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GA4721L09 18 b. By way of an edition of an I1SO addi tional insured endorsement that in cludes arising out of your ongoing operations or arising out of your work then the phrase caused. in whole or in part by in Paragraph A.1.a. andor Para graph A.1.b. above whichever applies is replaced by the phrase arising out of. 3...	2
2. You have agreed in writing in a contract agreement. permit or authorization de scribed in Paragraph A. or B. that this in surance would be primary to any other in surance available to the additional in sured. As used in this endorsement wrap up insur ance means any insurance provided by a con solidated wrap up insur...	2
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BODILY INJURY EXCEPTIONS TO POLLUTANT EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART For purposes of insurance provided by this endorsement 1. Sudden and Accidental Exception Exclusion f....	2
rectly or indirectly on any Named In sured s behalf. Gaseous or airborne pollutants does not include asbestos or lead. Release means actual discharge dis persal seepage migration release es cape or emission. Sudden means abrupt immediate and brief as well as unexpected and without prior notice. Sudden has a temporal el...	2
THE CINCINNATI INSURANCE COMPANY CLAIMS MADE EMPLOYMENT PRACTICES LIABILITY COVERAGE FORM DECLARATIONS Attached to POLICY NUMBER EPP 060 55 64 Effective Date 03 01 2021 Named Insured is the same as it appears in the Common Policy Declarations unless another entry is made here LIMITS OF INSURANCE PER WRONGFUL ACT LIMIT ...	2
EMPLOYMENT PRACTICES LIABILITY COVERAGE FORM TABLE OF CONTENTS Begins on Page Preamble SECTION EMPLOYMENT PRACTICES LIABILITY COVERAGE. A. Insuring Agreement.......... B. Exclusions............... C. Supplementary Payments SECTION II WHO IS AN INSURED. SECTION IIl LIMITS OF INSURANCE AND INSURED S DEDUCTIBLE........ SE...	2
NOTICE THIS INSURANCE COVERAGE CONTAINS CLAIMS MADE COVERAGE. EXCEPT AS MAY BE OTHERWISE PROVIDED HEREIN THIS INSURANCE IS LIMITED TO WRONGFUL ACTS FOR WHICH CLAIMS ARE FIRST MADE AGAINST THE INSURED DURING THE POLICY PERIOD. PLEASE READ AND REVIEW THIS INSURANCE CAREFULLY AND DIS CUSS THE COVERAGE WITH YOUR AGENT. THE...	2
2 Any direction or request to test for. monitor clean up. remove contain treat. detoxify. or neu tralize pollutants. including but not limited to claims alleging damage to an insured provided. however. this exclusion shall not apply to any claim under this Coverage Form for retaliatory treatment of a person with respec...	2
up to a maximum payment of 100000 in defense costs that exceed the Deductible Amount as set forth in the Declarations. Any payment of defense costs shall be part of and not in addi tion to the Limit of Insurance set forth in the Declarations and such payment reduces the Limit of Insurance or 3 National Labor Relations ...	2
ship. joint venture or limited liability company that is not shown as a Named Insured in the Declarations. SECTION Il LIMITS OF INSURANCE AND IN SURED S DEDUCTIBLE A. The Limits of Insurance shown in the Declara tions and the rules below fix the most we will pay regardless of the number of 1. Insureds under this Covera...	2
preceding period for purposes of determining the Limits of Insurance. SECTION IV CONDITIONS A. Duties of the Insureds in the Event of a Claim As a condition precedent to coverage under this Coverage Form 1. The insureds shall give us written notice as soon as practicable of any claim made against an insured for a wrong...	2
tween us and the insured as to the proper allocation of covered and uncovered mat ters under Paragraph 2. of this condition shall be submitted to a nonbinding media tion prior to the commencement of an ac tion between the parties. In any event on ly one mediation as to the same issues shall be required. H. Acquisition ...	2
PRACTICES LIABILITY COVERAGE A. In suring Agreement 2. and Exclusion f. Prior Known Acts. Such claims must be reported to us prior to the expiration of the Extended Reporting Period. D. A 90 day Basic Extended Reporting Period is automatically provided without additional charge. The Basic Extended Reporting Period does...	2
4. Civil or criminal fines or penalties imposed by law. liquidated damages. payroll or other taxes. or damages. penalties or types of relief deemed uninsurable under applicable law or 5. Future compensation. including salary or benefits for an employee who has been or will be hired promoted or rein stated to employment...	2
person for whose acts the insured is legally li able for 1 Wmngful discharge or termination of em ployment including constructive dis charge Breach of any oral written or implied em ployment contract or quasi employment contract except for that part of any ex press contract of employment or an ex press obligation to ma...	2
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ILLINOIS CHANGES EMPLOYMENT PRACTICES LIABILITY COVERAGE FORM This endorsement modifies insurance provided under the following EMPLOYMENT PRACTICES LIABILITY COVERAGE FORM A. SECTION EMPLOYMENT PRACTICES LIABILITY COVERAGE B. Exclusions e. Pollutant is dele...	2
before being applied to premiums due for any extended reporting periods. G. SECTION Vi DEFINITIONS is amended as follows Definition J. Loss is hereby deleted and re placed by the following J. Loss means defense costs and the to tal amount of monetary damages which the insured becomes legally obligated to pay on account...	2
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAR LIABILITY EXCLUSION This endorsement modifies insurance provided under the following EMPLOYMENT PRACTICES LIABILITY COVERAGE PART The following exclusion is added This insurance does not apply to War Any claim or loss however caused. arising. directly o...	2
Commission Schedule Effective Date 03 01 2021 Policy Number EPP 060 55 64 Named Insured CARROLL SEATING COMPANY Premium ALL OTHER 102196 ANNUAL INST AUTO GARAGE 11224 ANNUAL EPLI 825 ANNUAL CYBER RISK 274 ANNUAL COMM UMBRELLA 28128 ANNUAL 2 ANNUAL TAXES AND SURCHARGES EPP 060 55 64 Commission 15 15 15 15 15 0 IA 4991 0...	2
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X THE CINCINNATI INSURANCE COMPANY 0244 10677 THE CINCINNATI CASUALTY COMPANY 0244 28665 THE CINCINNATI INDEMNITY COMPANY 0244 23280 AUTOMOBILE LIABILITY I.D. CARD State Date Processed b2 03 01 2021 Policy No. Effective Date Expiration Date EBA 060 55 64 03 01 2021 03 01 2022 Insured CARROLL SEATING COMPANY 10 LINCOLN ...	2
X THE CINCINNATI INSURANCE COMPANY 024410677 THE CINCINNATI CASUALTY COMPANY 0244 28665 N ngmg czgl e THE CINCINNATI INDEMNITY COMPANY 0244 23280 AUTOMOBILE LIABILITY 1.D. CARD State Date Processed I 03 01 2021 Policy No. Effective Date Expiration Date EBA 060 55 64 03 01 2021 03 01 2022 Insured CARROLL SEATING COMPANY...	2
X THE CINCINNATI INSURANCE COMPANY 0244 10677 THE CINCINNATI CASUALTY COMPANY 0244 28665 THE CINCINNATI INDEMNITY COMPANY 0244 23280 AUTOMOBILE LIABILITY 1.D. CARD State Date Processed Mo 03 01 2021 Policy No. Effective Date Expiration Date EBA 060 55 64 03 01 2021 03 01 2022 insured CARROLL SEATING COMPANY MOTOR VEHIC...	2
X THE CINCINNATI INSURANCE COMPANY 0244 10677 THE CINCINNATI CASUALTY COMPANY 0244 28665 THE CINCINNATI INDEMNITY COMPANY 0244 23280 AUTOMOBILE LIABILITY 1.D. CARD State Date Processed Mo 03 01 2021 Policy No. Effective Date Expiration Date EBA 060 55 64 03 01 2021 03 01 2022 Insured CARROLL SEATING COMPANY MOTOR VEHIC...	2
A CINCINNATI INSURANCE COMPANIES The Cincinnati Insurance Company The Cincinnati Casualty Company The Cincinnati Indemnity Company Policy Number EPP 060 55 64 Effective Date 03 01 2021 Named Insured CARROLL SEATING COMPANY For professional advice and policy questions or changes. please contact your local independent ag...	2
A. The Cincinnati Insurance Company The Cincinnati Indemni C iil CINNATI The Cincinnau Casualty Company s The Cincinnati Specialty Underwriters Insuran The Cincinnati Life Insuran INSURANCE COMPANIES Notice to Policyholders Cincinnati Data Defender Data breach and identity recovery support and resources included with y...	2
The Cincinnati Insurance Company o The Cincinnati Casualty Company o The Cincinnati Indemnity Company COMMERCIAL LINES DEPARTMENT SPECIAL REQUEST Date 03 01 2021 Insured CARROLL SEATING COMPANY Policy Number EPP 060 55 64 EBA 060 55 64 To Agent LOCKTON COMPANIES LLC 24 108 O 1. Coverage has been issued subject to satis...	2
Date 03 01 2021 Insured CARROLL SEATING COMPANY Policy Number EPP 060 55 64 EBA 060 55 64 Dear Agent The captioned policy has been issued with the following additional liability exclusionsconditionss Exterior Insulation and Finish Systems EIFS and Direct Applied Exterior Finish Systems DEFS Liability Exclusion Fungi or...	2
The Cincinnati Insurance Companies Business Insurance CINCINNATI NETWORK DEFENDER Cyber Risk Coverage for Computer Systems Protecting your business Businesses of all sizes depend on computer systems and the proprictary daca stored on them to keep operations running smoothly. A computer attack may disrupt your operation...	2
It also pays for defense and serclement costs duc to claims broughr against you by third parties for alleged damages from your clectronic communications that resule in o defamation o violation of a person s right of privacy o interference with a persou s right of publicity o infringement of copyright or trademark To ro...	2
UNINSURED UNDERINSURED MOTORISTS PROTECTION OPTION SELECTION FORM ILLINOIS The laws of lllinois require that automobile liability insurance policies offer Uninsured Underinsured Motorists Coverage limits equal to the Bodily Injury Limits of the policy to which the coverage attaches. You may. however select coverage at ...	2
KANSAS UNINSURED UNDERINSURED MOTORISTS COVERAGE INSURANCE EXCESS LIMITS REJECTION Acknowledgment of Coverage Rejection acknowledge that have been provided Uninsured Underinsured Motorists Coverage Insurance and. in addition. have been offered the following in accordance with the law of the State of Kansas have been gi...	2
UNINSURED UNDERINSURED MOTORISTS COVERAGE OPTION SELECTION FORM MISSOURI Uninsured Motorists Coverage is offered at limits up to limits equal to the Bodily Injury or Single Limit Liability Limits of your policy. You may purchase Uninsured Motorists Coverage at limits lower than the Bodily Injury or Single Limit Liabili...	2
YOUR ACKNOWLEDGMENT I acknowledge that. s 1. I intend that my selection will apply to me and to all other persons or organizations that may be eligible for coverage under this policy. understand that my selection applies to all subsequent renewals replacements substitutions or amendments of my policy unless request oth...	2
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. MINNESOTA CHANGES COINSURANCE This endorsement modifies insurance provided under the following COMMERCIAL PROPERTY COVERAGE PART The following is added to the Coinsurance Additional Condition At your request the Coinsurance Condition is made a part of Polic...	2
NOTICE TO POLICYHOLDERS DIRECT BILL ACCOUNT CREDIT PROCEDURE This is a notice of how an account credit will be applied to your policy or to all of the policies being billed as single account. Account Credits A. If your account is comprised of a single policy and an endorsement or premium audit results in a credit retur...	2
A CINCINNATI INSURANCE COMPANIES The Cincinnati Insurance Company A Stock Insurance Company Headquarters 6200 S. Gilmore Road. Fairfield OH 45014 5141 Mailing address P.O. Box 145496 Cincinnati OH 45250 5496 www.cinfin.com 513 870 2000 COMMON POLICY DECLARATIONS Billing Method DIRECT BILL POLICY NUMBER EPP 060 55 64 EB...	2
IA4395IL IA481 IP412 FM502 GA532 GA531 MAS559 MAS60 AAS05 USsCs513 HC502 HC503 0417 0108 1292 0708 0708 0708 0510 0607 0306 0510 0118 0118 ILLINOIS CHANGES CIVIL UNION NOTICE CONCERNING POLICYHOLDER RIGHTS IN AN INSOLVENCY UNDER THE MINNESOTA INSURANCE GUARANTY ASSOCIATION LAW IMPORTANT INFORMATION TO POLICYHOLDERS COM...	2
COMMON POLICY CONDITIONS All Coverage Parts included in this policy are subject to the following conditions. A. Cancellation b. Give you reports on the conditions we 1. The first Named Insured shown in the Declarations may cancel this policy by mailing or delivering to us advance written notice of cancellation. 2. We m...	2
MISSOURI NOTICE TO POLICYHOLDERS As it pertains to your commercial policy This policy may include rates and forms which may not be filed with the Missouri Department of Insurance Financial Institutions and Professional Registration pursuant to MO. REV. STAT. 379.321. IA 4500 MO 10 18 Page 10of 1	2
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SCHEDULE OF LOCATIONS LOC. STREETADDRESS CITY STATE ZIP CODE 1 2105 LUNT AVE ELK GROVE VILLAGE IL 60007 5607 2 10 LINCOLN ST KANSAS CITY KS 66103 1906 3 2101 LUNT AVE ELK GROVE VILLAGE IL 60007 5607 4 112 WELDON PKWY MARYLAND HEIGHTS MO 63043 3102 5 285 18T...	2
POLICYHOLDER NOTICE TERRORISM INSURANCE COVERAGE 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. Your policy may ...	2
NOTICE OF PRIVACY PRACTICES For additional information on our privacy policies. including state specific information. please visit httpswww.cinfin.comprivacypolicy. IA 4521 03 20 Page 1of 1	2
IMPORTANT INFORMATION TO POLICYHOLDERS ILLINOIS In the event you need to contact someone about this policy for any reason please contact your agent. If you have additional questions you may contact the insurance company issuing this policy at the following ad dress or telephone collect The Cincinnati Insurance Company ...	2
THE CINCINNATI INSURANCE COMPANY THE CINCINNATI CASUALTY COMPANY THE CINCINNATI INDEMNITY COMPANY NOTICE TO POLICYHOLDERS Please be advised that in your application for insurance you disclosed information to The Cincinnati Insurance Company The Cincinnati Casualty Company and The Cincinnati Indemnity Company. The infor...	2
B. Definition For the purpose of this endorsement only any definition of occurrence is deleted in its entirety and the following definition is added to 1. COMMERCIAL PROPERTY CONDITIONS 2. COMMERCIAL INLAND MARINE CONDITIONS 3. COMMERCIAL CRIME COVERAGE FORM 4. CRIME EXPANDED COVERAGE XC COVERAGE FORM and. v 5. GOVERNM...	2
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ILLINOIS CHANGES CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following COMMERCIAL PROPERTY COVERAGE PART FARM COVERAGE PART A. The Cancellation Common Policy Condition is deleted in its entirety and replaced by the fol...	2
10. secured against unauthorized entry. c. The building has I 1 An outstanding order to vacate 2 An outstanding demolition order or 3 Been declared unsafe in accord ance with the law. d. Heat water sewer service or public lighting have not been connected to the building for 30 consecutive days or more. The policy will ...	2
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. KANSAS CHANGES CONCEALMENT MISREPRESENTATION OR FRAUD This endorsement modifies insurance provided under the following MACHINERY AND EQUIPMENT COVERAGE PART COMMERCIAL CRIME AND FIDELITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL PROPER...	2
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ILLINOIS CHANGES CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following CHEMICAL DRIFT LIMITED LIABILITY COVERAGE FORM CLAIMS MADE CINCINNATI CYBER DEFENSE COVERAGE PART CINCINNATI DATA DEFENDER COVERAGE PART CINCINNATI...	2
4. Notification of cancellation will also be sent to your broker if known or agent of record. if known. 5. Notice of cancellation will state the effec tive date of cancellation. The policy period will end on that date. 6. If this policy is cancelled we will send the first Named iInsured any premium refund due. If we or...	2
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. MISSOURI CHANGES CAUSES OF LOSS FORM FARM PROPERTY COMMERCIAL PROPERTY COVERAGE PART This endorsement modifies insurance provided under the following FARM PROPERTY OTHER FARM PROVISIONS FORM ADDITIONAL COVERAGES CONDITIONS DEFINITIONS LIVESTOCK COVERAGE FOR...	2
IA 4215M0 02 14 Each party will 1. Pay its chosen appraiser and 2. Bear the other expenses of the appraisal and umpire equally. If there is an appraisal we will still retain our right to deny the claim. The Appraisal Condition in 1. Business Income and Extra Expense Coverage Form FA 213 and 2. Business Income Without E...	2
IA 4215 MO 02 14 age Form or policy to which a Causes of Loss Form is not attached 1. We will not pay for loss or damage arising out of any act committed a. By or at the direction of any insured and b. With the intent to cause a loss. 2. However this exclusion will not apply to deny coverage to an innocent co insured w...	2
date the claim unless such failure operates to prejudice our rights. The Transfer of Your Rights and Duties Under This Policy Common Policy Condition is replaced by the following 1. Transfer By Beneficiary Deed If you convey real property insured under this policy to a person known as a grantee beneficiary designated u...	2
NOTICE TO POLICY HOLDERS FUNGI OR BACTERIA EXCLUSION ENDORSEMENTS RESTRICTIONS OF COVERAGE This is a summary of the new fungi or bacteria liability exclusion endorsements. NO COVERAGE IS PRO VIDED BY THIS SUMMARY. Nor can it be construed to replace any provision of your policy. YOU SHOULD READ YOUR POLICY AND REVIEW YO...	2
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM This endorsement modifies insurance provided under the following All Commercial Lines Coverage Parts Coverage Forms Policies and Endorsements subject to the federal Terrorism Risk Insurance Act and any amendmen...	2
SIGNATURE ENDORSEMENT IN WITNESS WHEREOF this policy has been signed by our President and Secretary in the City of Fairfield Ohio but this policy shall not be binding upon us unless countersigned by an authorized representative of ours. The failure to countersign does not void coverage in Arizona. Virginia and Wisconsi...	2
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ILLINOIS CHANGES This endorsement modifies insurance provided under the following C. COMMERCIAL PROPERTY COVERAGE PART FARM COVERAGE PART STANDARD PROPERTY POLICY When this endorsement is attached to Stand ard Property Policy CP 00 99 the terms Cov erage Pa...	2
accordance with the terms of the Cancellation Condition. D. For the Commercial Property Coverage.Part and the Standard Property Palicy. the following exclusion and related provisions are added to Paragraph B.2. Exclusions. in the Causes of Loss Forms and to any Coverage Form or pol icy to which a Causes of Loss Form is...	2
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ILLINOIS CHANGES CIVIL UNION This endorsement modifies insurance provided under the following CHEMICAL DRIFT LIMITED LIABILITY COVERAGE FORM COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COM...	2
NOTICE CONCERNING POLICYHOLDER RIGHTS IN AN INSOLVENCY UNDER THE MINNESOTA INSURANCE GUARANTY ASSOCIATION LAW Residents of Minnesota who purchase property and casualty or liability insurance from insurance companies licensed to do business in Minnesota are protected SUBJECT TO LIMITS AND EXCLUSIONS in the event the ins...	2
IMPORTANT INFORMATION TO POLICYHOLDERS In the event you need to contact someone about this policy for any reason please contact your agent. If you have additional questions you may contact the insurance company issuing this policy at the following ad dress or telephone collect The Cincinnati Insurance Company P.O. Box ...	2
A EMCInsurance Companies EMCASCO INSURANCE COMPANY PRIOR POLICY 4D6 49 78 GENERAL LIABILITY DECLARATIONS POLICY PERIOD FROM 010114 TO 010115 POLICY NUMBER 4D6 49 7 8 15 NAMED INSURED PRODUCER FALEWITCH CONSTRUCTION LOCKTON COMPANIES LLC SERVICES INC. 1015 N 98TH ST STE 101 8720 S 114TH ST STE 90 OMAHA NE 68114 2357 LAV...	2
AV EMC Insurance Companies PAGE 2 EMCASCO INSURANCE COMPANY POLICY NUMBER 4D6 49 78 FALEWITCH CONSTR EFF DATE 010114 EXP DATE 010115 FORMS APPLICABLE CG00011207 CG03000196 G20370704 CG21671204 G22800798 CG70031008 CG71740108 CG7276 1008 CG75551104 CG8081 0406 IL.0274 0908 IL7131A0401 IL8383.50108 Footnotes G20101001 C ...	2
AF EMCInsurance Companies EMCASCO INSURANCE COMPANY INSTALLMENT PREMIUM PAYMENT SCHEDULE oo POLICY NUMBER POLICY PERIOD 01012014 TO 01012015 4D6 49 7 8 15 e NAMED INSURED PRODUCER FALEWITCH CONSTRUCTION. LOCKTON COMPANIES LLC SERVICES INC... 1015 N 98TH ST STE 101 8720 S 114TH ST STE 90.. OMAHA NE. LAVISTA NE.. 68114 2...	2
AV EMC Insurance Companies CG0001 CG0068 CG01l09 CG0134 CG0300 CG0437 CG2010 CG2028 CG2037 CG2147 CG2150 CG2154 CG2167 CG2170 CG2176 CG2274 CG2280 CG2417 DATE OF ISSUE EMCASCO INSURANCE COMPANY DATE 07 04 07 04 07 04 12 07 09 89 01 96 12 04 01 08 01 08 10 01 07 98 10 01 010614 FALEWITCH CONSTRUCTION EFF DATE 010114 EXP...	2
A EMC Insurance Companies PAGE NO 2 EMCASCO INSURANCE COMPANY POLICY NUMBER 4D6 49 78 15 FALEWITCH CONSTRUCTION EFF DATE 010114 EXP DATE 010115 GENERAL POLICY LIABILITY DECLARATIONS ENDORSEMENT SCHEDULE EDITION FORM DATE DESCRIPTION ADDITIONAL INFORMATION PREMIUM ANY AND ALL RAILROADS ANY AND ALL RAILROADS PINNACLE BAN...	2
A EMC Insurance Companies PAGE NO 3 EMCASCO INSURANCE COMPANY POLICY NUMBER 4D6 49 78 15 FALEWITCH CONSTRUCTION EFF DATE 010114 EXP DATE 010115 GENERAL POLICY ENDORSEMENT SCHEDULE EDITION FORM DATE DESCRIPTION ADDITIONAL INFORMATION PREMIUM OMAHA NE 68105 NUMBER OF DAYS ADVANCE NOTICE 30 NAME M. A. MORTENSON COMPANY AN...	2
AV EMC Insurance Companies EMCASCO INSURANCE COMPANY POLICY NUMBER 4D6 49 78 15 FALEWITCH CONSTRUCTION EFF DATE 010114 EXP DATE 010115 TERROCRISM NOTTICE This insurance may include coverage for certified acts of terrorism as defined in the Terrorism Risk Insurance Act as amended. Attached you will find a disclosure whi...	2
A EMC Insurance Companies EMCASCO INSURANCE COMPANY POLICY NUMBER 4D6 49 78 15 FALEWITCH CONSTRUCTION EFF DATE 010114 EXP DATE 010115 This disclosure is attached to your policy in response to the disclosure requirements of the Terrorism Risk Insurance Act. This disclosure does not grant any coverage or change the terms...	2
A EMC Insurance Companies Page 2 EMCASCO INSURANCE COMPANY POLICY NUMBER 4D6 49 78 15 FALEWITCH CONSTRUCTION EFF DATE 010114 EXP DATE 010115 This disclosure is attached to your policy in response to the disclosure requirements of the Terrorism Risk Insurance Act. This disclosure does not grant any coverage or change th...	2
AFEMC Insurance Companies EMCASCO INSURANCE COMPANY NAMED INSURED ENDORSEMENT POLICY PERIOD FROM 010114 TO 010115 POLICY NUMBER 4D6 49 7 8 15 NAMED INSURED PRODUCER FALEWITCH CONSTRUCTION LOCKTON COMPANIES LLC SERVICES INC. 1015 N 98TH ST STE 101 8720 S 114TH ST STE 90 OMAHA NE 68114 2357 LAVISTA NE 68128 5585 AGENT BB...	2
A EMC Insurance Companies EMCASCO INSURANCE COMPANY POLICY NO 4D6 49 78 15 FALEWITCH CONSTR EFF DATE 010114 EXP DATE 010115 GENERAL LIABILITY SCHEDULE PRODUCTS COMPL OPS ALL OTHER RATE ADVANCE PREM RATE ADVANCE PREM LOCATION 001 44444 AMENDMENT OF CONTRACTUAL LIABILITY EXCLUSION FOR PERSONAL INJURY ETC. SEE CG2274 PREM...	2
A EMC Insurance Companies PAGE 2 EMCASCO INSURANCE COMPANY POLICY NO 4D6 49 78 15 FALEWITCH CONSTR EFF DATE 010114 EXP DATE 010115 GENERAL LIABILITY SCHEDULE CONTINUED PRODUCTS COMPL OPS ALL OTHER CODE NO.EXPOSURE CLASSIFICATION RATE ADVANCE PREM RATE ADVANCE PREM 87604 CARPENTRY NOC 3 PREMIUM BASIS THOUSANDS OF PAYROL...	2
A EMC Insurance Companies PAGE 3 EMCASCO INSURANCE COMPANY POLICY NO 4D6 49 78 15 FALEWITCH CONSTR EFF DATE 010114 EXP DATE 010115 LITY SCHEDULE NUED PRODUCTS COMPL OPS ALL OTHER CODE NO.EXPOSURE CLASSIFICATION RATE ADVANCE PREM RATE ADVANCE PREM 87628 PLASTERING OR STUCCO WORK 3 PREMIUM BASIS THOUSANDS OF PAYROLL EXPO...	2
A EMC Insurance Companies PAGE 4 EMCASCO INSURANCE COMPANY POLICY NO 4D6 49 78 15 FALEWITCH CONSTR EFF DATE 010114 EXP DATE 010115 LITY SCHEDULE NUED PRODUCTS COMPL OPS ALL OTHER CODE NO.EXPOSURE CLASSIFICATION RATE ADVANCE PREM RATE ADVANCE PREM 87748 AMENDMENT AGGREGATE LIMITS OF INSURANCE PER PROJECT SEE FORM CG7429...	2
EMC Insurance Companies PAGE 5 EMCASCO INSURANCE COMPANY POLICY NO 4D6 49 78 15 FALEWITCH CONSTR EFF DATE 010114 EXP DATE 010115 GENERAL LIABILITY SCHEDULE CONTINUED PRODUCTS COMPL OPS ALL OTHER RATE ADVANCE PREM RATE ADVANCE PREM CODE NO.EXPOSURE CLASSIFICATION 87830 CONTRACTORS OCCURRENCE DEFINITION PREMIUM BASIS FLA...	2
AV EMC Insurance Companies PAGE 6 EMCASCO INSURANCE COMPANY POLICY NO 4D6 49 78 15 FALEWITCH CONSTR EFF DATE 010114 EXP DATE 010115 TY SCHEDULE ED PRODUCTS COMPL OPS ALL OTHER CODE NO.EXPOSURE CLASSIFICATION RATE ADVANCE PREM RATE ADVANCE PREM 87625 PAINTING EXTERIOR 3 6 PREMIUM BASIS THOUSANDS OF PAYROLL EXPOSURE IF A...	2
A EMC Insurance Companies PAGE 7 EMCASCO INSURANCE COMPANY POLICY NO 4D6 49 78 15 FALEWITCH CONSTR EFF DATE 010114 EXP DATE 010115 PRODUCTS COMPL OPS ALL OTHER CODE NO.EXPOSURE CLASSIFICATION RATE ADVANCE PREM RATE ADVANCE PREM 87625 PAINTING EXTERIOR 3 6 PREMIUM BASIS THOUSANDS OF PAYROLL 1 1 12.865 260 1 1 EXPOSURE 2...	2
A EMC Insurance Companies PAGE 8 EMCASCO INSURANCE COMPANY POLICY NO 4D6 49 78 15 FALEWITCH CONSTR EFF DATE 010114 EXP DATE 010115 GENERAL LIABILITY SCHEDULE CONTINUED PRODUCTS COMPL OPS ALL OTHER CODE NO.EXPOSURE CLASSIFICATION RATE ADVANCE PREM RATE ADVANCE PREM LOCATION 005 87604 CARPENTRY NOC 3 PREMIUM BASIS THOUSA...	2
A EMC Insurance Companies PAGE k EMCASCO INSURANCE COMPANY POLICY NO 4D6 49 78 15 FALEWITCH CONSTR EFF DATE 010114 EXP DATE 010115 PRODUCTS COMPL OPS ALL OTHER CODE NO.EXPOSURE CLASSIFICATION RATE ADVANCE PREM RATE ADVANCE PREM 91590 PREMIUM BASIS THOUSANDS OF PAYROLL EXPOSURE IF ANY SUBLINE 334 250 DEDUCTIBLE APPLIES ...	2
A EMC Insurance Companies PAGE 10 EMCASCO INSURANCE COMPANY POLICY NO 4D6 49 78 15 FALEWITCH CONSTR EFF DATE 010114 EXP DATE 010115 GENERAL LIABILITY SCHEDULE CONTINUED ALL OTHER LOCATIONS 221 SUN VALLEY BLVD. SUITE G LINCOLN NE 68528 DATE OF ISSUE 010614 BPP FORM CG7001A ED.10 12 BPP 101513 007 Jo 4D64978 1501 ALL OTH...	2
POLICY NUMBER POLICY NUMBER COMMERCIAL GENERAL LIABILITY CG 20101001 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PAR...	2
POLICY NUMBER POLICY NUMBER COMMERCIAL GENERAL LIABILITY CG 20371001 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE N...	2
COMMERCIAL GENERAL LIABILITY QUICK REFERENCE COMMERCIAL GENERAL LIABILITY COVERAGE FORM OCCURRENCE COVERAGE READ YOUR POLICY CAREFULLY DECLARATIONS PAGES Named Insured And Mailing Address Policy Period Description Of Business And Location Coverages And Limits Of Insurance SECTION COVERAGES Coverage A Insuring Agreement...	2
COMMERCIAL GENERAL LIABILITY CG 00011207 COMMERCIAL GENERAL LIABILITY COVERAGE FORM Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights duties and what is and is not covered. Throughout this policy the words you and your refer to the Named Insured shown in the Decla...	0
e. Damages because of bodily injury include damages claimed by any person or organiza tion for care loss of services or death resulting at any time from the bodily injury. 2. Exclusions This insurance does not apply to a. Expected Or Intended Injury Bodily injury or property damage expected or intended from the standpo...	1
d Ator from any premises site or location on which any insured or any contractors or subcontractors working directly or in directly on any insured s behalf are per forming operations if the poliutants are brought on or to the premises site or lo cation in connection with such opera tions by such insured contractor or s...	1
2 Any loss cost or expense arising out of any a Request demand order or statutory or regulatory requirement that any insured or others test for monitor clean up re move contain treat detoxify or neutral ize or in any way respond to or assess the effects of pollutants or b Claim or suit by or on behalf of a gov ermmenta...	1
This exclusion does not apply to the loss of use of other property arising out of sudden and ac cidental physical injury to your product or your work after it has been put to its intended use.. Recall Of Products Work Or Impaired Property Damages claimed for any loss cost or ex pense incurred by you or others for the l...	1
Exclusions c. through n. do not apply to damage by fire to premises while rented to you or tempo rarily occupied by you with permission of the owner. A separate limit of insurance applies to this coverage as described in Section Ill Limits Of Insurance. COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY 1. Insuring A...	1
3 An Intemet search access content or service provider. However this exclusion does not apply to Paragraphs 14.a. b. and c. of personal and advertising injury under the Definitions Sec tion. For the purposes of this exclusion the placing of frames borders or links or advertising for you or others anywhere on the Intern...	1
2. Exclusions We will not pay expenses for bodily injury a. Any Insured To any insured except volunteer workers. b. Hired Person To a person hired to do work for or on behalf of any insured or a tenant of any insured. c. Injury On Normally Occupied Premises To a person injured on that part of premises you own or rent t...	1
b Conduct and control the defense of the indemnitee in such suit. So long as the above conditions are met attor neys fees incurred by us in the defense of that in demnitee necessary litigation expenses incurred by us and necessary litigation expenses incurred by the indemnitee at our request will be paid as Supplementa...	1
b. Any person other than your employee or volunteer worker or any organization while acting as your real estate manager. c. Any person or organization having proper temporary custody of your property if you die but only 1 With respect to liability arising out of the maintenance or use of that property and 2 Until your ...	1
3 The nature and location of any injury or damage arising out of the occurrence or offense. 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 writt...	1
3 When this insurance is excess over other insurance we will pay only our share of the amount of the loss if any that exceeds the sum of a The total amount that all such other insurance would pay for the loss in the absence of this insurance and b The total of all deductible and selif insured amounts under all that oth...	1
3. Bodily injury means bodily injury sickness or disease sustained by a person including death re sulting from any of these at any time.. Coverage territory means a. The United States of America including its territories and possessions Puerto Rico and Canada b. International waters or airspace but only if the injury o...	1
13. 14. However self propelled vehicles with the fol lowing types of permanently attached equip ment are not mobile equipment but will be considered autos 1 Equipment designed primarily for a Snow removal b Road maintenance but not construction or resurfacing or c Street cleaning 2 Cherry pickers and similar devices mo...	1

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