIABILITY UMBRELLA COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART EMPLOYMENT RELATED PRACTICES LIABILITY COVERAGE PART FARM COVERAGE PART FARM UMBRELLA LIABILITY POLICY LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART PRODUCT WITHDRAWAL COVERAGE PART A. The term spouse is replaced by the following Spouse or party to a civil union recognized under Connecticut law. B. Under the Commercial Auto Coverage Part the term family member is replaced by the following Family member means a person related to the 1. Individual Named Insured by blood adoption marriage or civil union recognized under Connecticut law who is a resident of such Named Insured s household including a ward or foster child or 2. Individual named in the Schedule by blood adoption marriage or civil union recognized under Connecticut law who is a resident of the individual s household including a ward or foster child if the Drive Other Car Coverage Broadened Coverage For Named Individual Endorsement is attached. C. With respect to coverage for the ownership maintenance or use of covered autos provided under the Commercial Liability Umbrella Coverage Part or Farm Umbrella Liability Policy the term family member is replaced by the following Family member means a person related to you by blood adoption marriage or civil union recognized under Connecticut law who is a resident of your household including a ward or foster child. 1SO Properties Inc. 2007 Page 1 of 1 IL 01 40 09 08
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POLICY NUMBER GL 4056109 POLICY NUMBER GL 4056109 COMMERCIAL GENERAL LIABILITY CG27210413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONNECTICUT EMPLOYEE BENEFITS LIABILITY COVERAGE THIS ENDORSEMENT PROVIDES CLAIMS MADE COVERAGE. PLEASE READ THE ENTIRE ENDORSEMENT CAREFULLY. This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Each Employee Coverage Limit Of Insurance Deductible Premium Employee 1000000 Each Employee 250000 Included Benefits Programs 2000000 Aggregate Include Retroactive Date 112005 Information required to complete this Schedule if not shown above will be shown in the Declarations. A. The following is added to Section Coverages Coverage Employee Benefits Liability 1. Insuring Agreement a. We will pay those sums that the insured becomes legally obligated to pay as damages because of any act error or omission of the insured or of any other person for whose acts the insured is legally liable to which this insurance applies. We will have the right and duty to defend the insured against any suit seeking those damages. However we will have no duty to defend the insured against any suit seeking damages to which this insurance does not apply. We may at our discretion investigate any report of an act error or omission and settle any claim or suit that may result. But 1 The amount we will pay for damages is limited as described in Paragraph D. Section Il Limits Of Insurance and 2 Our right and duty to defend ends when we have used up the applicable limit of insurance in the payment of judgments or settlements. No other obligation or liability to pay sums or perform acts or services is covered unless explicitly provided for under Supplementary Payments. b. This insurance applies to damages only if 1 The act error or omission is negligently committed in the administration of your employee benefit program 2 The act error or omission did not take place before the Retroactive Date if any shown in the Schedule nor after the end of the policy period and A claim for damages because of an act error or omission is first made against any insured in accordance with Paragraph c. below during the policy period or an Extended Reporting Period we provide under Paragraph G. of this endorsement. c. A claim seeking damages will be deemed to have been made at the earlier of the following times 1 When notice of such claim is received and recorded by any insured or by us whichever comes first or 3 CG 27210413 Insurance Services Office Inc. 2012 Page 10of 7
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2 When we make settlement in accordance with Paragraph a. above. d. All claims for damages made by an employee because of any act error or omission or a series of related acts errors or omissions including damages claimed by such employee s dependents and beneficiaries will be deemed to have been made at the time the first of those claims is made against any insured. 2. Exclusions This insurance does not apply to a. Dishonest Fraudulent Criminal Or M ous Act Damages arising out of any intentional dishonest fraudulent criminal or malicious act error or omission committed by any insured including the willful or reckless violation of any statute. b. Bodily Injury Property Damage Or Personal And Advertising Injury Bodily injury property damage or personal and advertising injury. c. Failure To Perform A Contract Damages arising out of failure of performance of contract by any insurer. d. Insufficiency Of Funds Damages arising out of an insufficiency of f. Workers Compensation And Similar Laws Any claim arising out of your failure to comply with the mandatory provisions of any workers compensation unemployment compensation insurance social security or disability benefits law or any similar law. g. ERISA Damages for which any insured is liable because of liability imposed on a fiduciary by the Employee Retirement Income Security Act of 1974 as now or hereafter amended or by any similar federal state or local laws. h. Available Benefits Any claim for benefits to the extent that such benefits are available with reasonable effort and cooperation of the insured from the applicable funds accrued or other collectible insurance.. Taxes Fines Or Penalties Taxes fines or penalties including those imposed under the Internal Revenue Code or any similar state or local law. j. Employment related Practices Damages arising out of wrongful termination of employment discrimination or other employment related practices. funds to meet any obligations under any B. For the purposes of the coverage provided by this plan included in the employee benefit endorsement program. 1. All references to Supplementary Payments e. Inadequacy Of Performance Of Sovelragest A Pand ag replacedA b Investment Advice Given With Respect upplementary Payments Coverages A To Participation and Employee Benefits Liability. Any claim based upon 2. Paragraphs 1.b. and 2. of the Supplementary Payments provision do not apply. 1 Failure of any investment to perform.. C. For the purposes of the coverage provided by this 2 Errors in providing information on past d r endorsement Paragraphs 2. and 3. of Section Il performance of investment vehicles or Who Is An Insured are replaced by the following 3 Advice given to any person with respect 2. Each of the following is also an insured to that person s decision to participate or not to participate in any plan included in the employee benefit program. a. Each of your employees who is or was authorized to administer your employee benefit program. b. Any persons organizations or employees having proper temporary authorization to administer your employee benefit program if you die but only until your legal representative is appointed. ce Of With Respect e Pyee vetiei Page 2 of 7 Insurance Services Office Inc. 2012 CG27210413
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c. Your legal representative if you die but only with respect to duties as such. That representative will have all your rights and duties under this endorsement. 3. Any organization you newly acquire or form other than a partnership joint venture or limited liability company and over which you maintain ownership or majority interest will qualify as a Named Insured if no other similar insurance applies to that organization. However a. Coverage under this provision is afforded only until the 90th day after you acquire or form the organization or the end of the policy period whichever is earlier. b. Coverage under this provision does not apply to any act error or omission that was committed before you acquired or formed the organization. D. For the purposes of the coverage provided by this endorsement Section Il Limits Of Insurance is replaced by the following 1. Limits Of Insurance a. The Limits Of Insurance shown in the Schedule and the rules below fix the most we will pay regardless of the number of 1 Insureds 2 Claims made or suits brought 3 Persons or organizations making claims or bringing suits 4 Acts errors or omissions or 5 Benefits included in your employee benefit progral b. The Aggregate Limit is the most we will pay for all damages because of acts errors or omissions negligently committed in the administration of your employee benefit program. c. Subject to the Aggregate Limit the Each Employee Limit is the most we will pay for all damages sustained by any one employee including damages sustained by such employee s dependents and beneficiaries as a result of 1 An act error or omission or 2 A series of related acts errors or omissions negligently committed in the administration of your employee benefit program. However the amount paid under this endorsement shall not exceed and will be subject to the limits and restrictions that apply to the payment of benefits in any plan included in the employee benefit program. The Limits of Insurance of this endorsement apply separately to each consecutive annual period and to any remaining period of less than 12 months starting with the beginning of the policy period shown in the Declarations of the policy to which this endorsement is attached unless the policy period is extended after issuance for an additional period of less than 12 months. In that case the additional period will be deemed part of the last preceding period for purposes of determining the Limits of Insurance.. Deductible a. Our obligation to pay damages on behalf of the insured applies only to the amount of damages in excess of the deductible amount stated in the Schedule as applicable to Each Employee. The limits of insurance shall not be reduced by the amount of this deductible. b. The deductible amount stated in the Schedule applies to all damages sustained by any one employee including such employee s dependents and beneficiaries because of all acts errors or omissions to which this insurance applies. c. The terms of this insurance including those with respect to 1 Our right and duty to defend any suits seeking those damages and 2 Your duties and the duties of any other involved insured in the event of an act error or omission or claim apply irrespective of the application of the deductible amount. d. We may pay any part or all of the deductible amount to effect settlement of any claim or suit and upon notification of the action taken you shall promptly reimburse us for such part of the deductible amount as we have paid. CG 27210413 Insurance Services Office Inc. 2012 Page 3 of 7
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E. For the purposes of the coverage provided by this endorsement Conditions 2. and 4. of Section IV Commercial General Liability Conditions are replaced by the following 2. D s In The Event Of An Act Error Or Omission Or Claim Or Suit a. You must see to it that we are notified as soon as practicable of an act error or omission which may result in a claim. To the extent possible notice should include 1 What the act error or omission was and when it occurred and 2 The names and addresses of anyone who may suffer damages as a result of the act error or omission. b. If a claim is made or suit is brought against any insured you must 1 Immediately record the specifics of the claim or suit and the date received and 2 Notify us as soon as practicable. You must see to it that we receive written notice of the claim or suit as soon as practicable. c. You and any other involved insured must 1 Immediately send us copies of any demands notices summonses or legal papers received in connection with the claim or suit 2 Authorize us to obtain records and other information 3 Cooperate with us in the investigation or settlement of the claim or defense against the suit and 4 Assist us upon our request in the enforcement of any right against any person or organization which may be liable to the insured because of an act error or omission to which this insurance may also apply. d. No insured will except at that insured s own cost voluntarily make a payment assume any obligation or incur any expense without our consent. 4. Other Insurance If other valid and collectible insurance is available to the insured for a loss we cover under this endorsement our obligations are limited as follows a. Primary Insurance This insurance is primary except when Paragraph b. below applies. If this insurance is primary our obligations are not affected unless any of the other insurance is also primary. Then we will share with all that other insurance by the method described in Paragraph c. below. b. Excess Insurance 1 This insurance is excess over any of the other insurance whether primary excess contingent or on any other basis that is effective prior to the beginning of the policy period shown in the Schedule of this insurance and that applies to an act error or omission on other than a claims made basis if a No Retroactive Date is shown in the Schedule of this insurance or b The other insurance has a policy period which continues after the Retroactive Date shown in the Schedule of this insurance. 2 When this insurance is excess we will have no duty to defend the insured against any suit if any other insurer has a duty to defend the insured against that suit. If no other insurer defends we will undertake to do so but we will be entitled to the insured s rights against all those other insurers. 3 When this insurance is excess over other insurance we will pay only our share of the amount of the loss if any that exceeds the sum of the total amount that all such other insurance would pay for the loss in absence of this insurance and the total of all deductible and self insured amounts under all that other insurance. Page 4 of 7 Insurance Services Office Inc. 2012 CG27210413
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4 We will share the remaining loss if any with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits Of Insurance shown in the Schedule of this endorsement. c. Method Of Sharing If all of the other insurance permits contribution by equal shares we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains whichever comes first. If any of the other insurance does not permit contribution by equal shares we will contribute by limits. Under this method each insurer s share is based on the ratio of its applicable limits of insurance to the total applicable limits of insurance of all insurers. F. For the purposes of the coverage provided by this endorsement the following is added to Section IV Commercial General Liability Conditions Your Right To Claim And Act Error Or Omission Information We will provide the first Named Insured shown in the Declarations the following information relating to this and any preceding employee benefits liability claims made coverage endorsement we have issued to you during the period beginning four years prior to the date of termination of coverage and ending six months prior to that date 1. A list or other record of each act error or omission not previously reported to any other insurer of which we were notified in accordance with Paragraph 2.a. of the Duties In The Event Of An Act Error Omission Claim Or Suit in Section IV Commercial General Liability Conditions. We will include the date and brief description of the act error or omission if that information was in the notice we received. 2. A summary by policy year of payments made and amounts reserved stated separately under the Aggregate Limit. 3. A report which includes written premiums and pricing information. Amounts reserved as based on our judgment. They are subject to change and should not be regarded as ultimate settlement values. You must not disclose this information to any claimant or any claimant s representative without our consent. If we cancel or elect not to renew this endorsement or Coverage Part a. For reasons other than those requiring 10 days notice we will provide such information to the first Named Insured or the first Named Insured s authorized agent no later than the date of the notice of policy termination. b. Where 10 days notice is required the reports shall be provided no later than 30 days after receipt of the written request from the first Named Insured or the first Named Insured s agent. In other circumstances we will provide this information only if we receive a written request from the first Named Insured or the first Named Insured s authorized agent or broker. In this case we will provide this information no later than 30 days after receipt of the request. We compile claim and act error or omission information for our own business purposes and exercise reasonable care in doing so. In providing this information to the first Named Insured we make no representations or warranties to insureds insurers or others to whom this information is furnished by or on behalf of any insured. Termination of coverage will be effective even if we inadvertently provide inaccurate information. G. For the purposes of the coverage provided by this endorsement the following Extended Reporting Period provisions are added or if this endorsement is attached to a claims made Coverage Part it replaces any similar section in that Coverage Part Extended Reporting Periods 1. We will provide one or more Extended Reporting Periods as described below if there is a specified renewal replacement or termination of coverage. 2. Extended Reporting Periods do not extend the policy period or change the scope of coverage provided. They apply only to claims for acts errors or omissions that were first committed before the date the specified renewal replacement or termination of coverage takes effect but not before the Retroactive Date if any shown in the Schedule. Once in effect the Extended Reporting Periods may not be cancelled. CG 27210413 Insurance Services Office Inc. 2012 Page 5 of 7
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3. A Basic Extended Reporting Period is automatically provided without additional charge. This period starts with the date the specified renewal replacement or termination of coverage takes effect and lasts for 60 days. 4. A Supplemental Extended Reporting Period of five years is available but only by an endorsement and for an extra charge. We will provide you with written notice of the availability of the premium for and the importance of purchasing Supplemental Extended Reporting Period coverage. We will do so no earlier than the date of notification of the specified renewal replacement or termination of coverage nor later than 15 days after the date the specified renewal replacement or termination of coverage takes effect. This supplemental period lasts for five years starting when the Basic Extended Reporting Period set forth in Paragraph G.3. ends. You have the greater of 30 days from the effective date of the specified renewal replacement or termination of coverage or 15 days from the date of our written notice of the Supplemental Extended Reporting Period to provide us with written acceptance of the Supplemental Extended Reporting Period coverage. Where premium is due to us for coverage under this endorsement any monies received by us from you as payment for the Supplemental Extended Reporting Period coverage shall first be applied to such premium owed for the endorsement. The Supplemental Extended Reporting Period coverage will not take effect until the premium owed for the policy is paid in full and unless the premium owed for the Supplemental Extended Reporting Period coverage is paid promptly when due. We will determine the additional premium in accordance with our rules and rates. In doing s0 we may take into account the following a. The employee benefit programs insured b. Previous types and amounts of insurance c. Limits of insurance available under this endorsement for future payment of damages and d. Other related factors. The additional premium will not exceed 100 of the annual premium for this endorsement. The Extended Reporting Period Endorsement applicable to this coverage shall set forth the terms not inconsistent with this section applicable to the Supplemental Extended Reporting Period including a provision to the effect that the insurance afforded for claims first received during such period is excess over any other valid and collectible insurance available under policies in force after the Extended Reporting Period starts.. If the Supplemental Extended Reporting Period is in effect we will provide a Supplemental Extended Reporting Period aggregate limit of insurance described below but only for claims first received and recorded during the Supplemental Extended Reporting Period. The Supplemental Extended Reporting Period aggregate limit of insurance will be equal to the dollar amount shown in the Schedule of this endorsement under Limits Of Insurance. Paragraph D.1.b. of this endorsement will be amended accordingly. The Each Employee Limit shown in the Schedule will then continue to apply as set forth in Paragraph D.1.c. H. For the purposes of the coverage provided by this the following definitions are added ions Section 1. Administration means a. Providing information to employees including their dependents and beneficiaries with respect to eligibility for or scope of employee benefit programs b. Handling records in connection with the employee benefit program or c. Effecting continuing or terminating any employee s participation in any benefit included in the employee benefit program. However administration does not include handling payroll deductions.. Cafeteria plans means plans authorized by applicable law to allow employees to elect to pay for certain benefits with pre tax dollars.. Claim means any demand or suit made by an employee or an employee s dependents and beneficiaries for damages as the result of an act error or omission. Page 6 of 7 Insurance Services Office Inc. 2012 CG27210413
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4. Employee benefit program means a program providing some or all of the following benefits to employees whether provided through a cafeteria plan or otherwise a. Group life insurance group accident or health insurance dental vision and hearing plans and flexible spending accounts provided that no one other than an employee may subscribe to such benefits and such benefits are made generally available to those employees who satisfy the plan s eligibility requirements b. Profit sharing plans employee savings plans employee stock ownership plans pension plans and stock subscription plans provided that no one other than an employee may subscribe to such benefits and such benefits are made generally available to all employees who are eligible under the plan for such benefits c. Unemployment insurance social security benefits workers compensation and disability benefits d. Vacation plans including buy and sell programs leave of absence programs including military maternity family and civil leave tuition assistance plans transportation and health club subsidies and e. Any other similar benefits designated in the Schedule or added thereto by endorsement.. Termination of coverage means whether made by the insurer or the insured at any time a. Cancellation or nonrenewal of this endorsement or b. A decrease in limits reduction in coverage increased deductible or self insured retention new exclusion or any other change in coverage less favorable to the insured. 6. Specified renewal replacement or termination of coverage means a. A termination of coverage or b. If we renew or replace this endorsement with insurance that 1 Has a Retroactive Date later than the date shown in the Declarations of this endorsement or 2 Does not apply to an act error or omission on a claims made basis. I. For the purposes of the coverage provided by this endorsement Definitons 5. and 18. in the Definitions Section are replaced by the following 5. Employee means a person actively employed formerly employed on leave of absence or disabled or retired. Employee includes a leased worker. Employee does not include a temporary worker. 18. Suit means a civil proceeding in which damages because of an act error or omission to which this insurance applies are alleged. Suit includes a. An arbitration proceeding in which such damages are claimed and to which the insured must submit or does submit with our consent or b. Any other alternative dispute resolution proceeding in which such damages are claimed and to which the insured submits with our consent. CG 27210413 Insurance Services Office Inc. 2012 Page 7 of 7
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IL01510112 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DELAWARE CHANGES CIVIL UNION This endorsement modifies insurance provided under the following COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL LIABILITY UMBRELLA COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART FARM COVERAGE PART FARM UMBRELLA LIABILITY POLICY LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCT WITHDRAWAL COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY A. The term spouse is replaced by the following Spouse or party to a civil union recognized under Delaware law.. Under the Commercial Automobile Coverage Part the term family member is replaced by the following and supersedes any other provisions to the contrary Family member means 1. A person related to the individual Named Insured by blood adoption marriage or civil union recognized under Delaware law who is a resident of such Named Insured s household including a ward or foster child 2. Members of your immediate family including a partner to a civil union recognized under Delaware law not having a separate household and persons actually residing with and economically dependent upon you if Delaware Personal Injury Protection Endorsement is attached 3. A person related to the individual named in the Schedule by blood adoption marriage or civil union recognized under Delaware law who is a resident of the individual s household including a ward or foster child if the Drive Other Car Coverage Broadened Coverage For Named Individuals endorsement is attached or 4. A person related to you by blood adoption marriage or civil union recognized under Delaware law who is a resident of your household including a ward or foster child if the Individual Named Insured endorsement is attached. C. With respect to coverage for the ownership maintenance or use of covered autos provided under the Commercial Liability Umbrella Coverage Part the term family member is replaced by the following Family member means a person related to you by blood adoption marriage or civil union recognized under Delaware law who is a resident of your household including a ward or foster child. Insurance Services Office Inc. 2011 Page 1 of 1 IL 01510112
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IL 0237 04 12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DELAWARE CHANGES TERMINATION PROVISIONS This endorsement modifies insurance provided under the following CAPITAL ASSETS PROGRAM OUTPUT POLICY COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART EMPLOYMENT RELATED PRACTICES LIABILITY COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART A. With respect to the 2 Farm Property Farm Dwellings Appurtenant Structures and Household Personal Property Coverage Form Commercial Property Coverage Part and Capital Assets Program Output Policy Coverage 3 Part If the policy covers a building that contains no more than four dwelling units one of which is the insured s principal place of residence or covers 4 the insured s household personal property in a residential building the following applies 1. Paragraph 2. of the Cancellation Common Policy Condition is replaced by the following 2. We may cancel this policy by mailing or delivering to the first Named Insured written notice of cancellation along with the reasons for 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. After coverage has been in effect for more than 60 days or after the effective date of a 7 renewal of this policy no notice of cancellation will be issued by us unless it is based on at least one of the following reasons 1 Nonpayment of premium 5 6 Discovery of fraud or material misrepresentation made by you or with your knowledge in obtaining the policy continuing the policy or in presenting a claim under the policy Discovery of willful or reckless acts or omissions on your part that increase any hazard insured against The occurrence of a change in the risk that substantially increases any hazard insured against after insurance coverage has been issued or renewed A violation of any local fire health safety building or construction regulation or ordinance with respect to any covered property or its occupancy that substantially increases any hazard insured against A determination by the Insurance Commissioner that the continuation of the policy would place us in violation of the Delaware insurance laws or Real property taxes owing on the insured property have been delinquent for two or more years and continue delinquent at the time notice of cancellation is issued. Insurance Services Office Inc. 2011 Page 1 of 2 IL 02370412
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2. The following Condition is added Nonrenewal a. c. If we decide not to renew this policy we will mail or deliver written notice of nonrenewal to the first Named Insured at least 30 days before the expiration date or the anniversary date if this is a policy written for a term of more than one year or with no fixed expiration date.. Any notice of nonrenewal will include the reasons for nonrenewal and will be mailed or delivered to the first Named Insured at the last mailing address known to us. If notice is mailed proof of mailing will be sufficient proof of notice. 3. If Cancellation Changes CP 02 99 is attached to the Commercial Property Coverage Part Paragraph E.2. of that form is replaced by the following 2. Pay property taxes that are owing and have been outstanding for more than two years following the date due except that this provision will not apply where you are in a bona fide dispute with the taxing authority regarding payment of such taxes. B. With respect to the Commercial General Liability Coverage Part Commercial Property Legal Liability Coverage Form Commercial Property Mortgageholders Errors And Omissions Coverage Form Employment Related Practices Liability Coverage Form Farm Liability Coverage Form Liquor Liability Coverage Part Medical Professional Liability Coverage Part Pollution Liability Coverage Part and Products Completed Operations Liability Coverage Part 1. Paragraph 2. of the Cancellation Common Policy Condition is replaced by the following 2. We may cancel this policy by mailing or delivering to the first Named Insured written notice of cancellation at least a. 10 days before the effective date of cancellation if we cancel for nonpayment of premium or b. 60 but not more than 120 days before the effective date of cancellation if we cancel for any other permissible reason. 2. The following Conditon is added and supersedes any other condition to the contrary Nonrenewal a. If we decide not to renew this policy we will mail or deliver written notice of nonrenewal to the first Named Insured at least 60 but not more than 120 days before the expiration date or the anniversary date if this is a policy written for a term of more than one year or with no fixed expiration date.. Any notice of nonrenewal will be mailed or delivered to the first Named Insured at the last mailing address known to us. Page 2 of 2 Insurance Services Office Inc. 2011 IL 0237 04 12
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IL 02 78 09 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DISTRICT OF COLUMBIA CHANGES CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following CAPITAL ASSETS PROGRAM OUTPUT POLICY COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EMPLOYMENT RELATED PRACTICES LIABILITY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART. Paragraph 2. of the Cancellation Common Policy Condition is replaced by the following We may cancel this policy by mailing or delivering to the first Named Insured written notice of cancel lation at least 30 days before the effective date of cancellation. At least five days before sending no tice to the first Named Insured we will notify the agent or broker if any who wrote the policy. If this policy has been in effect for 30 days or less and is not a renewal of a policy we issued we may cancel this policy for any reason. If this policy has been in effect more than 30 days or if this policy is a renewal of a policy we issued we may cancel this policy only for one or more of the following reasons 1. You have refused or failed to pay a premium due under the terms of the policy 2. You have made a material and willful misstate ment or omission of fact to us or our employees agents or brokers in connection with any application to or claim against us 3. You have transferred your property or other in terest to a person other than you or your beneficiary unless the transfer is permitted un der the terms of the policy or 4. The property interest or use of the property or interest has materially changed with respect to its insurability. B. The following is added NONRENEWAL We may elect not to renew this policy by mailing or delivering written notice of nonrenewal to the first Named Insured s last mailing address known to us. We will mail or deliver the notice at least 30 days before the expiration of the policy. At least five days before sending notice to the first Named Insured we will notify the agent or broker if any who wrote the policy. If notice is mailed proof of mailing will be sufficient proof of notice. Delivery of the notice will be the same as mailing. 1SO Properties Inc. 2007 Page 1 of 1 IL 0278 09 08
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COMMERCIAL GENERAL LIABILITY CG 02200312 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FLORIDA CHANGES CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCT WITHDRAWAL COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART A. Paragraph 2. of the Cancellation Common 2 The policy was obtained by a material Policy Condition is replaced by the following misstatement 2. Cancellation Of Policies In Effect 3 Failure to comply with underwriting a. For 90 Days Or Less If this policy has been in effect for 90 days or less we may cancel this policy by mailing or delivering to the first Named Insured written notice of cancellation accompanied by the reasons for cancellation at least 1 10 days before the effective date of cancellation if we cancel for nonpayment of premium or 2 20 days before the effective date of cancellation if we cancel for any other reason except we may cancel immediately if there has been a A material misstatement or misrepresentation or b A failure to comply with the underwriting requirements established by the insurer. b. For More Than 90 Days If this policy has been in effect for more than 90 days we may cancel this policy only for one or more of the following reasons 1 Nonpayment of premium requirements established by the insurer within 90 days of the effective date of coverage 4 A substantial change in the risk covered by the policy or 5 The cancellation is for all insureds under such policies for a given class of insureds. If we cancel this policy for any of these reasons we will mail or deliver to the first Named Insured written notice of cancellation accompanied by the reasons for cancellation at least a 10 days before the effective date of cancellation if we cancel for nonpayment of premium or 45 days before the effective date of cancellation if we cancel for any of the other reasons stated in Paragraph 2.b. b B. Paragraph 3. of the Cancellation Common Policy Condition is replaced by the following 3. We will mail or deliver our notice to the first Named Insured at the last mailing address known to us. CG 02200312 Insurance Services Office Inc. 2011 Page 1 of 2
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C. Paragraph 5. of the Cancellation Common Policy Condition is replaced by the following 5. If this policy is cancelled we will send the first Named Insured any premium refund due. If we cancel the refund will be pro rata. If the first Named Insured cancels the refund may be less than pro rata. If the return premium is not refunded with the notice of cancellation or when this policy is returned to us we will mail the refund within 15 working days after the date cancellation takes effect unless this is an audit policy. If this is an audit policy then subject to your full cooperation with us or our agent in securing the necessary data for audit we will return any premium refund due within 90 days of the date cancellation takes effect. If our audit is not completed within this time limitation then we shall accept your own audit and any premium refund due shall be mailed within 10 working days of receipt of your audit. The cancellation will be effective even if we have not made or offered a refund. D. The following is added and supersedes any other provision to the contrary Nonrenewal 1. If we decide not to renew this policy we will mail or deliver to the first Named Insured written notice of nonrenewal accompanied by the reason for nonrenewal at least 45 days prior to the expiration of this policy.. Any notice of nonrenewal will be mailed or delivered to the first Named Insured at the last mailing address known to us. If notice is mailed proof of mailing will be sufficient proof of notice. Page 2 of 2 Insurance Services Office Inc. 2011 CG 02200312
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IL 02 62 02 15 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. GEORGIA CHANGES CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following CAPITAL ASSETS PROGRAM OUTPUT POLICY COVERAGE PART COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART A. Paragraph A.1. of the Cancellation Common Policy Condition is replaced by the following 1. The first Named Insured shown in the Declarations may cancel this policy by mailing or delivering to us advance written notice of cancellation stating a future date on which the Our notice will state the effective date of cancellation which will be the later of the following 1 10 days from the date of mailing or delivering our notice or 2 The effective date of cancellation stated FoIicy is to be cancelled subject to the in the first Named Insured s notice to us. ollowing 5 a If only the interest of the first Named B. Paragraph A.5. of the Cancellation Common Insured is affected the effective date of cancellation will be either the date we receive notice from the first Named Insured Policy Condition is replaced by the following 5. Premium Refund. r a. If this policy is cancelled we will send the or the date specified in the notice first Named Insured any premium refund whichever is later. However upon receiving due. a written notice of cancellation from the first. Named Insured we may waive the b. If we cancel he refund will be pro rata requirement that the notice state the future except as provided in. below. date of cancellation by confirming the date c. If the cancellation results from failure of the and time of cancellation in writing to the first first Named Insured to pay when due any Named Insured. premium to us or any amount when due b. If by statute regulation or contract this under a premium finance agreement then policy may not be cancelled unless notice is the Efd may be less thap pro rata. given to a governmental agency mortgagee Calculation of the return premium at less or other third party we will mail or deliver at than pro rata represents a penalty charged least 10 days notice to the first Named on unearned premium. Insured and the third party as soon as d. If the first Named Insured cancels the practicable after receiving the first Named refund may be less than pro rata. Insured s request for cancellation. e. The cancellation will be effective even if we have not made or offered a refund. mon the ailing ce of h the the Insurance Services Office Inc. 2014 Page 1 of 2 IL 02620215
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C. The following is added to the Cancellation Common Policy Condition and supersedes any other provisions to the contrary If we decide to 1. Cancel or nonrenew this policy or 2. Increase current policy premium by more than 15 other than any increase due to change in risk exposure or experience modification or resulting from an audit of auditable coverages or 3. Change any policy provision which would limit or restrict coverage then We will mail or deliver notice of our action including the dollar amount of any increase in renewal premium of more than 15 to the first Named Insured and lienholder if any at the last mailing address known to us. Except as applicable as described in Paragraph D. or E. below we will mail or deliver notice at least a. 10 days before the effective date of cancellation if this policy has been in effect less than 60 days or if we cancel for nonpayment of premium or b. 45 days before the effective date of cancellation if this policy has been in effect 60 or more days and we cancel for a reason other than nonpayment of premium or c. 45 days before the expiration date of this policy if we decide to nonrenew increase the premium or limit or restrict coverage. D. The following provisions apply to insurance covering residential real property only provided under the Capital Assets Program Output Policy Coverage Part Commercial Property Coverage Part Farm Coverage Part if the named insured is a natural person. With respect to such insurance the following is added to the Cancellation Common Policy Condition and supersedes any provisions to the contrary except as applicable as described in Paragraph E. 1. When this policy has been in effect for 60 days or less and is not a renewal with us we may cancel for any reason by notifying the first Named Insured at least 10 days before the date cancellation takes effect. 2. When this policy has been in effect for more than 60 days or at any time if it is a renewal with us we may cancel for one or more of the following reasons a. Nonpayment of premium whether payable to us or to our agent b. Upon discovery of fraud concealment of a material fact or material misrepresentation made by or with the knowledge of any person insured under this policy in obtaining this policy continuing this policy or presenting a claim under this policy c. Upon the occurrence of a change in the risk which substantially increases any hazard insured against or d. Upon the violation of any of the material terms or conditions of this policy by any person insured under this policy. We may cancel by providing notice to the first Named Insured at least 1 10 days before the effective date of cancellation if we cancel for nonpayment of premium or 2 45 days before the effective date of cancellation if we cancel for any of the reasons listed in b. c. or d. above. E. With respect to a policy that is written to permit an audit the following is added to the Cancellation Common Policy Condition If you fail to submit to or allow an audit for the current or most recently expired term we may cancel this policy subject to the following 1. We will make two documented efforts to send you and your agent notification of potential cancellation. After the second notice has been sent we have the right to cancel this policy by mailing or delivering a written notice of cancellation to the first Named Insured at least 10 days before the effective date of cancellation but not within 20 days of the first documented effort. 2. If we cancel this policy based on your failure to submit to or allow an audit we will send the written notice of cancellation to the first Named Insured at the last known mailing address by certified mail or statutory overnight delivery with return receipt requested. Page 2 of 2 Insurance Services Office Inc. 2014 IL 02620215
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IL 02 65 07 02 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. HAWAII CHANGES CANCELLATION AND NONRENEWAL COMMERCIAL GENERAL LIABILITY COVERAGE PART This endorsement modifies insurance provided under the following EMPLOYMENT RELATED PRACTICES LIABILITY COVERAGE PART FARM FARM LIABILITY COVERAGE FORM LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART. Paragraph 2. of the Cancellation Common Policy Condition is replaced by the following We may cancel this policy prior to the expiration of the agreed term or one year from the effective date of the policy or renewal whichever is less only for one or more of the following reasons by delivering to the first Named Insured written no tice of cancellation at least 30 days before the ef fective date of cancellation 1. Nonpayment of premium 2. Fraud or material misrepresentation 3. Substantial increase in the risk hazard except to the extent that we should have reasonably foreseen the change when entering into the contract 4. Substantial breaches of contractual duties conditions or warranties 5. Violation of any local fire health or safety stat ute or ordinance 6. Conviction of the Named Insured for a crime having as one of its necessary elements an act increasing any hazard that is insured against 7. Determination by the insurance commissioner that the continuation of the policy places us in violation of Chapter 431 Hawaii Revised Statutes or 8. Any good faith reason with the approval of the insurance commissioner. B. The following is added and supersedes any provi sion to the contrary NONRENEWAL OF POLICY 1. If we decide not to renew this policy we will mail or deliver to the first Named Insured writ ten notice of nonrenewal stating the reasons for nonrenewal at least 45 days prior to the ex piration of this policy. 2. Any notice of nonrenewal will be mailed or de livered 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. 1SO Properties Inc. 2001 Page 1 of 1 IL 02 65 07 02
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IL 01490112 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. HAWAII CHANGES CIVIL UNION This endorsement modifies insurance provided under the following COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL LIABILITY UMBRELLA COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART FARM COVERAGE PART FARM UMBRELLA LIABILITY POLICY LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCT WITHDRAWAL COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART PROFESSIONAL LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY A. The term spouse is replaced by the following Spouse or partner to a civil union recognized under Hawaii law.. Under the Commercial Auto Coverage Part the term family member is replaced by the following and supersedes any other provisions to the contrary Family member means a person 1. Who is a resident of the Individual Named Insured s household and is either a. Related to such Named Insured by blood adoption marriage or civil union recognized under Hawaii law. This includes a ward or foster child or b. Registered with the Director of Health as a reciprocal beneficiary or 2. Related to the individual named in the Schedule by blood adoption marriage or civil union recognized under Hawaii law who is a resident of the individual s household including a ward or foster child if the Drive Other Car Coverage Broadened Coverage For Named Individuals endorsement is attached or 3. Related to you by blood adoption marriage or civil union recognized under Hawaii law who is a resident of your household including a ward or foster child if the Individual Named Insured endorsement is attached.. With respect to coverage for the ownership maintenance or use of covered autos provided under the Commercial Liability Umbrella Coverage Part the term family member is replaced by the following Family member means a person related to you by blood adoption marriage or civil union recognized under Hawaii law who is a resident of your household including a ward or foster child. Insurance Services Office Inc. 2011 Page 1 of 1 IL 01490112
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IL 02 04 09 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. IDAHO CHANGES CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following CAPITAL ASSETS PROGRAM OUTPUT POLICY COVERAGE PART COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EMPLOYMENT RELATED PRACTICES LIABILITY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART. Paragraphs 1. and 2. of the Cancellation Com mon Policy Condition are replaced by the following 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 cancellation. Cancellation will be effective on the later of the date requested by the first Named Insured or the date we receive the request. 2. Policies In Effect a. 60 Days Or Less If this policy has been in effect for 60 days or less we may cancel this policy by mail ing or delivering to the first Named Insured written notice of cancellation at least 1 10 days before the effective date of can cellation if we cancel for nonpayment of premium. If delivered via United States mail the 10 day notification period be gins to run five days following the date of postmark or 30 days before the effective date of can cellation if we cancel for any other reason. b. More Than 60 Days If this policy has been in effect for more than 60 days or is a renewal of a policy we issued we may cancel this policy only for one or more of the following reasons 1 Nonpayment of premium 2 Fraud or material misrepresentation made by you or with your knowledge in obtaining the policy continuing the policy or in presenting a claim under the policy Acts or omissions on your part which in crease any hazard insured against Change in the risk which materially in creases the risk of loss after the policy has been issued or renewed including but not limited to an increase in expos ure due to regulation legislation or court decision Loss of or decrease in reinsurance which provided us with coverage for all or part of the risk insured 3 4 5 1SO Properties Inc. 2007 Page 1 of 2 IL 02 04 09 08
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6 A determination by the Director of Insur ance that continuation of this policy would jeopardize our solvency or place us in violation of the insurance laws of Idaho or any other state or 7 Violation or breach by the insured of any policy terms or conditions other than nonpayment of premium. We will mail or deliver written notice of cancel lation to the first Named Insured at least a 10 days before the effective date of cancellation if we cancel for nonpay ment of premium. If delivered via United States mail the 10 day noti fication period begins to run five days following the date of postmark or b 30 days before the effective date of cancellation if we cancel for any oth er reason stated in 2.b. above. B. The following Condition is added and supersedes any provision to the contrary NONRENEWAL 1. If we elect not to renew this policy we will mail or deliver to the first Named Insured a written notice of intention not to renew at least 45 days prior to the expiration or anniversary date of the policy. 2. We will mail or deliver our notice to the first Named Insured s last mailing address known to us. 3. If notice is not mailed or delivered at least 45 days before the expiration or anniversary date of this policy this policy will remain in effect un til 45 days after notice is mailed or delivered. Earned premium for the extended period of coverage will be calculated pro rata at the rates applicable to the expiring policy. 4. We need not mail or deliver this notice if a. We have offered to renew this policy b. You have obtained replacement coverage or c. You have agreed in writing to obtain re placement coverage. 5. If notice is mailed proof of mailing will be suffi cient proof of notice. C. The following Condition is added PREMIUM OR COVERAGE CHANGES AT RE NEWAL 1. If we elect to renew this policy we will mail or deliver written notice of any total premium in crease greater than ten percent 10 which is the result of a comparable increase in premi um rates change in deductible reduction in limits or reduction in coverage to the first Named Insured at the last mailing address known to us. 2. Any such notice will be mailed or delivered to the first Named Insured at least 30 days be fore the expiration or anniversary date of the policy. 3. If notice is not mailed or delivered at least 30 days before the expiration or anniversary date of the policy the premium deductible limits and coverage in effect prior to the changes will remain in effect until the earlier of the following a. 30 days after notice is given or b. The effective date of replacement coverage obtained by the first Named Insured. 4. If the first Named Insured accepts the renewal the premium increase if any and other changes will be effective on and after the first day of the renewal term. 5. If the first Named Insured elects not to renew any earned premium for the resulting extended period of coverage will be calculated pro rata at the lower of the new rates or rates applic able to the expiring policy. 6. If notice is mailed proof of mailing will be suffi cient proof of notice. Page 2 of 2 1SO Properties Inc. 2007 IL 02 04 09 08
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COMMERCIAL GENERAL LIABILITY CG 02000118 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ILLINOIS CHANGES CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART PRODUCT WITHDRAWAL COVERAGE PART A. Cancellation Common Policy Conditions is c. Any insure replaced by the following and conditi Cancellation d. The risk 1. The first Named Insured shown in the measurabl Declarations may cancel this Policy by mailing e. Certificatio to us advance written notice of cancellation. the loss of 2. We may cancel this Policy by mailing to you provwded at your last mailing address known to us bSaa written notice stating the reason for insured or cancellation. Proof of mailing will be sufficient f. A determr proof of notice. If we cancel Insurance a. For nonpayment of premium we will mail Policy cou insurance the notice at least 10 days prior to the effective date of cancellation. 4. Notification of b. For a reason other than nonpayment of Kfr broker premium we will mail the notice at least nown. 1 30 days prior to the effective date of cancellation if the Policy has been in effect for 60 days or less. 2 60 days prior to the effective date cancellation if the Policy has been in effect for more than 60 days. 5. Notice of can date of cancel on that date. of 6. If this Policy i Named Insure we cancel th first Named 3. If this Policy has been in effect for more than be less than 60 days we may cancel only for one or more effective even of the following reasons a. Nonpayment of premium b. The Policy was obtained through a material misrepresentation c. Any insured has violated any of the terms and conditions of the Policy d. The risk originally accepted has measurably increased e. Certification to the Director of Insurance of the loss of reinsurance by the insurer that provided coverage to us for all or a substantial part of the underlying risk insured or f. A determination by the Director of Insurance that the continuation of the Policy could place us in violation of the insurance laws of this State.. Notification of cancellation will also be sent to your broker if known or agent of record if known.. Notice of cancellation will state the effective date of cancellation. The policy period will end on that date.. 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 will be less than pro rata. The cancellation will be effective even if we have not offered a refund. CG 02000118 Insurance Services Office Inc. 2017 Page 1 of 2
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B. The following is added and supersedes any provision to the contrary Nonrenewal If we decide not to renew or continue this Policy we will mail you written notice stating the reason for nonrenewal at least 60 days before the end of the policy period. Proof of mailing will be sufficient proof of notice. Notification of nonrenewal will also be sent to your broker if known or agent of record if known. If we offer to renew or continue and you do not accept this Policy will terminate at the end of the current policy period. Failure to pay the required renewal or continuation premium when due shall mean that you have not accepted our offer. If we fail to mail proper written notice of nonrenewal and you obtain other insurance this Policy will end on the effective date of that insurance. Page 2 of 2 Insurance Services Office Inc. 2017 CG 02000118
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IL 014709 11 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ILLINOIS CHANGES CIVIL UNION This endorsement modifies insurance provided under the following COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL LIABILITY UMBRELLA COVERAGE PART FARM COVERAGE PART FARM UMBRELLA LIABILITY POLICY LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCT WITHDRAWAL COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY A. The term spouse is replaced by the following C. With respect to coverage for the ownership. maintenance or use of covered autos provided ax party 1o a civil union recognized under under the Commercial Liability Umbrella Coverage Part the term family member is B. Under the Commercial Auto Coverage Part the replaced by the following term family member is replaced by the following Family member means a person related o you Family member means a person related to the by blood adoption marriage or civil union 1. Individual Named Insured by blood adoption recognized under lllinois law who is a resident of marriage or civil union recognized under your household including a ward or foster child. lllinois law who is a resident of such Named Insured s household including a ward or foster child or 2. Individual named in the Schedule by blood adoption marriage or civil union recognized under lllinois law who is a resident of the individual s household including a ward or foster child if the Drive Other Car Coverage Broadened Coverage For Named Individual Endorsement is attached. Insurance Services Office Inc. 2011 Page 1 of 1 IL 014709 11
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IL01621013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ILLINOIS CHANGES DEFENSE COSTS COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART This endorsement modifies insurance provided under the following COMMERCIAL LIABILITY UMBRELLA COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART LEGAL LIABILITY COVERAGE FORM COMMERCIAL PROPERTY COVERAGE PART MORTGAGEHOLDERS ERRORS AND OMISSIONS COVERAGE FORM EMPLOYMENT RELATED PRACTICES LIABILITY COVERAGE PART FARM COVERAGE PART FARM UMBRELLA LIABILITY POLICY LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCT WITHDRAWAL COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK COVERAGE PART A. The provisions of Paragraph B. are added to all Insuring Agreements that set forth a duty to defend under 1. Section of the Commercial General Liability Commercial Liability Umbrella Employment related Practices Liability Farm Liquor Liability Owners And Contractors Protective Liability Pollution Liability Products Completed Operations Liability Product Withdrawal Medical Professional Liability Railroad Protective Liability Underground Storage Tank Coverage Parts Auto Dealers Coverage Form and the Farm Umbrella Liability Policy 2. Section Il under the Auto Dealers Business Auto and Motor Carrier Coverage Forms 3. Section Il under the Auto Dealers and Motor Carrier Coverage Forms 4. Section A. Coverage under the Legal Liability Coverage Form and 5. Coverage C Mortgageholder s Liability under the Mortgageholders Errors And Omissions Coverage Form. Paragraph B. also applies to any other provision in the policy that sets forth a duty to defend.. If we initially defend an insured insured or pay for an insured s insured s defense but later determine that the claims is are not covered under this insurance we will have the right to reimbursement for the defense costs we have incurred. The right to reimbursement for the defense costs under this provision will only apply to defense costs we have incurred after we notify you in writing that there may not be coverage and that we are reserving our rights to terminate the defense and seek reimbursement for defense costs. Insurance Services Office Inc. 2013 Page 1 of 1 IL01621013
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IL 01 58 09 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. INDIANA CHANGES This endorsement modifies insurance provided under the following COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL PROPERTY LEGAL LIABILITY COVERAGE FORM COMMERCIAL PROPERTY MORTGAGEHOLDERS ERRORS AND OMISSIONS COVERAGE FORM EMPLOYMENT RELATED PRACTICES LIABILITY COVERAGE PART FARM LIABILITY COVERAGE FORM LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY Under the Mortgageholders Errors And Omis sions Coverage Form the following condition applies only to Coverage C and Coverage D. The following condition is added Notice given by or on behalf of the insured to any of our authorized agents in Indiana with par ticulars sufficient to identify the insured shall be considered to be notice to us. 1SO Properties Inc. 2007 Page 1 of 1 IL 01 58 09 08
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IL 027209 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. INDIANA CHANGES CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following CAPITAL ASSETS PROGRAM OUTPUT POLICY COVERAGE PART COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL LIABILITY UMBRELLA COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EMPLOYMENT RELATED PRACTICES LIABILITY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART FARM UMBRELLA LIABILITY POLICY LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART A. Paragraph 2. of the Cancellation Common Policy b. More Than 90 Days Condition is replaced by the following If this policy has been in effect for more 2. Cancellation Of Policies In Effect than 90 days or is a renewal of a policy we issued we may cancel this policy only a. 90 Days Or Less for one or more of the reasons listed If this policy has been in effect for 90 days or below by mailing or delivering to the first less we may cancel this policy by mailing or Named Insured written notice of delivering to the first Named Insured written cancellation at least notice of cancellation at least 1 10 days before the effective date of 1 10 days before the effective date of cancellation if we cancel for cancellation if we cancel for nonpayment nonpayment of premium of premium. 2 20 days before the effective date of 2 20 days before the effective date of cancellation if you have perpetrated a cancellation if you have perpetrated a fraud or material misrepresentation on fraud or material misrepresentation on us us or or 3 45 days before the effective date of 3 30 days before the effective date of canceliation if cancellation if we cancel for any other reason. a There has been a substantial change in the scale of risk covered by this policy b Reinsurance of the risk associated with this policy has been cancelled or c You have failed to comply with reasonable safety recommendations. 1SO Properties Inc. 2006 Page 1 of 2 IL 027209 07
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B. The following is added to the Common Policy Conditions and supersedes any provision to the contrary. NONRENEWAL 1. If we elect not to renew this policy we will mail or deliver to the first Named Insured written notice of nonrenewal at least 45 days before a. The expiration date of this policy if the policy is written for a term of one year or less or b. The anniversary date of this policy if the policy is written for a term of more than one year. 2. We will mail or deliver our notice 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. Page 2 of 2 1SO Properties Inc. 2006 IL 027209 07
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COMMERCIAL GENERAL LIABILITY CG 01230397 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. INDIANA CHANGES POLLUTION EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to Subparagraph f. Pollution of Paragraph 2. Exclusions of Bodily Injury And Prop erty Damage Lial Coverage Section Coverages and to Paragraph 2. Exclusions of Personal And Advertising Injury Liability Coverage Section Coverages or to any amendment to or replacement thereof This Pollution Exclusion applies whether or not such irritant or contaminant has any function in your business operations premises site or location. CG 01230397 Copyright Insurance Services Office Inc. 1996 Page 1 of 1
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