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e. All costs taxed against the insured in the suit. However these payments domotinclude attorneys fees or attorneys expenses taxed against the insured. f. Prejudgment interest awarded against the insured on that part of the judgment we pay. If we make an offer to pay the applicable limit of insurance we will not pay any prejudgment interest based on that period of time after the offer. g. Allinterest on the full amount of any judgment that accrues after entry of the judgment and before we have paid offered to pay or deposited in court the part of the judgment that is within the applicable limit of insurance. These payments will not reduce the limits of insurance. 2011 Liberty Mutual Group of Companies. All rights reserved. Includes copyrighted material of Insurance Services Office Inc. with its permission. Page 2 of 2 LC 24101011 | 2 |
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. MISSISSIPPI CHANGES CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following CAPITAL ASSETS PROGRAM OUTPUT POLICY COVERAGE PART COMMERCIAL AUTO COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL LIABILITY UMBRELLA COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART EMPLOYMENT RELATED PRACTICES LIABILITY 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 Paragraph 7. is added to the Cancellation Com mon Policy Conditions 7. If a. The first Named Insured cancels this policy we will notify any named creditor loss payee We cancel this policy we will mail or deliver our written notice of cancellation to any named creditor loss payee in the same manner and at the same time as notification is given to the first Named Insured as stated in this Condition. The provisions of Paragraphs a. and b. above do not apply to any mortgageholder. g. If holder. holder at least L3 ment of premium or son. 1L 02820908 1 The first Named Insured does not renew this policy we will notify the mortgage 2 We decide not to renew this policy we will give written notice to the mortgage a 10 days before an anniversary date or the expiration date of the policy if the nonrenewal is due to nonpay 30 days before an anniversary date or the expiration date of the policy if the nonrenewal is for any other rea B. Paragraphs f. and g. of the Mortgageholders Condition if any are replaced by the following f. If 1 The first Named Insured cancels this policy we will notify the mortgageholder. We will notify the mortgageholder by mailing or delivering the notice of nonre newal to the last mailing address known to us. If notice is mailed proof of mailing will be sufficient proof of notice. 2 We cancel this policy we will give writ ten notice to the mortgageholder at least 30 days before the effective date of cancellation. We will notify the mortgageholder by mailing or delivering the cancellation no tice to the last mailing address known to us. If notice is mailed proof of mailing will be sufficient proof of notice. any provision to the contrary NONRENEWAL payee. C. The following Condition is added and supersedes 1. If the first Named Insured does not renew this policy we will notify any named creditor loss ISO Properties Inc. 2007 IL 02820908 Page 1 of 2 | 2 |
The provisions of Paragraphs 1. and 2. above do not apply to any mortgageholder.. The requirements for notification of cancellation or nonrenewal of this policy as stated in Paragraphs A. B. and C. above supersede any other notifica tion requirements to any named creditor loss payee and any mortgageholder stated in this pol icy including any endorsement attached to the policy.. Any named creditor loss payee and any mort gageholder may elect not to receive notification of cancellation or nonrenewal by providing us with a written release. 2. If we decide not to renew this policy we will mail or deliver written notice of nonrenewal to the first Named Insured and any named credi tor loss payee atleast a. 10 days before the effective date of nonre newal if the nonrenewal is due to nonpay ment of premium or b. 30 days before an anniversary date or the expiration date of the policy if the nonre newal is for any other reason. We will notify the first Named Insured and any named creditor loss payee by mailing or deliv ering the notice of nonrenewal to the last mail ing address known to us. If notice is mailed proof of mailing will be sufficient proof of no tice. ISO Properties Inc. 2007 Page 2 of 2 IL 02820908 | 2 |
Policy Number TB2 641 438890 033 Issued by Liberty Mutual Fire Insurance Co. Disclosure Terrorism Risk Insurance Act This Endorsement Is Made Part Of Your Policy Pursuant To The Terrorism Risk Insurance Act. In accordance with the Terrorism Risk Insurance Act including all amendments TRIA or the Act we are required to provide you with a notice of the portion of your premium attributable to coverage for certified acts of terrorism the federal share of payment of losses from such acts and the limitation or cap on our liability under the Act. Disclosure of Premium The Company has made available coverage for certified acts of terrorism as defined in the Act. If purchased the portion of your premium attributable to coverage for certified acts of terrorism is shown in the Declarations Declarations Extension Schedule or elsewhere by endorsement in your policy. Federal Participation In Payment Of Terrorism Losses If an individual insurer s losses exceed a deductible amount specified in the Act the federal government will reimburse the insurer for 85 of losses paid in excess of the deductible provided that aggregate industry losses from a certified act of terrorism exceed 100 million. Cap On Insurer Participation In Payment Of Terrorism Losses If aggregate insured losses attributable to certified acts of terrorism exceed 100 billion in a calendar year and we have met our deductible under the Act we shall not be liable for the payment of any portion of the amount of such losses that exceeds 100 billion. Nor shall Treasury make any payment for any portion of the amount of such losses that exceeds 100 billion. In such case insured losses up to that amount are subject to pro rata allocation in accordance with procedures established by the Secretary of the Treasury. Page 1 of 1 2008 Liberty Mutual Group of Companies. All rights reserved. EN 90 48 07 09 | 2 |
Match Marketing Corporation 800 Connecticut Avenue Norwalk CT 06854 CNI 90040112 Insured | 2 |
LOCKTON COMPANIES LLC 444 W 47TH ST STE 900 KANSAS CITY MO 641121906 CNI 90050112 Producer | 2 |
Policy Number TBC Z91 469603 010 Issued by Employers Insurance Co. Wausau ANNUAL MEETING NOTICE Your policy is issued by a stock insurance company subsidiary of the Liberty Mutual Holding Company Inc. a Massachusetts mutual holding company. The named insured first named in the Declarations is a member of Liberty Mutual Holding Company Inc. As a member of Liberty Mutual Holding Company Inc. the named insured first named is entitled among other things to vote either in person or by proxy at the annual meeting or special meetings of said company. The Annual Meeting of Liberty Mutual Holding Company Inc. is at its offices located at 175 Berkeley Street Boston Massachusetts on the second Wednesday in April each year at ten oclock in the morning. Members of Liberty Mutual Holding Company Inc. may request a copy of the company s annual financial statements which are posted on Liberty Mutual s website at www.libertymutual.com or by writing to Liberty Mutual Holding Company Inc. 175 Berkeley Street Boston Massachusetts 02116 Attention Corporate Secretary. PARTICIPATING PROVISION You may be eligible to participate in the distribution of surplus funds of the company through any dividends that may be declared for this policy. A declaration or payment of dividends is not guaranteed. The amount of any dividends that may be declared shall be to the extent and upon the conditions fixed and determined by the Board of Directors and in compliance with any laws that apply. In witness whereof the company has caused this policy to be signed by its President and its Secretary. EEEEEEE SECRETARY 2013 Liberty Mutual Insurance. All rights reserved. Page 1 of 1 LIL 90 04 06 13 | 2 |
Libe Mutlrlgi INSURANCE COMMERCIAL GENERAL LIABILITY DECLARATIONS OCCURRENCE Issued By Employers Insurance Co. Wausau Policy Number TBC Z91 469603 010 Issuing Office. OKLAHOMA CITY Renewal Of TB7 Z91 469603 019 Issue Date 2020 10 15 Account Number 9 469603 Sub Account 0000 Named Insured and Mailing Address Match Marketing Corporation 800 Connecticut Avenue Norwalk CT 06854 Form of Business Corporation Policy Period The policy period is from 09302020 to 09302021 1201 A.M. standard time at the Insured s mailing address. In return for the payment of the premium and subject to all the terms of this policy we agree with you to provide the insurance as stated in this policy. LIMITS OF INSURANCE 1000000 1000000 Any one premises 10000 Any one person Each Occurrence Limit Damage to Premises Rented to You Limit Medical Expense Limit PABAHe Personal Advertising Injury Limit 1000000 General Aggregate Limit 2000000 Products Completed Operations Aggregate Limit 2000000 SCHEDULE The declarations are completed on the accompanying Declarations Extension Schedules. Commercial General Liability Coverage Part Premium 3941 Endorsement Premium 3142 Total Estimated Premium 7083 Policywriting Minimum Premium 1000 Forms Applicable See Attached Inventory eV EY Tt T LOCKTON 0073004710 LOCKTON COMPANIES LLC 444 W 47TH ST STE 900 KANSAS CITY MO 641121906 2012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office Inc. with its permission. Page 1 of 1 LC 0004 08 12 | 2 |
DECLARATIONS EXTENSION SCHEDULE CLASSIFICATIONDESCRIPTIONS Policy Number TBC Z91 469603 010 Class Code 16920 Description Restaurants with sale of alcoholic beverages that are 75 or more of total annual receipts of the restaurants with tables with dance floor table service Event Party or Wedding Planners Products Completed Operations are subject to the General Aggregate Limit nan nan nan nan 44280.0 Manufacturers Representatives nan nan nan nan 45993.0 Sales or Service Organizations Products Completed Operations are subject to the General Aggregate Limit nan nan nan nan 47367.0 2012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office Inc. with its permission. Page 1 of 1 LCS 00010512 | 2 |
DECLARATIONS EXTENSION SCHEDULE Policy Number TBC Z91 469603 010 Class Code Premium Basis Premium Rates ALABAMA Unspecified Location 47367 Products Completed Operations Premises Operations Total for ALABAMA ALASKA Unspecified Location 47367 Products Completed Operations Premises Operations Total for ALASKA ARIZONA Unspecified Location 47367 Products Completed Operations Premises Operations Total for ARIZONA ARKANSAS Unspecified Location 47367 Products Completed Operations Premises Operations Payroll Per 1000 included if any nan nan nan nan 4.82 Payroll Per 1000 included if any nan nan nan nan 1.3 Payroll Per 1000 included if any nan nan nan nan 1.816 Payroll Per 1000 included 41918 125 nan nan nan nan 2.979 2012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office Inc. with its permission. Page 1 of 15 LCS 0002 05 12 | 2 |
DECLARATIONS EXTENSION SCHEDULE continued Policy Number TBC Z91 469603 010 Class Code Total for ARKANSAS CALIFORNIA Unspecified Location 47367 Products Completed Operations Premises Operations Total for CALIFORNIA COLORADO Location 4.1 3020 Carbon Place Suite 300 Boulder CO 80301 Premium Basis Premium 125 Rates Payroll Per 1000 included 12182 28 28 nan nan nan nan 2313.0 Gross Sales if any if any Payroll included 1140521 Per 1000 Per 1000 45993 Products Completed Operations Premises Operations 47367 Products Completed Operations Premises Operations Location 5.1 2560 49th Street Unit G13 T17 Boulder CO 80301 nan nan nan nan 1.21 nan 0.473 1547 nan nan nan nan 1.356 Gross Sales if any if any Payroll included if any Per 1000 Per 1000 45993 Products Completed Operations Premises Operations 47367 Products Completed Operations Premises Operations Total for COLORADO nan nan nan nan 1.21 nan 0.473 Payroll nan nan nan nan 1.356 1547 2012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office Inc. with its permission. Page 2 of 15 LCS 0002 05 12 | 2 |
DECLARATIONS EXTENSION SCHEDULE continued Policy Number TBC Z91 469603 010 Class Code CONNECTICUT Location 1.1 800 Connecticut Ave. Norwalk CT 06854 Premium Basis Premium Rates Gross Sales if any if any Payroll included 89380 Per 1000 Per 1000 45993 Products Completed Operations Premises Operations 47367 Products Completed Operations Premises Operations Total for CONNECTICUT DELAWARE Unspecified Location 47367 Products Completed Operations Premises Operations Total for DELAWARE DISTRICT OF COLUMBIA Unspecified Location 47367 Products Completed Operations Premises Operations Total for DISTRICT OF COLUMBIA FLORIDA Unspecified Location nan nan nan nan 1.087 nan 0.416 Payroll 248 248 nan nan nan nan 2773.0 Payroll Per 1000 included if any nan nan nan nan 2932.0 Payroll Per 1000 included if any nan nan nan nan 2.74 2012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office Inc. with its permission. Page 3 of 15 LCS 0002 05 12 | 2 |
DECLARATIONS EXTENSION SCHEDULE continued Policy Number TBC Z91 469603 010 Class Code 47367 Products Completed Operations Premises Operations Total for FLORIDA GEORGIA Unspecified Location 47367 Products Completed Operations Premises Operations Total for GEORGIA IDAHO Unspecified Location 47367 Products Completed Operations Premises Operations Total for IDAHO ILLINOIS Location 9.1 130 S. Jefferson Street Chicago IL 60661 Premium Basis Rates Payroll Per 1000 included 127617 Premium 316 316 nan nan nan nan 2474.0 Payroll Per 1000 included 460 1 1 nan nan nan nan 1.396 Payroll Per 1000 included if any nan nan nan nan 2.356 Payroll 47367 Products Completed Operations Premises Operations Total for ILLINOIS INDIANA Per 1000 included if any nan nan nan nan 4.539 2012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office Inc. with its permission. Page 4 of 15 LCS 0002 05 12 | 2 |
DECLARATIONS EXTENSION SCHEDULE continued Policy Number TBC Z91 469603 010 Class Code Unspecified Location 47367 Products Completed Operations Premises Operations Total for INDIANA IOWA Unspecified Location 47367 Products Completed Operations Premises Operations Total for IOWA KANSAS Unspecified Location 47367 Products Completed Operations Premises Operations Total for KANSAS KENTUCKY Location 24.1 123 Main Street Frankfort KY 40601 Premium Basis Premium Rates Payroll Per 1000 included if any nan nan nan nan 2.93 Payroll Per 1000 included 2400 6 6 nan nan nan nan 2610.0 Payroll Per 1000 included if any nan nan nan nan 1.623 Payroll 47367 Products Completed Operations Premises Operations Total for KENTUCKY Per 1000 included 1120 2 2 nan nan nan nan 1.828 2012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office Inc. with its permission. Page 5 of 15 LCS 0002 05 12 | 2 |
DECLARATIONS EXTENSION SCHEDULE continued Policy Number TBC Z91 469603 010 Class Code LOUISIANA Unspecified Location 47367 Products Completed Operations Premises Operations Total for LOUISIANA MAINE Unspecified Location 47367 Products Completed Operations Premises Operations Total for MAINE MARYLAND Location 8.1 7462 Candlewood Road Suite B D Hanover MD 21076 Premium Basis Premium Rates Payroll Per 1000 included if any nan nan nan nan 4.582 Payroll Per 1000 included if any nan nan nan nan 2213.0 Gross Sales if any if any Payroll included if any Per 1000 Per 1000 45993 Products Completed Operations Premises Operations 47367 Products Completed Operations Premises Operations Total for MARYLAND MASSACHUSETTS nan nan nan nan 1.213 nan 0.436 Payroll nan nan nan nan 1.694 2012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office Inc. with its permission. Page 6 of 15 LCS 0002 05 12 | 2 |
DECLARATIONS EXTENSION SCHEDULE continued Policy Number TBC Z91 469603 010 Class Code Location 2.1 116 Huntington Ave Suite 12 Boston MA 02116 Premium Basis Premium Rates Gross Sales if any if any Payroll included 2700 Per 1000 Per 1000 45993 Products Completed Operations Premises Operations 47367 Products Completed Operations Premises Operations Total for MASSACHUSETTS MICHIGAN Unspecified Location 47367 Products Completed Operations Premises Operations Total for MICHIGAN MINNESOTA Unspecified Location 47367 Products Completed Operations Premises Operations Total for MINNESOTA MISSISSIPPI Unspecified Location 47367 Products Completed Operations Gross Sales if any if any Payroll included 2700 Payroll included if any Payroll included 509842 Payroll included Per 1000 1.561 0.610 Per 1000 4.272 Per 1000 1.539 Per 1000 2.661 Per 1000 LCS 00 02 05 12 2012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office Inc. with its permission. nan nan nan nan 1.561 nan 0.61 Payroll 12 12 nan nan nan nan 4.272 Payroll Per 1000 included if any nan nan nan nan 1.539 Payroll Per 1000 included 509842 1357 1357 nan nan nan nan 2.661 Payroll Page 7 of 15 | 2 |
DECLARATIONS EXTENSION SCHEDULE continued Policy Number TBC Z91 469603 010 Class Code Premises Operations Total for MISSISSIPPI MISSOURI Unspecified Location 47367 Products Completed Operations Premises Operations Total for MISSOURI MONTANA Unspecified Location 47367 Products Completed Operations Premises Operations Total for MONTANA NEBRASKA Unspecified Location 47367 Products Completed Operations Premises Operations Total for NEBRASKA NEVADA Location 3.1 630 Spice Island Drive Sparks NV 89434 Premium Basis if any Premium Rates 3.672 Payroll Per 1000 included if any nan nan nan nan 2432.0 Payroll Per 1000 included 2345 6 6 nan nan nan nan 2.643 Payroll Per 1000 included if any nan nan nan nan 2142.0 2012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office Inc. with its permission. Page 8 of 15 LCS 0002 05 12 | 2 |
DECLARATIONS EXTENSION SCHEDULE continued Policy Number TBC Z91 469603 010 Class Code 47367 Products Completed Operations Premises Operations Total for NEVADA NEW HAMPSHIRE Unspecified Location 47367 Products Completed Operations Premises Operations Total for NEW HAMPSHIRE NEW JERSEY Unspecified Location 47367 Products Completed Operations Premises Operations Total for NEW JERSEY NEW MEXICO Unspecified Location 47367 Products Completed Operations Premises Operations Total for NEW MEXICO NEW YORK Premium Basis Rates Payroll Per 1000 included if any Premium nan nan nan nan 4.225 Payroll Per 1000 included if any nan nan nan nan 4.477 Payroll Per 1000 included if any nan nan nan nan 7.86 Payroll Per 1000 included if any nan nan nan nan 1.474 2012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office Inc. with its permission. Page 9 of 15 LCS 0002 05 12 | 2 |
DECLARATIONS EXTENSION SCHEDULE continued Policy Number TBC Z91 469603 010 Class Code Location 6.1 199 Scott Street Buffalo NY 14204 Premium Basis Premium Rates Gross Sales if any if any Payroll included if any Payroll included 18500 Per 1000 0.476 35.078 Per 1000 7.731 Per 1000 7.731 16920 Products Completed Operations Premises Operations 44280 Products Completed Operations Premises Operations 47367 Products Completed Operations Premises Operations Location 7.1 270 Michigan Ave. Buffalo NY 14203 Payroll nan nan nan nan 7.731 Payroll 143 nan nan nan nan 7.731 Gross Sales if any if any Payroll included if any Per 1000 Per 1000 45993 Products Completed Operations Premises Operations 47367 Products Completed Operations Premises Operations Total for NEW YORK NORTH CAROLINA Unspecified Location 47367 Products Completed Operations Premises Operations Total for NORTH CAROLINA nan nan nan nan 0.85 nan 0.43 Payroll nan nan nan nan 7.731 143 Payroll Per 1000 included 980 1 1 nan nan nan nan 1.165 2012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office Inc. with its permission. Page 10 of 15 LCS 0002 05 12 | 2 |
DECLARATIONS EXTENSION SCHEDULE continued Policy Number TBC Z91 469603 010 Class Code NORTH DAKOTA Unspecified Location 47367 Products Completed Operations Premises Operations Total for NORTH DAKOTA OHIO Unspecified Location 47367 Products Completed Operations Premises Operations Total for OHIO OKLAHOMA Unspecified Location 47367 Products Completed Operations Premises Operations Total for OKLAHOMA OREGON Location 10.1 2734 N. Killingsworth Street Portland OR 97217 Premium Basis Premium Rates Payroll Per 1000 included 1979 3 3 nan nan nan nan 1.305 Payroll Per 1000 included if any nan nan nan nan 1.364 Payroll Per 1000 included if any nan nan nan nan 1.978 Gross Sales Per 1000 if any if any 45993 Products Completed Operations Premises Operations nan nan nan nan 1.505 nan 0.588 2012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office Inc. with its permission. Page 11 of 15 LCS 0002 05 12 | 2 |
DECLARATIONS EXTENSION SCHEDULE continued Policy Number TBC Z91 469603 010 Class Code 47367 Products Completed Operations Premises Operations Total for OREGON PENNSYLVANIA Unspecified Location 47367 Products Completed Operations Premises Operations Total for PENNSYLVANIA RHODE ISLAND Unspecified Location 47367 Products Completed Operations Premises Operations Total for RHODE ISLAND SOUTH CAROLINA Unspecified Location 47367 Products Completed Operations Premises Operations Total for SOUTH CAROLINA SOUTH DAKOTA Unspecified Location Premium Basis Rates Payroll Per 1000 included if any Premium nan nan nan nan 1.863 Payroll Per 1000 included if any nan nan nan nan 7.08 Payroll Per 1000 included if any nan nan nan nan 3.635 Payroll Per 1000 included 660 2 2 nan nan nan nan 3.34 2012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office Inc. with its permission. Page 12 of 15 LCS 0002 05 12 | 2 |
DECLARATIONS EXTENSION SCHEDULE continued Policy Number TBC Z91 469603 010 Class Code 47367 Products Completed Operations Premises Operations Total for SOUTH DAKOTA TENNESSEE Unspecified Location 47367 Products Completed Operations Premises Operations Total for TENNESSEE TEXAS Unspecified Location 47367 Products Completed Operations Premises Operations Total for TEXAS UTAH Unspecified Location 47367 Products Completed Operations Premises Operations Total for UTAH VERMONT Unspecified Location Premium Basis Rates Payroll Per 1000 included if any Premium nan nan nan nan 2475.0 Payroll Per 1000 included 1170 3 3 nan nan nan nan 2792.0 Payroll Per 1000 included 95365 133 133 nan nan nan nan 1.398 Payroll Per 1000 included if any nan nan nan nan 1.696 2012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office Inc. with its permission. Page 13 of 15 LCS 0002 05 12 | 2 |
DECLARATIONS EXTENSION SCHEDULE continued Policy Number TBC Z91 469603 010 Class Code 47367 Products Completed Operations Premises Operations Total for VERMONT VIRGINIA Unspecified Location 47367 Products Completed Operations Premises Operations Total for VIRGINIA WASHINGTON Unspecified Location 47367 Products Completed Operations Premises Operations Total for WASHINGTON WEST VIRGINIA Unspecified Location 47367 Products Completed Operations Premises Operations Total for WEST VIRGINIA WISCONSIN Unspecified Location Premium Basis Rates Payroll Per 1000 included if any Premium nan nan nan nan 2.854 Payroll Per 1000 included if any nan nan nan nan 1.333 Payroll Per 1000 included 1795 4 4 nan nan nan nan 2.201 Payroll Per 1000 included if any nan nan nan nan 2.594 2012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office Inc. with its permission. Page 14 of 15 LCS 0002 05 12 | 2 |
DECLARATIONS EXTENSION SCHEDULE continued Policy Number TBC Z91 469603 010 Class Code 47367 Products Completed Operations Premises Operations Total for WISCONSIN WYOMING Unspecified Location 47367 Products Completed Operations Premises Operations Total for WYOMING TOTAL Premium Basis Rates Payroll Per 1000 included 1350 Premium 4 4 nan nan nan nan 2.899 Payroll Per 1000 included if any nan nan nan nan 1.88 3941 2012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office Inc. with its permission. Page 15 of 15 LCS 0002 05 12 | 2 |
DECLARATIONS EXTENSION SCHEDULE MISCELLANEOUS CHARGES Policy Number TBC Z91 469603 010 Premium Basis Terrorism Risk Insurance Act TRIA Charges 15 Rates Coverage Amendments W aiver Transfer Rights Recovery Schedule Name Included Employee Benefits Per Project Per Location Aggregate Total Agg All Projects and Locs Termination or Suspension Notice of Cancellation to Third Parties System Rated Flat Charge Included nan nan nan nan 752.0 nan nan nan nan 500.0 Included Additional Insured Vendors Standard Flat Charge nan nan nan nan 250.0 Additional Insureds Person or Organization Designated Commercial General Liability Additional Insured Enhancement Included Flat Charge nan nan nan nan 500.0 Damage to Premise Rented to You Excess Limits Flat Charge 1125 3142 TOTAL MISCELLANEOUS CHARGES 2012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office Inc. with its permission. Page 1 of 1 LCS 0003 05 12 | 2 |
COMMERCIAL GENERAL LIABILITY DECLARATIONS EXTENSION SCHEDULE NAMED INSURED Policy Number TBC Z91 469603 010 It is agreed that the following are Named Insureds under this coverage part Action Marketing Group LLC Action Marketing Group LLC dba Match Action Circle One Marketing LLC Circle One Marketing LLC dba Match Drive C1 Convergence Fulfillment and Logistics LLC Convergence Marketing Inc. Convergence Marketing Inc. dba Match Converge DBA Jerryrig Productions Foundry Advertising Activation LLC Marketing Drive LLC Marketing Drive LLC dba Match Drive Martch Marketing Corp dba Match Marketing Group Match Action Inc. Match Converge Inc. Match Drive Inc. Match Holding Group Match MG Chicago Inc. Match MG Field US Inc. Match MG US LLC Match Pop Up Inc. Match Transact Inc. Weld Media LLC Weld Media LLC dba Match Weld 2014 Liberty Mutual Insurance Includes copyrighted material of Insurance Services Office Inc. with its permission. Page 1of 1 LCS 000410 14 | 2 |
Policy Number TBC Z91 469603 010 Issued by Employers Insurance Co. Wausau Inventory Coverage Forms Parts Endorsements Enclosures COVERAGE FORMS PARTS ENDORSEMENTS AND ENCLOSURES FORMING A PART OF THIS POLICY AT INCEPTION Form Number Edition Date Title COMMON POLICY FORMS LIL 90 04 06 13 ANNUAL MEETING NOTICE LC 0004 08 12 COMMERCIAL GENERAL LIABILITY DECLARATIONS LCS 00010512 DECLARATIONS EXTENSION SCHEDULE CLASSIFICATION DESCRIPTIONS LCS 000205 12 DECLARATIONS EXTENSION SCHEDULE LCS 000305 12 DECLARATIONS EXTENSION SCHEDULE MISCELLANEOUS CHARGES LCS 000410 14 COMMERCIAL GENERAL LIABILITY DECLARATIONS EXTENSION SCHEDULE NAMED INSUREDS IC 00 42 07 09 Inventory Coverage Forms Parts Endorsements Enclosures 1C0017 11 93 Countersignature Endorsement 1C0018 04 92 Countersignature Endorsement 1C0019 08 92 Countersignature Endorsement 1C 99 01 07 00 Choice Of Law Endorsement IL0017 1198 Common Policy Conditions IL02600119 CONNECTICUT CHANGES CANCELLATION AND NONRENEWAL IL 09 10 07 02 Pennsylvania Notice ILN 17511 11 lllinois Notice To Policyholders Regarding The Religious Freedom Protection and Civil Union Act ILN 176 01 12 Delaware Notice to Policyholders Regarding the Civil Union and Equality Act COMMERCIAL GENERAL LIABILITY CG 00010413 COMMERCIAL GENERAL LIABILITY COVERAGE FORM Coverage Endorsements CG 24040509 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGA TOUS CG 24 07 01 96 Products Completed Operations Hazard Redefined CG 24260413 AMENDMENT OF INSURED CONTRACT DEFINITION CG 27210413 Connecticut Employee Benefits Liability Coverage LC 04610117 COMMERCIAL GENERAL LIABILITY ENHANCEMENT LC24201118 OTHER INSURANCE AMENDMENT SCHEDULED ADDIT LC 2513 08 08 Non Cumulation of Liability Same Occurrence WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TOUS Products Completed Operations Hazard Redefined AMENDMENT OF INSURED CONTRACT DEFINITION Connecticut Employee Benefits Liability Coverage COMMERCIAL GENERAL LIABILITY ENHANCEMENT OTHER INSURANCE AMENDMENT SCHEDULED ADDITIONAL INSURED Non Cumulation of Liability Same Occurrence 2008 Liberty Mutual Group of Companies. All rights reserved. Page 1 of 3 1C 00 42 07 09 | 2 |
Form Number Edition Date LC 25190115 Title DESIGNATED CONSTRUCTION PROJECT OR DESIGNATED LOCATION COMBINED AGGREGATE LIMITS WITH TOTAL AGGREGATE LIMIT FOR ALL PROJECTS AND LOCATIONS Personal and Advertising Injury Definition of Publication Personal and Advertising Injury Occurrence Redefined Advertisement Redefined PREMIUM RESPONSIBILITY ENDORSEMENT NOTICE OF CANCELLATION TO THIRD PARTIES LC 2904 08 08 LC 2906 08 08 LC 29081011 LC 99360213 LIM 99 0105 11 Additional Insureds CG20150413 CG20180413 CG 20260413 LC 206904 18 TRIA Exclusions CG 21700115 CG 21760115 CG 26860115 CG 26930115 Other Exclusions CG 21060514 Additional Insured Vendors ADDITIONAL INSURED MORTGAGEE ASSIGNEE OR RECEIVER ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION Commercial General Liability Additional Insured Enhancement CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM EXCLUSION OF PUNITIVE DAMAGES RELATED TO A CERTIFIED ACT OF TERRORISM ARKANSAS EXCLUSION OF PUNITIVE DAMAGES RELATED TO A CERTIFIED ACT OF TERRORISM ALASKA EXCLUSION OF PUNITIVE DAMAGES RELATED TO A CERTIFIED ACT OF TERRORISM EXCLUSION ACCESS OR DISCLOSURE OF CONFIDENTIAL OR PERSONAL INFORMATION AND DATA RELATED LIABILITY WITH LIMITED BODILY INJURY EXCEPTION Employment Related Practices Exclusion Total Pollution Exclusion Endorsement Fungi or Bacteria Exclusion Nuclear Energy Liability Exclusion Endorsement Broad Form Asbestos Exclusion Endorsement Silica Exclusion Endorsement Discrimination Exclusion Land or Earth Movement Exclusion Residential Construction Operations Exclusion Damage First Occurring Prior to Policy Period Exclusion Communicable Disease Exclusion CG 21471207 CG 214909 99 CG 21671204 1L 0021 09 08 LC 210106 05 LC 2102 06 05 LC 2104 06 05 LC 2164 08 07 LC 21681011 LG 32 05 06 05 CG 21320509 State Mandatory IL01210908 1L 01280908 IL 014009 08 IL0199 09 08 Alaska Changes Attorney s Fees Rhode Island Changes Prejudgment Interest Connecticut Changes Civil Union Arkansas Changes Transfer Of Rights Of Recovery Against Others To Us 2008 Liberty Mutual Group of Companies. All rights reserved. Page 2 of 3 1C 00 42 07 09 | 2 |
Form Number Edition Date Title NOTICES TO POLICYHOLDER CNL 90011013 EN 9009 0110 EN 90 14 07 09 EN 90310315 EN 9056 03 15 SNI 04 010120 SNI 09 0206 16 SNI 42020415 SNI 430605 13 SNI90 011218 SNI 90020120 ST 901002 92 IMPORTANT NOTICE TO POLICYHOLDERS PREMIUM DETERMINATION SUBCONTRACTORS Kentucky Notice To Policyholders West Virginia Property and Casualty Policy Surcharge NOTICE TO OUR MISSOURI POLICYHOLDERS NOTICE TO OUR NEW MEXICO POLICYHOLDERS LIBERTY MUTUAL GROUP CALIFORNIA PRIVACY NOTICE Risk Control Services Important Information for Florida Policyholders TEXAS NOTICE NOTIFICATION OF THE AVAILABILITY OF LOSS CONTROL INFORMATION SERVICES UTAH INFORMATION TO POLICYHOLDERS POLICYHOLDER NOTICE COMPANY CONTACT INFORMATION TERRORISM RISK INSURANCE ACT New Jersey Property Liability Insurance Guaranty Association Surcharge 2008 Liberty Mutual Group of Companies. All rights reserved. Page 3 of 3 1C 00 42 07 09 | 2 |
Policy Number TBC Z91 469603 010 Issued by Employers Insurance Co. Wausau THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Countersignature Endorsement This endorsement is effective at the inception of the policy and attaches to and forms a part of this policy. Type of Insurance State Commercial General Liability Coverage Signed by Countersigning Agent Page 1 of 1C0017 11 93 | 2 |
Policy Number TBC291 469603 010 Issued by Employers Insurance Co. Wausau THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Countersignature Endorsement This endorsement is effective at the inception of the policy and attaches to and forms a part of this policy. Type of Insurance State Commercial General Liability Coverage Florida it Signed by. Countersigning Agent Page 1 of 1C0018 04 92 | 2 |
Policy Number TBC Z91 469603 010 Issued by Employers Insurance Co. Wausau THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Countersignature Endorsement This endorsement is effective at the inception of the policy and attaches to and forms a part of this policy. Type of Insurance State Commercial General Liability Coverage Nevada Signed by Countersigning Agent Page 1 of 1C0019 08 92 | 2 |
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Choice Of Law Endorsement Cancellation and nonrenewal of this policy will be governed by the laws of the state shown in Item 1 of the Declarations. However if all insured exposures are located within a single state other than the state shown in Item 1 of the Declarations the cancellation and nonrenewal provisions of that state will apply. Page 1 of 1 1C9901 07 00 | 2 |
Common Policy Conditions All Coverage Parts included in this policy are subject to the following conditions A. CANCELLATION 1 The First Named Insured shown in the Declarations may cancel this policy by mailing or delivering to us advance written notice of cancellation. 2. We may cancel this policy by mailing or delivering to the first Named Insured written notice of cancellation at least a. 10 days before the effective date of cancellation if we cancel for nonpayment of premium or b. 30 days before the effective date of cancellation if we cancel for any other reason. 3. We will mail or deliver our notice to the first Named Insured s last mailing address known to us. 4. Notice of cancellation will state the effective date of cancellation. The policy period will end on that date. 5. If this policy is canceled we will send the first Named Insured any premium refund due. If we cancel the refund will be pro rata. If the first Named Insured cancels the refund may be less than pro rata. The cancellation will be effective even if we have not made or offered a refund. 6. If notice is mailed proof of mailing will be sufficient proof of notice. CHANGES This policy contains all the agreements between you and us concerning the insurance afforded. The first Named Insured shown in the Declarations is authorized to make changes in the terms of this policy with our consent. This policy s terms can be amended or waived only by endorsement issued by us and made a part of this policy. EXAMINATION OF YOUR BOOKS AND RECORDS We may examine and audit your books and records as they relate to this policy at any time during the policy period and up to three years afterward. INSPECTIONS AND SURVEYS 1 We have the right to a. Make inspections and surveys at any time b. Give you reports on the conditions we find and Recommend changes. We are not obligated to make any inspections surveys reports or recommendations and any such actions we do undertake relate only to insurability and the premiums to be charged. We do not make safety inspections. We do not undertake to perform the duty of any person or organization to provide for the health or safety of workers or the public. And we do not warrant that conditions a. Are safe or healthful or Copyright Insurance Services Office Inc. 1998 Page 1 of 2 IL00 17 1198 11 98 | 2 |
b. Comply with laws regulations codes or standards. 3. Paragraphs 1. and 2. of this condition apply not only to us but also to any rating advisory rate service or similar organization which makes insurance inspections surveys reports or recommendations. 4. Paragraph 2. of this condition does not apply to any inspections surveys reports or recommendations we may make relative to certification under state or municipal statutes ordinances or regulations of boilers pressure vessels or elevators. E. PREMIUMS The first Named Insured shown in the Declarations 1. Is responsible for the payment of all premiums and 2. Will be the payee for any return premiums we pay. F. TRANSFER OF YOUR RIGHTS AND DUTIES UNDER THIS POLICY Your rights and duties under this policy may not be transferred without our written consent except in the case of death of an individual named insured. If you die your rights and duties will be transferred to your legal representative but only while acting within the scope of duties as your legal representative. Until your legal representative is appointed anyone having proper temporary custody of your property will have your rights and duties but only with respect to that property. Page 2 of 2 IL00 17 1198 11 98 | 2 |
IL 02 60 0119 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. The Cancellation Common Policy Condition is replaced by the following Cancellation 1. The first Named Insured shown in Declarations may cancel this policy by mailing or delivering 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 reason by giving you written notice of cancellation at least a. 10 days before the effective date of cancellation if we cancel for nonpayment of premium or b. 30 days before the effective date of cancellation if we cancel for any other reason.. 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 cancellation 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 misrepresentation 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 e A determination by the Commissioner that continuation of the policy would violate or place us in violation of the law or c d 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 cancellation 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 c Discovery of fraud or material misrepresentation by you in obtaining the policy or in perfecting any claim thereunder d Discovery of any willful or reckless act or omission by you increasing the hazard insured against or e A determination by the Commissioner that continuation of the policy would violate or place us in violation of the law or Insurance Services Office Inc. 2018 Page 1 of 2 IL 02600119 | 2 |
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. 2. Conditional Renewal a. If we conditionally renew this policy under terms or conditions less favorable to the insured than currently provided under this policy then we will send notice as provided in Paragraph B.3. of this endorsement. b. The conditional renewal notice shall clearly state or be accompanied by a statement clearly identifying any 1 Reduction in coverage limits 2 Coverage provisions added or revised that reduce coverage or 3 Increases in deductibles. 3. Notices Of Nonrenewal And Conditional Renewal a. If we decide not to renew this policy or to conditionally renew this policy as provided in Paragraphs B.1. and B.2. of this endorsement we will mail or deliver to you a written notice of nonrenewal or conditional renewal stating the specific reason for nonrenewal or conditional renewal at least 60 days before the expiration date of this policy. The notice will be sent to your address last known to us. b. This notice will be delivered or sent by 1 Registered mail 2 Certified mail or 3 Mail evidenced by a certificate of mailing. If notice is mailed proof of mailing is sufficient proof of notice. c. However we are not required to send notice of nonrenewal if nonrenewal is due to your failure to pay any advance premium required for renewal. C. The When We Do Not Renew Condition of the Commercial General Liability Coverage Part Commercial Liability Umbrella Coverage Part and Employment Related Practices Liability Coverage Part does not apply. 7. 2 60 days before the effective date of cancellation if we cancel for one or more of the following reasons a Physical changes in the property which increase the hazard insured against b A material increase in the hazard insured against or c 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. If this policy is cancelled we will send the first Named Insured any premium refund due. If we cancel the refund will be pro rata. If the first Named Insured cancels the refund may be less than pro rata. The cancellation will be effective even if we have not made or offered a refund. If notice is mailed proof of mailing will be sufficient proof of notice.. The following conditions are added and supersede any other provision to the contrary 1. Nonrenewal If we decide not to renew this policy we will send notice as provided in Paragraph B.3. of this endorsement. Insurance Services Office Inc. 2018 Page 2 of 2 IL 0260 0119 | 2 |
IL 09 10 07 02 PENNSYLVANIA NOTICE An Insurance Company its agents employees or service contractors acting on its behalf may provide services to reduce the likelihood of injury death or loss. These services may include any of the following or related services incident to the application for issuance renewal or continuation of a policy of insur ance 1. Surveys 2. Consultation or advice or 3. Inspections. The Insurance Consultation Services Exemption Act of Pennsylvania provides that the Insurance Com pany its agents employees or service contractors acting on its behalf is not liable for damages from injury death or loss occurring as a result of any act or omission by any person in the furnishing of or the failure to furnish these services. The Act does not apply 1. If the injury death or loss occurred during the actual performance of the services and was caused by the negligence of the Insurance Com pany its agents employees or service contractors 2. To consultation services required to be performed under a written service contract not related to a policy of insurance or If any acts or omissions of the Insurance Com pany its agents employees or service contractors are judicially determined to constitute a crime ac tual malice or gross negligence. w Instruction to Policy Writers Attach the Pennsylvania Notice to all new and renewal certificates insuring risks located in Pennsylvania. 1SO Properties Inc. 2001 Page 1 of 1 IL 09 10 07 02 | 2 |
ILLINOIS NOTICE TO POLICYHOLDERS REGARDING THE RELIGIOUS FREEDOM PROTECTION AND CIVIL UNION ACT Dear Policyholder This is to provide notice that pursuant to lllinois Department of Insurance Company Bulletin 2011 06 CB 2011 06 this policy is in compliance with the lllinois Religious Freedom Protection and Civil Union Act the Act 750 ILL. COMP. STAT. 751. The Act which became effective on June 1 2011 creates a legal relationship between two persons of either the same or opposite sex who establish a civil union. The Act provides that parties to a civil union are entitled to the same legal obligations responsibilities protections and benefits that are afforded or recognized by the law of lllinois to spouses whether they are derived from statute administrative rule policy common law or any source of civil or criminal law. In addition this law requires recognition of a same sex civil union marriage or other substantially similar legal relationship except for common law marriage legally entered into in other jurisdictions. The Act further provides that party to a civil union shall be included in any definition or use of the terms spouse family immediate family dependent next of kin and other terms descriptive of spousal relationships as those terms are used throughout the law. According to CB 2011 06 this includes the terms marriage or married or any variations thereof. CB 2011 06 also states that if policies of insurance provide coverage for children the children of civil unions must also be provided coverage. Insurance Services Office Inc. 2011 Page 1 of 1 ILN1751111 | 2 |
ILN 176 01 12 DELAWARE NOTICE TO POLICYHOLDERS REGARDING THE CIVIL UNION AND EQUALITY ACT Dear Policyholder This is to provide notice that pursuant to the Delaware Insurance Department Domestic Foreign Insurers Bulletin No. 46 this policy is in compliance with the Delaware Civil Union and Equality Act of 2011 78 Del. Laws Ch. 22 2011 the Act. The Act which becomes effective January 1 2012 creates a form of legal union between two persons of the same sex who establish a civil union in accordance with the requirements of Delaware law. The Act provides that parties to a civil union shall have all of the same rights protections and benefits and shall be subject to the same responsibilities obligations and duties under Delaware law as are granted to enjoyed by or imposed upon married spouses. The Act further provides that a party to a civil union shall be included in any definition or use of the terms dependent family husband and wife immediate family next of kin spouse stepparent tenants by the entirety and other terms whether or not gender specific that denote a spousal relationship or a person in a spousal relationship as those terms are used throughout Delaware law. For all purposes of Delaware laws that refer to marriage or marital status other than Chapter 1 of Title 13 of the Delaware Code parties to a civil union will be included in such reference. In addition the Act also automatically recognizes as civil unions for all purposes of Delaware law legal unions between two persons of the same sex such as civil unions marriages and domestic partnerships that are validly formed in jurisdictions other than Delaware and are substantially similar to Delaware civil unions. The provisions of the Act apply for all purposes of Delaware law whether derived from statutes administrative rules or regulations court rules governmental policies common law court decisions or any other provisions or sources of law which includes the Insurance Code and all regulations and bulletins promulgated thereunder. Insurance Services Office Inc. 2011 Page 1 of 1 ILN176 0112 | 2 |
COMMERCIAL GENERAL LIABILITY CG 00010413 COMMERCIAL GENERAL LIABILITY COVERAGE FORM Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights duties and what is and is not covered. Throughout this policy the words you and your refer to the Named Insured shown in the Declarations and any other person or organization qualifying as a Named Insured under this policy. The words we us and our refer to the company providing this insurance. The word insured means any person or organization qualifying as such under Section I Who Is An Insured. Other words and phrases that appear in quotation marks have special meaning. Refer to Section V Definitions. SECTION COVERAGES COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY 1. Insuring Agreement a. We will pay those sums that the insured becomes legally obligated to pay as damages because of bodily injury or property damage to which this insurance applies. We will have the right and duty to defend the insured against any suit seeking those damages. However we will have no duty to defend the insured against any suit seeking damages for bodily injury or property damage to which this insurance does not apply. We may at our discretion investigate any occurrence and settle any claim or suit that may result. But 1 The amount we will pay for damages is limited as described in Section Il Limits Of Insurance and 2 Our right and duty to defend ends when we have used up the applicable limit of insurance in the payment of judgments or settlements under Coverages A or B or medical expenses under Coverage C. No other obligation or liability to pay sums or perform acts or services is covered unless explicitly provided for under Supplementary Payments Coverages A and B. b. This insurance applies to bodily injury and property damage only if 1 The bodily injury or property damage is caused by an occurrence that takes place in the coverage territory c. 2 The bodily injury or property damage occurs during the policy period and 3 Prior to the policy period no insured listed under Paragraph 1. of Section Il Who Is An Insured and no employee authorized by you to give or receive notice of an occurrence or claim knew that the bodily injury or property damage had occurred in whole or in part. If such a listed insured or authorized employee knew prior to the policy period that the bodily injury or property damage occurred then any continuation change or resumption of such bodily injury or property damage during or after the policy period will be deemed to have been known prior to the policy period. Bodily injury or property damage which occurs during the policy period and was not prior to the policy period known to have occurred by any insured listed under Paragraph 1. of Section Il Who Is An Insured or any employee authorized by you to give or receive notice of an occurrence or claim includes any continuation change or resumption of that bodily injury or property damage after the end of the policy period.. Bodily injury or property damage will be deemed to have been known to have occurred at the earliest time when any insured listed under Paragraph 1. of Section Il Who Is An Insured or any employee authorized by you to give or receive notice of an occurrence or claim 1 Reports all or any part of the bodily injury or property damage to us or any other insurer 2 Receives a written or verbal demand or claim for damages because of the bodily injury or property damage or 3 Becomes aware by any other means that bodily injury or property damage has occurred or has begun to occur. Damages because of bodily injury include damages claimed by any person or organization for care loss of services or death resulting at any time from the bodily injury. Insurance Services Office Inc. 2012 Page 1 of 16 CG 00010413 | 0 |
This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in a The supervision hiring employment training or monitoring of others by that insured or b Providing or faling to provide transportation with respect to any person that may be under the influence of alcohol if the occurrence which caused the bodily injury or property damage involved that which is described in Paragraph 1 2 or 3 above. However this exclusion applies only if you are in the business of manufacturing distributing seling serving or furnishing alcoholic beverages. For the purposes of this exclusion permitting a person to bring alcoholic beverages on your premises for consumption on your premises whether or not a fee is charged or a license is required for such activity is not by itself considered the business of selling serving or furnishing alcoholic beverages.. Workers Compensation And Similar Laws Any obligation of the insured under a workers compensation disability benefits or unemployment compensation law or any similar law. Employer s Liability Bodily injury to 1 An employee of the insured arising out of and in the course of a Employment by the insured or b Performing duties related to the conduct of the insured s business or 2 The spouse child parent brother or sister of that employee as a consequence of Paragraph 1 above. This exclusion applies whether the insured may be liable as an employer or in any other capacity and to any obligation to share damages with or repay someone else who must pay damages because of the injury. This exclusion does not apply to liability assumed by the insured under an insured contract. 2. Exclusions This insurance does not apply to a. Expected Or Intended Injury Bodily injury or property damage expected or intended from the standpoint of the insured. This exclusion does not apply to bodily injury resulting from the use of reasonable force to protect persons or property. b. Contractual Liability Bodily injury or property damage for which the insured is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages 1 That the insured would have in the absence of the contract or agreement or 2 Assumed in a contract or agreement that is an insured contract provided the bodily injury or property damage occurs subsequent to the execution of the contract or agreement. Solely for the purposes of liability assumed in an insured contract reasonable attorneys fees and necessary litigation expenses incurred by or for a party other than an insured are deemed to be damages because of bodily injury or property damage provided a Liability to such party for or for the cost of that party s defense has also been assumed in the same insured contract and b Such attorneys fees and litigation expenses are for defense of that party against a civil or alternative dispute resolution proceeding in which damages to which this insurance applies are alleged. c. Liquor Liability Bodily injury or property damage for which any insured may be held liable by reason of 1 Causing or contributing to the intoxication of any person 2 The furnishing of alcoholic beverages to a person under the legal drinking age or under the influence of alcohol or 3 Any statute ordinance or regulation relating to the sale gift distribution or use of alcoholic beverages. Insurance Services Office Inc. 2012 Page 2 of 16 CG 00010413 | 1 |
f. Pollution 1 Bodily injury or property damage arising out of the actual alleged or threatened discharge dispersal seepage migration release or escape of pollutants a Ator from any premises site or location which is or was at any time owned or occupied by or rented or loaned to any insured. However this subparagraph does not apply to i Bodily injury if sustained within a building and caused by smoke fumes vapor or soot produced by or originating from equipment that is used to heat cool or dehumidify the building or equipment that is used to heat water for personal use by the building s occupants or their guests ii Bodily injury or property damage for which you may be held liable if you are a contractor and the owner or lessee of such premises site or location has been added to your policy as an additional insured with respect to your ongoing operations performed for that additional insured at that premises site or location and such premises site or location is not and never was owned or occupied by or rented or loaned to any insured other than that additional iii Bodily injury or property damage arising out of heat smoke or fumes from a hostile fire b At or from any premises site or location which is or was at any time used by or for any insured or others for the handling storage disposal processing or treatment of waste c Which are or were at any time transported handled stored treated disposed of or processed as waste by or for i Any insured or ii Any person or organization for whom you may be legally responsible or d At or from any premises site or location on which any insured or any contractors or subcontractors working directly or indirectly on any insured s behalf are performing operations if the pollutants are brought on or to the premises site or location in connection with such operations by such insured contractor or subcontractor. However this subparagraph does not apply to i Bodily injury or property damage arising out of the escape of fuels lubricants or other operating fluids which are needed to perform the normal electrical hydraulic or mechanical functions necessary for the operation of mobile equipment or its parts if such fuels lubricants or other operating fluids escape from a vehicle part designed to hold store or receive them. This exception does not apply if the bodily injury or property damage arises out of the intentional discharge dispersal or release of the fuels lubricants or other operating fluids or if such fuels lubricants or other operating fluids are brought on or to the premises site or location with the intent that they be discharged dispersed or released as part of the operations being performed by such insured contractor or subcontractor ii Bodily injury or property damage sustained within a building and caused by the release of gases fumes or vapors from materials brought into that building in connection with operations being performed by you or on your behalf by a contractor or subcontractor or i Bodily injury or property damage arising out of heat smoke or fumes from a hostile fire. e Ator from any premises site or location on which any insured or any contractors or subcontractors working directly or indirectly on any insured s behalf are performing operations if the operations are to test for monitor clean up remove contain treat detoxify or neutralize or in any way respond to or assess the effects of pollutants. Insurance Services Office Inc. 2012 Page 3 of 16 CG 00010413 | 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 remove contain treat detoxify or neutralize or in any way respond to or assess the effects of pollutants or b Claim or suit by or on behalf of a governmental authority for damages because of testing for monitoring cleaning up removing containing treating detoxifying or neutralizing or in any way responding to or assessing the effects of pollutants. However this paragraph does not apply to liability for damages because of property damage that the insured would have in the absence of such request demand order or statutory or regulatory requirement or such claim or suit by or on behalf of a governmental authority. g. Aircraft Auto Or Watercraft Bodily injury or property damage arising out of the ownership maintenance use or entrustment to others of any aircraft auto or watercraft owned or operated by or rented or loaned to any insured. Use includes operation and loading or unloading. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others by that insured if the occurrence which caused the bodily injury or property damage involved the ownership maintenance use or entrustment to others of any aircraft auto or watercraft that is owned or operated by or rented or loaned to any insured. This exclusion does not apply to 1 A watercraft while ashore on premises you own or rent 2 A watercraft you do not own that is a Less than 26 feet long and b Not being used to carry persons or property for a charge 3 Parking an auto on or on the ways next to premises you own or rent provided the auto is not owned by or rented or loaned to you or the insured Liability assumed under any insured contract for the ownership maintenance or use of aircraft or watercraft or 4 5 Bodily injury or property damage arising out of The operation of machinery or equipment that is attached to or part of a land vehicle that would qualify under the definition of mobile equipment if it were not subject to a compulsory or financial responsibility law or other motor vehicle insurance law where it is licensed or principally garaged or The operation of any of the machinery or equipment listed in Paragraph f.2 or f.3 of the definition of mobile equipment. h. Mobile Equipment Bodily injury or property damage arising out b of 1 The transportation of mobile equipment by an auto owned or operated by or rented or loaned to any insured or 2 The use of mobile equipment in or while in practice for or while being prepared for any prearranged racing speed demolition or stunting activity. i. War Bodily injury or property damage however caused arising directly or indirectly out of 1 War including undeclared or civil war 2 Warlike action by a military force including action in hindering or defending against an actual or expected attack by any government sovereign or other authority using military personnel or other agents or 3 Insurrection rebellion revolution usurped power or action taken by governmental authority in hindering or defending against any of these.. Damage To Property Property damage to 1 Property you own rent or occupy including any costs or expenses incurred by you or any other person organization or entity for repair replacement enhancement restoration or maintenance of such property for any reason including prevention of injury to a person or damage to another s property 2 Premises you sell give away or abandon if the property damage arises out of any part of those premises 3 Property loaned to you Insurance Services Office Inc. 2012 Page 4 of 16 CG 00010413 | 1 |
This exclusion does not apply to the loss of use of other property arising out of sudden and accidental physical injury to your product or your work after it has been put to its intended use.. Recall Of Products Work Or Impaired Property Damages claimed for any loss cost or expense incurred by you or others for the loss of use withdrawal recall inspection repair replacement adjustment removal or disposal of 1 Your product 2 Your work or 3 Impaired property if such product work or property is withdrawn or recalled from the market or from use by any person or organization because of a known or suspected defect deficiency inadequacy or dangerous condition in it.. Personal And Advertising Injury Bodily injury arising out of personal and advertising injury.. Electronic Data Damages arising out of the loss of loss of use of damage to corruption of inability to access or inability to manipulate electronic data. However this exclusion does not apply to liability for damages because of bodily injury. As used in this exclusion electronic data means information facts or programs stored as or on created or used on or transmitted to or from computer software including systems and applications software hard or floppy disks CD ROMs tapes drives cells data processing devices or any other media which are used with electronically controlled equipment.. Recording And Distribution Of Material Or Information In Violation Of Law Bodily injury or property damage arising directly or indirectly out of any action or omission that violates or is alleged to violate 1 The Telephone Consumer Protection Act TCPA including any amendment of or addition to such law 2 The CAN SPAM Act of 2003 including any amendment of or addition to such law 3 The Fair Credit Reporting Act FCRA and any amendment of or addition to such law including the Fair and Accurate Credit Transactions Act FACTA or 4 Personal property in the care custody or control of the insured 5 That particular part of real property on which you or any contractors or subcontractors working directly or indirectly on your behalf are performing operations if the property damage arises out of those operations or 6 That particular part of any property that must be restored repaired or replaced because your work was incorrectly performed on it. Paragraphs 1 3 and 4 of this exclusion do not apply to property damage other than damage by fire to premises including the contents of such premises rented to you for a period of seven or fewer consecutive days. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section Il Limits Of Insurance. Paragraph 2 of this exclusion does not apply if the premises are your work and were never occupied rented or held for rental by you. Paragraphs 3 4 5 and 6 of this exclusion do not apply to liability assumed under a sidetrack agreement. Paragraph 6 of this exclusion does not apply to property damage included in the products completed operations hazard. Damage To Your Product Property damage to your product arising out of it or any part of it.. Damage To Your Work Property damage to your work arising out of it or any part of it and included in the products completed operations hazard. This exclusion does not apply if the damaged work or the work out of which the damage arises was performed on your behalf by a subcontractor. Damage To Impaired Property Or Property Not Physically Injured Property damage to impaired property or property that has not been physically injured arising out of 1 A defect deficiency inadequacy or dangerous condition in your product or your work or 2 A delay or failure by you or anyone acting on your behalf to perform a contract or agreement in accordance with its terms. Insurance Services Office Inc. 2012 Page 5 of 16 CG 00010413 | 1 |
4 Anyfederal state or local statute ordinance or regulation other than the TCPA CAN SPAM Act of 2003 or FCRA and their amendments and additions that addresses prohibits or limits the printing dissemination disposal collecting recording sending transmitting communicating or distribution of material or information. Exclusions c. through n. do not apply to damage by fire to premises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to this coverage as described in Section Il Limits Of Insurance. COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY 1. Insuring Agreement a. We will pay those sums that the insured becomes legally obligated to pay as damages because of personal and advertising injury to which this insurance applies. We will have the right and duty to defend the insured against any suit seeking those damages. However we will have no duty to defend the insured against any suit seeking damages for personal and advertising injury to which this insurance does not apply. We may at our discretion investigate any offense and settle any claim or suit that may result. But 1 The amount we will pay for damages is limited as described in Section Ill Limits Of Insurance and 2 Our right and duty to defend end when we have used up the applicable limit of insurance in the payment of judgments or settlements under Coverages A or B or medical expenses under Coverage C. No other obligation or liability to pay sums or perform acts or services is covered unless explicitly provided for under Supplementary Payments Coverages A and B. b. This insurance applies to personal and advertising injury caused by an offense arising out of your business but only if the offense was committed in the coverage territory during the policy period. 2. Exclusions This insurance does not apply to a. Knowing Violation Of Rights Of Another Personal and advertising injury caused by or at the direction of the insured with the knowledge that the act would violate the rights of another and would inflict personal and advertising injury.. Material Published With Knowledge Of Falsity Personal and advertising injury arising out of oral or written publication in any manner of material if done by or at the direction of the insured with knowledge of its falsity. Material Published Prior To Policy Period Personal and advertising injury arising out of oral or written publication in any manner of material whose first publication took place before the beginning of the policy period.. Criminal Acts Personal and advertising injury arising out of a criminal act committed by or at the direction of the insured. Contractual Liability Personal and advertising injury for which the insured has assumed liability in a contract or agreement. This exclusion does not apply to liability for damages that the insured would have in the absence of the contract or agreement.. Breach Of Contract Personal and advertising injury arising out of a breach of contract except an implied contract to use another s advertising idea in your advertisement.. Quality Or Performance Of Goods Failure To Conform To Statements Personal and advertising injury arising out of the failure of goods products or services to conform with any statement of quality or performance made in your advertisement.. Wrong Description Of Prices Personal and advertising injury arising out of the wrong description of the price of goods products or services stated in your advertisement. Insurance Services Office Inc. 2012 Page 6 of 16 CG 00010413 | 1 |
Infringement Of Copyright Patent Trademark Or Trade Secret Personal and advertising injury arising out of the infringement of copyright patent trademark trade secret or other intellectual property rights. Under this exclusion such other intellectual property rights do not include the use of another s advertising idea in your advertisement. However this exclusion does not apply to infringement in your advertisement of copyright trade dress or slogan.. Insureds In Media And Internet Type Businesses Personal and advertising injury committed by an insured whose business is 1 Advertising broadcasting publishing or telecasting 2 Designing or determining content of web sites for others or 3 An Internet 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 section. For the purposes of this exclusion the placing of frames borders or links or advertising for you or others anywhere on the Internet is not by itself considered the business of advertising broadcasting publishing or telecasting.. Electronic Chatrooms Or Bulletin Boards Personal and advertising injury arising out of an electronic chatroom or bulletin board the insured hosts owns or over which the insured exercises control.. 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 potential customers.. Pollution Personal and advertising injury arising out of the actual alleged or threatened discharge dispersal seepage migration release or escape of pollutants at any time. n. Pollution related Any loss cost or expense arising out of any 1 Request demand order or statutory or regulatory requirement that any insured or others test for monitor clean up remove contain treat detoxify or neutralize or in any way respond to or assess the effects of pollutants or 2 Claim or suit by or on behalf of a governmental authority for damages because of testing for monitoring cleaning up removing containing treating detoxifying or neutralizing or in any way responding to or assessing the effects of pollutants. o. War Personal and advertising injury however caused arising directly or indirectly out of 1 War including undeclared or civil war 2 Warlike action by a military force including action in hindering or defending against an actual or expected attack by any government sovereign or other authority using military personnel or other agents or Insurrection rebellion revolution usurped power or action taken by governmental authority in hindering or defending against any of these. p. Recording And Distribution Of Material Or Information In Violation Of Law 3 Personal and advertising injury arising directly or indirectly out of any action or omission that violates or is alleged to violate 1 The Telephone Consumer Protection Act TCPA including any amendment of or addition to such law 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 printing dissemination disposal collecting recording sending transmitting communicating or distribution of material or information. 2 3 Insurance Services Office Inc. 2012 Page 7 of 16 CG 00010413 | 1 |
d. Workers Compensation And Similar Laws To a person whether or not an employee of any insured if benefits for the bodily injury are payable or must be provided under a workers compensation or disability benefits law or a similar law. Athletics Activities To a person injured while practicing instructing or participating in any physical exercises or games sports or athletic contests.. Products Completed Operations Hazard Included within the products completed operations hazard.. Coverage A Exclusions Excluded under Coverage A. SUPPLEMENTARY PAYMENTS COVERAGES A AND B 1. We will pay with respect to any claim we investigate or settle or any suit against an insured we defend a. b. All expenses we incur. Up to 250 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. The cost of bonds to release attachments but only for bond amounts within the applicable limit of insurance. We do not have to furnish these bonds.. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or suit including actual loss of earnings up to 250 a day because of time off from work. All court costs taxed against the insured in the suit. However these payments do not include attorneys fees or attorneys expenses taxed against the insured.. Prejudgment interest awarded against the insured on that part of the judgment we pay. If we make an offer to pay the applicable limit of insurance we will not pay any prejudgment interest based on that period of time after the offer. COVERAGE C MEDICAL PAYMENTS 1. Insuring Agreement a. We will pay medical expenses as described below for bodily injury caused by an accident 1 On premises you own or rent 2 On ways next to premises you own or rent or 3 Because of your operations provided that The accident takes place in the coverage territory and during the policy period b The expenses are incurred and reported to us within one year of the date of the accident and The injured person submits to examination at our expense by physicians of our choice as often as we reasonably require. b. We will make these payments regardless of fault. These payments will not exceed the applicable limit of insurance. We will pay reasonable expenses for 1 First aid administered at the time of an accident 2 Necessary medical surgical X ray and dental services including prosthetic devices and c 3 Necessary ambulance hospital professional nursing and funeral services. 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 that the person normally occupies. Insurance Services Office Inc. 2012 Page 8 of 16 CG 00010413 | 1 |
So long as the above conditions are met attorneys fees incurred by us in the defense of that indemnitee necessary litigation expenses incurred by us and necessary litigation expenses incurred by the indemnitee at our request will be paid as Supplementary Payments. Notwithstanding the provisions of Paragraph 2.b.2 of Section I Coverage A Bodily Injury And Property Damage Liability such payments will not be deemed to be damages for bodily injury and property damage and will not reduce the limits of insurance. Our obligation to defend an insured s indemnitee and to pay for attorneys fees and necessary litigation expenses as Supplementary Payments ends when we have used up the applicable limit of insurance in the payment of judgments or settlements or the conditions set forth above or the terms of the agreement described in Paragraph f. above are no longer met. SECTION Il WHO IS AN INSURED 1. If you are designated in the Declarations as a. An individual you and your spouse are insureds but only with respect to the conduct of abusiness of which you are the sole owner. b. A partnership or joint venture you are an insured. Your members your partners and their spouses are also insureds but only with respect to the conduct of your business. A limited liability company you are an insured. Your members are also insureds but only with respect to the conduct of your business. Your managers are insureds but only with respect to their duties as your managers. d. An organization other than a partnership joint venture or limited liability company you are an insured. Your executive officers and directors are insureds but only with respect to their duties as your officers or directors. Your stockholders are also insureds but only with respect to their liability as stockholders. e. A trust you are an insured. Your trustees are also insureds but only with respect to their duties as trustees. g. All interest on the full amount of any judgment that accrues after entry of the judgment and before we have paid offered to pay or deposited in court the part of the judgment that is within the applicable limit of insurance. These payments will not reduce the limits of insurance.. If we defend an insured against a suit and an indemnitee of the insured is also named as a party to the suit we will defend that indemnitee if all of the following conditions are met a. The suit against the indemnitee seeks damages for which the insured has assumed the liability of the indemnitee in a contract or agreement that is an insured contract b. This insurance applies to such liability assumed by the insured. The obligation to defend or the cost of the defense of that indemnitee has also been assumed by the insured in the same insured contract o. The allegations in the suit and the information we know about the occurrence are such that no conflict appears to exist between the interests of the insured and the interests of the indemnitee e. The indemnitee and the insured ask us to conduct and control the defense of that indemnitee against such suit and agree that we can assign the same counsel to defend the insured and the indemnitee and f. The indemnitee 1 Agrees in writing to a Cooperate with us in the investigation settlement or defense of the suit b Immediately send us copies of any demands notices summonses or legal papers received in connection with the suit c Notify any other insurer whose coverage is available to the indemnitee and d Cooperate with us with respect to coordinating other applicable insurance available to the indemnitee and 2 Provides us with written authorization to a Obtain records and other information related to the suit and b Conduct and control the defense of the indemnitee in such suit. Insurance Services Office Inc. 2012 Page 9 of 16 CG 00010413 | 1 |
2. Each of the following is also an insured a. Your volunteer workers only while performing duties related to the conduct of your business or your employees other than either your executive officers if you are an organization other than a partnership joint venture or limited liability company or your managers if you are a limited liability company but only for acts within the scope of their employment by you or while performing duties related to the conduct of your business. However none of these employees or volunteer workers are insureds for 1 Bodily injury or personal and advertising injury a To you to your partners or members if you are a partnership or joint venture to your members if you are a limited liability company to a coemployee while in the course of his or her employment or performing duties related to the conduct of your business or to your other volunteer workers while performing duties related to the conduct of your business b To the spouse child parent brother or sister of that coemployee or volunteer worker as a consequence of Paragraph 1a above c For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in Paragraph 1a or b above or d Arising out of his or her providing or failing to provide professional health care services. 2 Property damage to property a Owned occupied or used by b Rented to in the care custody or control of or over which physical control is being exercised for any purpose by you any of your employees volunteer workers any partner or member if you are a partnership or joint venture or any member if you are a limited liability company. b. Any person other than your employee or volunteer worker or any organization while acting as your real estate manager. c. Any person or organization having proper temporary custody of your property if you die but only 1 With respect to liability arising out of the maintenance or use of that property and 2 Until your legal representative has been appointed. d. Your legal representative if you die but only with respect to duties as such. That representative will have all your rights and duties under this Coverage Part. w Any organization you newly acquire or form other than a partnership joint venture or limited liability company and over which you maintain ownership or majority interest will qualify as a Named Insured if there is no other similar insurance available to that organization. However a. Coverage under this provision is afforded only until the 90th day after you acquire or form the organization or the end of the policy period whichever is earlier b. Coverage A does not apply to bodily injury or property damage that occurred before you acquired or formed the organization and c. Coverage B does not apply to personal and advertising injury arising out of an offense committed before you acquired or formed the organization. No person or organization is an insured with respect to the conduct of any current or past partnership joint venture or limited liability company that is not shown as a Named Insured in the Declarations. SECTION Il LIMITS OF INSURANCE 1. The Limits of Insurance shown in the Declarations and the rules below fix the most we will pay regardless of the number of a. Insureds b. Claims made or suits brought or c. Persons or organizations making claims or bringing suits. 2. The General Aggregate Limit is the most we will pay for the sum of a. Medical expenses under Coverage C b. Damages under Coverage A except damages because of bodily injury or property damage included in the products completed operations hazard and c. Damages under Coverage B. Insurance Services Office Inc. 2012 Page 10 of 16 CG 00010413 | 1 |
3. The Products Completed Operations Aggregate Limit is the most we will pay under Coverage A for damages because of bodily injury and property damage included in the products completed operations hazard. 4. Subject to Paragraph 2. above the Personal And Advertising Injury Limit is the most we will pay under Coverage B for the sum of all damages because of all personal and advertising injury sustained by any one person or organization. 5. Subject to Paragraph 2. or 3. above whichever applies the Each Occurrence Limit is the most we will pay for the sum of a. Damages under Coverage A and b. Medical expenses under Coverage C because of all bodily injury and property damage arising out of any one occurrence. 6. Subject to Paragraph 5. above the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of property damage to any one premises while rented to you or in the case of damage by fire while rented to you or temporarily occupied by you with permission of the owner. 7. Subject to Paragraph 5. above the Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of bodily injury sustained by any one person. The Limits of Insurance of this Coverage Part apply separately to each consecutive annual period and to any remaining period of less than 12 months starting with the beginning of the policy period shown in the Declarations unless the policy period is extended after issuance for an additional period of less than 12 months. In that case the additional period will be deemed part of the last preceding period for purposes of determining the Limits of Insurance. SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS 1. Bankruptcy Bankruptcy or insolvency of the insured or of the insured s estate will not relieve us of our obligations under this Coverage Part. 2. Duties In The Event Of Occurrence Offense Claim Or Suit a. You must see to it that we are notified as soon as practicable of an occurrence or an offense which may result in a claim. To the extent possible notice should include 1 How when and where the occurrence or offense took place 2 The names and addresses of any injured persons and witnesses and 3 The nature and location of any injury or damage arising out of the occurrence or offense. b. If a 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 injury or damage to which this insurance may also apply. d. No insured will except at that insured s own cost voluntarily make a payment assume any obligation or incur any expense other than for first aid without our consent. Legal Action Against Us No person or organization has a right under this Coverage Part a. To join us as a party or otherwise bring us into a suit asking for damages from an insured or b. To sue us on this Coverage Part unless all of its terms have been fully complied with. A person or organization may sue us to recover on an agreed settlement or on a final judgment against an insured but we will not be liable for damages that are not payable under the terms of this Coverage Part or that are in excess of the applicable limit of insurance. An agreed settlement means a settlement and release of liability signed by us the insured and the claimant or the claimant s legal representative. Insurance Services Office Inc. 2012 Page 11 of 16 CG 00010413 | 1 |
4. Other Insurance If other valid and collectible insurance is available to the insured for a loss we cover under Coverages A or B of this Coverage Part our obligations are limited as follows a. b. Primary Insurance This insurance is primary except when Paragraph b. below applies. If this insurance is primary our obligations are not affected unless any of the other insurance is also primary. Then we will share with all that other insurance by the method described in Paragraph c. below. Excess Insurance 1 This insurance is excess over Any of the other insurance whether primary excess contingent or on any other basis i That is Fire Extended Coverage Builder s Risk Installation Risk or similar coverage for your work ii That is Fire insurance for premises rented to you or temporarily occupied by you with permission of the owner iii That is insurance purchased by you to cover your liability as a tenant for property damage to premises rented to you or temporarily occupied by you with permission of the owner or iv If the loss arises out of the maintenance or use of aircraft autos or watercraft to the extent not subject to Exclusion g. of Section 1 Coverage A Bodily Injury And Property Damage Liability. b Any other primary insurance available to you covering liability for damages arising out of the premises or operations or the products and completed operations for which you have been added as an additional insured. 2 When this insurance is excess we will have no duty under Coverages A or B to defend the insured against any suit if any other insurer has a duty to defend the insured against that suit. If no other insurer defends we will undertake to do so but we will be entitled to the insured s rights against all those other insurers. c. 3 When this insurance is excess over other insurance we will pay only our share of the amount of the loss if any that exceeds the sum of The total amount that all such other insurance would pay for the loss in the absence of this insurance and b The total of all deductible and self insured amounts under all that other insurance. 4 We will share the remaining loss if any with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. Method Of Sharing If all of the other insurance permits contribution by equal shares we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains whichever comes first. If any of the other insurance does not permit contribution by equal shares we will contribute by limits. Under this method each insurer s share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. 5. Premium Audit a. We will compute all premiums for this Coverage Part in accordance with our rules and rates.. Premium shown in this Coverage Part as advance premium is a deposit premium only. At the close of each audit period we will compute the earned premium for that period and send notice to the first Named Insured. The due date for audit and retrospective premiums is the date shown as the due date on the bill. If the sum of the advance and audit premiums paid for the policy period is greater than the earned premium we will return the excess to the first Named Insured. The first Named Insured must keep records of the informaton we need for premium computation and send us copies at such times as we may request. 6. Representations By accepting this policy you agree a. The statements in the Declarations are accurate and complete Insurance Services Office Inc. 2012 Page 12 of 16 CG 00010413 | 1 |
However auto does not include mobile equipment. Bodily injury means bodily injury sickness or disease sustained by a person including death resulting from any of these at any time. Coverage territory means a. The United States of America including its territories and possessions Puerto Rico and Canada b. International waters or airspace but only if the injury or damage occurs in the course of travel or transportation between any places included in Paragraph a. above or c. All other parts of the world if the injury or damage arises out of 1 Goods or products made or sold by you in the territory described in Paragraph a. above 2 The activities of a person whose home is in the territory described in Paragraph a. above but is away for a short time on your business or 3 Personal and advertising injury offenses that take place through the Internet or similar electronic means of communication provided the insured s responsibility to pay damages is determined in a suit on the merits in the territory described in Paragraph a. above or in a settlement we agree to. Employee includes a leased worker. Employee does not include a temporary worker. Executive officer means a person holding any of the officer positions created by your charter constitution bylaws or any other similar governing document. Hostile fire means one which becomes uncontrollable or breaks out from where it was intended to be. Impaired property means tangible property other than your product or your work that can not be used or is less useful because a. It incorporates your product or your work that is known or thought to be defective deficient inadequate or dangerous or b. You have failed to fulfill the terms of a contract or agreement if such property can be restored to use by the repair replacement adjustment or removal of your product or your work or your fulfilling the terms of the contract or agreement. b. Those statements are based upon representations you made to us and c. We have issued this policy in reliance upon your representations. 7. Separation Of Insureds Except with respect to the Limits of Insurance and any rights or duties specifically assigned in this Coverage Part to the first Named Insured this insurance applies a. As if each Named Insured were the only Named Insured and b. Separately to each insured against whom claim is made or suit is brought. 8. Transfer Of Rights Of Recovery Against Others To Us If the insured has rights to recover all or part of any payment we have made under this Coverage Part those rights are transferred to us. The insured must do nothing after loss to impair them. At our request the insured will bring suit or transfer those rights to us and help us enforce them. 9. When We Do Not Renew If we decide not to renew this Coverage Part we will mail or deliver to the first Named Insured shown in the Declarations written notice of the nonrenewal not less than 30 days before the expiration date. If notice is mailed proof of mailing will be sufficient proof of notice. SECTION V DEFINITIONS 1. Advertisement means a notice that is broadcast or published to the general public or specific market segments about your goods products or services for the purpose of attracting customers or supporters. For the purposes of this definition a. Notices that are published include material placed on the Internet or on similar electronic means of communication and b. Regarding web sites only that part of a web site that is about your goods products or services for the purposes of attracting customers or supporters is considered an advertisement. 2. Auto means a. A land motor vehicle trailer or semitrailer designed for travel on public roads including any attached machinery or equipment or b. Any other land vehicle that is subject to a compulsory or financial responsibility law or other motor vehicle insurance law where it is licensed or principally garaged. Insurance Services Office Inc. 2012 Page 13 of 16 CG 00010413 | 1 |
9.Insured contract means a. A contract for a lease of premises. However that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire to premises while rented to you or temporarily occupied by you with permission of the owner is not an insured contract b. A sidetrack agreement c. Any easement or license agreement except in connection with construction or demolition operations on or within 50 feet of a railroad d. An obligation as required by ordinance to indemnify a municipality except in connection with work for a municipality e. An elevator maintenance agreement That part of any other contract or agreement pertaining to your business including an indemnification of a municipality in connection with work performed for a municipality under which you assume the tort liability of another party to pay for bodily injury or property damage to a third person or organization. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. Paragraph f. does not include that part of any contract or agreement 1 That indemnifies a railroad for bodily injury or property damage arising out of construction or demolition operations within 50 feet of any railroad property and affecting any railroad bridge or trestle tracks road beds tunnel underpass or crossing That indemnifies an architect engineer or surveyor for injury or damage arising out of a Preparing approving or faiing to prepare or approve maps shop drawings opinions reports surveys field orders change orders or drawings and specifications or b Giving directions or instructions or failing to give them if that is the primary cause of the injury or damage or 3 Under which the insured if an architect engineer or surveyor assumes liability for an injury or damage arising out of the insured s rendering or failure to render professional services including those listed in 2 above and supervisory inspection architectural or engineering activities. 10.Leased worker means a person leased to you by 1 ey a labor leasing firm under an agreement between you and the labor leasing firm to perform duties related to the conduct of your business. Leased worker does not include a temporary worker..Loading or unloading means the handling of property a. After it is moved from the place where it is accepted for movement into or onto an aircraft watercraft or auto b. While it is in or on an aircraft watercraft or auto or While it is being moved from an aircraft watercraft or auto to the place where it is finally delivered but loading or unloading does not include the movement of property by means of a mechanical device other than a hand truck that is not attached to the aircraft watercraft or auto. 12.Mobile equipment means any of the following types of land vehicles including any attached machinery or equipment a. Bulldozers farm machinery forklifts and other vehicles designed for use principally off public roads b. Vehicles maintained for use solely on or next to premises you own or rent c. Vehicles that travel on crawler treads d. Vehicles whether self propelled or not maintained primarily to provide mobility to permanently mounted 1 Power cranes shovels loaders diggers or drills or 2 Road construction or resurfacing equipment such as graders scrapers or rollers e. Vehicles not described in Paragraph a. b. c. or d. above that are not self propelled and are maintained primarily to provide mobility to permanently attached equipment of the following types 1 Air compressors pumps and generators including spraying welding building cleaning geophysical exploration lighting and well servicing equipment or 2 Cherry pickers and similar devices used to raise or lower workers. Vehicles not described in Paragraph a. b. c. or d. above maintained primarily for purposes other than the transportation of persons or cargo. Insurance Services Office Inc. 2012 Page 14 of 16 CG 00010413 | 1 |
13 14. 15. However self propelled vehicles with the following types of permanently attached equipment are not mobile equipment but will be considered autos 1 Equipment designed primarily for a Snow removal b Road maintenance but not construction or resurfacing or c Street cleaning 2 Cherry pickers and similar devices mounted on automobile or truck chassis and used to raise or lower workers and 3 Air compressors pumps and generators including spraying welding building cleaning geophysical exploration lighting and well servicing equipment. However mobile equipment does not include any land vehicles that are subject to a compulsory or financial responsibility law or other motor vehicle insurance law where it is licensed or principally garaged. Land vehicles subject to a compulsory or financial responsibility law or other motor vehicle insurance law are considered autos..Occurrence means an accident including continuous or repeated exposure to substantially the same general harmful conditions. Personal and advertising injury means injury including consequential bodily injury arising out of one or more of the following offenses a. False arrest detention or imprisonment b. Malicious prosecution c. The wrongful eviction from wrongful entry into or invasion of the right of private occupancy of a room dwelling or premises that a person occupies committed by or on behalf of its owner landlord or lessor d. Oral or written publication in any manner of material that slanders or libels a person or organization or disparages a person s or organization s goods products or services e. Oral or written publication in any manner of material that violates a person s right of privacy f. The use of another s advertising idea in your advertisement or g. Infringing upon another s copyright trade dress or slogan in your advertisement. Pollutants mean any solid liquid gaseous or thermal irritant or contaminant including smoke vapor soot fumes acids alkalis chemicals and waste. Waste includes materials to be recycled reconditioned or reclaimed. 16.Products completed operations hazard a. Includes all bodily injury and property damage occurring away from premises you own or rent and arising out of your product or your work except 1 Products that are still in your physical possession or 2 Work that has not yet been completed or abandoned. However your work will be deemed completed at the earliest of the following times When all of the work called for in your contract has been completed. b When all of the work to be done at the job site has been completed if your contract calls for work at more than one job site. When that part of the work done at a job site has been put to its intended use by any person or organization other than another contractor or subcontractor working on the same project. Work that may need service maintenance correction repair or replacement but which is otherwise complete will be treated as completed. c b. Does not include bodily injury or property damage arising out of 1 The transportation of property unless the injury or damage arises out of a condition in or on a vehicle not owned or operated by you and that condition was created by the loading or unloading of that vehicle by any insured 2 The existence of tools uninstalled equipment or abandoned or unused materials or Products or operations for which the classification listed in the Declarations or in a policy Schedule states that products completed operations are subject to the General Aggregate Limit. 3 17.Property damage means a. Physical injury to tangible property including all resulting loss of use of that property. All such loss of use shall be deemed to occur at the time of the physical injury that caused it or. Loss of use of tangible property that is not physically injured. All such loss of use shall be deemed to occur at the time of the occurrence that caused it. For the purposes of this insurance electronic data is not tangible property. Insurance Services Office Inc. 2012 Page 15 of 16 CG 00010413 | 1 |
As used in this definition electronic data means information facts or programs stored as or on created or used on or transmitted to or from computer software including systems and applications software hard or floppy disks CD ROMSs tapes drives cells data processing devices or any other media which are used with electronically controlled equipment. 18.Suit means a civil proceeding in which damages because of bodily injury property damage or personal and advertising injury to which this insurance applies are alleged. Suit includes a. An arbitration proceeding in which such damages are claimed and to which the insured must submit or does submit with our consent or b. Any other alternative dispute resolution proceeding in which such damages are claimed and to which the insured submits with our consent. 19.Temporary worker means a person who is furnished to you to substitute for a permanent employee on leave or to meet seasonal or short term workload conditions. 20.Volunteer worker means a person who is not your employee and who donates his or her work and acts at the direction of and within the scope of duties determined by you and is not paid a fee salary or other compensation by you or anyone else for their work performed for you. 21.Your product a. Means 1 Any goods or products other than real property manufactured sold handled distributed or disposed of by a You b Others trading under your name or c A person or organization whose business or assets you have acquired and 2 Containers other than vehicles materials parts or equipment furnished in connection with such goods or products. b. Includes 1 Warranties or representations made at any time with respect to the fitness quality durability performance or use of your product and 2 The providing of or failure to provide warnings or instructions. c. Does not include vending machines or other property rented to or located for the use of others but not sold. 22.Your work a. Means 1 Work or operations performed by you or on your behalf and 2 Materials parts or equipment furnished in connection with such work or operations. b. Includes 1 Warranties or representations made at any time with respect to the fitness quality durability performance or use of your work and 2 The providing of or failure to provide warnings or instructions. Insurance Services Office Inc. 2012 Page 16 of 16 CG 00010413 | 1 |
POLICY NUMBER TBC Z291 469603 010 POLICY NUMBER TBC Z291 469603 010 COMMERCIAL GENERAL LIABILITY CG 24 0405 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 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 below 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 below. SCHEDULE Name Of Person Or Organization Township of Wayne 475 Valley Rd Wayne IN 07470 Information required to complete this Schedule if not shown above will be shown in the Declarations. SCHEDULE Insurance Services Office Inc. 2008 Page 1 of 1 CG 24 04 05 09 | 2 |
POLICY NUMBER TBC Z91 469603 010 VIBER TBC291 469603 010 COMMERCIAL GENERAL LIABILITY CG 24 07 01 96 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRODUCTS COMPLETED OPERATIONS HAZARD REDEFINED This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART With respect to bodily injury or property damage arising out of your products manufactured sold handled or distributed 1. On from or in connection with the use of any premises described in the Schedule or 2. In connection with the conduct of any operation described in the Schedule when conducted by you or on your behalf Paragraph a. of the definition of Products completed operations hazard in the DEFINITIONS Section is replaced by the following Products completed operations hazard a. Includes all bodily injury and property dam age that arises out of your products if the bodily injury or property damage occurs af ter you have relinquished possession of those products. SCHEDULE Description of Premises and Operations Marketing Events at 199 Scott St Buffalo NY 14201 If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. Copyright Insurance Services Office Inc. 1994 Page 1 of 1 CG 24 07 01 96 | 2 |
COMMERCIAL GENERAL LIABILITY CG 24260413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT OF INSURED CONTRACT DEFINITION 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 Definitions 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 damage by fire to premises while rented to you or temporarily occupied by you with permission of the owner is not an insured contract b. A sidetrack agreement c. Any easement or license agreement except in connection with construction or demolition operations on or within 50 feet of a railroad d. An obligation as required by ordinance to indemnify a municipality except in connection with work for a municipality e. An elevator maintenance agreement f. That part of any other contract or agreement pertaining to your business including an indemnification of a municipality in connection with work performed for a municipality under which you assume the tort liability of another party to pay for bodily injury or property damage to a third person or organization provided the bodily injury or property damage is caused in whole or in part by you or by those acting on your behalf. However such part of a contract or agreement shall only be considered an insured contract to the extent your assumption of the tort liability is permitted by law. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. Paragraph f. does not include that part of any contract or agreement 1 That indemnifies a railroad for bodily injury or property damage arising out of construction or demolition operations within 50 feet of any railroad property and affecting any railroad bridge or trestle tracks road beds tunnel underpass or crossing That indemnifies an architect engineer or surveyor for injury or damage arising out of a Preparing approving or failing to prepare or approve maps shop drawings opinions reports surveys field orders change orders or drawings and specifications or b Giving directions or instructions or failing to give them if that is the primary cause of the injury or damage or 3 Under which the insured if an architect engineer or surveyor assumes liability for an injury or damage arising out of the insured s rendering or failure to render professional services including those listed in 2 above and supervisory inspection architectural or engineering activities. 2 Insurance Services Office Inc. 2012 Page 1 of 1 CG 24260413 | 2 |
POLICY NUMBER TBC Z91 469603 010 POLICY NUMBER TBC Z91 469603 010 COMMERCIAL GENERAL LIABILITY CG 27210413 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 Deducgblz. Premium Employee Benefits 1000000 Each Employee Not Applicable s Programs 2000000 Aggregate Retroactive Date 09302013 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.. 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. 3. 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 Not Applicable Insurance Services Office Inc. 2012 Page 1 of 7 CG 27210413 | 2 |
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.. Exclusions This insurance does not apply to a. Dishonest Fraudulent Criminal Or Malicious 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 funds to meet any obligations under any plan included in the employee benefit program. 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.. 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.. 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.. 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. Employment related Practices Damages arising out of wrongful termination 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 2. Coverages A and B are replaced by Supplementary Payments Coverages A B and Employee Benefits Liability. 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.. 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. Insurance Services Office Inc. 2012 Page 2 of 7 CG 27210413 | 2 |
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 Ill 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 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 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. Insurance Services Office Inc. 2012 Page 3 of 7 CG 27210413 | 2 |
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 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 Authorize us to obtain records and other information 3 Cooperate with us in the investigation or settlement of the claim or defense against the suit and Assist us upon our request in the enforcement of any right against any person or organization which may be liable to the insured because of an act error or omission to which this insurance may also apply. 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 e 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. Insurance Services Office Inc. 2012 Page 4 of 7 CG 27210413 | 2 |
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. Insurance Services Office Inc. 2012 Page 5 of 7 CG 27210413 | 2 |
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. 5. 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 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 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. 2. Cafeteria plans means plans authorized by applicable law to allow employees to elect to pay for certain benefits with pre tax dollars. 3. Claim means any demand or suit made by n employee or an employee s dependents and beneficiaries for damages as the result of an act error or omission. Insurance Services Office Inc. 2012 Page 6 of 7 CG 27210413 | 2 |
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. Insurance Services Office Inc. 2012 Page 7 of 7 CG 27210413 | 2 |
Policy Number TBC291 469603 010 Issued by Employers Insurance Co. Wausau THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY ENHANCEMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Index of modified items Item 1. Item 2. Item 3. Item 4. Item 5. Item 6. Item 7. Item 8. Item 9. Item 10. Item 11. Reasonable Force Non Owned Watercraft Extension Damage To Premises Rented To You Expanded Coverage Bodily Injury To Co Employees Health Care Professionals As Insureds Knowledge Of Occurrence Or Offense Notice Of Occurrence Or Offense Unintentional Failure To Disclose Bodily Injury Redefined Supplementary Payments Increased Limits Aircraft With Chartered Crew Iltem 1. Reasonable Force Exclusion a. of Section Coverage A Bodily Injury And Property Damage Liability is replaced by the following 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. Iltem2. Non Owned Watercraft Extension Paragraph 2 of Exclusion g. of Section Coverage A Bodily Injury And Property Damage Liability is replaced by the following 2 A watercraft you do not own that is a Less than 55 feet long and b Not being used to carry persons or property for a charge ltem3. Damage To Premises Rented To You Expanded Coverage A. The final paragraph of 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability is replaced by the following Exclusions c. through n. do not apply to damage by fire lightning or explosion or subsequent damages resulting from such fire lightning or explosion including water damage to premises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to this coverage as described in Section Il Limits Of Insurance. 2016 Liberty Mutual Insurance Includes copyrighted material of Insurance Services Office Inc. with its permission. Page 1of 4 LC 04610117 | 2 |
B. Paragraph 6. of Section Il Limits Of Insurance is replaced by the following 6. Subject to Paragraph 5. above the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of property damage to any one premises while rented to you or in the case of damage by fire lightning explosion or subsequent damages resulting from such fire lightning or explosion including water damage to premises while rented to you or temporarily occupied by you with permission of the owner. The Damage To Premises Rented To You Limit is the greater of a. 300000 or b. The Damage To Premises Rented To You Limit shown on the Declarations. C. Paragraph 9.a. of the definition of insured contract in Section V Definitions is replaced by the following a. A contract for a lease of premises. However that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire lightning explosion or subsequent damages resulting from such fire lightning or explosion including water damage to premises while rented to you or temporarily occupied by you with permission of the owner is not an insured contract D. The paragraph immediately following Paragraph 6 of Exclusion j. of Section Coverage A Bodily Injury And Property Damage Liability is replaced by the following Paragraphs 1 3 and 4 of this exclusion do not apply to property damage other than damage by fire lightning or explosion or subsequent damages resulting from such fire lightning or explosion including water damage to premises including the contents of such premises rented to you for a period of seven or fewer consecutive days. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section Il Limits of Insurance. ltem 4. Bodily Injury To Co Employees A. Paragraph 2. of Section Il Who Is An Insured is amended to include Each of the following is also an insured Your employees other than either your executive officers if you are an organization other than a partnership joint venture or limited liability company or your managers if you are a limited liability company or volunteer workers are insureds while in the course of their employment or while performing duties related to the conduct of your business with respect to bodily injury 1 Toyou To your partners or members if you are a partnership or joint venture 3 To your members if you are a limited liability company or 4 To a coemployee or volunteer worker while that coemployee or volunteer worker is either in the course of his or her employment by you or while performing duties related to the conduct of your business including participation in any recreational activities sponsored by you. Paragraph 2.a.1a of Section Il Who Is An Insured does not apply to bodily injury for which insurance is provided by this paragraph. B. The insurance provided by this Item 4. for bodily injury to a coemployee or volunteer worker will not apply if the injured coemployee s or volunteer worker s sole remedy for such injury is provided under a workers compensation law or any similar law. 2016 Liberty Mutual Insurance Includes copyrighted material of Insurance Services Office Inc. with its permission. Page 2 of 4 LC 04610117 | 2 |
C. Other Insurance The insurance provided by this Item 4. is excess over any other valid and collectible insurance available to the insured whether primary excess contingent or on any other basis. Item 5. Health Care Professionals As Insureds A. Paragraph 2.a.1d of Section Il Who Is An Insured is replaced by the following d Arising out of his or her providing or failing to provide professional health care services. However any employee or volunteer worker of the Named Insured who is acting as a Good Samaritan in response to a public or medical emergency or who is a designated health care provider is an insured with respect to bodily injury and personal and advertising injury that i Arises out of the providing of or failure to provide professional health care services and i Occurs in the course of and within the scope of such employee s or volunteer worker s employment by the Named Insured. B. With respect to employees and volunteer workers providing professional health care services the following exclusions are 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 Liability assumed under an insured contract or any other contract or agreement Liability arising out of the providing of professional health care services in violation of law 3 Liability arising out of the providing of any professional health care services while in any degree under the influence of intoxicants or narcotics 4 Liability arising out of any dishonest fraudulent malicious or knowingly wrongful act or failure to act or 5 Punitive or exemplary damages fines or penalties. C. The following definition is added to Section V Definitions Designated health care provider means any employee or volunteer worker of the Named Insured whose duties include providing professional health care services including but not limited to doctors nurses emergency medical technicians or designated first aid personnel. D. Other Insurance The insurance provided by this Item 5. is excess over any other valid and collectible insurance available to the insured whether primary excess contingent or on any other basis. ltem 6. Knowledge Of Occurrence Or Offense Knowledge of an occurrence or offense by your agent servant or employee will not in itself constitute knowledge by you unless your executive officer or employee designated by you to notify us of an occurrence or offense has knowledge of the occurrence or offense. Iltem7. Notice Of Occurrence Or Offense For purposes of Paragraph 2.a. of Section IV Commercial General Liability Conditions you refers to your executive officer or employee that you have designated to give us notice. 2016 Liberty Mutual Insurance Includes copyrighted material of Insurance Services Office Inc. with its permission. Page 3 of 4 LC 04610117 | 2 |
Item 8. Unintentional Failure To Disclose Unintentional failure of the Named Insured to disclose all hazards existing at the inception of this policy shall not be a basis for denial of any coverage afforded by this policy. However you must report such an error or omission to us as soon as practicable after its discovery. This provision does not affect our right to collect additional premium or exercise our right of cancellation or non renewal. Item9. Bodily Injury Redefined The definition of bodily injury in Section V Definitions is replaced by the following Bodily injury means a. Bodily injury sickness or disease sustained by a person including death resulting from any of these at any time and b. Mental anguish shock or humiliation arising out of injury as defined in Paragraph a. above. Mental anguish means any type of mental or emotional illness or distress. Item 10. Supplementary Payments Increased Limits Paragraphs 1.b. and 1.d. of Section Supplementary Payments Coverages A And B are replaced by the following b. Up to 3000 for the cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. d. All reasonable expenses incurred by the insured at our request to assist in the investigation or defense of the claim or suit including actual loss of earnings up to 500 a day because of time off from work. Item 11. Aircraft With Chartered Crew The following is added to Exclusion g. of Section Coverage A Bodily Injury And Property Damage Liability This exclusion does not apply to an aircraft that you do not own that is a Chartered with a pilot by any insured and b Not being used to carry any person or property for a charge collected or received by the insured. 2016 Liberty Mutual Insurance Includes copyrighted material of Insurance Services Office Inc. with its permission. Page 4 of 4 LC 04610117 | 2 |
Policy Number TBC Z91 469603 010 Issued by Employers Insurance Co. Wausau THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OTHER INSURANCE AMENDMENT SCHEDULED ADDITIONAL INSURED This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART If you are obligated under a written agreement to provide liability insurance on a primary excess contingent or any other basis for any persons or organizations shown in the Schedule of this endorsement that qualifies as an additional insured on this Policy this Policy will apply solely on the basis required by such written agreement and Paragraph 4. Other Insurance of Section IV Conditions will not apply. Where the applicable written agreement does not specify on what basis the liability insurance will apply the provisions of Paragraph 4. Other Insurance of Section IV Conditions will apply. However this insurance is excess over any other insurance available to the additional insured for which it is also covered as an additional insured for the same occurrence claim or suit. Schedule Name of Persons or Organizations Ford Motor Company its Subsidiaries and Affiliates Vehicle Control MD158 2018 Liberty Mutual Insurance Includes copyrighted material of Insurance Services Office Inc. with its permission. Page 1of 1 LC24201118 | 2 |
Policy Number TBC Z91 469603 010 Issued by Employers Insurance Co. Wausau THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Non Cumulation of Liability Same Occurrence This endorsement modifies the insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to paragraph 4. of the Limits of Insurance Section If one occurrence causes personal and advertising injury to which this policy applies and to which one or more prior andor future liability policyies issued to you by us also applies then this policy s Personal and Advertising Injury Limit will be reduced by the amount of cach payment made by us under the other policyies because of such occurrence. The following is added to paragraph 5. of the Limits of Insurance Section If one occurrence causes bodily injury andor property damage during the policy period and during the policy period of one or more prior andor future liability policyies issued to you by us then this policy s Each Occurrence Limit will be reduced by the amount of cach payment made by us under the other policyies because of such occurrence. The final paragraph of the Limits of Insurance Section is replaced with the following The aggregate Limits of Insurance of this Coverage Part apply separately to each consecutive annual period and to any remaining period of less than 12 months starting with the beginning of the policy period shown in the Declarations unless the policy period is extended after issuance for an additional period of less than 12 months. In that case the additional period will be deemed part of the last preceding period for purposes of determining the aggregated Limits of Insurance. However the Each Occurrence Limit is the most we will pay for damages and Medical Expenses because of all bodily injury and property damage arising out of any one ocurrence and the Personal and Advertising Injury Limit s the most we will pay for damage because of all personal and advertising injury arising out of any one occurrence regardless of the length of the policy period. LC 251308 08 Page 1 of 1 | 2 |
Policy Number TBC291 469603 010 Issued by Employers Insurance Co. Wausau THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT OR DESIGNATED LOCATION COMBINED AGGREGATE LIMITS WITH TOTAL AGGREGATE LIMIT FOR ALL PROJECTS AND LOCATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. For all sums which the insured becomes legally obligated to pay as damages caused by occurrences under Section Coverage A and for all medical expenses caused by accidents under Section Coverage C which can be attributed only to ongoing operations at a single designated construction project or a single designated location 1. A separate Designated General Aggregate Limit applies to each designated construction project and to each designated location and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. The Designated General Aggregate Limit is the most we will pay for the sum of all damages under Section Coverage A except damages because of bodily injury or property damage included in the products completed operations hazard and for medical expenses under Section Coverage C regardless of the number of a. Insureds b. Claims made or suits brought or c. Persons or organizations making claims or bringing suits. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Designated General Aggregate Limit for that designated construction project or designated location. Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Designated General Aggregate Limit for any other designated construction project or designated location. The limits shown in the Declarations for Each Occurrence Damage to Premises Rented to You and Medical Expense continue to apply. However instead of being subject to the General Aggregate Limit shown in the Declarations such limits will be subject to the applicable Designated General Aggregate Limit and the Total Aggregate Limit for all Projects and Locations. The Total Aggregate Limit for all Projects and Locations shown in the Schedule of this endorsement is the most we will pay for the sum of all damages caused by occurrences under Section Coverage A and all medical expenses caused by accidents under Section Coverage C which can be attributed only to ongoing operations at a designated construction project or designated location shown in the Schedule of this endorsement regardless of the number of construction projects locations occurrences or accidents. Each Designated General Aggregate Limit is subject to the Total Aggregate Limit for all Projects and Locations shown in the Schedule of this endorsement. B. For all sums which the insured becomes legally obligated to pay as damages caused by occurrences under Section Coverage A and for all medical expenses caused by accidents under Section Coverage C which can not be attributed only to ongoing operations at a single designated construction project or single designated location LC25190115 2014 Liberty Mutual Insurance Page 1 of 2 Includes copyrighted material of Insurance Services Office Inc. with its permission. | 2 |
1. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products Completed Operations Aggregate Limit whichever is applicable and 2. Such payments shall not reduce any Designated General Aggregate Limit. When coverage for liability arising out of the products completed operations hazard is provided any payments for damages because of bodily injury or property damage included in the products completed operations hazard will reduce the Products Completed Operations Aggregate Limit and not reduce the General Aggregate Limit nor the Designated General Aggregate Limit. If the applicable construction project has been abandoned delayed or abandoned and then restarted or if the authorized contracting parties deviate from plans blueprints designs specifications or timetables the project will still be deemed to be the same construction project. For the purposes of this endorsement the Definitions Section is amended by the addition of the following definition Location means any premise that you occupy for permanent operations as part of your business but does not include any premises at which you are performing operations as part of a construction project. All premises involving the same or connecting lots or premises whose connection is interrupted only by a street roadway waterway or right of way of a railroad shall be considered a single location. The provisions of Section IIl Limits Of Insurance not otherwise modified by this endorsement shall continue to apply as stipulated. Schedule Designated Construction Projects or Designated Locations All locations and all construction projects at which you are performing ongoing operations. Total Aggregate Limit for all Projects and Locations 2000000 2014 Liberty Mutual Insurance Includes copyrighted material of Insurance Services Office Inc. with its permission. LC25190115 Page 2 of 2 | 2 |
Policy Number TBC Z91 469603 010 Issued by Employers Insurance Co. Wausau THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Personal and Advertising Injury Redefined Definition of Publication This endorsement modifies the insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART Paragraphs d. and e. of the definition of personal and advertising injury are replaced by the following Personal and advertising injury means injury including consequential bodily injury arising out of one or more of the following offenses d. Oral or written publication directly to the public at large of material that slanders or libels a person or organization or disparages a person s or organization s goods products or services. e. 1 Oral or written publication directly to the public at large of material that violates a person s right of privacy 2 Oral or written publication of material that violates a person s right of privacy by misappropriation of that person s name or likeness. The following definition is added to the Definitions Section Publication means an insured s act of disseminating or broadcasting material or information. Publication does not include the wrongful appropriation interception or retrieval of material or information by a third party or the insured s dissemination or broadcasting of material or information to a person who is the subject of the material or the information. LC 29 04 08 08 Page 1 of 1 | 2 |
Policy Number TBC Z91 469603 010 Issued by Employers Insurance Co. Wausau THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Personal and Advertising Injury Occurrence Redefined This endorsement modifies the insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Paragraph 4. of the Limits of Insurance section is replaced by the following 4. Subject to 2. above the Personal and Advertising Injury Limit is the most we will pay under Coverage B for the sum of all damages because of all personal and advertising injury arising out of any one occurrence. B. The definition of occurrence in the Definitions section is replaced by the following Occurrence means a. With respect to bodily injury or property damage an accident including continuous or repeated exposure to substantially the same general harmful conditions or b. With respect to personal and advertising injury an offense or series of related offenses. LC 29 06 08 08 Page 1 of 1 | 2 |
Policy Number TBC Z91 469603 010 Issued by Employers Insurance Co. Wausau THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADVERTISEMENT REDEFINED This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART The definition of advertisement in the Definitions Section is replaced by the following Advertisement means a paid announcement that is broadcast or published in the print broadcast or electronic media to the general public or specific market segments about your goods products or services for the purpose of attracting customers or supporters. For the purposes of this definition a. Announcements that are published include material placed on the Internet or on similar electronic means of communication and Regarding web sites only that part of a web site that is about your goods products or services for the purposes of attracting customers or supporters is considered an advertisement. 2011 Liberty Mutual Group of Companies. All rights reserved. Includes copyrighted material of Insurance Services Office Inc. with its permission. Page 1 of 1 LC 290810 11 | 2 |
Policy Number TBC291 469603 010 Issued by Employers Insurance Co. Wausau THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PREMIUM RESPONSIBILITY ENDORSEMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART PRODUCT WITHDRAWAL COVERAGE PART Paragraph E. Premiums of the Common Policy Conditions is replaced by the following 1. Each Named Insured is jointly and severally liable for all premiums due under this policy and for any other financial obligations of any Named Insured to us arising out of any agreements contained in this policy. 2. The first Named Insured will be the payee for any return premiums we pay. 2013 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office Inc. with its permission. Page 1of 1 LC 99360213 | 2 |
Policy Number TBC Z91 469603 010 Issued by Employers Insurance Co. Wausau THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO THIRD PARTIES This endorsement modifies insurance provided under the following BUSINESS AUTO COVERAGE PART MOTOR CARRIER COVERAGE PART GARAGE COVERAGE PART TRUCKERS COVERAGE PART EXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE PART SELF INSURED TRUCKER EXCESS LIABILITY COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART COMMERCIAL LIABILITY UMBRELLA COVERAGE FORM A. If we cancel this policy for any reason other than nonpayment of premium we will notify the persons or organizations shown in the Schedule of this endorsement. We will send notice to the email or mailing address listed above at least 10 days or the number of days listed above if any before the cancellation becomes effective. In no event does the notice to the third party exceed the notice to the first named insured. B. This advance notification of a pending cancellation of coverage is intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy. All other terms and conditions of this policy remain unchanged. Schedule Name of Other Persons Email Address or mailing address Number Days Notice Organizations Ford Motor Company its Subsidiaries and 20901 Oakwood Boulevard Dearborn MI 48124 30 Affiliates Vehicle Control MD158 Number Days Notice nan nan nan nan 30.0 2011 Liberty Mutual Group of Companies. All rights reserved. Includes copyrighted material of Insurance Services Office Inc. with its permission. Page 1 of 1 LIM 99 0105 11 | 2 |
POLICY NUMBER TBC Z91 469603 010 COMMERCIAL GENERAL LIABILITY CG 20150413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED VENDORS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART A. Section Il Who Is An Insured is amended to include as an additional insured any persons or organizations referred to throughout this endorsement as vendor shown in the Schedule but only with respect to bodily injury or property damage arising out of your products shown in the Schedule which are distributed or sold in the regular course of the vendor s business. However 1. The insurance afforded to such vendor only applies to the extent permitted by law and 2. If coverage provided to the vendor is required by a contract or agreement the insurance afforded to such vendor will not be broader than that which you are required by the contract or agreement to provide for such vendor. B. With respect to the insurance afforded to these vendors the following additional exclusions apply 1. The insurance afforded the vendor does not apply to a. Bodily injury or property damage for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement b. Any express warranty unauthorized by you c. Any physical or chemical change in the product made intentionally by the vendor d. Repackaging except when unpacked solely for the purpose of inspection demonstration testing or the substitution of parts under instructions from the manufacturer and then repackaged in the original container e. Any failure to make such inspections adjustments tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business in connection with the distribution or sale of the products f. Demonstration installation servicing or repair operations except such operations performed at the vendor s premises in connection with the sale of the product g. Products which after distribution or sale by you have been labeled or relabeled or used as a container part or ingredient of any other thing or substance by or for the vendor or h. Bodily injury or property damage arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. However this exclusion does not apply to 1 The exceptions contained in Sub paragraphs d. or f. or 2 Such inspections adjustments tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business in connection with the distribution or sale of the products. 2. This insurance does not apply to any insured person or organization from whom you have acquired such products or any ingredient part or container entering into accompanying or containing such products. With respect to the insurance afforded to these vendors the following is added to Section Il Limits Of Insurance If coverage provided to the vendor is required by a contract or agreement the most we will pay on behalf of the vendor is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Insurance shown in the Declarations Limits of whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Insurance Services Office Inc. 2012 Page 1 of 2 CG 20150413 | 2 |
SCHEDULE Name Of Additional Insured Persons Or Organizations Vendor Your Products Any person or organization purchasing goods or All products of the named insured. products from the named insured or the insureds distributor for the purpose of resale. Information required to complete this Schedule if not shown above will be shown in the Declarations. Your Products All products of the named insured. Insurance Services Office Inc. 2012 Page 2 of 2 CG 20150413 | 2 |
POLICY NUMBER TBC Z291 469603 010 COMMERCIAL GENERAL LIABILITY CG 20180413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED MORTGAGEE ASSIGNEE OR RECEIVER This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to their liability as mortgagee assignee or receiver and arising out of the ownership maintenance or use of the premises by you and shown in the Schedule. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. This insurance does not apply to structural alterations new construction and demolition operations performed by or for that person or organization. C. With respect to the insurance afforded to these additional insureds the following is added to Section Ill Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. s SCHEDULE Designation Of Premises All locations Name Of Persons Or Organizations BMO Harris Bank N.A As Administrative Agent Its Successors And Or Assigns 111 W. Monroe 20th Floor East Chicago IL 60603 HH Retail Owner LLC CIM Group LLC And Their Officers Directors Employees Divisions Subsidiaries Partners Members Managers Shareholders Affiliated Companies And Mortgagees Lenders Attn Special Events C O 680 Hollywood Blvd Ste 170 Hollywood CA 90028 The City Of Santa Monica Its Officers Officials Employees And Volunteers 1685 Main St Santa Monica CA 90401 Downtown Santa Monica Inc. Its Officers Officials Employees And Volunteers 1351 3rd Street Promenade Ste 201 Santa Monica CA 90401 California locations The City Of Santa Monica Its Officers Officials Employees And Volunteers 1685 Main St Santa Monica CA 90401 California Locations Insurance Services Office Inc. 2012 Page 1 of 2 CG 20180413 | 2 |
SCHEDULE continued Name Of Persons Or Organizations Designation Of Premises DCASE Contract Administration 78 E Washington lllinois Locations Chicago IL 60602 Promoworks LLC 300 N Martingale Rd Schaumburg lllinois locations IL 60173 Crossmark Inc. And Its Affiliates And Subsidiaries Texas Locations 5100 Legacy Dr Plano TX 75024 Metro North Railroad And Metropolitan Transportation New York Locations Authority 2 Broadway FI 21 New York NY 10004 The California State University California State Georgia Locations University Long Beach Forty Niner Shops Inc And CSULB And The Employees Officers Volunteers And Agents Of Each Of Them Their Respective Officers Employees Geo L Smith Il Georgia World Congress Center Authority 285 Andrew Young International Blvd NW Atlanta GA 30313 Information required to complete this Schedule if not shown above will be shown in the Declarations. Texas Locations New York Locations Georgia Locations Insurance Services Office Inc. 2012 Page 2 of 2 CG 20180413 | 2 |
POLICY NUMBER TBC Z91 469603 010 POLICY NUMBER TBC Z91 469603 010 COMMERCIAL GENERAL LIABILITY CG 20260413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by your acts or omissions or the acts or omissions of those acting on your behalf 1. In the performance of your ongoing operations or 2. In connection with your premises owned by or rented to you. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following is added to Section Ill Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. SCHEDULE Name Of Additional Insured Persons Or Organizations Township of Wayne 475 Valley Rd Wayne IN 07470 Information required to complete this Schedule if not shown above will be shown in the Declarations. Insurance Services Office Inc. 2012 Page 1 of 1 CG 20260413 | 2 |
Policy Number TBC Z91 469603 010 Issued by Employers Insurance of Wausau THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY ADDITIONAL INSURED ENHANCEMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Index of modified items Item 1. Blanket Additional Insured Where Required By Written Agreement Lessors of Leased Equipment Managers or Lessors of Premises Mortgagees Assignees or Receivers Any Person or Organization Item 2. Blanket Additional Insured Grantor Of Permits Item 3. Other Insurance Amendment Item 1. Blanket Additional Insured Where Required By Written Agreement Paragraph 2. of Section Il Who Is An Insuredis amended to add the following Additional Insured By Written Agreement The following are insureds under the Policy when you have agreed in a written agreement to provide them coverage as additional insureds under your policy 1. Lessors of Leased Equipment The persons or organizations from whom you lease equipment but only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by your maintenance operation or use of equipment leased to you by such persons or organizations. This insurance does not apply to any occurrence which takes place after the equipment lease expires. Managers or Lessors of Premises Any managers or lessors of premises leased to you in which the written lease agreement obligates you to procure additional insured coverage. The coverage afforded to the additional insured is limited to liability in connection with the ownership maintenance or use of the premises leased to you and caused in whole or in part by some negligent acts or omissions of you your employees your agents or your subcontractors. There is no coverage for the additional insured for liability arising out of the sole negligence of the additional insured or those acting on behalf of the additional insured except as provided below. If the written agreement obligates you to procure additional insured coverage for the additional insured s sole negligence then the coverage for the additional insured shall conform to the agreement but only if the applicable law would allow you to indemnify the additional insured for liability arising out of the additional insured s sole negligence. 2018 Liberty Mutual Insurance Includes copyrighted material of Insurance Services Office Inc. with its permission. Page 10of 3 LC 20690418 | 2 |
This insurance does not apply to a. Any occurrence which takes place after you cease to be a tenant in that premises or to lease that land b. Structural alterations new construction or demolition operations performed by or on behalf of that manager or lessor or c. Any premises for which coverage is excluded by endorsement. 3. Mortgagees Assignees or Receivers Any persons or organizations with respect to their liability as mortgagee assignee or receiver and arising out of your ownership maintenance or use of the premises. This insurance does not apply to structural alterations new construction and demolition operations performed by or on behalf of such persons or organizations. 4. Any Person or Organization Other Than a Joint Venture Any persons or organizations other than a joint venture of which you are a member for whom you are obligated to procure additional insured coverage but only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by your acts or omissions or the acts or omissions of those acting on your behalf a. Inthe performance of your ongoing operations or b. In connection with premises owned by or rented to you. This insurance does not apply to a. Any persons or organizations more specifically covered in Paragraphs 1. through 3. above b. Any construction renovation demolition or installation operations performed by or on behalf of you or those operating on your behalf or c. Any persons or organizations whose profession business or occupation is that of an architect surveyor or engineer with respect to liability arising out of the rendering of or failure to render any professional architectural engineering or surveying services including 1 The preparing approving or failing to prepare or approve maps drawings opinions reports surveys field orders change orders designs and specifications or 2 Supervisory inspection architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others by that insured if the occurrence which caused the bodily injury or property damage or the offense which caused the personal and advertising injury involved the rendering of or failure to render any professional services by or on behalf of you or those operating on your behalf. The insurance afforded to any persons or organizations as an insured under this Item 1. 1. Applies to the extent permitted by law 2. Applies only to the scope of coverage and the minimum limits of insurance required by the written agreement but in no event exceeds either the scope of coverage or the limits of insurance provided by this Policy 3. Does not apply to any persons or organizations for any bodily injury property damage or personal and advertising injury if any other additional insured endorsement attached to this Policy applies to such persons or organizations with regard to the bodily injury property damage or personal and advertising injury 4. Applies only if the bodily injury or property damage occurs or the offense giving rise to the personal and advertising injury is committed subsequent to the execution of the written agreement and LC 20690418 2018 Liberty Mutual Insurance Page 2 of 3 Includes copyrighted material of Insurance Services Office Inc. with its permission Page 2 of 3 | 2 |
5. Applies only if the written agreement is in effect at the time the bodily injury or property damage occurs or at the time the offense giving rise to the personal and advertising injury is committed. Item 2. Blanket Additional Insured Grantor Of Permits Paragraph 2. of Section Il Who Is An Insuredis amended to add the following Any state municipality or political subdivision that has issued you a permit in connection with any operations performed by you or on your behalf or in connection with premises you own rent or control and to which this insurance applies but only to the extent that you are required to provide additional insured status to the state municipality or political subdivision as a condition of receiving and maintaining the permit. Such state municipality or political subdivision that has issued you a permit is an insured only with respect to their liability as grantor of such permit to you. However with respect to the state municipality or political subdivision 1. Coverage will be no broader than required and 2. Limits of insurance will not exceed the minimum limits of insurance required as a condition for receiving or maintaining the permit but neither the scope of coverage nor the limits of insurance will exceed those provided by this Policy. This insurance does not apply to 1. Bodily injury property damage or personal and advertising injury arising out of operations performed for the state municipality or political subdivision 2. Any bodily injury or property damage included within the products completed operations hazard except when required by written agreement initiated prior to loss or 3. Bodily injury property damage or personal and advertising injury unless negligently caused in whole or in part by you or those acting on your behalf. Item 3. Other Insurance Amendment If you are obligated under a written agreement to provide liability insurance on a primary excess contingent or any other basis for any persons or organizations that qualifies as an additional insured on this Policy this Policy will apply solely on the basis required by such written agreement and Paragraph 4. Other Insurance of Section IV Commercial General Liability Conditions will not apply. Where the applicable written agreement does not specify on what basis the liability insurance will apply the provisions of Paragraph 4. Other Insurance of Section IV Commercial General Liability Conditions will apply. However this insurance is excess over any other insurance available to the additional insured for which it is also covered as an additional insured for the same occurrence claim or suit. 2018 Liberty Mutual Insurance Includes copyrighted material of Insurance Services Office Inc. with its permission. Page 3of 3 LC 20690418 | 2 |
COMMERCIAL GENERAL LIABILITY CG 21700115 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 COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY A. 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. Insurance Services Office Inc. 2015 Page 1 of 1 CG 21700115 | 2 |
COMMERCIAL GENERAL LIABILITY CG 21760115 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION OF PUNITIVE DAMAGES RELATED TO A CERTIFIED ACT OF TERRORISM This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY A. The following exclusion is added This insurance does not apply to TERRORISM PUNITIVE DAMAGES Damages arising directly or indirectly out of a certified act of terrorism that are awarded as punitive damages. B. The following definition is added 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 viole dangerous to h infrastructure and is or individuals as pa civilian population influence the policy United States Gover. The terms and limi exclusion or the inap terrorism exclusion coverage for injury or excluded under this Co 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. C. The terms and limitatons 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. Insurance Services Office Inc. 2015 Page 1 of 1 CG 21760115 | 2 |
COMMERCIAL GENERAL LIABILITY CG 26 86 0115 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ARKANSAS EXCLUSION OF PUNITIVE DAMAGES RELATED TO A CERTIFIED ACT OF TERRORISM This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY A. The following exclusion is added This insurance does not apply to TERRORISM PUNITIVE DAMAGES Damages arising directly or indirectly out of a certified act of terrorism that are awarded as punitive damages. B. The following definitions are added 1. 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 a. 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 b. 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. 2. Punitive damages means damages that may be imposed to punish a wrongdoer and to deter others from similar conduct.. 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. b. 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. 2. Punitive damages means damages that may be imposed to punish a wrongdoer and to deter others from similar conduct. C. 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. Insurance Services Office Inc. 2015 Page 1 of 1 CG 26 86 0115 | 2 |
COMMERCIAL GENERAL LIABILITY CG 26930115 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ALASKA EXCLUSION OF PUNITIVE DAMAGES RELATED TO A CERTIFIED ACT OF TERRORISM This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY A. The following exclusion is added This insurance does not apply to TERRORISM PUNITIVE DAMAGES Damages arising out of a certified act of terrorism that are awarded as punitive damages. B. The following definition is added 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. C. 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 thatis otherwise excluded under this Coverage Part. Insurance Services Office Inc. 2015 Page 1 of 1 CG 26930115 | 2 |
COMMERCIAL GENERAL LIABILITY CG 2106 05 14 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION ACCESS OR DISCLOSURE OF CONFIDENTIAL OR PERSONAL INFORMATION AND DATA RELATED LIABILITY WITH LIMITED BODILY INJURY EXCEPTION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Exclusion 2.p. of Section Coverage A As used in this exclusion electronic data Bodily Injury And Property Damage Liability is means information facts or programs replaced by the following stored as or on created or used on or 2. Exclusions ransn.mled to or from computer spware including systems and applications This insurance does not apply to p. Access Or Disclosure Of Confidential Or Personal Information And Data related Liability software hard or floppy disks CD ROMs tapes drives cells data processing devices or any other media which are used with electronically controlled equipment. B. The following is added to Paragraph 2. Exclusions of Section Coverage B Personal And Advertising Injury Liability Damages arising out of 1 Any access to or disclosure of any person s or organization s confidential or personal information including 2. Exclusions patents trade secrets processing methods customer lists financial information credit card information health information or any other type of nonpublic information or 2 The loss of loss of use of damage to corruption of inability to access or inability to manipulate electronic data. 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. However unless Paragraph 1 above applies this exclusion does not apply to damages because of bodily injury. This insurance does not apply to Access Or Disclosure Of Confidential Or Personal Information Personal and advertising injury arising out of any access to or disclosure of any 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. 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 infarmation 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. B. The following is added to Paragraph 2. Exclusions of Section Coverage B Personal And Advertising Injury Liability 2. Exclusions This insurance does not apply to Access Or Disclosure Of Confidential Or Personal Information Personal and advertising injury arising out of any access to or disclosure of any 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. 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. Insurance Services Office Inc. 2013 Page 1 of 1 CG 2106 05 14 | 2 |
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 demo tion evaluation reassignment discipline defamation harassment humiliation dis crimination or malicious prosecution di rected 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 repay someone else who must pay damages because of the injury. B. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage B Per sonal 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 demo tion evaluation reassignment discipline defamation harassment humiliation dis crimination or malicious prosecution di rected 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 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 repay someone else who must pay damages because of the injury. ISO Properties Inc. 2006 Page 1 of 1 CG 21471207 | 2 |
COMMERCIAL GENERAL LIABILITY CG 214909 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TOTAL POLLUTION EXCLUSION ENDORSEMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Exclusion 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 cape of pollutants at any time. 2 Any loss cost or expense arising out of any a Request demand order or statutory or b regulatory requirement that any insured or others test for monitor clean up remove contain treat detoxify or neutralize or in any way respond to or assess the effects of pollutants or Claim or suit by or on behalf of a govern mental authority for damages because of testing for monitoring cleaning up remov ing containing treating detoxifying or neu tralizing or in any way responding to or as sessing the effects of pollutants. Copyright Insurance Services Office Inc. 1998 Page 1 of 1 CG 214909 99 | 2 |
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 Exclusions of Section Coverage B Per Injury And Property Damage Liability sonal And Advertising Injury Liability 2. Exclusions 2. Exclusions This insurance does not apply to Fungi Or Bacteria a. Bodily injury or property damage which would not have occurred in whole or in part but for the actual alleged or threatened in halation of ingestion of contact with expo sure to existence of or presence of any fungi or bacteria on or within a building or structure including its contents regardless of whether any other cause event material or product contributed concurrently or in any sequence to such injury or damage. b. Any loss cost or expenses arising out of the abating testing for monitoring cleaning up removing containing treating detoxifying neutralizing remediating or disposing of or in any way responding to or assessing the effects of fungi or bacteria by any insured or by any other person or entity. 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 consump tion. 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 threat ened inhalation of ingestion of contact with exposure to existence of or presence of any fungi or bacteria on or within a building or structure including its contents regardless of whether any other cause event material or product contributed con currently 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 disposing of or in any way responding to or assessing the effects of fungi or bacteria by any insured or by any other person or entity. C. The following definition is added to the Definitions 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. 1SO Properties Inc. 2003 Page 1 of 1 CG 21671204 | 2 |
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Nuclear Energy Liability Exclusion Endorsement Broad Form This endorsement modifies the 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 property damage 03 2 With respect to which an insured under the policy is also an insured under a nuclear energy liability policy issued by Nuclear Energy Liability Insurance Association Mutual Atomic Energy Liability Underwriters Nuclear Insurance Association of Canada or any of the rs or would be an insured under any such policy but for its termination upon exhaustion of its limit of liability or Resulting from the hazardous properties of nuclear material and with respect to which a any person or organization is required to maintain financial protection pursuant to the Atomic Energy Act of 1954 or any law amendatory thereof or b the insured is or had this policy not been issued would be entitled to indemnity from the United States of America or any agency thereof under any agreement entered into by the United States of America or any agency thereof with any person or organization. Under any Medical Payments coverage to expenses incurred with respect to bodily injury resulting from the hazardous properties of nuclear material and arising out of the operation of a nuclear facility by any person or organization. Under any Liability Coverage to bodily injury or property damage resulting from the hazardous properties of nuclear material if 03 2 3 The nuclear material is at any nuclear facility owned by or operated by or on behalf of an insured or b has been discharged or dispersed therefrom The nuclear material is contained in spent fuel or waste at any time possessed handled used processed stored transported or disposed of by or on behalf of an insured or The bodily injury or property damage arises out of the furnishing by an insured of services materials parts or equipment in connection with the planning construction maintenance operation or use of any nuclear facility but if such facility is located within the United States of America its territories or possessions or Canada this exclusion 3 applies only to property damage to such nuclear facility and any property thereat. ISO Properties Inc. 2007 Page 1 of 2 IL 0021 09 08 09 08 | 2 |
As used in this endorsement Hazardous properties include 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 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 organization 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 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 disposal of waste and includes the site on which any of the foregoing is located all operations conducted on such site and all premises used for such operations. Nuclear reactor means any apparatus designed or used to sustain nuclear contain a critical mass of fissionable material. fon in a self supporting chain reaction or to Property damage includes all forms of radioactive contamination of property. Page 2 of 2 IL 0021 09 08 09 08 | 2 |
Policy Number TBC Z91 469603 010 Issued by Employers Insurance Co. Wausau THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Asbestos Exclusion Endorsement This endorsement modifies the insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART GARAGE COVERAGE PART LIQUOR LIABILITY COVERAGE PART MOTOR TRUCK CARGO COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRINTERS LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART SPECIAL PROTECTIVE AND HIGHWAY LIABILITY POLICY NEW YORK WAREHOUSEMAN S LEGAL LIABILITY COVERAGE PART This insurance does not apply to any liability damages loss injury demand claim or suit arising out of or caused by or allegedly caused by asbestos either alone or in combination with other substances or factors. LC 21 01 06 05 Page 1 of 1 | 2 |
Policy Number TBC Z91 469603 010 Issued by Employers Insurance Co. Wausau THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Silica Exclusion Endorsement This endorsement modifies the insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART GARAGE COVERAGE PART LIQUOR LIABILITY COVERAGE PART MOTOR TRUCK CARGO COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRINTERS LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART SPECIAL PROTECTIVE AND HIGHWAY LIABILITY POLICY NEW YORK WAREHOUSEMEN S LIABILITY COVERAGE PART This insurance does not apply to any liability damages loss injury demand claim or suit any part of which is caused by or allegedly caused by silica in any form or any substance containing silica either alone or in combination with other substances or factors whether included in a product or otherwise. LC 21 02 06 05 Page 1 of 1 | 2 |
Policy Number TBC Z91 469603 010 Issued by Employers Insurance Co. Wausau THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Discrimination Exclusion This endorsement modifies the insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART This insurance does not apply to Damages arising out of unlawful discrimination. LC 21 04 06 05 Page 1 of 1 | 2 |
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