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PL2665507 Great American ES Insurance Company CG 77 94 Ed. 07 98 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION LIABILITY ARISING OUT OF LEAD This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS COVERAGE PART This insurance does not apply to 1. bodily injury property damage or per sonal and advertising injury arising out of resulting from or in any way caused by or related to the actual alleged or threatened ingestion inhalation absorption or exposure to lead in any form from any source or 2. any loss cost expense liability or other type of obligation arising out of or resulting from or in any way related to any a. claim suit request demand directive or order by or on behalf of any person en tity or governmental authority that any In sured or others test for monitor clean up remove contain treat detoxify neu tralize or in any way respond to or as sess the effects of lead in any form from any source or to any b. claim or suit by or on behalf of any per son entity or governmental authority for damages or any other relief or remedy because of testing for monitoring clean ing up removing containing treating or detoxifying or neutralizing or in any way responding to or assessing the effects of lead in any form. We shall not be obligated to investigate on behalf of an Insured or to defend or indemnify an In sured or any person or entity claiming any right under the policy for the matters excluded in this endorsement. Includes copyrighted material of Insurance Services Office Inc. with its permission. CG 77 94 Ed. 0798 XS | 2 |
PL2665507 Great American ES Insurance Company IL 00 21 Ed. 09 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT Broad Form This endorsement modifies insurance provided under the following COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY 1. The insurance does not apply A. Under any Liability Coverage to bodily in jury or property damage 1 with respect to which an insured un der the Policy is also an insured under a nuclear energy liability policy issued by Nuclear Energy Liability Insurance Association Mutual Atomic Energy Li ability Underwriters Nuclear Insurance Association of Canada or any of their successors or would be an insured under any such policy but for its ter mination upon exhaustion of its Limit of Liability or 2 resulting from the hazardous prop erties of nuclear material and with respect to which a any person or organization is required to maintain fi nancial protection pursuant to the Atomic Energy Act of 1954 or any law amendatory thereof or b the In sured 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 agree ment entered into by the United States of America or any agency thereof with any person or organization. B. Under any Medical Payments Coverage to expenses incurred with respect to bodily injury resulting from the hazardous properties of nuclear material and aris ing out of the operation of a nuclear fa cility by any person or organization. C. Under any Liability Coverage to bodily in jury or property damage resulting from hazardous properties of nuclear mate rial if 1 the nuclear material a is at any nu clear facility owned by or operated by or on behalf of an insured or b has been discharged or dispersed therefrom 2 the nuclear material is contained in spent fuel or waste at any time possessed handled used processed stored transported or disposed of by or on behalf of an insured or 3 the bodily injury or property dam age 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 fa cility but if such facility is located within the United States of America its Copyright ISO Properties Inc. 2007 Page 1 of 2 IL 00 21 Ed. 0908 XS | 2 |
PL2665507 Great American ES Insurance Company territories or possessions or Canada this exclusion 3 applies only to property damage to such nuclear facility and any property thereat.. As used in this endorsement Hazardous properties includes radioactive toxic or explosive properties. Nuclear material means source material special nuclear material or by product ma terial. Nuclear facility means a any nuclear reactor b any equipment or device designed or used for 1 separating the isotopes of uranium or plutonium 2 processing or utilizing spent fuel or 3 handling processing or packaging waste c any equipment or device used for the processing fabricating or alloying of special nuclear material if at any time the total amount of such material in the cus tody of the Insured at the premises where such equipment or device is lo cated 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 de signed or used to sustain nuclear fission in a self supporting chain reaction or to contain a critical mass of fissionable material. Property damage includes all forms of ra dioactive contamination of property. 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 con taining 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. Copyright ISO Properties Inc. 2007 Page 2 of 2 IL 00 21 Ed. 0908 XS | 2 |
PL2665507 Great American ES Insurance Company CG 83 66 Ed. 06 05 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NUCLEAR BIOLOGICAL OR CHEMICAL EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM COVERAGE FOR OPERATIONS OF DESIGNATED CONTRACTORS A. The following exclusion is hereby added to paragraph 2. Exclusions of SECTION COVERAGE A. Bodily Injury and Property Damage Liability of the Commercial Gen eral Liability Coverage Form and to para graph 2. Exclusions of SECTION I. COV ERAGES of the Owners and Contractors Protective Liability Coverage Form Cov erage for Operations of Designated Con tractor 2. Exclusions Nuclear Biological or Chemical Notwithstanding any other provision of this policy this insurance does not apply to any bodily injury or property damage caused directly or indirectly in whole or in part by any of the following regardless of any other causes or events that may contribute concurrently or in any other sequence to the bodily injury or prop erty damage 1 Any actual attempted suspected or threatened use of any NBC material as part of any plan effort or design actually or apparently intended to cause any a loss or damage to any tangible or intangible property or b bodily injury or emotional dis tress. 2 Any actual attempted suspected or threatened presence spread dissemi nation release escape or distribution of any NBC material as a direct or indirect result of any actual attempted suspected or threatened plan effort or design actually or apparently in tended to cause any a loss or damage to any tangible or intangible property or b bodily injury or emotional dis tress. NBC Material means any nuclear bio logical or chemical material or substance that causes damage to property or is harmful to human health. NBC material includes but is not limited to 1 any radioactive substance or material and the radiation it releases 2 any pathogen bacterium microbe virus or other organism 3 any substance or material produced by or from any pathogen bacterium mi crobe virus or other organism and 4 any poison toxin or other harmful chemical substance or material. The foregoing list 1 through 4 is only illustrative and should not be construed as a complete exclusive or exhaustive list of all NBC materials. CG 83 66 Ed. 0605 XS Page 1 of 2 | 2 |
PL2665507 Great American ES Insurance Company B. The following exclusion is hereby added to paragraph 2. Exclusions of SECTION I. COVERAGE B. Personal and Advertising In jury Liability of the Commercial General Li ability Coverage Form 2. Exclusions Nuclear Biological or Chemical Notwithstanding any other provision of this policy this insurance does not apply to any personal or advertising injury caused directly or indirectly in whole or in part by any of the following regardless of any other causes or events that may contribute concurrently or in any other sequence to the personal and advertising injury 1 Any actual attempted suspected or threatened use of any NBC material as part of any plan effort or design actually or apparently intended to cause any a loss or damage to any tangible or intangible property or b bodily injury or emotional dis tress. 2 Any actual attempted suspected or threatened presence spread dissemi nation release escape or distribution of any NBC material as a direct or indirect result of any actual attempted suspected or threatened plan effort or design actually or apparently in tended to cause any a loss or damage to any tangible or intangible property or b bodily injury or emotional dis tress. NBC Material means any nuclear bio logical or chemical material or substance that causes damage to property or is harmful to human health. NBC material includes but is not limited to 1 any radioactive substance or material and the radiation it releases 2 any pathogen bacterium microbe virus or other organism 3 any substance or material produced by or from any pathogen bacterium mi crobe virus or other organism and 4 any poison toxin or other harmful chemical substance or material. The foregoing list 1 through 4 is only illustrative and should not be construed as a complete exclusive or exhaustive list of all NBC materials. This endorsement does not change any other provision of the policy. CG 83 66 Ed. 0605 XS Page 2 of 2 | 2 |
PL2665507 Great American ES Insurance Company CG 83 61 Ed. 02 05 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SILICA OR RELATED DUST EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM COVERAGE FOR OPERATIONS OF DESIGNATED CONTRACTOR A. The following exclusion is added to paragraph 2. Exclusions of SECTION I. Coverage A. Bodily Injury and Property Damage Liabil ity of the Commercial General Liability Coverage Form and to paragraph 2. Exclu sions of SECTION I. COVERAGES of the Owners and Contractors Protective Liability Coverage Form Coverage for Operations of Designated Contractor 2. Exclusions This insurance does not apply to Silica or Related Dust a. Any bodily injury which would not have occurred in whole or in part but for the actual alleged threatened or suspected inhalation or ingestion of exposure to or contact with silica or dust that includes or contains sili ca. b. Any property damage which would not have occurred in whole or in part but for the actual alleged threatened or suspected contact with exposure to existence of or presence of sili ca or dust that includes or contains silica. c. Any loss cost or expense arising out of the abating testing for monitoring cleaning up removing containing treating detoxifying neutralizing re mediating or disposing of or in any way responding to or assessing the effects of silica or dust that includes or contains silica by any insured or by any other person or entity. This exclusion applies regardless of i the circumstances of or leading to such actual alleged threat ened or suspected inhalation in gestion exposure contact exis tence or presence and ii whether the silica or dust that includes or contains silica is mixed or combined with or also includes or contains any other substance. B. The following exclusion is added to paragraph 2. Exclusions of SECTION I. Coverage B. Personal and Advertising Injury Liability of the Commercial General Liability Coverage Form 2. Exclusions This insurance does not apply to Silica or Related Dust a. Any personal and advertising injury which would not have taken place in whole or in part but for the actual alleged threatened or suspected in halation or ingestion of contact with exposure to existence of or pres ence of silica or dust that includes or contains silica. CG 83 61 Ed. 0205 XS Page 1 of 2 | 2 |
PL2665507 Great American ES Insurance Company b. Any loss cost or expense arising out of the abating testing for monitoring cleaning up removing containing treating detoxifying neutralizing re mediating or disposing of or in any way responding to or assessing the effects of silica or dust that includes or contains silica by any insured or by any other person or entity. This exclusion applies regardless of i the circumstances of or leading to such actual alleged threat ened or suspected inhalation in gestion exposure contact exis tence or presence and. The following defi ii whether the silica or dust that includes or contains silica is mixed or combined with or also includes or contains any other substance. tion is added to the Defi nitions Section Silica means silicon dioxide SiOz2 in any form from any source. C. The following definition is added to the Defi nitions Section Silica means silicon dioxide SiOz2 in any form from any source. CG 83 61 Ed. 0205 XS Page 2 of 2 | 2 |
PL2665507 Great American ES Insurance Company CG 21 65 Ed. 12 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TOTAL POLLUTION EXCLUSION WITH A BUILDING HEATING COOLING AND DEHUMIDIFYING EQUIPMENT EXCEPTION AND A HOSTILE FIRE EXCEPTION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Exclusion f. under paragraph 2. Exclusions of SECTION Coverage A Bodily Injury and Property Damage Liabilityis replaced by the fol lowing 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 escape of pollutants at any time. This exclusion does not apply to a bodily injury if sustained within a b building which is or was at any time owned or occupied by or rented or loaned to any insured and caused by smoke fumes vapor or soot pro duced by or originating from equip ment that is used to heat cool or de humidify the building or equipment that is used to heat water for personal use by the building s occupants or their guest or bodily injury or property damage arising out of heat smoke or fumes from a hostile fire unless that hostile fire occurred or originated i at any premises site or location which is or was at any time used by or for any insured or others for the handling storage dispos al processing or treatment of waste or ii at any premises site or location on which any insured or any con tractors or subcontractors work ing directly or indirectly on any insured s behalf are performing operations to test for monitor clean up remove contain treat detoxify neutralize or in any way respond to or assess the effects of pollutants. 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. Copyright ISO Properties Inc. 2003 CG 21 65 Ed. 1204 XS | 2 |
PL2665507 Great American ES Insurance Company IL72 10 Ed. 0115 THIS ENDORSEMENT IS ATTACHED TO AND MADE PART OF YOUR POLICY IN RESPONSE TO THE DISCLOSURE REQUIREMENTS OF THE TERRORISM RISK INSURANCE ACT. THIS ENDORSEMENT DOES NOT GRANT ANY COVERAGE OR CHANGE THE TERMS AND CONDITIONS OF ANY COVERAGE UNDER THE POLICY. DISCLOSURE PURSUANT TO TERRORISM RISK INSURANCE ACT Rejection of Offer You have rejected the offer of terrorism coverage for Acts of Terrorism that are certified under the Terrorism Risk Insurance Act as an Act of Terrorism. An exclusion of terrorism losses has been made a part of this Policy. Disclosure of Federal Participation in Payment of Terrorism Losses The United States Government Department of the Treasury will pay a share of terrorism losses insured under the federal program. The federal share equals a percentage as shown in paragraph C. below of that portion of the amount of such insured losses that exceeds the applicable insurer retention. However if aggregate insured losses attributable to terrorist acts certified under the Terrorism Risk Insurance Act exceed 100 billion in a calendar year the Treasury shall not make any payment for any portion of the amount of such losses that exceeds 100 billion. You have rejected this offer of coverage. Federal Share of Losses Under the Terrorism Risk Insurance Act 85 Year 2015 84 Year 2016 83 Year 2017 82 Year 2018 81 Year 2019 80 Year 2020 Includes copyrighted material of Insurance Services Office Inc. with its permission IL72 10 Ed. 0115 | 2 |
PL2665507 Great American ES Insurance Company CG 21 75 Ed. 0115 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION OF CERTIFIED ACTS OF TERRORISM AND EXCLUSION OF OTHER ACTS OF TERRORISM COMMITTED OUTSIDE THE UNITED STATES 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 2. Fifty or more persons sustain death or serious physical injury. For the purposes of this provision serious physical injury means a. Physical injury that involves a substan tial risk of death or b. Protracted and obvious physical dis figurement or c. Protracted loss of or impairment of the function of a bodily member or organ or 3. The terrorism involves the use release or escape of nuclear materials or directly or indirectly results in nuclear reaction or ra diation or radioactive contamination or 4. The terrorism is carried out by means of the dispersal or application of pathogenic or poisonous biological or chemical ma terials or 5. Pathogenic or poisonous biological or chemical materials are released and it ap pears that one purpose of the terrorism was to release such materials. With respect to this exclusion Paragraphs 1. and 2. describe the thresholds used to mea sure the magnitude of an incident of an other act of terrorism and the circumstances in TERRORISM Any injury or damage arising directly or in directly out of a certified act of terrorism or out of an other act of terrorism that is committed outside of the United States in cluding its territories and possessions and Puerto Rico but within the coverage terri tory. However with respect to an other act of terrorism this exclusion applies only when one or more of the following are attributed to such act 1. The total of insured damage to all types of property exceeds 25000000 valued in US dollars. In determining whether the 25000000 threshold is exceeded we will include all insured damage sustained by property of all persons and entities affected by the terrorism and business in terruption losses sustained by owners or occupants of the damaged property. For the purpose of this provision insured damage means damage that is covered by any insurance plus damage that would be covered by any insurance but for the ap plication of any terrorism exclusions or Insurance Services Office Inc. 2015 Page 1 of 2 CG 21 75 Ed. 0115 | 2 |
PL2665507 Great American ES Insurance Company which the threshold will apply for the purpose of determining whether this exclusion will ap ply to that incident. B. The following definitions are added 1. For the purposes of this endorsement any injury or damage means any injury or damage covered under any Coverage Part to which this endorsement is applicable and includes but is not limited to bodily injury property damage personal and advertising injury injury or environ mental damage as may be defined in any applicable Coverage Part. 2. Certified act of terrorism means an act that is certified by the Secretary of the Treasury in accordance with the provi sions of the federal Terrorism Risk Insur ance Act to be an act of terrorism pursu ant 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 Insur ance Act b. The act resulted in damage 1 Within the United States including its territories and possessions and Puerto Rico or 2 Outside of the United States in the case of a An air carrier as defined in Section 40102 of title 49 United States Code or Unit ed States flag vessel or a vessel based principally in the United States on which United States income tax is paid and whose insurance coverage is subject to regu lation in the United States regardless of where the loss occurs or b The premises of any United States mission and The act is a violent act or an act that is dangerous to hu man life property or infra structure and is committed by an individual or individuals as part of an effort to co erce the civilian population of the United States or to influence the policy or af fect the conduct of the United States Government by coercion. c 3. Other act of terrorism means a violent act or an act that is dangerous to human life property or infrastructure that is committed by an individual or individuals and that appears to be part of an effort to coerce a civilian population or to influence the policy or affect the conduct of any government by coercion and the act is not a certified act of terrorism. Multiple incidents of an other act of ter rorism which occur within a seventy two hour period and appear to be carried out in concert or to have a related purpose or common leadership shall be considered to be one incident. 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 other wise excluded under this Coverage Part. Insurance Services Office Inc. 2015 Page 2 of 2 CG 21 75 Ed. 0115 | 2 |
2 ZURICH Notice To Policyholder Revised Definition of Spouse California law provides that registered domestic partners have the same rights protections and benefits and are subject to the same responsibilities obligations and duties under law as are granted to and imposed upon spouses. This applies whether they derive from statutes administrative regulations court rules government policies common law or any other provisions or sources of law as are granted to and imposed upon spouses. Existing law requires where necessary to implement the rights of registered domestic partners gender specific terms referring to spouses to be construed to include domestic partners. U GU1227 A CA 0317 | 2 |
2 ZURICH Revised Definition of Spouse Endorsement THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policyholder BLACK VEATCH CORPORATION Policy No. GLO 4641358 15 Effective Date 11012019 It is hereby understood and agreed that the following changes are made and incorporated into the Policy Certificate PURPOSE California law provides that registered domestic partners have the same rights protections and benefits and are subject to the same responsibilities obligations and duties under law whether they derive from statutes administrative regulations court rules government policies common law or any other provisions or sources of law as are granted to and imposed upon spouses. Existing law requires where necessary to implement the rights of registered domestic partners gender specific terms referring to spouses to be construed to include domestic partners. DEFINITIONS TERMS CONDITIONS AND PROVISIONS The definitions terms conditions or any other provisions of the policy contract certificate andor riders and endorsements to which this mandatory endorsement is attached are hereby amended and superseded as follows Spouse includes a Registered Domestic Partner. Except for the above this endorsement does not vary alter waive or extend any of the terms of the Policy Certificate to which it is attached. EndorsementNo. 0 Insurance Company ZURICH AMERICAN INSURANCE COMPANY Date Countersigned by U GU1223 B CA 0916 | 2 |
Z ZURICH e W ENE e K R CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM Insureds Name Policy Number Effective Endorsement Date Number BLACK VEATCH HOLDING COMPANY GLO 4641358 15 11012019 THIS ENDORSEMENT CHANGES YOUR POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies your insurance A. Cap on Losses From Certified Terrorism Losses Certified act of terrorism means an act that is certified by the Secretary of the Treasury in accordance with provisions of the federal Terrorism Risk Insurance Act TRIA to be an act of terrorism. The Terrorism Risk Insurance Act provides that the Secretary of Treasury shall certify an act of terrorism 1. To be an act of terrorism 2. To be a violent act or an act that is dangerous to human life property or infrastructure 3. To have resulted in damage within the United States or outside of the United States in the case of an air carrier as defined in section 40102 of Title 49 United States Code or a United States flag vessel or a vessel based principally in the United States on which United States income tax is paid and whose insurance coverage is subject to regulation in the United States or the premises of a United States mission and 4. To have been 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. No act may be certified as an act of terrorism if the act is committed as part of the course of a war declared by Congress except for workers compensation or if losses resulting from the act in the aggregate for insurance subject to TRIA do not exceed 5000000. If aggregate insured losses attributable to one or more certified acts of terrorism exceed 100 billion in a calendar year January 1 through December 31 and we have met our insurer deductible under the Terrorism Risk Insurance Act we shall not be liable for the payment of any portion of the amount of such losses that exceeds 100 billion and in such case insured losses up to that amount are subject to pro rata allocation in accordance with procedures established by the Secretary of Treasury. B. Application of Other Exclusions The terms and limitations of a terrorism exclusion or any other exclusion or the inapplicability or omission of a terrorism exclusion or any other exclusion do not serve to create coverage which would otherwise be excluded limited or restricted under this policy. Copyright 2015 Zurich American Insurance Company Includes copyrighted material of Insurance Services Office Inc. with ts permission. U GU767 8 CW 0115 Page 1 of 1 | 2 |
Z ZURICH Disclosure Statement Itis our pleasure to present the enclosed policy to you for presentation to your customer. INSTRUCTION TO AGENT OR BROKER WE REQUIRE THAT YOU TRANSMIT THE ATTACHED ENCLOSED DISCLOSURE STATEMENT TO THE CUSTOMER WITH THE POLICY. Once again thank you for your interest and we look forward to meeting your needs and those of your customers. U GU873 A CW 0611 Page 1of 1 | 2 |
Z ZURICH Disclosure Statement NOTICE OF DISCLOSURE FOR AGENT BROKER COMPENSATION If you want to learn more about the compensation Zurich pays agents and brokers visit httpwww.zurichnaproducercompensation.com or call the following toll free number 866 903 1192. This Notice is provided on behalf of Zurich American Insurance Company and its underwriting subsidiaries. U GU874 ACW 0611 Page 1 of 1 | 2 |
COMMERCIAL INSURANCE Policy Number GLO 4641358 15 Named Insured and Mailing Address BLACK VEATCH CORPORATION SEE NAMED INSURED ENDT 11401 LAMAR AVENUE OVERLAND PARK KS 66211 1508 Z ZURICH COMMON POLICY DECLARATIONS Renewal of Number GLO 4641358 14 Producer and Mailing Address LOCKTON COMPANIES LLC 444 W 47TH ST STE 900 KANSAS CITY MO 64112 1906 Producer Code 37385 000 Policy Period Coverage begins 11 01 2019 at1201 AM. Coverageends 11 01 2020 at1201 AM. The name insured is Individual Partnership X Corporation Other This insurance is provided by one or more of the stock insurance companies which are members of the Zurich American Insurance Group. The company that provides coverage is designated on each Coverage Part Common Declarations. The company or companies providing this insurance may be referred to in this policy as The Company we us or our. The address of the companies of the Zurich American Insurance Group are provided on the next page. THIS POLICY CONSISTS OF THE FOLLOWING COVERAGES GENERAL LIABILITY COVERAGE PREMIUM 432285. issued by ZURICH AMERICAN INSURANCE COMPANY URANCE PREMIUM SURCHARGE NJ PLIGA SURCHA va RELATED WV POLICY SURCHARGE THIS PREMIUM MAY BE SUBJECT TO AUDIT. TOTAL 432285.00 This premium does not include Taxes and Surcharges. SEE INSTALLMENT SCHEDULE Taxes and Surcharges TOTAL 266.94 SEE INSTALLMENT SCHEDULE The Forms and Endorsements made a part of this policy at the time of issue are listed on the SCHEDULE of FORMS and ENDORSEMENTS. Countersigned this day of Authorized Representative THESE DECLARATIONS TOGETHER WITH THE COMMON POLICY CONDITIONS COVERAGE PART DECLARATIONS COVERAGE PART FORMS FORMS AND ENDORSEMENTS IF ANY ISSUED TO FORM A PART THEREOF COMPLETE THE ABOVE NUMBERED POLICY. UGU D310 A 0193 Page 1 of 1 NERAL LIABILITY COVERAGE ssued by ZURICH AMERICAN INSURANCE COMPANY INSURANCE PREMIUM SURCHARGE MUNICIPAL TAX J PLIGA SURCHARGE BIRTH RELATED NEURO INJURY COMP FUND REGULATORY SURCHARGE POLICY SURCHARGE PREMIUM 432285. 00 11.00.00.09.09.65 | 2 |
Policy Number GLO 4641358 15 KENTUCKY MUNICIPAL TAX SCHEDULE ZURICH AMERICAN INSURANCE COMPANY Named Insured BLACK VEATCH CORPORATION Effective Date 11 01 19 1201 A.M. Standard Time Agent Name 0OCKTON COMPANIES LLC AgentNo. 37385 000 TAX JURISDICTION TAX AMOUNT Frankfort 173.00 The amount displayed includes tax and collection fees. KY TAX FORM 1208 KENTUCKY MUNICIPAL TAX SCHEI ZURICH AMERICAN INSURANCE C 1641358 15 ANY RATION he amount displayed includes tax and collection fees. | 2 |
Policy Number GLO 4641358 15 SCHEDULE OF FORMS AND ENDORSEMENTS Zurich American Insurance Company Named Insured BLACK VEATCH CORPORATION Effective Date 11 01 19 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 37385 000 COMMON POLICY FORMS AND ENDORSEMENTS U GU1223 B CA 09 16 REVISED DEFINITION OF SPOUSE ENDORSEMENT U GU767 B CW 01 15 CAP ON LOSS FROM CERTIFIED ACTS OF TERR U GU D310 A 01 93 COMMON POLICY DECLARATIONS KY TAX FORM 12 08 KENTUCKY MUNICIPAL TAX SCHEDULE U GU619 A CW 10 02 SCHEDULE OF FORMS AND ENDORSEMENTS U GU319 F 01 09 IMPORTANT NOTICE IN WITNESS CLAUSE U GU621 A CW 10 02 SCHEDULE OF NAMED INSURED S U GU406 B 07 15 INSTALLMENT PREMIUM SCHEDULE U GU618 A CW 10 02 SCHEDULE OF LOCATIONS U GU1016 A CW 06 10 KNOWLEDGE BY POSITION OR DEPARTMENT IL 11 98 COMMON POLICY CONDITIONS IL 09 08 NUCLEAR ENERGY LIABILITY EXCLUSION ENDT IL 09 17 NORTH DAKOTA CHANGES CANC NONRENL IL 09 07 KANSAS CHANGES CANC NONRENL IL 01 18 LOUISIANA CHANGES CANC NONRENL IL 09 08 CALCULATION OF PREMIUM U GU D639 A CW 07 07 COMBINED AGGREGATE DEDUCTIBLE SCHEDULE U GU1191 A CW 03 15 SANCTIONS EXCLUSION ENDORSEMENT GENERAL LIABILITY FORMS AND ENDORSEMENTS U GL1344 D CW 07 19 RESULTING DAMAGE TO YOUR WORK U GL1447 A CW 05 10 NOTIF TO OTHERS OF CANC NONR OR REDUCT U GL1517 B CW 04 13 RECORD OR DISTRB OF MATRL OR INFO EXCL U GL851 B CW 06 04 EMPLOYEE BENEFITS LIAB OCCURRENCE COV U GL925 B CW 12 01 WAIVER OF SUBROGATION BLANKET ENDT. U GL D851 B CW 09 04 EMPLOYEE BENEFITS LIAB OCCURRENCE COV U GL D1115 B CW 09 04 COMMERCIAL GL COVERAGE PART DECLARATIONS U GL1371 A 09 08 FELLOW EMPLOYEE INCIDENTAL MEDICAL U GL1378 A 03 09 LIMITED COVERAGE BLANKET WRAP UP CG 00 01 04 13 COMMERCIAL GENERAL LIABILITY COV FORM U GL1114 A 10 02 OMNIBUS NAMED INSURED WORDING U GL1114 A 10 02 THE LARGE WORKS PROJECT BOUND U GL1114 A 10 02 DAMAGE TO YOUR WORK ENDORSEMENT U GL1114 A 10 02 EXCLUSION CONSTRUCTION MANAGEMENT U GL1114 A 10 02 CANCELLATION AND NON RENEWAL NOTICE U GL1114 A 10 02 CANCELLATION AND NON RENEWAL NOTICE U GL1114 A 10 02 CANCELLATION AND NON RENEWAL NOTICE U GL1114 A 10 02 HOLD HARMLESS AGREEMENT U GL1114 A 10 02 CANCELLATION AND NON RENEWAL NOTICE U GL1114 A 10 02 CANCELLATION AND NON RENEWAL NOTICE U GL1114 A 10 02 NOTIFICATION TO OTHERS OF CANCELLATION U GL1114 A 10 02 ADDITIONAL INSURED ENDORSEMENT U GL1114 A 10 02 WHO IS AN INSURED YOUR INTEREST IN JOINT VENTURES SCHEDULED U GL1114 A 10 02 ADDITIONAL INSURED ENDORSEMENT U GL1114 A 10 02 NOTIFICATION TO OTHERS OF CANCELLATION NONRENEWAL OR REDUCTION U GL1114 A 10 02 FELLOW EMPLOYEE AND INCIDENTAL MEDICAL MALPRACTICE U GL1114 A 10 02 GENERAL LIABILITY SUPPLEMENTAL COVERAGE ENDORSEMENT U GL1060 E 04 13 CONTRACTORS LIABILITY ENDORSEMENT U GU619 A CW 1002 SCHEDULE OF FORMS AND ENDOF Zurich American Insurance GLO 4641358 15 F FORMS AND ENDORSEMENTS ican Insurance Company ION Effective Date 11 01 1 1201 A.M. Standard Tin DEFINITION OF SPOUSE ENDORSEMENT LOSS FROM CERTIFIED ACTS OF TERR POLICY DECLARATIONS Y MUNICIPAL TAX SCHEDULE LE OF FORMS AND ENDORSEMENTS NT NOTICE IN WITNESS CLAUSE LE OF NAMED INSURED S JMENT PREMIUM SCHEDULE LE OF LOCATIONS GE BY POSITION OR DEPARTMENT POLICY CONDITIONS 2 ENERGY LIABILITY EXCLUSION ENDT AKOTA CHANGES CANC NONRENL CHANGESCANC NONRENL NA CHANGES CANC NONRENL TION OF PREMIUM D AGGREGATE DEDUCTIBLE SCHEDULE ONS EXCLUSION ENDORSEMENT NTS NG DAMAGE TO YOUR WORK O OTHERS OF CANC NONR OR REDUCT OR DISTRB OF MATRL OR INFO EXCL E BENEFITS LIAB OCCURRENCE COV OF SUBROGATION BLANKET ENDT. BENEFITS LIAB OCCURRENCE COV IAL GL COVERAGE PART DECLARATIONS EMPLOYEE INCIDENTAL MEDICAL COVERAGE BLANKET WRAP UP IAL GENERAL LIABILITY COV FORM 5 NAMED INSURED WORDING RGE WORKS PROJECT BOUND TO YOUR WORK ENDORSEMENT ON CONSTRUCTION MANAGEMENT LATION AND NON RENEWAL NOTICE LATION AND NON RENEWAL NOTICE LATION AND NON RENEWAL NOTICE RMLESS AGREEMENT LATION AND NON RENEWAL NOTICE LATION AND NON RENEWAL NOTICE ATION TO OTHERS OF CANCELLATION ONAL INSURED ENDORSEMENT AN INSURED YOUR INTEREST IN JENTURES SCHEDULED ONAL INSURED ENDORSEMENT ATION TO OTHERS OF CANCELLATION WAL OR REDUCTION EMPLOYEE AND INCIDENTAL MEDICAL TICE LIABILITY SUPPLEMENTAL COVERAGE ENT | 2 |
Policy Number GLO 4641358 15 SCHEDULE OF FORMS AND ENDORSEMENTS Zurich American Insurance Company Named Insured BLACK VEATCH CORPORATION Effective Date 11 01 19 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 37385 000 FUNGI OR BACTERIA EXCLUSION U GL1175 F CW ADDL INSD AUTO OWNERS LESSEES CONTRACTR U GL1177 FCW ADL INSD OWNER LESSE CONT SCHEDULED U GL1267 A IL ILLINOIS EXCL OF WAIVER OF KOTECKI CAP U GL1336 B CW COMBINED AGGREGATE DEDUCTIBLE U GL1342 A CW LEAD LIABILITY EXCLUSION U GL1178ACW ASBESTOS EXCLUSION ENDORSEMENT U GL872 B CW PREMIUM REPORTS AGREEMENT COMP RATED CG 01 09 KS AND OK CHANGES TRANSFER OF RIGHTS CG 01 79 VIRGINIA CHANGES CG 02 20 FL CHANGES CANCELLATION NONRENEWAL U GL852 A CW EMPL BENEFITS LIAB OCCURRENCE DED ENDT 24 EARLIER NOTICE OF CANC PROVIDED BY US ADDL INSD OWNERS LESSEES CONTRACTORS ADDL INSD MANAGERS LESSORS OF PREMISES ADDL INS ST GOV AGY SUB POL SUB PERM ADDL INSD VENDORS ADDL INSD DESIGNATED PERSON ORGANIZATION ADDL INSD LESSOR OF LEASED EQUIPMENT ADDL INSD OWNERS LESSEES CONTR COMP OPS EXCL ACC DISCL OF CONFI OR PERSONAL INFO EMPLOYMENT RELATED PRACTICES EXCLUSION EXCL EXTERIOR INSULATION FINISH SYSTEM LIMITED CONTR LIABILITY COV FOR PERS ADV EXCL CONTRACTORS PROF LIAB WAIVER OF TRANSFER RIGHTS OF RECOVERY WAIVER OF GOVERNMENTAL IMMUNITY CONTRACTUAL LIABILITY RAILROADS DESIGNATED CONSTRUCTION PROJECTS GENERAL DESIGNATED LOCATIONS GENERAL AGGREGATE ALASKA WAR LIABILITY EXCLUSION U GL1081 B CW ADDL INSD OWNERS LESSEES CONTR PRIM INS 1 1 1 1 2 2 3 0 4 8 7 7 0 1 BEOERJNIDAUTNFO U GU619 A CW 1002 SCHEDULE OF FORMS AND ENDOF Zurich American Insurance GLO 4641358 15 F FORMS AND ENDORSEMENTS ican Insurance Company ION Effective Date 11 01 1 1201 A.M. Standard Tin GL1l o0 r LW GL1177 FCW GL1267 A IL GL1336 B CW GL1342 A CW GL1178ACW GL872 B CW GL852 A CW 02 24 N o o oo ant SINTNY RO O UUWBOWNN RO YOV 100 VU1 N 26 97 GL1081 B CW ADDUL LNoU AULU OWNERS LEooklko LUNLIRKALLRK ADL INSD OWNER LESSE CONT SCHEDULED ILLINOIS EXCL OF WAIVER OF KOTECKI CAP COMBINED AGGREGATE DEDUCTIBLE LEAD LIABILITY EXCLUSION ASBESTOS EXCLUSION ENDORSEMENT PREMIUM REPORTS AGREEMENT COMP RATED KS AND OK CHANGES TRANSFER OF RIGHTS VIRGINIA CHANGES FL CHANGES CANCELLATION NONRENEWAL EMPL BENEFITS LIAB OCCURRENCE DED ENDT EARLIER NOTICE OF CANC PROVIDED BY US ADDL INSD OWNERS LESSEES CONTRACTORS ADDL INSD MANAGERS LESSORS OF PREMISES ADDL INS ST GOV AGY SUB POL SUB PERM ADDL INSD VENDORS ADDL INSD DESIGNATED PERSON ORGANIZATION ADDL INSD LESSOR OF LEASED EQUIPMENT ADDL INSD OWNERS LESSEES CONTR COMP OPS EXCL ACC DISCL OF CONFI OR PERSONAL INFO EMPLOYMENT RELATED PRACTICES EXCLUSION EXCL EXTERIOR INSULATION FINISH SYSTEM LIMITED CONTR LIABILITY COV FOR PERS ADV EXCL CONTRACTORSPROF LIAB WAIVER OF TRANSFER RIGHTS OF RECOVERY WAIVER OF GOVERNMENTAL IMMUNITY CONTRACTUAL LIABILITY RAILROADS DESIGNATED CONSTRUCTION PROJECTS GENERAL DESIGNATED LOCATIONS GENERAL AGGREGATE ALASKA WAR LIABILITY EXCLUSION ADDL INSD OWNERS LESSEES CONTR PRIM INS | 2 |
Z ZURICH Important Notice In Witness Clause In return for the payment of premium and subject to the terms of this policy coverage is provided as stated in this policy. IN WITNESS WHEREOF this Company has executed and attested these presents and where required by law has caused this policy to be countersigned by its duly Authorized Representatives. e fmpfon D ke President Corporate Secretary QUESTIONS ABOUT YOUR INSURANCE Your agent or broker is best equipped to provide information about your insurance. Should you require additional information or assistance in resolving a complaint call or write to the following please have your policy or claim number ready Zurich in North America Customer Inquiry Center 1299 Zurich Way Schaumburg lllinois 60196 1056 1 800 382 2150 Business Hours 8 am 4 pm CT Email info.sourcezurichna.com e President 56 4 pm CT S 1 800 382 U GU319 F 0109 Page I of 1 | 2 |
Policy Number GLO 4641358 15 SCHEDULE OF NAMED INSUREDS ZURICH AMERICAN INSURANCE COMPANY Named Insured BLACK VEATCH CORPORATION Effective Date 11 01 19 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 37385 000 NAMED INSURED BLACK VEATCH CORPORATION A.A. TURKI COMPANY ACQUA AZZURA SRL ITALY AGONIA BINNIE CONSULTANTS PTY LIMITED AJMAN SEWERAGE CO. ALGERIAN WATER LTD. AMANDALA BURROW CONSULTANTS PTY LTD. AMP SCPA ITALY APPLEYARD ASSOCIATES APPLIED SCIENCES LTD. HONG KONG AQUATION UK LTD. BAVINC CORPORATION BCL GEOTECHNICS LTD. BBV EPOC LTD. BBV ROMANIA BBV SERVICES LIMITED BBV TD LTD. BVP HOLDING INC. DECEMBER 2005 BVP HOLDING LLC BV PUERTO RICO BV SOLUTIONS GROUP INC. BBV SOUTH EAST ASIA LIMITED BBVSP NO. 2 LIMITED BBVSP NO2 LTD. BV INDUSTRIAL SERVICES LTD. BEHEER EN BELGGINGSMAATSCHAPPIJ ZUIDHORN B.V. ZUIDHORN B.V. BELANDA SA BINNIE BLACK VEATCH FM LIMITED U GU621 A CW 1002 SCHEDULE OF NAMED INSUREDS ZURICH AMERICAN INSURANCE COMPAL LO 4641358 15 tfantive Nata 11.10110 BLACK VEATCH CORPORATION CH CORPORATION OMPANY. SRL ITALY E CONSULTANTS PTY LIMITED GE CO. ER LTD. RROW CONSULTANTS PTY LTD. ALY 3SOCIATES NCES LTD. HONG KONG LTD. RATION ICS LTD.. LIMITED. INC. DECEMBER 2005 LLC RICO GROUP INC. ST ASIA LIMITED LIMITED D. AL SERVICES LTD..LGGINGSMAATSCHAPPIJ ZUIDHORN B.V. ZUIDHORN B.V. | 2 |
Policy Number GLO 4641358 15 SCHEDULE OF NAMED INSUREDS ZURICH AMERICAN INSURANCE COMPANY Named Insured BLACK VEATCH CORPORATION Effective Date 11 01 19 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 37385 000 NAMED INSURED BINNIE BLACK VEATCH ITALIA ENTERPRISE ITALY BINNIE BLACK VEATCH ROMANIA BINNIE PARTNERS BINNIE PARTNERS BRUNEI BINNIE PARTNERS GMBH FORMERLY A.G. SWITZERLAND BINNIE PARTNERS FAR EAST LTD. DISSOLVED JUNE 18 2002 BINNIE PARTNERS HONG KONG BINNIE PARTNERS INDIA LIMITED BINNIE PARTNERS OVERSEAS LTD. BINNIE PARTNERS PAPUA NEW GUINEA BINNIE PARTNERS INTERNATIONAL BINNIE PARTNERS LESOTHO BINNIE PARTNERS MASERU BINNIE PARTNERS PNG PTY LIMITED BINNIE PARTNERS SINGAPORE BINNIE PARTNERS SOUTH AFRICA BINNIE TD LTD. FORMERLY CROSS BEVAN BINNIE THAILAND CO. LTD. BINNIE BLACK VEATCH BINNIE BLACK VEATCH AFRICA LIMITED BINNIE BLACK VEATCH LTD. RENAMED BLACK VEATCH CONSULTING LTD. BINNIE BLACK VEATCH HONG KONG LIMITED. RENAMED BLACK VEATCH HONG KONG LIMITIED. BINNIE BLACK VEATCH INTERNATIONAL BINNIE BLACK VEATCH ITALIA S.R.L. BINNIE BLACK VEATCH NEA LIMITED. RENAMED BLACK VEATCH NEA LIMITED. BINNIE BLACK VEATCH NIGERIA LIMITED U GU621 A CW 1002 SCHEDULE OF NAMED INSUREDS ZURICH AMERICAN INSURANCE COMPAL LO 4641358 15 tfantive Nata 11.10110 BLACK VEATCH CORPORATION K VEATCH ITALIA ENTERPRISE ITALY K VEATCH ROMANIA RTNERS RTNERS RTNERS RTNERS RTNERS RTNERS RTNERS RTNERS RTNERS RTNERS RTNERS RTNERS RTNERS RTNERS LTD. AILAND BRUNEI GMBH FORMERLY A.G. SWITZERLAND FAR EAST LTD. DISSOLVED JUNE 18 HONG KONG INDIA LIMITED OVERSEAS LTD. PAPUA NEW GUINEA INTERNATIONAL LESOTHO MASERU PNG PTY LIMITED SINGAPORE SOUTH AFRICA FORMERLY CROSS BEVAN CO. LTD. K VEATCH K VEATCH AFRICA LIMITED 2002 K VEATCH LTD. RENAMED BLACK VEATCH CONSULTING LTD. K VEATCH HONG KONG LIMITED. RENAMED BLACK VEATCH HONG ED. K VEATCH INTERNATIONAL K VEATCH ITALIA S.R.L. K VEATCH NEA LIMITED. RENAMED BLACK VEATCH NEA | 2 |
Policy Number GLO 4641358 15 SCHEDULE OF NAMED INSUREDS ZURICH AMERICAN INSURANCE COMPANY Named Insured BLACK VEATCH CORPORATION Effective Date 11 01 19 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 37385 000 NAMED INSURED BINNIE BLACK AND VEATCH REDHILL LTD. BINNIE BLACK VEATCH SOUTHEAST ASIA PTE. LTD. RENAMED BLACK VEATCH SEA LIMITED. BINNIE CALIFORNIA INC. BINNIE CONSULTANTS LTD. BINNIE CONSULTANTS CO. LTD. BINNIE DAN RAKAN MALAYSIA BINNIE DONALD WISHART BINNIE ENVIRONMENTAL LTD. BINNIE FERGUSON MCILVEEN BINNIE LEVANT LIMITED BINNIE PROJECTS PTE LTD. BINNIE SHAND LESOTHO BINNIE SOUTHERN BINNIE THAMES WATER LTD. BLACK VEATCH AFRICA LIMITED BLACK VEATCH ARABIA BLACK VEATCH ARGENTINA S.R.L. BLACK VEATCH ARCHITECTS INC. BLACK VEATCH ARCHITECTS PLLC BLACK VEATCH ASIA BLACK VEATCH ASIA LIMITED HONG KONG BLACK VEATCH AUSTRALIA PTY LTD BLACK VEATCH DO BRAZIL LTDA BLACK VEATCH BEIJING ENGINEERING DESIGN CO. LTD. BLACK VEATCH BUILDING CORPORATION BLACK VEATCH CANADA COMPANY CANADA U GU621 A CW 1002 SCHEDULE OF NAMED INSUREDS ZURICH AMERICAN INSURANCE COMPAL LO 4641358 15 tfantive Nata 11.10110 BLACK VEATCH CORPORATION VEATCH REDHILL LTD. JATCH SOUTHEAST ASIA PTE. LTD. RENAMED TED. INC. S LTD. S CO. LTD. MALAYSIA ITSHART ITAL LTD. ICILVEEN IITED TE LTD. THO ER LTD. RICA LIMITED RABIA RGENTINA S.R.L. RCHITECTS INC. RCHITECTS PLLC SIA STA LIMITED HONG KONG JSTRALIA PTY LTD BRAZIL LTDA 3ETJING ENGINEERING DESIGN CO. LTD. JILDING CORPORATION NADA COMPANY CANADA CHINR BLACK | 2 |
Policy Number GLO 4641358 15 SCHEDULE OF NAMED INSUREDS ZURICH AMERICAN INSURANCE COMPANY Named Insured BLACK VEATCH CORPORATION Effective Date 11 01 19 1201 A.M Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 37385 000 NAMED INSURED BLACK VEATCH DE COLUMBIA BLACK VEATCH CONSULTING LTD. BLACK VEATCH CONSULTING LIMITED FORMERLY BINNIE BLACK VEATCH LIMITED BLACK VEATCH CONTRACTING LIMITED FORMERLY PATERSON CANDY LIMITED BLACK VEATCH CONSTRUCTION INC. BLACK VEATCH CORPORATION BLACK VEATCH CZECH REPUBLIC A.S. BLACK VEATCH ENGINEERING PLLC D.C. BLACK VEATCH ENGINEERS ARCHITECTS INC. FORMERLY MGA INCORPORATED BLACK VEATCH ENGINEERS SDN. BHD. MALAYSIA FORMERLY BINNIE BLACK VEATCH SDN. BHD. BLACK VEATCH ENGINEERING SERVICES GMBH BLACK VEATCH EUROPE INC. BLACK VEATCH HOLDING COMPANY BLACK VEATCH HONG KONG LIMITED BLACK VEATCH IATAN CORPORATION FORMERLY BLACK VEATCH MUDDY RIVER CORPORATION BLACK VEATCH INC. BLACK VEATCH INC. OF CALIFORNIA FORMERLY TROTTER YODER AND ASSOCIATES IN CALIFORNIA BLACK VEATCH INDIA LIMITED BLACK VEATCH INDIA PRIVATE LIMITED BLACK VEATCH INDUSTRIAL SERVICES LTD. FORMERLY ECKENFELDER BLACK VEATCH AND PRIOR TO THAT ECKENFELDER BINNIE LTD. BLACK VEATCH INTERNATIONAL COMPANY BLACK VEATCH INTERNATIONAL KOREA YOO HAN HOE SA BLACK VEATCH INTERNATIONAL LIMITED BLACK VEATCH INTERNATIONAL TRADING SHANGHAI CO BLACK VEATCH ITALIA S.R.L. U GU621 A CW 1002 SCHEDULE OF NAMED INSUREDS ZURICH AMERICAN INSURANCE COMPAL LO 4641358 15 tfantive Nata 11.10110 BLACK VEATCH CORPORATION LUMBIA L TING LTD. LTING LIMITED FORMERLY BINNIE BLACK VEATCH CTING LIMITED FORMERLY PATERSON CANDY LIMITED RUCTION INC. RATION REPUBLIC A.S. ERS ARCHITECTS INC. FORMERLY MGA INCORPORATED ERING PLLC D.C. ERS SDN. BHD. MALAYSIA FORMERLY BINNIE BLACK JERING SERVICES GMBH INC. IG COMPANY ONG LIMITED CORPORATION FORMERLY BLACK VEATCH MUDDY RIVER F CALIFORNIA FORMERLY TROTTER YODER AND NIA LIMITED PRIVATE LIMITED RIAL SERVICES LTD. FORMERLY ECKENFELDER BLACK HAT ECKENFELDER BINNIE LTD. JATIONAL COMPANY JATIONAL KOREA YOO HAN HOE SA JATIONAL LIMITED JATIONAL TRADING SHANGHATI CO | 2 |
Policy Number GLO 4641358 15 SCHEDULE OF NAMED INSUREDS ZURICH AMERICAN INSURANCE COMPANY Named Insured BLACK VEATCH CORPORATION Effective Date 11 01 19 1201 A.M Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 37385 000 NAMED INSURED BLACK VEATCH INVESTMENTS INC. BLACK VEATCH LLP BLACK VEATCH LIMITED FORMERLY BLACK VEATCH CONTRACTING LTD. BLACK VEATCH LTD. OF MICHIGAN BLACK VEATCH LTD. OF OHIO BLACK VEATCH M SDN. BHD. MALAYSIA BLACK VEATCH MAURITIUS LTID. BLACK VEATCH SERVICES S. DE R. L. DE C. V. BLACK VEATCH NEW YORK LLP BLACK VEATCH NORTHERN IRELAND LIMITED FORMERLY BINNIE BLACK VEATCH FM LIMITED BLACK VEATCH PLLC BLACK VEATCH POLAND SP. Z.0.0 BLACK VEATCH POWER DEVELOPMENT CORPORATION BLACK VEATCH POWER ASIA LIMITED FORMERLY AMERSHAM 1031 LTD. BLACK VEATCH PRITCHARD INC. BLACK VEATCH PROJECTS PROPRIETARY LIMITED BLACK VEATCH PROPERTY MANAGEMENT SERVICES CO. BLACK VEATCH REFURBISHMENTS LTD. BLACK VEATCH SEA PTE LIMITED FORMERLY BINNIE BLACK VEATCH SER LTD BLACK VEATCH SERVICE CORPORATION BLACK VEATCH SINGAPORE PTE. LTD. BLACK VEATCH SOUTH AFRICA PROPRIETARY LIMITED BLACK VEATCH SPECIAL PROJECTS CORP. BLACK VEATCH TELECOMMUNICATIONS INC. BLACK VEATCH THAI INFRASTRUCTURE LIMITED BLACK VEATCH THAILAND LIMITED U GU621 A CW 1002 SCHEDULE OF NAMED INSUREDS ZURICH AMERICAN INSURANCE COMPAL LO 4641358 15 tfantive Nata 11.10110 BLACK VEATCH CORPORATION STMENTS INC. ED FORMERLY BLACK VEATCH CONTRACTING LTD. OF MICHIGAN OF OHIO SDN. BHD. MALAYSIA TIUS LID. CES S. DE R. L. DE C. V. ORK LLP HERN IRELAND LIMITED FORMERLY BINNIE BLACK D SP. Z.0.0 X DEVELOPMENT CORPORATION X ASTIA LIMITED FORMERLY AMERSHAM 1031 LTD. HARD INC. CTS PROPRIETARY LIMITED RTY MANAGEMENT SERVICES CO. RBISHMENTS LTD. PTE LIMITED FORMERLY BINNIE BLACK VEATCH SEA CE CORPORATION PORE PTE. LTD. 1 AFRICA PROPRIETARY LIMITED AL. PROJECTS CORP. OMMUNICATIONS INC. INFRASTRUCTURE LIMITED | 2 |
Policy Number GLO 4641358 15 SCHEDULE OF NAMED INSUREDS ZURICH AMERICAN INSURANCE COMPANY Named Insured BLACK VEATCH CORPORATION Effective Date 11 01 19 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 37385 000 NAMED INSURED BLACK VEATCH TRUSTEES LIMITED BLACK VEATCH U.K. LIMITED BLACK VEATCH SERVICIOS DE VENEZUELA S.R.L. BTL TECHNOLOGY SERVICES BURROW AFRICA PTY LIMITED BURROW BINNIE BOTSWANA LIMITED DISSOLVED DECEMBER 2002 BURROW BINNIE INTERNATIONAL LIMITED RENAMED BLACK VEATCH AFRICA LIMITED BURROW BINNIE LIMITED UK BURROW BINNIE MALAWI LIMITED BURROW BINNIE NAMBIA LIMITED BURROW BINNIE SOUTH AFRICA LIMITED BURROW BINNIE SWAZILAND PTY LTD. BURROW BINNIE TANZANIA LIMITED BURROW BINNIE ZIMBABWE LIMITED BV WATER SERVICES LTD. BVIL PHILIPPINES CORPORATION BVI BOLIVIA BRANCH BVI MALAYSIA BRANCH BVI TECHNOPLAN LIMITADA BVT ENERGY LIMITED BV PROJECTS PROPRIETARY LTD. CLEAN ENERGY TECHNOLOGY LLC CONSTRUCTORS SAN JOSE LTDA. CONTINUITY SA PROPRIETARY LTD. CUNNINGHAM TECHNICAL SERVICES LTD. HONG KONG DATA DISCOVERY INC. U GU621 A CW 1002 SCHEDULE OF NAMED INSUREDS ZURICH AMERICAN INSURANCE COMPAL LO 4641358 15 tfantive Nata 11.10110 BLACK VEATCH CORPORATION EES LIMITED LIMITED CIOS DE VENEZUELA S.R.L. CES LIMITED NA LIMITED DISSOLVED DECEMBER 2002 IATIONAL LIMITED RENAMED BLACK VEATCH AFRICA UK LIMITED LIMITED AFRICA LIMITED.AND PTY LTD. IIA LIMITED 3WE LIMITED D. ORPORATION 1 H IITADA ETARY LTD..0GY LLC SE LTDA. RIETARY LTD.. SERVICES LTD. HONG KONG | 2 |
Policy Number GLO 4641358 15 SCHEDULE OF NAMED INSUREDS ZURICH AMERICAN INSURANCE COMPANY Named Insured BLACK VEATCH CORPORATION Effective Date 11 01 19 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 37385 000 NAMED INSURED DATA XCHANGE TECHNOLOGIES INC. FORMERLY BLACK VEATCH NAGA POWER DEVELOPMENT CORPORATION DAVID GOODWIN ASSOCIATES DESIGN BVI NEW DELHI PVT. LTD. DESIGN BVI PRIVATE LTD. DREHMO AFRICA PROPRIETARY LTD. EASTFORD ESTATES LIMITED HONG KONG E.B.I. ECI ENGINEERING CONSULTANTS INCORPORATED ECKENFELDER BINNIE LIMITED EFFLUENT PLANT OPERATING CO. PTY LTD. EHSMANAGER.COM LLC EMBLAZER LTD. ENGINEERING TERRAIN EVALUATION LIMITED EPOC AGRICULTURAL SERVICES EPOC LIMITED EVERGLADES POWER DEVELOPMENT CORPORATION EVERGLADES POWER II CORPORATION EVERGLADES POWER III CORPORATION EVERLGADES POWER PARTNERS L.P. EXETER INVESTMENTS COMPANY FORTEGRA FU WEI ENGINEERING COMPANY LTD. GES GLOBAL ENGINEERING SERVICES GMBH GENESEE POWER PARTNERS LIMITED PARTNERSHIP GENESEE POWER STATION LIMITED PARTNERSHIP GHD BLACK VEATCH PROPRIETARY LIMITED AUSTRALIA GHD B V TRUST U GU621 A CW 1002 SCHEDULE OF NAMED INSUREDS ZURICH AMERICAN INSURANCE COMPAL LO 4641358 15 tfantive Nata 11.10110 BLACK VEATCH CORPORATION HANGE TECHNOLOGIES INC. FORMERLY BLACK VEATCH NAGA POWER MENT CORPORATION ODODWIN ASSOCIATES BVI NEW DELHI PVT. LTD. BVI PRIVATE LTD. AFRICA PROPRIETARY LTD. D ESTATES LIMITED HONG KONG GINEERING CONSULTANTS INCORPORATED LDER BINNIE LIMITED I PLANT OPERATING CO. PTY LTD. GER.COM LLC R LTD. RING TERRAIN EVALUATION LIMITED RICULTURAL SERVICES MITED DES POWER DEVELOPMENT CORPORATION DES POWER II CORPORATION DES POWER III CORPORATION DES POWER PARTNERS L.P. INVESTMENTS COMPANY A ENGINEERING COMPANY LTD. BAL ENGINEERING SERVICES GMBH POWER PARTNERS LIMITED PARTNERSHIP POWER STATION LIMITED PARTNERSHIP CK VEATCH PROPRIETARY LIMITED AUSTRALIA | 2 |
Policy Number GLO 4641358 15 SCHEDULE OF NAMED INSUREDS ZURICH AMERICAN INSURANCE COMPANY Named Insured BLACK VEATCH CORPORATION Effective Date 11 01 19 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 37385 000 NAMED INSURED GLOBAL ENTERPRISES L.L.C. GLOBAL PROCUREMENT CORPORATION GOURLEY DEACON PTY. LIMITED GPS NEWCO L.L.C. HORNER BLESSING INC. INFRAMANAGEMENT GROUP LLC INFRASTRUCTURE DEVELOPMENT INCORPORATED INTERNATIONAL PURCHASING SERVICES INC. 120905 J. BURROW LIMITED FORMERLY BLACK VEATCH AFRICA LTD. JOHN BURROW PARTNERS INTERNATIONAL JOHN BURROW PARTNERS UNITED KINGDOM JOHN BURROW PARTNERS LIMITED JOHN BURROW PARTNERS NAMIBIA LTD. RENAMED BURROW BINNIE NAMIBIA LIMITED JOHN BURROW PARTNERS OVERSEAS LTD. RENAMED BURROW BINNIE INTERNATIONAL LIMITED JOHN BURROW PARTNERS SWAZILAND LIMITED TRADING AS BURROW BINNIE SWAZILAND LIMITED JV DESIGN WATER HALLS JV STWS STRAUSLAND JVSTW HEINSDORF KAHRAMA HOLDING LIMITED KAHRAMA SPA LANDSDOWNE PARTNERS LEWIN FRYER PARTNERS LEWIN FRYER PARTNERS BLACK VEATCH CONSULTING LTD. TRADING AS LEWIN FRYER PARTNERS LTD. GOODWIN LFP LIMITED LIVESEY HENDERSON LIMITED UK M B ENGINEERING CO. LTD. JAPAN U GU621 A CW 1002 SCHEDULE OF NAMED INSUREDS ZURICH AMERICAN INSURANCE COMPAL LO 4641358 15 tfantive Nata 11.10110 BLACK VEATCH CORPORATION RISES L.L.C. REMENT CORPORATION CON PTY. LIMITED L.C. SSING INC. NT GROUP LLC RE DEVELOPMENT INCORPORATED. PURCHASING SERVICES INC. 120905 IITED FORMERLY BLACK VEATCH AFRICA LTD.. PARTNERS INTERNATIONAL. PARTNERS UNITED KINGDOM PARTNERS LIMITED. PARTNERS NAMIBIA LTD. RENAMED BURROW BINNIE NAMIBIA. PARTNERS OVERSEAS LTD. RENAMED BURROW BINNIE LIMITED. PARTNERS SWAZILAND LIMITED TRADING AS BURROW BINNIE IITED ER HALLS JSLAND RF NG LIMITED PARTNERS. PARTNERS. PARTNERS BLACK VEATCH CONSULTING LTD. TRADING AS. PARTNERS LTD. GOODWIN LFP LIMITED RSON LIMITED UK | 2 |
Policy Number GLO 4641358 15 SCHEDULE OF NAMED INSUREDS ZURICH AMERICAN INSURANCE COMPANY Named Insured BLACK VEATCH CORPORATION Effective Date 11 01 19 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 37385 000 NAMED INSURED MANGALORE CONTRACTORS LIMITED MARSHALL AND BROWN COLORADO INCORPORATED MAUNSELL BLACK AND VEATCH LIMITED MEICA ENGINEERING LIMITED MERZ RENDEL WILLAMSON LIMITED MGA ARCHITECTS ENGINEERS SURVEYORS INC. P.A. MGA INCORPORATED MGX BUSINESS CONTINUITY SOLUTIONS PTY LTD. MOORE GARDNER INTERNATIONAL INC. MOORE GARDNER REALTY ASSOCIATES MOORE HARDEE AND CARROUTH MUDDY RIVER LIMITED PARTNERSHIP NORTHERN NEW ENGLAND INSURANCE COMPANY DISSOLVED DECEMBER 31 1996 OPBA INC. OPLA HOLDINGS LLC ORBIN OVERLAND CONTRACTING INC. OVERLAND PARK BLUEPRINT OVERLAND PARK BUSINESS ASSOCIATES OVERLAND PARK LEASING ASSOCIATES OVERLAND PARK MAINTENANCE MANAGEMENT INC. PATERSON CANDY INTERNATIONAL SOUTH AFRICA PROPRIETARY LIMITED PATERSON CANDY REFURBISHENTS LIMITED FORMERLY WES REFURBISHMENTS PCI SOUTH AFRICA PTY. LIMITED FORMERLY KNOWN AS PWT SOUTH AFRICA PTY LIMITED PCI NIGERIA LIMITED FORMERLY KNOWN AS PWT NIGERIA LIMITED PCL ISLEWORTH U GU621 A CW 1002 SCHEDULE OF NAMED INSUREDS ZURICH AMERICAN INSURANCE COMPAL LO 4641358 15 tfantive Nata 11.10110 BLACK VEATCH CORPORATION RE CONTRACTORS LIMITED. AND BROWN COLORADO INCORPORATED L BLACK AND VEATCH LIMITED NGINEERING LIMITED NDEL WILLAMSON LIMITED HITECTS ENGINEERS SURVEYORS INC. P.A. ORPORATED SINESS CONTINUITY SOLUTIONS PTY LTD. SARDNER INTERNATIONAL INC. SARDNER REALTY ASSOCIATES HARDEE AND CARROUTH RIVER LIMITED PARTNERSHIP N NEW ENGLAND INSURANCE COMPANY DISSOLVED DECEMBER 31 1996 NC. LDINGS LLC ID CONTRACTING INC. ID PARK BLUEPRINT ID PARK BUSINESS ASSOCIATES ID PARK LEASING ASSOCIATES ID PARK MAINTENANCE MANAGEMENT INC. N CANDY INTERNATIONAL SOUTH AFRICA PROPRIETARY LIMITED N CANDY REFURBISHENTS LIMITED FORMERLY WES REFURBISHMENTS UTH AFRICA PTY. LIMITED FORMERLY KNOWN AS PWT SOUTH AFRICA IITED SERTA LIMITED FORMERLY KNOWN AS PWT NIGERIA LIMITED.EWORTH | 2 |
Policy Number GLO 4641358 15 SCHEDULE OF NAMED INSUREDS ZURICH AMERICAN INSURANCE COMPANY Named Insured BLACK VEATCH CORPORATION Effective Date 11 01 19 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 37385 000 NAMED INSURED PLANGRAPHICS INC. ACTIVITIES ONLY UP TO 1989 POLLUTION SERVICES INC. POWER DEVELOPMENT GENESEE CORPORATION PROWA BK GMBH PROWA CONSULTING GMBH PROWA INC. DELAWARE FORMERLY BLACK AND VEATCH EUROPE PRITCHARD AL BASSAM SAUDIA ARABIA P.T. BLACK VEATCH INDONESIA PT MULTI TEHNIKTAMA PRAKARSA PWT SOUTH AFRICA PTY LIMITED SEE PCI SOUTH AFRICA PTY. LIMITED PWT NIGERIA LIMITED SEE PCI NIGERIA LTD. WAS NOT ACQUIRED BY BV PWT PROJECTS LIMITED SEE PATERSON CANDY LTD. RESOURCE TOWERS CORPORATION REFCOM INC. RICHARDS BAY AIRPORT COMPANY PROPRIETARY LTD. RICHARD CONNOR RILEY ASSOCIATES LLC RCR SCEC SOUTH COAST ENVIRONMENTAL COMPANY MONTROSE ENVIRONMENTAL CORP. D.B.A. SCEC SERVICIOS DE INGENIERA BLACK VEATCH CHILE LIMITADA SHEPERDS PROJECT SERVICES LIMITED SINORD 1000 LTD. SIRIUS DEVELOPMENT FOUNDATION PTY LTD. SOUTH AFRICA SIRIUS FACILITIES MANAGEMENT PTY LTD. SIRIUS TECHNOLOGIES PROPRIETARY LTD. SIRIUS TELECOM PROPRIETARY LTD. SOUTHERN SCIENCE APPLICATIONS INC. SPRINT CENTER B5 LLC SSBV CONSULTANTS INC. CANADA U GU621 A CW 1002 SCHEDULE OF NAMED INSUREDS ZURICH AMERICAN INSURANCE COMPAL LO 4641358 15 tfantive Nata 11.10110 BLACK VEATCH CORPORATION INC. ACTIVITIES ONLY UP TO 1989 VICES INC. MENT GENESEE CORPORATION H ING GMBH ELAWARE FORMERLY BLACK AND VEATCH EUROPE BASSAM SAUDIA ARABIA VEATCH INDONESIA IKTAMA PRAKARSA RICA PTY LIMITED SEE PCI SOUTH AFRICA PTY. LIMITED IMITED SEE PCI NIGERIA LTD. WAS NOT ACQUIRED BY BV LIMITED SEE PATERSON CANDY LTD. RS CORPORATION ATRPORT COMPANY PROPRIETARY LTD. R RILEY ASSOCIATES LLC RCR OAST ENVIRONMENTAL COMPANY MONTROSE ENVIRONMENTAL SCEC INGENIERA BLACK VEATCH CHILE LIMITADA ECT SERVICES LIMITED ID. PMENT FOUNDATION PTY LTD. SOUTH AFRICA ITTES MANAGEMENT PTY LTD. LOGIES PROPRIETARY LTD. M PROPRIETARY LTD. NCE APPLICATIONS INC. B5 LLC | 2 |
Policy Number GLO 4641358 15 SCHEDULE OF NAMED INSUREDS ZURICH AMERICAN INSURANCE COMPANY Named Insured BLACK VEATCH CORPORATION Effective Date 11 01 19 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 37385 000 NAMED INSURED SULCA INCORPORATED SUNFLOWER TRADING CORPORATION SWZAILAND ZULU BURROW LTD. SYED MUHAMMAD DAN HOOI BRUNEI TBV POWER HUNGARY TBV POWER LIMITED UK TBV POWER MALAYSIA SDN. BHD TBV POWER HUNGARY BMES KFT TEAL ASSURANCE COMPANY LIMITED CAYMAN ISLANDS TECH2STAFFING INC. FORMERLY TECHSOURCE CORPORATION THAMES WATER INTERNATIONAL CONSULTANTS THE CROSS BEVAN LABORATORIES THE FARR ASSOCIATES THE PRITCHARD CORPORATION THE PRITCORP SDN.BHD. TP INC. CONSULTING SERVICES LIMITED FORMERLY TBV CONSULT LIMITED TRA ARCHITECTURE ENGINEERING PLANNING INTERIORS INC. DBA TRA TRA. TRA LTD. TRA ARCHITECTURE ENGINEERING PLANNING INTERIORS INC. TRAQ IT SOFTWARE LLC TURNAROUND MANAGEMENT PTY. LIMITED SOUTH AFRICA UTAG UMWELTTECHNIK GMBH UTAG UMWELTTECKNIK GMBH UMWELTTECKNIK AG HALLE UTAG UTILITY BUSINESS ALLIANCE CO. LTD. UMA BV LTD. CANADA ZULU BURROW LIMITED ZAMBIA U GU621 A CW 1002 SCHEDULE OF NAMED INSUREDS ZURICH AMERICAN INSURANCE COMPAL LO 4641358 15 tfantive Nata 11.10110 BLACK VEATCH CORPORATION ULCA INCORPORATED UNFLOWER TRADING CORPORATION WZAILAND ZULU BURROW LTD. YED MUHAMMAD DAN HOOI BRUNEI BV POWER HUNGARY BV POWER LIMITED UK BV POWER MALAYSIA SDN. BHD BV POWER HUNGARY BMES KFT EAL ASSURANCE COMPANY LIMITED CAYMAN ISLANDS ECH2STAFFING INC. FORMERLY TECHSOURCE CORPORATION HAMES WATER INTERNATIONAL CONSULTANTS HE CROSS BEVAN LABORATORIES HE FARR ASSOCIATES HE PRITCHARD CORPORATION HE PRITCORP SDN.BHD. P INC. PS CONSULTING SERVICES LIMITED FORMERLY TBV CONSULT LIMITED RA ARCHITECTURE ENGINEERING PLANNING INTERIORS INC. DBA TRA TRA NC. TRA LTD. RA ARCHITECTURE ENGINEERING PLANNING INTERIORS INC. RAQ IT SOFTWARE LLC URNAROUND MANAGEMENT PTY. LIMITED SOUTH AFRICA TAG UMWELTTECHNIK GMBH TAG UMWELTTECKNIK GMBH UMWELTTECKNIK AG HALLE UTAG TILITY BUSINESS ALLIANCE CO. LTD. MA BV LTD. CANADA ULU BURROW LIMITED ZAMBIA | 2 |
Policy Number GLO 4641358 15 SCHEDULE OF NAMED INSUREDS ZURICH AMERICAN INSURANCE COMPANY Named Insured BLACK VEATCH CORPORATION Effective Date 11 01 19 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 37385 000 NAMED INSURED CONVERGENT GROUP CORPORATION ENSPIRIA SOLUTIONS INC ENSPIRIA SOLUTIONS LTD. CANADA THE PRITCORP SDN. BHD. MALAYSIA SMHB PENCOL SDN BHD SMHB OIL GAS SERVICES SDN BHD BLACK VEATCH CONTRACTING MUSCAT LLC BLACK VEATCH PUERTO RICO PSC. BVH INC. BV MERGER SUB I INC. BLACK VEATCH GLOBAL INC. BLACK VEATCH MANAGEMENT CONSULTING LLC ABV CONSULTANTS LTD. CANADA ATONIX DIGITAL LLC DIODE VENTURES LLC BLACK VEATCH ARCHITECTS NEW JERSEY LLC BLACK VEATCH ARCHITECTS ARKANSAS LLC RPT PARTNERS LLC BLACK VEATCH KNOWLEDGE NETWORK LLC BLACK VEATCH QUALITY CONTROL LLC BLACK VEATCH ARCHITECTS ALABAMA PLLC BLACK VEATCH PRIVATE LIMITED INDIA BLACK VEATCH GROUP LTD. UK WATERMARK YORKSHIRE LTD. UK STERLING WATER LTD UK BLACK VEATCH TRUSTEES LIMITED UK GBV JV LTD. UK U GU621 A CW 1002 SCHEDULE OF NAMED INSUREDS ZURICH AMERICAN INSURANCE COMPAL LO 4641358 15 tfantive Nata 11.10110 BLACK VEATCH CORPORATION GROUP CORPORATION OLUTIONS INC OLUTIONS LTD. CANADA RP SDN. BHD. COL SDN BHD GAS SERVICES SDN BHD ATCH CONTRACTING MUSCAT LLC ATCH PUERTO RICO PSC. SUB I INC. ATCH GLOBAL INC. ATCH MANAGEMENT CONSULTING LLC TANTS LTD. CANADA TAL LLC URES LLC ATCH ARCHITECTS NEW JERSEY LLC ATCH ARCHITECTS ARKANSAS LLC RS LLC ATCH KNOWLEDGE NETWORK LLC ATCH QUALITY CONTROL LLC ATCH ARCHITECTS ALABAMA PLLC ATCH PRIVATE LIMITED INDIA ATCH GROUP LTD. UK YORKSHIRE LTD. UK ATER LTD UK ATCH TRUSTEES LIMITED UK | 2 |
Policy Number GLO 4641358 15 SCHEDULE OF NAMED INSUREDS ZURICH AMERICAN INSURANCE COMPANY Named Insured BLACK VEATCH CORPORATION Effective Date 11 01 19 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 37385 000 NAMED INSURED BLACK VEATCH S. DE R.L. DE C.V MEXICO 000 BLACK VEATCH RUS RUSSIA BVI PHILIPPINES CORPORATION COSTA AZUL BMVT S.A. DE C.V. MEXICO BLACK VEATCH DEUTSCHLAND GMBH BLACK VEATCH INTERNATIONAL AND PARTNER CONSULTING ENGINEERS BLACK VEATCH MYANMAR LIMITED BLACK AND VEATCH SOUTH AFRICA PTY LTD. BVT LNG COSTA AZUL S. DE R.L. DE C.V. CONSTRUCTORA SAN JOSE LTDA P.T. BINA VIKTORI INDONESIA SYNNOV WTE MAURITUS ONE LTD. BLACK VEATCH INTERNATIONAL LTD. AMANDALA BURROW CONSULTANTS PTY LTD. BINNIE BLACK VEATCH SDN SDH BURROW BINNIE ZAMBIA LIMITED NCUBE BURROW PVT. LTD. ZIMBABWE SYED MUHAMMAD HOOI DAN BINNIE SDN BHD MALAYSIA GHD BLACK VEATCH PROPRIETARY LIMITED AUSTRALIA BV US LNG LLC BLACK VEATCH NEW ZEALAND LTD. OVERLAND CONTRACTING CANADA INC. BLACK VEATCH LLP BLACK VEATCH MONGOLIA LLC BLACK VEATCH PRIVATE LIMITED INDIA BRIGHT LOOP VIRGINIA LLC VIRGINIA DARK FIBER 1 LLC U GU621 A CW 1002 SCHEDULE OF NAMED INSUREDS ZURICH AMERICAN INSURANCE COMPAL LO 4641358 15 tfantive Nata 11.10110 BLACK VEATCH CORPORATION 5. DE R.L. DE C.V MEXICO CH RUS RUSSIA 5 CORPORATION S.A. DE C.V. MEXICO VEUTSCHLAND GMBH NTERNATIONAL AND PARTNER CONSULTING ENGINEERS TYANMAR LIMITED 1 SOUTH AFRICA PTY LTD. UL S. DE R.L. DE C.V. JOSE LTDA I INDONESIA TUS ONE LTD. NTERNATIONAL LTD. CONSULTANTS PTY LTD. EATCH SDN SDH MBIA LIMITED. LTD. ZIMBABWE OI DAN BINNIE SDN BHD MALAYSIA CH PROPRIETARY LIMITED AUSTRALIA EW ZEALAND LTD. TING CANADA INC..LP IONGOLIA LLC RIVATE LIMITED INDIA INIA LLC | 2 |
Policy Number GLO 4641358 15 SCHEDULE OF NAMED INSUREDS ZURICH AMERICAN INSURANCE COMPANY Named Insured BLACK VEATCH CORPORATION Effective Date 11 01 19 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 37385 000 NAMED INSURED U GU621 A CW 1002 SCHEDULE OF NAMED INSUREDS ZURICH AMERICAN INSURANCE COMPAL 3LO 4641358 15 CHantive Nata 11.10110 BLACK VEATCH CORPORATION | 2 |
Z ZURICH INSTALLMENT PREMIUM SCHEDULE The total premium shown in the Declarations of this policy is made payable in installments on the dates and in the amounts shown below. NAMED INSURED POLICY NUMBER ENDORSEMENT NUMBER BLACK VEATCH CORPORATION GLO 4641358 15 PAYMENT DUE 110119 120119 010120 020120 030120 040120 050120 060120 070120 080120 TOTAL STANDARD PREMIUM 108069. 36024 36024 36024 36024 36024 36024 36024 36024 36024 432285. 00 00 00 00 00 00 00 00 00 00 00 TAXES PREPAID P TOTAL PREMIUM 108335 36024 36024 36024 36024 36024 36024 36024 36024 36024 432551 94 00 00 00 00 00 00 00 00 00 94 nan nan nan nan 266.94 Failure to pay the installment Premium by the Due Date shown shall constitute non payment of premium for which we may cancel this policy. U GU406 B 0715 | 2 |
Policy Number GLO 4641358 15 SCHEDULE OF LOCATIONS Zurich American Insurance Company Named Insured BLACK VEATCH CORPORATION Effective Date 11 01 19 1201 A.M. Standard Time AgentName LOCKTON COMPANIES LLC AgentNo. 37385 000 Designated Locations Address City State Zip Code IALL WORK PERFORMED IN MO IKANSAS CITY MO 64114 Occupancy IALL WORK PERFORMED IN AL IMONTGOMERY AL 36130 IALL WORK PERFORMED IN AK MUNEAU AK 99811 IALL WORK PERFORMED IN AZ PHOENIX AZ 85012 IALL WORK PERFORMED IN CA ISACRAMENTO CA 95814 IALL WORK PERFORMED IN CT HARTFORD CT 06106 IALL WORK PERFORMED IN CO IDENVER CO 80203 IALL WORK PERFORMED IN DE IDOVER DE 19901 ALL WORK PERFORMED IN FL. TALLAHASSEE FL 32301 IALL WORK PERFORMED IN GA IATLANTA GA 30301 IALL WORK PERFORMED IN IA IDES MOINES IA 50309 IALL WORK PERFORMED IN IL ISPRINGFIELD IL 62707 IALL WORK PERFORMED IN IN INDIANAPOLIS IN 46204 U GU618 A CW 1002 SCHEDULE OF LOCATIONE Zurich American Insurance Comp GLO 4641358 15 4 Effective Date 11 01 19 1201 A.M. Standard Time TION NSAS UITY MO b4114 L WORK PERFORMED IN AL ONTGOMERY AL 36130 L WORK PERFORMED IN AK NEAU AK 99811 L WORK PERFORMED IN AZ OENIX AZ85012 L WORK PERFORMED IN CA CRAMENTO CA 95814 L WORK PERFORMED IN CT RTFORD CT 06106 L WORK PERFORMED IN CO NVER CO 80203 L WORK PERFORMED IN DE VER DE 19901 L WORK PERFORMED IN FL LLAHASSEE FL 32301 L WORK PERFORMED IN GA LANTA GA 30301 L WORK PERFORMED IN 1A S MOINES IA 50309 L WORK PERFORMED IN IL RINGFIELD IL 62707 L WORK PERFORMED IN IN DIANAPOLIS IN 46204 | 2 |
Policy Number GLO 4641358 15 SCHEDULE OF LOCATIONS Zurich American Insurance Company Named Insured BLACK VEATCH CORPORATION Effective Date 11 01 19 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC AgentNo. 37385 000 Designated Locations Address City State Zip Code IALL WORK PERFORMED IN KS TOPEKA KS 66603 Occupancy IALL WORK PERFORMED IN KY FRANKFORT KY 40601 IALL WORK PERFORMED IN LA IBATON ROUGE LA 70804 IALL WORK PERFORMED IN MD IANNAPOLIS MD 21401 IALL WORK PERFORMED IN ME HALLOWELL ME 04347 IALL WORK PERFORMED IN MI ILANSING M1 48909 IALL WORK PERFORMED IN MN ISAINT PAUL MN 55101 IALL WORK PERFORMED IN DC ASHINGTON DC 20005 IALL WORK PERFORMED IN NC IRALEIGH NC 27611 IALL WORK PERFORMED IN NE ILINCOLN NE 68509 IALL WORK PERFORMED IN NJ TRENTON NJ 08628 IALL WORK PERFORMED IN NM ISANTA FE NM 87501 IALL WORK PERFORMED IN NV CARSON CITY NV 89701 U GU618 A CW 1002 SCHEDULE OF LOCATIONE Zurich American Insurance Comp GLO 4641358 15 4 Effective Date 11 01 19 1201 A.M. Standard Time TION FEKA Ko bbbUS L WORK PERFORMED IN KY ANKFORT KY 40601 L WORK PERFORMED IN LA TON ROUGE LA 70804 L WORK PERFORMED IN MD NAPOLIS MD 21401 L WORK PERFORMED IN ME LLOWELL ME 04347 L WORK PERFORMED IN MI NSING M1 48909 L WORK PERFORMED IN MN INT PAUL MN 55101 L WORK PERFORMED IN DC SHINGTON DC 20005 L WORK PERFORMED IN NC LEIGH NC 27611 L WORK PERFORMED IN NE ICOLN NE 68509 L WORK PERFORMED IN NJ ENTON NJ 08628 L WORK PERFORMED IN NM NTA FE NM 87501 L WORK PERFORMED IN NV RSON CITY NV 89701 | 2 |
Policy Number GLO 4641358 15 SCHEDULE OF LOCATIONS Zurich American Insurance Company Named Insured BLACK VEATCH CORPORATION Effective Date 11 01 19 1201 A.M. Standard Time AgentName LOCKTON COMPANIES LLC AgentNo. 37385 000 Designated Locations Address City State Zip Code IALL WORK PERFORMED IN NY IALBANY NY 12245 Occupancy IALL WORK PERFORMED IN OH COLUMBUS OH 43217 IALL WORK PERFORMED IN OK OKLAHOMA CITY OK 73105 IALL WORK PERFORMED IN OR ISALEM OR 97301 IALL WORK PERFORMED IN PA HARRISBURG PA 17112 IALL WORK PERFORMED IN SC COLUMBIA SC 29202 IALL WORK PERFORMED IN SD PIERRE SD 57501 IALL WORK PERFORMED IN TN INASHVILLE TN 37203 IALL WORK PERFORMED IN TX IAUSTIN TX 78766 IALL WORK PERFORMED IN UT ISALT LAKE CITY UT 84114 IALL WORK PERFORMED IN VA IRICHMOND VA 23219 IALL WORK PERFORMED IN VT IMONTPELIER VT 05602 IALL WORK PERFORMED IN WA ISEATTLE WA 98101 U GU618 A CW 1002 SCHEDULE OF LOCATIONE Zurich American Insurance Comp GLO 4641358 15 4 Effective Date 11 01 19 1201 A.M. Standard Time TION BANY NY 12240 L WORK PERFORMED IN OH LUMBUS OH 43217 L WORK PERFORMED IN OK LAHOMA CITY OK 73105 L WORK PERFORMED IN OR LEM OR 97301 L WORK PERFORMED IN PA RRISBURG PA 17112 L WORK PERFORMED IN SC LUMBIA SC 29202 L WORK PERFORMED IN SD RRE SD 57501 L WORK PERFORMED IN TN SHVILLE TN 37203 L WORK PERFORMED IN TX STIN TX 78766 L WORK PERFORMED IN UT LT LAKE CITY UT 84114 L WORK PERFORMED IN VA HMOND VA 23219 L WORK PERFORMED IN VT ONTPELIER VT 05602 L WORK PERFORMED IN WA ATTLE WA 98101 | 2 |
Policy Number GLO 4641358 15 SCHEDULE OF LOCATIONS Zurich American Insurance Company Named Insured BLACK VEATCH CORPORATION Effective Date 11 01 19 1201 A.M. Standard Time AgentName LOCKTON COMPANIES LLC AgentNo. 37385 000 Designated Locations Address City State Zip Code IALL WORK PERFORMED IN WV CHARLESTON WV 25305 Occupancy IALL WORK PERFORMED IN WY CHEYENNE WY 82003 IALL WORK PERFORMED IN AR ILITTLE ROCK AR 72201 IALL WORK PERFORMED IN ND IBISMARCK ND 58505 IALL WORK PERFORMED IN PR ISAN JUAN PR 00901 IALL WORK PERFORMED IN HI HONOLULU HI 96815 IALL WORK PERFORMED IN NH ICONCORD NH 03301 IALL WORK PERFORMED IN RI PROVIDENCE RI 02903 IALL WORK PERFORMED IN MS WACKSON MS 39201 IALL WORK PERFORMED IN MT HELENA MT 59620 IALL WORK PERFORMED IN ID IDAHO FALLS ID 83401 IALL WORK PERFORMED IN MA BALDWINVILLE MA 01436 IALL WORK PERFORMED IN WI ICEDAR GROVE WI53013 U GU618 A CW 1002 SCHEDULE OF LOCATIONE Zurich American Insurance Comp GLO 4641358 15 4 Effective Date 11 01 19 1201 A.M. Standard Time TION IARLES TON WV 20500 L WORK PERFORMED IN WY EYENNE WY 82003 L WORK PERFORMED IN AR TLE ROCK AR 72201 L WORK PERFORMED IN ND SMARCK ND 58505 L WORK PERFORMED IN PR N JUAN PR 00901 L WORK PERFORMED IN HI INOLULU HI 96815 L WORK PERFORMED IN NH INCORD NH 03301 L WORK PERFORMED IN RI OVIDENCE R102903 L WORK PERFORMED IN MS CKSON MS 39201 L WORK PERFORMED IN MT LENA MT 59620 L WORK PERFORMED IN ID HO FALLS ID 83401 L WORK PERFORMED IN MA LDWINVILLE MA 01436 L WORK PERFORMED IN WI DAR GROVE WI53013 | 2 |
Z ZURICH Knowledge by Position or Department Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. AddL. Prem Return Prem. GLO 4641358 15 11012019 11012020 37385000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Business Auto Coverage Part Commercial General Liability Coverage Part Liquor Liability Coverage Part Products Completed Operations Liability Coverage Part Railroad Protective Liability Coverage Part SCHEDULE CHIEF LEGAL COUNSEL Position or Department The following Condition is added Knowledge By Your Employee 1. Knowledge of an accident occurrence offense injury claim suit or loss by your employee will not in and of itself be considered your knowledge of the accident occurrence offense injury claim suit or loss unless an employee who a. Holds a position or b. Is a member of a department shown in the Schedule of this endorsement receives such knowledge. 2. This endorsement does not apply unless the Schedule of this endorsement indicates at least one Position or Department. All other terms and conditions of this policy remain unchanged. U GU1016 A CW 0610 Page 1 of 1 Includes copyrighted material of Insurance Services Office Inc. with its permission. | 2 |
IL 00 17 11 98 COMMON POLICY CONDITIONS All Coverage Parts included in this policy are subject to the following conditions. A. D. Cancellation 1. The first Named Insured shown in the Declara tions may cancel this policy by mailing or de livering to us advance written notice of cancel lation. 2. We may cancel this policy by mailing or deliv ering to the first Named Insured written notice of cancellation at least a. 10 days before the effective date of cancel lation if we cancel for nonpayment of pre mium or b. 30 days before the effective date of cancel lation if we cancel for any other reason. 3. We will mail or deliver our notice to the first Named Insured s last mailing address known to us. 4. Notice of cancellation will state the effective date of cancellation. The policy period will end on that date. 5. If this policy is cancelled we will send the first Named Insured any premium refund due. If we cancel the refund will be pro rata. If the first Named Insured cancels the refund may be less than pro rata. The cancellation will be effective even if we have not made or offered a refund. 6. If notice is mailed proof of mailing will be suf ficient 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 E. b. Give you reports on the conditions we find and Recommend changes. 2. We are not obligated to make any inspections surveys reports or recommendations and any such actions we do undertake relate only to in surability and the premiums to be charged. We do not make safety inspections. We do not un dertake to perform the duty of any person or organization to provide for the health or safety of workers or the public. And we do not war rant that conditions a. Are safe or healthful or b. Comply with laws regulations codes or standards. 3. Paragraphs 1. and 2. of this condition apply not only to us but also to any rating advisory rate service or similar organization which makes in surance inspections surveys reports or recom mendations. 4. Paragraph 2. of this condition does not apply to any inspections surveys reports or recommen dations we may make relative to certification under state or municipal statutes ordinances or regulations of boilers pressure vessels or ele The first Named Insured shown in the Declarations 1. Is responsible for the payment of all premiums and 2. Will be the payee for any return premiums we pay. Transfer Of Your Rights And 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 representa tive. 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. Pagelof1 O IL 00 17 11 98 Copyright Insurance Services Office Inc. 1998 | 2 |
IL 00 21 09 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT Broad Form This endorsement modifies insurance provided under the following COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY 1. The insurance does not apply A. Under any Liability Coverage to bodily injury or property damage 1 With respect to which an insured under 2 the policy is also an insured under a nu clear energy liability policy issued by Nu clear Energy Liability Insurance Association Mutual Atomic Energy Liability Underwrit ers Nuclear Insurance Association of Can ada or any of their successors or would be an insured under any such policy but for its termination upon exhaustion of its limit of li ability or Resulting from the hazardous properties of nuclear material and with respect to which a any person or organization is re quired to maintain financial protection pur suant to the Atomic Energy Act of 1954 or any law amendatory thereof or b the in sured 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 C. Under any Liability Coverage to bodily injury or property damage resulting from hazardous properties of nuclear material if 1 The nuclear material a is at any nuclear 2 3 facility owned by or operated by or on be half of an insured or b has been dis charged or dispersed therefrom The nuclear material is contained in spent fuel or waste at any time possessed han dled used processed stored transported or disposed of by or on behalf of an in sured 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 nu clear facility but if such facility is located within the United States of America its terri tories or possessions or Canada this ex clusion 3 applies only to property dam age to such nuclear facility and any property thereat. by the United States of America or any 2 agency thereof with any person or organi zation. B. Under any Medical Payments coverage to expenses incurred with respect to bodily in jury resulting from the hazardous properties of nuclear material and arising out of the op eration of a nuclear facility by any person or organization.. As used in this endorsement Hazardous properties includes radioactive toxic or explosive properties. Nuclear material means source material special nuclear material or by product material. C. Under any Liability Coverage to bodily injury or property damage resulting from hazardous properties of nuclear material if 1 The nuclear material a is at any nuclear facility owned by or operated by or on be half of an insured or b has been dis charged or dispersed therefrom 2 The nuclear material is contained in spent fuel or waste at any time possessed han dled used processed stored transported or disposed of by or on behalf of an in sured 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 nu clear facility but if such facility is located within the United States of America its terri tories or possessions or Canada this ex clusion 3 applies only to property dam age to such nuclear facility and any property thereat. 2. As used in this endorsement Hazardous properties includes radioactive toxic or explosive properties. Nuclear material means source material special nuclear material or by product material. 3 IL 00 21 09 08 ISO Properties Inc. 2007 Page 10f 2 m | 2 |
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 com ponent solid or liquid which has been used or exposed to radiation in a nuclear reactor. Waste means any waste material a containing by product material other than the tailings or wastes produced by the extraction or concentra tion of uranium or thorium from any ore processed primarily for its source material content and b resulting from the operation by any person or or ganization of any nuclear facility included under the first two paragraphs of the definition of nu clear facility. Nuclear facility means a Any nuclear reactor b Any equipment or device designed or used for 1 separating the isotopes of uranium or plutonium 2 processing or utilizing spent fuel or 3 handling processing or packaging waste c d Any equipment or device used for the proc essing 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 pluto nium or uranium 233 or any combination thereof or more than 250 grams of uranium 235 Any structure basin excavation premises or place prepared or used for the storage or disposal of waste and includes the site on which any of the forego ing is located all operations conducted on such site and all premises used for such operations. Nuclear reactor means any apparatus designed or used to sustain nuclear fission in a self supporting chain reaction or to contain a critical mass of fissionable material. Property damage includes all forms of radioactive contamination of property. Page 2 of 2 ISO Properties Inc. 2007 IL 00 21 09 08 o | 2 |
IL023409 17 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NORTH DAKOTA 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 PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EMPLOYMENT RELATED PRACTICES LIABILITY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART. Paragraphs 2. and 3. of the Cancellation Common Policy Condition are replaced by Paragraphs 2. and 3. below except to the extent that Item B. of this endorsement applies. 2. Policies In Effect a. For Less Than 90 Days If this policy has been in effect for less than 90 days we may cancel the policy for any reason by mailing to the first Named Insured and agent if any written notice of cancellation at least 1 10 days before the effective date of cancellation or 2 Five days before the effective date of cancellation for any condition stated in Paragraph B. of this endorsement. b. For 90 Days Or More Or Policies With Terms Longer Than One Year Or Continuous Policies If this policy has been in effect for 90 days or more is a renewal of a policy we issued is a policy issued for a term longer than one year or is a continuous policy we may cancel the policy only for one or more of the following reasons 1 Nonpayment of premiums 2 Misrepresentation or fraud made by the insured or with the insured s knowledge in obtaining the policy or in pursuing a claim under the policy 3 The insured s actions that have 4 5 6 substantially increased or substantially changed the risk insured The insured s refusal to eliminate known conditions that increase the potential for loss after our notification that the condition must be removed Substantial change in the risk assumed except to the extent that we should reasonably have foreseen the change or contemplated the risk in writing the contract Loss of reinsurance which provided us with coverage for a significant amount of the underlying risk insured A determination by the insurance commissioner that the continuation of the policy could place us in violation of North Dakota insurance laws Nonpayment of dues to an association or organization other than an insurance association or organization where payment of dues is a prerequisite to obtaining or continuing such insurance. Cancellation for this reason does not apply to persons who are retired at 62 years of age or older or to any person who is disabled according to social security standards IL 0234 09 17 Insurance Services Office Inc. 2017 Page 1 of 3 | 2 |
9 A violation of any local fire health safety building or construction regulation or ordinance with respect to Covered Property or the occupancy thereof which substantially increases any hazard insured against or 10 Certain conditions exist as stated in Paragraph B. of this endorsement. We will mail written notice of cancellation to the first Named Insured and agent if any at least a Five days before the effective date of cancellation for any condition stated in Paragraph B. of this endorsement b 10 days before the effective date of cancellaton for nonpayment of premium or c 30 days before the effective date of cancellation for any reason stated in Paragraphs 2.b.2 through 9 above. However for policies with terms longer than one year or continuous policies notice of cancellation will be mailed at least 30 days prior to any anniversary date for any reason stated in Paragraphs 2.b.1 through 9 above. If we cancel for a reason listed in Paragraphs 2.b.1 through 9 above the notice of cancellation will state our reasons for cancellation. 3. We will mail our notice by first class mail to the first Named Insured and agent if any at the last mailing address known to us. B. We may also cancel the policy if one or more of the following conditions exist 1. Buildings with at least 65 of the rental units in the building unoccupied. 2. Buildings that have been damaged by a covered cause of loss and the insured has stated or such time has elapsed as clearly indicates that the damage will not be repaired. 3. Buildings to which following a fire permanent repairs have not commenced within 60 days following satisfactory adjustment of loss. 4. Buildings that have been unoccupied 60 or more consecutive days except buildings that have a seasonal occupancy and buildings actually in the course of construction or repair and reconstruction which are properly secured against unauthorized entry. 5. Buildings that are in danger of collapse because of serious structural conditions or those buildings subject to extremely hazardous conditions not contemplated in filed rating plans such as those buildings that are in a state of disrepair as to be dilapidated. 6. Buildings on which because of their physical condition there is an outstanding order to vacate or an outstanding demolition order or which have been declared unsafe in accordance with applicable law. 7. Buildings from which fixed and salvageable items have been or are being removed and the insured can give no reasonable explanation for the removal. 8. Buildings on which there is reasonable knowledge and belief that the property is endangered and is not reasonably protected from possible arson for the purpose of defrauding an insurer. 9. Buildings with any of the following conditions a. Failure to furnish heat water sewer service or public lighting for 30 consecutive days or more. b. Failure to correct conditions dangerous to life health or safety. c. Failure to maintain the building in accordance with applicable law. d. Failure to pay property taxes for more than one year. 10. Buildings that have characteristics of ownership condition occupancy or maintenance which are violative of law or public policy. C. The following is added and supersedes any provision to the contrary NONRENEWAL 1. If we elect not to renew this policy we will mail to the last known address of the first Named Insured shown in the Declarations and agent if any a notice of intention not to renew at least a. 60 days prior to the expiration date of the policy except as provided in Paragraph b. or b. 90 days prior to the expiration date of the policy when the policy provides professional liability coverage for legal and medical services. Page 2 0f 3 Insurance Services Office Inc. 2017 IL02340917 | 2 |
The notice of nonrenewal will state our reason for nonrenewal.. We will mail our notice by first class mail to the first Named Insured and agent if any at the last mailing address known to us.. We need not mail or deliver this notice if you have a. Insured elsewhere b. Accepted replacement coverage or c. Requested or agreed to nonrenewal. This Paragraph 3. does not apply to the Commercial Automobile Farm and Commercial Property Coverage Parts when you accept replacement coverage providing equal or more extensive coverage. IL 0234 09 17 Insurance Services Office Inc. 2017 Page 3 of 3 | 2 |
IL 02 61 09 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. KANSAS CHANGES CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following CAPITAL ASSETS PROGRAM OUTPUT POLICY COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART A COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EMPLOYMENT RELATED PRACTICES LIABILITY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART Paragraph 2. of the Cancellation Common Policy Condition is replaced by the following 2.a. We may cancel this policy by mailing or deliver ing to the first Named Insured written notice of cancellation stating the reasons for cancella tion at least 1 10days before the effective date of cancella tion if we cancel for nonpayment of pre mium. 2 30days before the effective date of cancella tion if we cancel for any other reason. b. If this policy has been in effect for 90 days or more or if it is a renewal of a policy we issued we may cancel this policy only for one or more of the following reasons 1 Nonpayment of premium 2 This policy was issued because of material misrepresentation 3 You or any other insured violated any of the material terms and conditions of this policy 4 Unfavorable underwriting factors specific to you exist that were not present at the in ception of this policy A determination by the insurance commis sioner that continuation of coverage could place us in a hazardous financial condition or in violation of the laws of Kansas or A determination by the insurance commis sioner that we no longer have adequate re insurance to meet our needs. 5 6 B. The following is added and supersedes any condi tion to the contrary NONRENEWAL 1. If we decide not to renew this policy we will mail or deliver written notice of nonrenewal stating the reasons for nonrenewal to the first Named Insured at least 60 days prior to the ex piration of the policy. 2. Any notice of nonrenewal will be mailed or delivered to the first Named Insured s last mail ing address known to us. If notice is mailed proof of mailing will be sufficient proof of no tice. IL 02 61 09 07 ISO Properties Inc. 2006 Page 1 of 1 m | 2 |
IL0277 0118 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LOUISIANA 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 LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART STANDARD PROPERTY POLICY A. Paragraph 2. of the Cancellation Common Policy b. Cancellation Of Renewal Policies And Condition is replaced by the following which applies unless Paragraph B. of this endorsement applies 2. Notice Of Cancellation a. Cancellation Of Policies In Effect For Fewer Than 60 Days Which Are Not Renewals If this policy has been in effect for fewer than 60 days and is not a renewal of a policy we issued we may cancel this policy for any reason subject to the following 1 Cancellation for nonpayment of premium We may cancel this policy by mailing or delivering to the first Named Insured written notice of cancellation at least 10 days before the effective date of cancellation. 2 Cancellation for any other reason We may cancel this policy by mailing or delivering to the first Named Insured written notice of cancellation at least 60 days before the effective date of cancellation. New Policies In Effect For 60 Days Or More If this policy has been in effect for 60 days or more or is a renewal of a policy we issued we may cancel only for one or more of the following reasons 1 Nonpayment of premium 2 Fraud or material misrepresentation made by you or with your knowledge with the intent to deceive in obtaining the policy continuing the policy or in presenting a claim under the policy Activities or omissions by you which change or increase any hazard insured against Change in the risk which increases the risk of loss after we issued or renewed this policy including an increase in exposure due to regulation legislation or court decision Determination by the Commissioner of Insurance that the continuation of this policy would jeopardize our solvency or would place us in violation of the insurance laws of this or any other state 3 4 5 b. Cancellation Of Renewal Policies And New Policies In Effect For 60 Days Or More If this policy has been in effect for 60 days or more or is a renewal of a policy we issued we may cancel only for one or more of the following reasons 1 Nonpayment of premium 2 Fraud or material misrepresentation made by you or with your knowledge with the intent to deceive in obtaining the policy continuing the policy or in presenting a claim under the policy Activities or omissions by you which change or increase any hazard insured against 4 Change in the risk which increases the risk of loss after we issued or renewed this policy including an increase in exposure due to regulation legislation or court decision Determination by the Commissioner of Insurance that the continuation of this policy would jeopardize our solvency or would place us in violation of the insurance laws of this or any other state 3 5 IL 02770118 Insurance Services Office Inc. 2017 Page 10f 3 | 2 |
6 The insured s violation or breach of any policy terms or conditions or 7 Any other reasons that are approved by the Commissioner of Insurance. We will mail or deliver written notice of cancellation under Paragraph A.2.b. to the first Named Insured 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 a reason described in Paragraphs A.2.b.2 through 7 above. B. Paragraph 2. of the Cancellation Common Policy Condition is replaced by the following which applies with respect to premium payments due on new and renewal policies including installment payments 2. Notice Of Cancellation a. If your premium payment check or other negotiable instrument is returned to us or our agent or a premium finance company because it is uncollectible for any reason we may cancel the policy subject to Paragraphs B.2.b. and B.2.c. b. We may cancel the policy effective from the date the premium payment was due by sending you written notice by certified mail or by delivering such notice to you within 10 days of the date that we receive notice of the returned check or negotiable instrument. c. The cancellation notice will also advise you that the policy will be reinstated effective from the date the premium payment was due if you present to us a cashier s check or money order for the full amount of the returned check or other negotiable instrument within 10 days of the date that the cancellation notice was mailed. C. With respect to the Coverage Parts and Policies to which this endorsement applies except the Equipment Breakdown Coverage Part Paragraph 5. of the Cancellation Common Policy Condition is replaced by the following 5. Premium Refund If this policy is cancelled we will return any premium refund due subject to Paragraphs C.5.a. C.5.b. C5.c. C.5d. and C.5.e. The cancellation will be effective even if we have not made or offered a refund. a. If the first Named Insured cancels the refund will not be less than 90 of the pro rata unearned premium rounded to the next higher whole dollar. The refund will be returned within 30 days after the effective date of cancellation. We will send the refund to the first Named Insured and any mortgagee that has provided us with written notice of the percentage of the premium being funded with the mortgagee s own funds. The percentage of the unearned premium attributable to the mortgagee shall be returned to the mortgagee and the percentage of the unearned premium attributable to the first Named Insured shall be returned to the first Named Insured. b. If we cancel the refund will be pro rata and we will send the refund to the first Named Insured unless Paragraph C.5.c. or C.5.d. applies. c. If we cancel based on Paragraph B.2. of this endorsement we will return the premium due if any within 10 days after the expiration of the 10 day period referred to in B.2.c. If the policy was financed by a premium finance company or if payment was advanced by the insurance agent we will send the return premium directly to such payor. d. With respect to any cancellation of the Commercial Auto Coverage Part we will send the return premium if any to the premium finance company if the premium was financed by such company. e. When return premium payment is sent to the premium finance company or the agent of the insured we will provide notice to you at the time of cancellation that a return of unearned premium may be generated by the cancellation. D. With respect to the Equipment Breakdown Coverage Part Paragraph 5. of the Cancellation Common Policy Condition is replaced by the following 5. Premium Refund If this policy is cancelled we will return any premium refund due subject to Paragraphs D.5.a. D.5.b. D.5.c. D.5.d. and D.5.e. The cancellation will be effective even if we have not made or offered a refund. a. If we cancel the refund will be pro rata. Page 2 0f 3 Insurance Services Office Inc. 2017 IL0277 0118 | 2 |
b. If the first Named Insured cancels the refund will not be less than 75 of the pro rata unearned premium rounded to the next higher whole dollar. The refund will be returned within 30 days after the effective date of cancellation. c. We will send the refund to the first Named Insured unless Paragraph D.5.d. applies. d. If we cancel based on Paragraph B.2. of this endorsement we will return the premium due if any within 10 days after the expiration of the 10 day period referred to in B.2.c. If the policy was financed by a premium finance company or if payment was advanced by the insurance agent we will send the return premium directly to such payor. e. When return premium payment is sent to the premium finance company or the agent of the insured we will provide notice to you at the time of cancellation that a return of unearned premium may be generated by the cancellation. E. The Premiums Common Policy Condition is replaced by the following Premiums 1. The first Named Insured shown in the Declarations is responsible for the payment of all premiums. 2. We will pay return premiums if any to the first Named Insured unless another person or entity is entitled to be the payee in accordance with Paragraph C. or D. of this endorsement. F. Paragraph f. of the Mortgageholders Condition in the Commercial Property Coverage Part Standard Property Policy and the Capital Assets Program Output Policy Coverage Part and Paragraph 4.f. of the Mortgageholders Condition in the Farm Coverage Part are replaced by the following If we cancel a policy that has been in effect for fewer than 60 days and is not a renewal of a policy we issued we will give written notice to the mortgageholder pledgee or other known person shown in the policy to have an insurable interest in any loss at least 1 10 days before the effective date of cancellation if we cancel for nonpayment of premium or 2 60 days before the effective date of cancellation if we cancel for any other reason. If we cancel a policy that has been in effect for 60 days or more or is a renewal of a policy we issued we will give written notice to the mortgageholder pledgee or other known person shown in the policy to have an insurable interest in any loss at least 1 10 days before the effective date of cancellation if we cancel for nonpayment of premium or 2 30 days before the effective date of cancellation if we cancel for any other reason. G. The following is added and supersedes any other provision to the contrary Nonrenewal 1. If we decide not to renew this policy we will mail or deliver written notice of nonrenewal to the first Named Insured mortgageholder pledgee or other known person shown in the policy to have an insurable interest in any loss at least 60 days before its expiration date or its anniversary date if it is a policy written for a term of more than one year or with no fixed expiration date. 2. We need not mail or deliver this notice if a. We or another company within our insurance group have offered to issue a renewal policy or b. You have obtained replacement coverage or have agreed in writing to obtain replacement coverage. 3. Any notice of nonrenewal will be mailed or delivered to the first Named Insured mortgageholder pledgee or other known person shown in the policy to have an insurable interest in any loss at the last mailing address known to us. If notice is mailed proof of mailing will be sufficient proof of notice. 4. Such notice to the insured shall include the insured s loss run information for the period the policy has been in force within but not to exceed the last three years of coverage. IL 02770118 Insurance Services Office Inc. 2017 Page 30f 3 | 2 |
IL 00 03 09 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CALCULATION OF PREMIUM This endorsement modifies insurance provided under the following CAPITAL ASSETS PROGRAM OUTPUT POLICY COVERAGE PART COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EMPLOYMENT RELATED PRACTICES LIABILITY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART The following is added The premium shown in the Declarations was com puted based on rates in effect at the time the policy was issued. On each renewal continuation or anni versary of the effective date of this policy we will compute the premium in accordance with our rates and rules then in effect. IL 00 03 09 08 ISO Properties Inc. 2007 Page 10f 1 m | 2 |
Z ZURICH Combined Aggregate Deductible Schedule ZURICH Policy No. Exp. Date of Pol 1 020 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement provides supplementary information to be used with the following Business Auto Coverage Form Commercial General Liability Coverage Part Employee Benefits Liability Coverage Part Garage Coverage Form Liquor Liability Coverage Part Motor Carrier Coverage Form Stop Gap Employers Liability Coverage Part Truckers Coverage Form Workers Compensation and Employers Liability Policy The Combined Aggregate Estimated Rate Per Of Exposure Basis Deductible is adjustable and Exposure determined as the sum of the rates multiplied by the final 791240323.52 100 AUDITED PAYROLL audited Exposures. The Deductible Amounts for the policies listed here will be combined with this policy for the application of the Combined Aggregate Deductible Amount. Policy Numbers WC 4641353 14 367 15 WC 0139244 04 BAP 4641355 15 GLO 0139245 04 Combined Aggregate Deductible Amount 4400000 Minimum Combined Aggregate Deductible Amount 4400000 L it eductible is adjustable and etermined as the sum of the tes multiplied by the final udited Exposures. U GU D638 A CW 707 Page 1 of 1 | 2 |
Z ZURICH SANCTIONS EXCLUSION ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY The following exclusion is added to the policy to which it is attached and supersedes any existing sanctions language in the policy whether included in an Exclusion Section or otherwise SANCTIONS EXCLUSION Notwithstanding any other terms under this policy we shall not provide coverage nor will we make any payments or provide any service or benefit to any insured beneficiary or third party who may have any rights under this policy to the extent that such cover payment service benefit or any business or activity of the insured would violate any applicable trade or economic sanctions law or regulation. The term policy may be comprised of common policy terms and conditions the declarations notices schedule coverage parts insuring agreement application enrollment form and endorsements or riders if any for each coverage provided. Policy may also be referred to as contract or agreement. We may be referred to as insurer underwriter we us and our or as otherwise defined in the policy and shall mean the company providing the coverage. Insured may be referred to as policyholder named insured covered person additional insured or claimant or as otherwise defined in the policy and shall mean the party person or entity having defined rights under the policy. These definitions may be found in various parts of the policy and any applicable riders or endorsements. ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED U GU1191 A CW 0315 Page I of 1 | 2 |
Z4 ZURICH Important Notice to Arkansas Policyholders Inquiries concerning your policy should be directed to your insurance agent if one is involved at the name address and telephone number shown on the policy andor in the material accompanying the policy. If you have additional questions you may contact Zurich North America Commercial at the following address and telephone number Customer Inquiry Center Zurich North America Commercial 1299 Zurich Way Schaumburg IL 60196 1 800 382 2150 If you require additional information you may contact the Arkansas Insurance Department at either the following address or phone number Arkansas Insurance Department 1200 West Third Street Little Rock Arkansas 72201 1904 Telephone 501 371 2640 or 800 852 5494 U GU108 C 1109 Page 1of 1 | 2 |
Z4 ZURICH Important Notice to Florida Policyholders In the event you need to contact someone about this policy for any reason please contact your agent. If you have additional questions you may contact the Zurich U.S. office at the following address and telephone number Customer Inquiry Center Zurich North America 1299 Zurich Way Schaumburg IL 60196 800 382 2150 If you have been unable to contact or obtain satisfaction from your agent or company you may contact the Florida Office of Insurance Regulation at Office of Insurance Regulation 200 East Gaines Street Tallahassee Florida 32399 850 413 3140 ATTACH THIS NOTICE TO YOUR POLICY This notice is for information only and does not become a part or condition of the attached document. U GU395 D 0709 Page 10f 1 | 2 |
Z ZURICH Important Notice Texas Safety Consultation Services Zurich in North America has loss control services available at no additional charge. If you would like additional information regarding these services please contact us at the address or phone listed below. Zurich Services Corporation Risk Engineering 1299 Zurich Way Schaumburg lllinois 60196 1056 1 800 982 5964 By email risk.engineeringzurichna.com LC373 D TX 1117 Page 1 of 1 | 2 |
Z ZURICH Hlinois Civil Union Act Policyholder Notice On June 1 2011 Public Act 96 1513 the Religious Freedom Protection and Civil Union Act the Act became effective. Under the Act both same sex and opposite sex couples may enter into a civil union. A party to a civil union is entitled to the same legal obligations responsibilities protections and benefits as are afforded or recognized by the law of lllinois a spouse whether they derive from statute administrative rule common law or any other source of civil or criminal law. A marriage between persons of the same sex a civil union or a substantially similar legal relationship other than common law marriage legally entered into in another jurisdiction shall be legally recognized in lllinois as a civil union. CAUTION FEDERAL LAW RIGHTS MAY OR MAY NOT BE AVAILABLE llinois law grants parties to a civil union the same benefits protections and responsibilities that flow from marriage under state law. However some or all of the benefits protections and responsibilities related to health insurance that are available to married persons under federal law may not be available to parties to a civil union. For example the Employee Retirement Income Security Act of 1974 a federal law known as ERISA controls the employer employee relationship with regard to determining eligibility for enrollment in private employer health benefit plans. Because of ERISA Act 91 does not state requirements pertaining to a private employer s enrollment of a party to a civil union in an ERISA employee welfare benefit plan. However governmental employers not federal government are required to provide health benefits to the dependents of a party to a civil union if the public employer provides health benefits to the dependents of married persons. Federal law also controls group health insurance continuation rights under COBRA for employers with 20 or more employees as well as the Internal Revenue Code treatment of health insurance premiums. As a result parties to a civil union and their families may or may not have access to certain benefits under this policy contract certificate rider or endorsement that derive from federal law. You are advised to seek expert advice to determine your rights. U GU1110 B IL 1011 Pagel of 1 | 2 |
Z ZURICH Colorado Civil Union Act Policyholder Notice On January 1 2014 the Civil Union Act the Act becomes effective. Under the Act two persons of the same sex may enter into a civil union. A party to a civil union is entitled to the same legal obligations responsibilities protections and benefits as are afforded or recognized by the law of Colorado to a spouse whether they derive from statute administrative rule common law or any other source of civil or criminal law. The Act further provides that a party to a civil union shall be included in any definition or use of the term dependent family heir immediate family next of kin spouse and other terms that denote a familial or spousal relationship. A marriage between persons of the same sex a civil union domestic partnerships or a substantially similar legal relationship legally entered into in another jurisdiction shall be legally recognized in Colorado as a civil union. U GU1169 A CO 0613 Page I of 1 | 2 |
Z ZURICH Resulting Damage To Your Work ZURICH THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. GLO 4641358 15 Effective Date 11012019 This endorsement modifies insurance provided under the Commercial General Liability Coverage Part The following is added to Paragraph 1. Insuring Agreement of Section Coverage A Bodily Injury And Property Damage Liability Damages because of property damage include damages the insured becomes legally obligated to pay because of property damage to your work or caused by your work and shall be deemed to be caused by an occurrence regardless of whether the property damage arises from breach of contract. All other terms conditions provisions and exclusions of this policy remain the same. U GL1344 D CW 0719 Page 1 of 1 Includes copyrighted material of Insurance Services Office Inc. with its permission. | 2 |
Z ZURICH Notification to Others of Cancellation Nonrenewal or Reduction of Insurance Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. AddL. Prem Return Prem. GLO 4641358 15 11012019 11012020 37385000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part Liquor Liability Coverage Part Products Completed Operations Liability Coverage Part A. If we cancel or non renew this Coverage Parts by written notice to the first Named Insured for any reason other than nonpayment of premium we will mail or deliver a copy of such written notice of cancellation or non renewal 1. To the name and address corresponding to each person or organization shown in the Schedule below and 2. At least 10 days prior to the effective date of the cancellation or non renewal as advised in our notice to the first Named Insured or the longer number of days notice if indicated in the Schedule below. B. If we cancel this Coverage Parts by written notice to the first Named Insured for nonpayment of premium we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation. C. If coverage afforded by this Coverage Parts is reduced or restricted except for any reduction of Limits of Insurance due to payment of claims we will mail or deliver notice of such reduction or restriction 1. To the name and address corresponding to each person or organization shown in the Schedule below and 2. At least 10 days prior to the effective date of the reduction or restriction or the longer number of days notice if indicated in the Schedule below. D. If notice as described in Paragraphs A. B. or C. of this endorsement is mailed proof of mailing will be sufficient proof of such notice. SCHEDULE. Number of Name and Address of Other Persons Organizations Days Notice GK DEVELOPMENT INC. 30 NORTH GRAND MALL 2801 GRAND AVE AMES 1A 50010 All other terms and conditions of this policy remain unchanged. U GL1447 A CW 0510 Page 10f3 Includes copyrighted material of Insurance Services Office Inc. with its permission. | 2 |
Z ZURICH Notification to Others of Cancellation Nonrenewal or Reduction of Insurance Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. AddL. Prem Return Prem. GLO 4641358 15 11012019 11012020 37385000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part Liquor Liability Coverage Part Products Completed Operations Liability Coverage Part A. If we cancel or non renew this Coverage Parts by written notice to the first Named Insured for any reason other than nonpayment of premium we will mail or deliver a copy of such written notice of cancellation or non renewal 1. To the name and address corresponding to each person or organization shown in the Schedule below and 2. At least 10 days prior to the effective date of the cancellation or non renewal as advised in our notice to the first Named Insured or the longer number of days notice if indicated in the Schedule below. B. If we cancel this Coverage Parts by written notice to the first Named Insured for nonpayment of premium we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation. C. If coverage afforded by this Coverage Parts is reduced or restricted except for any reduction of Limits of Insurance due to payment of claims we will mail or deliver notice of such reduction or restriction 1. To the name and address corresponding to each person or organization shown in the Schedule below and 2. At least 10 days prior to the effective date of the reduction or restriction or the longer number of days notice if indicated in the Schedule below. D. If notice as described in Paragraphs A. B. or C. of this endorsement is mailed proof of mailing will be sufficient proof of such notice. SCHEDULE. Number of Name and Address of Other Persons Organizations Days Notice CITY OF AUSTIN 30 CONTRACT MANAGEMENT DEPARTMENT PO BOX 1088 AUSTIN TX 78767 All other terms and conditions of this policy remain unchanged. U GL1447 A CW 0510 Page 2 of 3 Includes copyrighted material of Insurance Services Office Inc. with its permission. | 2 |
Z ZURICH Notification to Others of Cancellation Nonrenewal or Reduction of Insurance A ZURICH Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Addl. Prem Return Prem. GLO 4641358 15 11012019 11012020 37385000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part Liquor Liability Coverage Part Products Completed Operations Liability Coverage Part A. If we cancel or non renew this Coverage Parts by written notice to the first Named Insured for any reason other than nonpayment of premium we will mail or deliver a copy of such written notice of cancellation or non renewal 1. To the name and address corresponding to each person or organization shown in the Schedule below and 2. Atleast 10 days prior to the effective date of the cancellation or non renewal as advised in our notice to the first Named Insured or the longer number of days notice if indicated in the Schedule below. B. If we cancel this Coverage Parts by written notice to the first Named Insured for nonpayment of premium we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation. C. If coverage afforded by this Coverage Parts is reduced or restricted except for any reduction of Limits of Insurance due to payment of claims we will mail or deliver notice of such reduction or restriction 1. To the name and address corresponding to each person or organization shown in the Schedule below and 2. At least 10 days prior to the effective date of the reduction or restriction or the longer number of days notice if indicated in the Schedule below. D. If notice as described in Paragraphs A. B. or C. of this endorsement is mailed proof of mailing will be sufficient proof of such notice. SCHEDULE Name and Address of Other Persons Organizations Number of Days Notice ORANGE COUNTY SANITATION DISTRICT 10844 ELLIS AVENUE FOUNTAIN VALLEY CA 92708. THE ORANGE 30 COUNTY SANITATION DISTRICT THEIR OFFICERS AGENTS EMPLOYEES AND VOLUNTEERS AND AL PUBLIC AGENCIES FROM WHOM PERMITS WILL BE OBTAINED AND THEIR DIRECTORS OFFICERS OFFICIALS AND EMPLOYEES. nan nan nan nan 30.0 U GL1447 A CW 0510 Page 10f 2 Includes copyrighted material of Insurance Services Office Inc. with its permission. | 2 |
Z ZURICH Recording And Distribution Of Material Or Information In Violation Of Law Exclusion Policy No. ET. Date of Pol. Exp. Date of Pol. Ef. Date of End. Producer No. AddL. Prem Return Prem. GLO 4641358 15 11012019 11012020 37385000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part A. Exclusion q. Recording And Distribution Of Material Or Information In Violation Of Law of Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability is replaced by the following 2. Exclusions This insurance does not apply to q. Recording And Distribution Of Material Or Information In Violation Of Law Bodily injury or property damage directly or indirectly arising out of or based upon 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 Transaction Act FACTA or 4 Any federal state or local statute ordinance or regulation other than the TCPA CAN SPAM Act of 2003 or FCRA and their amendments and additions or any other legal liability at common law or otherwise that addresses prohibits or limits the printing dissemination disposal monitoring collecting recording use of sending transmitting communicating or distribution of material or information. B. Exclusion p. Recording And Distribution Of Material Or Information In Violation Of Law of Paragraph 2. Exclusions of Section Coverage B Personal And Advertising Injury Liability is replaced by the following 2. Exclusions This insurance does not apply to p Recording And Distribution Of Material Or Information In Violation Of Law Personal and advertising injury directly or indirectly arising out of or based upon 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 Transaction Act FACTA or U GL1517 B CW 0413 Page 10f 2 Includes copyrighted material of Insurance Services Office Inc. with its permission. | 2 |
4 Any federal state or local statute ordinance or regulation other than the TCPA CAN SPAM Act of 2003 or FCRA and their amendments and additions or any other legal liability at common law or otherwise that addresses prohibits or limits the printing dissemination disposal monitoring collecting recording use of sending transmitting communicating or distribution of material or information. All other terms and conditions of this policy remain unchanged. U GL1517 B CW 0413 Page 2 of 2 Includes copyrighted material of Insurance Services Office Inc. with its permission. | 2 |
Z ZURICH Policyholder Notice General Liability Access Or Disclosure Of Confidential Or Personal Information Exclusions This Notice does not form part of your policy. No coverage is provided by this Notice nor can it be construed to replace any provision of your policy. You should read your policy and review your Declarations page for complete information on the coverages you are provided. If there is a conflict between the Policy and this Notice THE PROVISIONS OF THE POLICY SHALL PREVAIL. Carefully read your policy including the endorsements attached to your policy. This Notice provides information concerning the following new endorsements which applies to your renewal policy being issued by us CG 21 06 05 14 Exclusion Access Or Disclosure Of Confidential Or Personal Information And Data related Liability With Limited Bodily Injury Exception For Use With The Commercial General Liability Coverage Part When this endorsement is attached to your policy Under Coverage A Bodily Injury And Property Damage Liability coverage is excluded for damages arising out of any access to or disclosure of any person s or organization s confidential or personal information. This is a reinforcement of coverage intent. Under Coverage B Personal And Advertising Injury Liability coverage is excluded for personal and advertising injury arising out of any access to or disclosure of any person s or organization s confidential or personal information. To the extent that any access or disclosure of confidential or personal information results in an oral or written publication that violates a person s right of privacy this may result in a reduction in coverage. CG 21 07 05 14 Exclusion Access or Disclosure of Confidential or Personal Information and Data related Liability Limited Bodily Injury Exception Not Included For Use With The Commercial General Liability Coverage Part When this endorsement is attached to your policy Under Coverage A Bodily Injury And Property Damage Liability coverage is excluded for damages arising out of any access to or disclosure of any person s or organization s confidential or personal information. This is a reinforcement of coverage intent. Coverage is also excluded for damages because of bodily injury arising out of loss of loss of use of damage to corruption of inability to access or inability to manipulate electronic data. This is a reduction of coverage. Under Coverage B Personal and Advertising Injury Liability coverage is excluded for personal and advertising injury arising out of any access to or disclosure of any person s or organization s confidential or personal information. To the extent that any access or disclosure of confidential or personal information results in an oral or written publication that violates a person s right of privacy this may result in a reduction of coverage. CG 21 08 05 14 Exclusion Access Or Disclosure Of Confidential Or Personal Information Coverage B Only For Use With The Commercial General Liability Coverage Part When this endorsement is attached to your policy coverage is excluded for personal and advertising injury arising out of any access to or disclosure of any person s or organization s confidential or personal information. To the extent that any access or disclosure of confidential or personal information results in an oral or written publication that violates a person s right of privacy this may result in a reduction in coverage. U GL2110 A CW 0115 Page 10f 2 | 2 |
CG 04 37 05 14 Electronic Data Liability For Use With The Commercial General Liability Coverage Part With respect to damages arising out of any access to or disclosure of any person s or organization s confidential or personal information when this endorsement is attached to your policy Under Coverage A Bodily Injury And Property Damage Liability coverage is excluded for damages arising out of any access to or disclosure of any person s or organization s confidential or personal information. This is a reinforcement of coverage intent. Under Coverage B Personal And Advertising injury Liability coverage is excluded for personal and advertising injury arising out of any access to or disclosure of any person s or organization s confidential or personal information. To the extent that any access or disclosure of confidential or personal information results in an oral or written publication that violates a person s right of privacy this may result in a reduction of coverage. CG 33 53 05 14 Exclusion Access Or Disclosure Of Confidential Or Personal Information And Data related Liability With Limited Bodily Injury Exception For Use With The Owners and Contractors Protective Liability Coverage Part and Products Completed Operations Coverage Parts When this endorsement is attached to your policy coverage is excluded for damages arising out of any access to or disclosure of any person s or organization s confidential or personal information. This is a reinforcement of coverage intent. CG 33 59 05 14 Exclusion Access Or Disclosure Of Confidential Or Personal Information And Data related Liability Limited Bodily Injury Exception Not Included For Use With The Owners And Contractors Protective Liability and Products Completed Operations Liability Coverage Parts When this endorsement is attached to your policy coverage is excluded for damages arising out of any access to or disclosure of any person s or organization s confidential or personal information. This is a reinforcement of coverage intent. Coverage is also excluded for damages because of bodily injury arising out of loss loss of use of damage to corruption of inability to access or inability to manipulate electronic data. This is a reduction of coverage. U GL2110 A CW 0115 Page 2 of 2 | 2 |
Employee Benefits Liability Occurrence Coverage Form Z ZURICH This Coverage Form provides occurrence coverage. Please read the entire form carefully. 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 Declara tions. The words we us and our refer to the Company providing this insurance. Other words and phrases that appear in quotes have special meaning. Refer to the Definitions Section. Section I. Coverage Employee Benefit Liability 1. 2. 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 in the ad ministration of the insured s employee benefit programs. We will have the right and duty to de fend the insured against any suit seeking those damages. However we will have no duty to defend the insured against any suit seeking damages for any act error or omission for which this insurance does not apply. We may at our discretion investi gate any claim and settle any suit that may result but 1. The amount we pay for damages is limited as described in Section II. Limits of Insurance of this Coverage Part 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 un der this Employee Benefit Liability coverage. No other obligation or liability to pay sums or per form acts or services is covered unless explicitly provided for under Supplementary Payments of this Coverage Part. This only if surance applies to an act error or omi 1. The act error or omission takes place in the coverage territory 2. The insured had no knowledge of and could not have reasonably forescen any circum stances which might result in a claim or suit and 3. The act error or omi policy period. on occurs during the Exclusions This insurance does not apply to any G. Bodily injury property damage or personal and advertising injury Any claim or suit arising out of any dishon est fraudulent criminal or malicious act Any claim or suit arising out of discrimina tion or humiliation. Any claim or suit arising out of an insurer s or other provider s failure to perform its con tract Any claim or suit arising out of your failure to comply with any workers compensation un employment insurance social security or dis ability benefits law Any claim or suit arising out of the failure of any of your employee benefit plans to meet obligations due to insufficient funds Any claim or suit arising out of a. Advice given to any person to participate or not participate in a plan or program in cluded in employee benefit programs b. The appointment of or failure to appoint any investment manager administrator trustee actuary advisor counsel account ant custodian or consultant. Any investment activity including the man agement administration or disposition of assets of your employee benefit pro grams or d. Failure of any investment to perform as represented by any insured.. Any claim or suit arising out of an Insured s liability as a fiduciary under G. Bodily injury property damage or personal and advertising injury Any claim or suit arising out of any dishon est fraudulent criminal or malicious act Any claim or suit arising out of discrimina tion or humiliation Any claim or suit arising out of an insure or other provider s failure to perform its con tract Any claim or suit arising out of your failure to comply with any workers compensation un employment insurance social security or dis ability benefits law Any claim or suit arising out of the failure of any of your employee benefit plans to meet obligations due to insufficient funds Any claim or suit arising out of a. Advice given to any person to participate or not participate in a plan or program in cluded in employee benefit programs b. The appointment of or failure to appoint any investment manager administrator trustee actuary advisor counsel account ant custodian or consultant. Any investment activity including the man agement administration or disposition of assets of your employee benefit pro grams or d. Failure of any investment to perform as represented by any insured. Any claim or suit arising out of an Insured s liability as a fiduciary under U GL851 B CW 604 Page 10f4 | 2 |
a. The Employee Retirement Income Secu rity Act of 1974 PL93 406 and its amendments or b. The Internal Revenue Code of 1986 in cluding the Internal Revenue Code of 1954 and its amendments. Supple mentary Payments We will pay in addition to the applicable Limits of Insurance with respect to any claim we investigate or settle or suit we defend A. All expenses incurred by us all costs taxed against the insured in any suit defended by us and all interest on the full amount of any judgment which accrues after entry of the judg ment and before we have paid or tendered or deposited in court that part of the judgment which does not exceed the limit of our liability. B. Premiums on appeal bonds required and on bonds to release attachments in any suit. We do not have to furnish these bonds. C. All reasonable expenses incurred by the in sured at our request to assist us in the investi gation or defense of the claim or suit includ ing actual loss of earnings up to 250 a day be cause of time off from work. D. Prejudgment interest awarded against the in sured 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 in terest based on that period of time after the of fer. II. Limits of Insurance A. The Limits of Insurance shown in the Declarations and the rules below establish the most we will pay regardless of the number of 1 Insureds 2 Claims made or suits brought or 3 Employees or dependents or beneficiaries of employees making claims or bringing suits. The Aggregate Limit is the most we will pay for all damages because of all claims or suits arising from the administration of your employee benefit programs during the policy period. Subject to the Aggregate Limit provisions in B. above the Each Act Error or Omission Limit is the most we will pay for all damages sustained by any one employee including the employee s de pendents and beneficiaries because of acts errors or omissions committed in the administration of your employee benefit programs.. The limits of this Coverage Part apply separately to each consecutive annual period and to any remain ing period of less than 12 months starting with the beginning of the policy period shown in the Decla rations unless the policy period is extended after is suance 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 pur poses of determining the Limits of Insurance. IL Conditions A. Bankruptcy Bankruptey or insolvency of the insured or the in sured s estate will not relieve us of our obligations. Duties in the Event of an Act Error Omission Claim or Suit 1 Regardless of whether the loss exceeds any ap plicable deductible amount you mus that we are notified as soon as practicable of any act error or omission which may result in a claim. To the extent possible notice should include a. How when and where the act error or omission took place b. The names and addresses of any injured employee dependents or beneficiaries of any employee and witnes 2 If a claim is received by any insured you must a. Immediately record the specifics of the claim and the date received and b. Notify us as soon as practicable. You must see to it that we receive written no tice of the claim as soon as practicable. 3 You and any other involved insured must a. Immediately send us copies of any de mands notices summonses or legal papers received in connection with the claim or suit b. Authorize us to obtain records and other information. Cooperate with us in the investigation set tlement or defense of the claim or suit and d. Assist us upon our request in the en forcement of any right against any person or organization which may be liable to the insured because of injury to which this in surance may also apply. No insureds will except at their own cost. vol untarily make a payment assume any obliga tion or incur any expense without our consent. C. Legal Action Against Us U GL851 B CW 604 Page 20f 4 | 2 |
No person or organization has a right 1 To join us as a party or otherwise bring us into a suit asking for damages from an insured or 2 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 obtained after an actual trial 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. Other Insurance 1 This Coverage Part is primary insurance ex cept when stated to apply in excess of or con tingent upon the absence of other insurance. When this insurance is primary and the insured has other insurance which applies to the loss on an exci or contingent basis the amount of our liability under this Coverage Part shall not be reduced because of such other insurance. 2 When both this insurance and other insurance apply to the loss on the same basis whether primary excess or contingent we shall not be liable for a greater proportion of the loss than that stated in the applicable contribution provi sion below a. Contribution by Equal Shares If all of the other insurance permits contri bution 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. b. Contribution by Limits If any of the other insurance does not per mit contribution by equal shares we will contribute by limits. Under this method each insurer s share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insur ers. E. 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 in surance applies 1 As if each Named Insured were Named Insured and the only 2 Separately to each insured against whom claim is made or suit is brought. 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 in sured 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. 1V. Definitions A. B. C. D. E. F. 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 1 Notices that are published include material placed on the Internet or on similar electronic means of communication and 2 Regarding web sites only that part of a web site that is about your goods products or ser vices for the purposes of attracting customers or supporters is considered an advertise ment. Administration means 1 Counseling employees including their de pendents and beneficiaries with respect to employee benefit programs 2 Handling records in connection with employee benefit programs or 3 Effecting or terminating an employee s par ticipation in a plan included in employee benefit programs. Bodily injury means bodily injury sickness or dis ease sustained by a person including death result ing from any of these at any time. Coverage territory means 1 The United States of America including its territories and possessions Puerto Rico and Canada or 2 All parts of the world if the insured s respon sibility to pay damages is determined in a suit on the merits in the territory described in D. 1 above or in a settlement to which we agree. Employee means Your officers and employees whether actively em ployed disabled or retired. Employee benefit programs mean Group life insurance group accident or health in surance profit sharing plans pension plans em ployee stock subscription plans workers compensa tion une mployment insurance salary continuation U GL851 B CW 604 Page 3of 4 | 2 |
G. plans social security disability benefits insurance avings plans vacation plans or any other simil plans or programs. Insured means You and any of your partners executive officers di rectors members stockholders or employees pro vided such employee is authorized to act in the administration of your employee benefit pro grams. Personal and advertising injury means Injury including consequential bodily injury aris ing out of one or more of the following offens 1 False arrest detention or imprisonment 2 Malicious prosecution 3 The wrongful eviction from wrongful entry into or invasion of the right of private occupancy of a room dwelling or premises that a person oc cupies by or on behalf of its owner landlord or lessor 4 Oral or written publication in any manner of material that slanders or libels a person or or ganization or disparages a person s or organi zation s goods products or services or 5 Oral or written publication in any manner of material that violates a person s right of pri vacy 6 The use of another s advertising idea in your advertisement or 7 Infringing upon another s copyright trade dress or slogan in your advertisement. Property damage means 1 Physical injury to tangible property including all resulting loss of use of that property. 2 Loss of use of tangible property that is not physically injured. For the purposes of this insurance electronic data is not tangible property. As used in this definition electronic data means in formation facts or programs stored as or on cre ated or used on or transmitted to or from computer software including systems and applications soft ware hard or floppy disks CD ROMS tapes drives cells data processing devices or any other media which are used with electronically controlled equipment. Suit means A civil proceeding in which damages to which this insurance applies is alleged. Suit includes 1 An arbitration proceeding in which such dam ages are claimed and to which you must submit or do submit with our consent or 2 Any other alternative dispute resolution pro ceeding in which such damages are claimed and to which you submit with our consent. U GL851 B CW 604 Page dof 4 | 2 |
Waiver Of Subrogation Blanket Endorsement Policy No. EIf. Date of Pol. Exp. Date of Pol. EIf. Date of End. Producer Addl Prem Return Prem. GLO 4641358 15 11012019 11012020 37385000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition If you are required by a written contract or agreement which is executed before a loss to waive your rights of recovery from others we agree to waive our rights of recovery. This waiver of rights shall not be construed to be a waiver with respect to any other operations in which the insured has no contractual interest. U GL925 B CW 1201 Page I of 1 | 2 |
EMPLOYEE BENEFIT LIABILITY COVERAGE PART OCCURRENCE DECLARATIONS Policy Number GLO 4641358 15 Named Insured BLACK VEATCH CORPORATION Policy Period Coverage begins 11 01 201 Producer Name LOCKTON COMPANIES LLC Producer No. 37385 000 11 01 2019 at1201 AM Coverageends 11 01 2020 at1201 AM Item 1. Limits of Insurance 2000000 Aggregate Limit 1000000 Each Act Error or Omission Limit Iltem 2. Form of Business Individual Partnership Joint Venture X Corporation Other Item 3. Premium Schedule Code No. Premium Basis Rate Advance Premium Estimated Number of Employees 92100 150 INCL Per Employee INCL INCL Flat Charge INCL Total Advance Premium For This Coverage Part INCL Audit Period X Annual Semi annual Quarterly Monthly Forms And Endorsements Applicable To This Coverage Part SEE SCHEDULE OF FORMS AND ENDORSEMENTS Advance Premium U GL D851 B CW 904 Page L of | 2 |
COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS Policy Number GLO 4641358 15 ZURICH AMERICAN INSURANCE COMPANY Named Insured BLACK VEATCH CORPORATION Policy Period Coverage begins 11 01 2019 at1201 AM. Coverageends 11 01 2020 at1201AM. Producer Name LOCKTON COMPANIES LLC Producer No. 37385 000 Item 1. Business Description CONTRACTOR Item 2. Limits of Insurance GENERAL AGGREGATE LIMIT 4000000 PRODUCTS COMPLETED OPERATIONS AGGREGATE LIMIT 4000000 EACH OCCURRENCE LIMIT 2000000 DAMAGE TO PREMISES RENTED TO YOU LIMIT 300000 Any one premises MEDICAL EXPENSE LIMIT 10000 Any one person PERSONAL AND ADVERTISING INJURY LIMIT 2000000 Any one person or organization Item 3. Retroactive Date CG 00 02 ONLY This insurance does not apply to bodily injury property damage or personal and advertising injury offense which occurs before the Retroactive Date if any shown here NONE Enter Date or None if no Retroactive Date applies Item 4. Form of Business and Location Premises Form of Business CORPORATION Location of All Premises You Own Rent or Occupy See Schedule of Locations Item 5. Schedule of Forms and Endorsements Forms and Endorsements made a part of this Policy at time of issue See Schedule of Forms and Endorsements Item 6. Premiums Coverage Part Premium 432285.00 Other Premium 85.00 Total Premi COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS Policy Number GLO 4641358 15 ZURICH AMERICAN INSURANCE COMPANY Named Insured BLACK VEATCH CORPORATION Policy Period Coverage begins 11 01 2019 at1201 AM. Coverageends 11 01 2020 at1201AM. ENERAL AGGREGATE LIMIT ENERAL AGGREGATE LIMIT 4000000 RODUCTS COMPLETED OPERATIONS AGGREGATE LIMIT 4000000 ACH OCCURRENCE LIMIT 2000000 DAMAGE TO PREMISES RENTED TO YOU LIMIT 300000 Any one premises MEDICAL EXPENSE LIMIT 10000 Any one person ERSONAL AND ADVERTISING INJURY LIMIT 2000000 Any one person or organization 300000 Any one premises 10000 Any one person 2000000 Any one person or organization UGL D1115B CW 904 | 2 |
Z ZURICH Fellow Employee Incidental Medical Policy No. Ef. Date of Pol. Exp. Date of Pol. EIf. Date of End. Producer Addl Prem Return Prem. GLO 4641358 15 11012019 11012020 37385000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part A. Paragraph 2.a.1 of Section Il Who Is An Insured is replaced by the following 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 b 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 above or c Arising out of his or her providing or failing to provide professional health care services except any bodily injury or personal and advertising injury arising out of i. Medical or paramedical services to persons performed by any physician dentist nurse emergency medical technician paramedic or other licensed medical care person employed by you to provide such services or ii. Good Samaritan Acts performed by any other employee of yours who is not a licensed medical professional. B. Any insurance coverage provided by this endorsement is excess over any other valid and collectible insurance. C. Solely for the purposes of the terms and conditions of this endorsement the following definition is added to Section V Definitions Good Samaritan Acts means any assistance of a medical nature rendered or provided in an emergency situation including but not limited to emergency cardiopulmonary resuscitation CPR or first aid services for which no remuneration is demanded or received. All other terms and conditions of this policy remain unchanged. U GL1371 A CW 0908 Page 1 of 1 Includes copyrighted material of Insurance Services Office Inc. with its permission. | 2 |
Z ZURICH Limited Coverage For Insured s Interest In Wrap Up Or Consolidated Insurance Program Policy No. ET. Date of Pol. Exp. Date of Pol. Ef. Date of End. Producer No. AddL. Prem Return Prem. GLO 4641358 15 11012019 11012020 37385000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability and Paragraph 2. Exclusions of Coverage B Personal And Advertising Injury Liability Wrap Up Consolidated Insurance Program Projects This insurance does not apply to bodily injury property damage or personal and advertising injury arising out of either your ongoing operations or the products completed operations hazard at or from any wrap up or other consolidated insurance program projects for which insurance is otherwise separately provided to you by a wrap up or other consolidated insurance program except as follows A. This insurance coverage will pay on your behalf any wrap up or other consolidated insurance program related claims or defend any such suits covered by this policy but we will have no duty to pay such claims or defend suits until after 1. All separate wrap up or other consolidated insurance program insurers have paid the full amount of the Limits of Insurance of all their policies providing coverage for the wrap up or other consolidated insurance program projects in settlement of claims or suits and 2. You have paid any applicable deductibles or self insured retentions for which you are responsible to pay in the separate wrap up or other consolidated insurance program providing coverage for the wrap up or other consolidated insurance program projects B. If this insurance provides broader coverage for any exposures at or from a wrap up or other consolidated insurance program projects and such broader coverage is not provided by a separate wrap up or other consolidated insurance program coverage then this policy will provide primary coverage as respects those exposures. The exception coverage provided in paragraphs A. and B. of this endorsement will not inure to the benefit of any other party except you. With regard to the exception coverage provided in paragraph L.A. above this insurance is excess over any and all other insurance provided to the wrap up or other consolidated insurance program projects whether that other insurance is primary excess contingent or on any other basis. As respects any claims or suits arising at or from a wrap up or other consolidated insurance program projects for which this exception coverage may apply any existing provisions of Condition 4. Other Insurance that may be contrary to the provisions of this endorsement are amended to comply with the changes in coverage as stipulated in Sections I. and Il. above. All other terms and conditions of your Policy remain unchanged. U GL1378 A CW 0309 Page 1of 1 Includes copyrighted material of Insurance Services Office Inc. with ts permission. | 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 2 The pbodily injury or property damage occurs during the policy period and 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. c. 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. 3 d. Bodily injury or property damage will be deemed to have been known to have occurred at the earliest time when any insured listed under Paragraph 1. of Section Il Who Is An Insured or any employee authorized by you to give or receive notice of an occurrence or claim 1 Reports all or any part of the bodily injury or property damage to us or any other insurer Receives a written or verbal demand or claim for damages because of the bodily injury or property damage or 3 Becomes aware by any other means that bodily injury or property damage has occurred or has begun to occur. e. Damages because of bodily injury include damages claimed by any person or organization for care loss of services or death resulting at any time from the bodily injury. 2 his policy restrict coverage. arefully to determine rights 10 t covered. e words you and your refer own in the Declarations and lization qualifying as a Named y. The words we us and providing this insurance. s any person or organization r Section I Who Is An es that appear in quotation ning. Refer to Section V s INJURY AND PROPERTY ums that the insured becomes pay as damages because of roperty damage to which this We will have the right and e insured against any suit 1aaes. However. we will have 2 CG 00010413 Insurance Services Office Inc. 2012 Page 1 of 16 | 0 |
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. 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 falling 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 selling 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. Page 2 of 16 Insurance Services Office Inc. 2012 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 monitori cleaning up removing contai 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 4 Liability assumed under any insured contract for the ownership maintenance or use of aircraft or watercraft or 5 Bodily injury or property damage arising out of a 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 b The operation of any of the machinery or equipment listed in Paragraph.2 or f.3 of the definition of mobile equipment. h. Mobile Equipment Bodily injury or property damage arising out 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 Insurrection rebellion revolution usurped power or action taken by governmental authority in hindering or defending against any of these. j Damage To Property Property damage to 1 Property you own rent or occupy including any costs or expenses incurred by you or any other person organization or entity for repair replacement enhancement restoration or maintenance of such property for any reason including prevention of injury to a person or damage to another s property 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 3 Page 4 of 16 Insurance Services Office Inc. 2012 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 At or from any premises site or location iil 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 i 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 insured or 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 c 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 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 i Bodily injury or property damage sustained within a building and caused by the release of gases fumes or vapors from materials brought into that building in connection with operations being performed by you or on your behalf by a contractor or subcontractor or Bodily injury or property damage arising out of heat smoke or fumes from a hostile fire. e 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 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. CG 00010413 Insurance Services Office Inc. 2012 Page 3 of 16 | 1 |
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.. Personal And Advel 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 lmpaired 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. ing 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 ROMSs 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 usion does not apply to ded in the products ard. ur product arising out ir work arising out of it luded in the products ard. apply if the damaged CG 00010413 Insurance Services Office Inc. 2012 Page 5 of 16 | 1 |
4 Any federal state or local statute ordinance or regulation other than the TCPA CAN SPAM Act of 2003 or FCRA and their amendments and additions that addresses prohibits or limits the printing dissemination disposal collecting recording sending transmitting communicating or distribution of material or information. Exclusions 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 Ill 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 Il 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. ance applies to this coverage 1 Il Limits Of Insurance. AL AND ADVERTISING ums that the insured becomes pay as damages because of ertisina iniurv to which this Page 6 of 16 Insurance Services Office Inc. 2012 CG 00010413 | 1 |
i. 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 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. k. 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. m. Pollution publishing or 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 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 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 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. 3 4 CG 00010413 Insurance Services Office Inc. 2012 Page 7 of 16 | 1 |
COVERAGE C MEDICAL PAYMENTS d. 1. Insuring Agreement a. We will pay medical expenses as described Workers Compensation And Similar Laws To a person whether or not an employee of any insured if benefits for the bodily injury are below for bodily injury caused by an accident 1 On premises you own or rent payable or must be provided under a workers compensation or disability benefits law or a similar law. 2 On ways next to premises you own or rent e. Athletics Activities or. To a person injured while practicing instructing 3 Because of your operations or participating in any physical exercises or provided that games sports or athletic contests. a The accident takes place in the coverage f. Products Completed Operations Hazard territory and during the policy period Included within the products completed b The expenses are incurred and reported operations hazard. to us within one year of the date of the g. Coverage A Exclusions accident and c 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. Excluded under Coverage A. SUPPLEMENTARY PAYMENTS COVERAGES A AND 1. We will pay with respect to any claim we investigate or settle or any suit against an insured we defend These payments will not exceed the applicable a. All expenses we incur. limit o fns.urance. We will pay reasonable b. Up to 250 for cost of bail bonds required expenses for because of accidents or traffic law violations 1 First aid administered at the time of an arising out of the use of any vehicle to which the accident Bodily Injury Liability Coverage applies. We do 2 Necessary medical surgical X ray and dental not have to furnish these bonds. services including prosthetic devices and c. The cost of bonds to release attachments but 3 Necessary ambulance hospital professional only for bond amounts within the appllqabe limit nursing and funeral services of insurance. We do not have to furnish these. bonds. 2. Exclusions N. d. All reasonable expenses incurred by the insured We will not pay expenses for bodily injury at our request to assist us in the investigation or a. Any Insured defense of the claim or suit including actual To any insured except volunteer workers. 955 of earnings up to 250 a day because of Hired Per time off from work. Hire rson. e. All court costs taxed against the insured in the To a person hired to do work for or on behalf of suit. However these payments do not include any insured or a tenant of any insured. attorneys fees or attorneys expenses taxed. Injury On Normally Occupied Premises against the insured. To a person injured on that part of premises you f. Prejudgment interest awarded against the own or that occupies. rent the person normally 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. as described an accident u own or rent 1 the coverage icy period 1 and ronnrtad Page 8 of 16 Insurance Services Office Inc. 2012 CG 00010413 | 1 |
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 c. 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 d. 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 Immediately send us copies of any demands notices summonses or legal papers received in connection with the suit Notify any other insurer whose coverage is available to the indemnitee and 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. b c d 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. Anindividual you and your spouse are insureds but only with respect to the conduct of a business 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. c. 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. lit and the information rence are such that no etween the interests of sts of the indemnitee e insured ask us to the defense of that suit and agree that we ounsel to defend the e and CG 00010413 Insurance Services Office Inc. 2012 Page 9 of 16 | 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 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 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. 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 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 IIl LIMITS OF INSURANCE 1. The Limits of Insurance shown in the Declarations and the rules below fix the most we wil 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. Jy or control trol is being Page 10 of 16 Insurance Services Office Inc. 2012 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 Aand 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 claimis 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 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. 2 4. 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. AL PEVPELLY cts completed Personal And will pay under s because of tained by any e whichever the most we erty damage Damage To most we will because of while rented while rented y you with e last preceding perio for purposes Limits of Insurance. DMMERCIAL GENERAL LIABILITY CG 00010413 Insurance Services Office Inc. 2012 Page 11 of 16 | 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. 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 a Any of the other insurance whether primary excess contingent or on any other basis That is Fire Extended Coverage Builder s Risk Installation Risk or similar coverage for your work That is Fire insurance for premises rented to you or temporarily occupied by you with permission of the owner 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 Secton I 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. i iil 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 a The total amount that all such other insurance would pay for the loss in the absence of this insurance and b The total of all deductible and 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. b. 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 Page 12 of 16 Insurance Services Office Inc. 2012 CG 00010413 | 1 |
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.. Hostile fire 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. 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. Itincorporates 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. Wiy Gdeeiylivid it e lamed Insured this vere the only Named gainst whom claim is Against Others To ver all or part of any this Coverage Part us. The insured must them. At our request ansfer those rights to overage Part we will CG 00010413 Insurance Services Office Inc. 2012 Page 13 of 16 | 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. 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. An obligation as required by ordinance to indemnify a municipality except in connection with work for a municipality. 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 failing to prepare or approve maps shop drawings opinions reports surveys field orders change orders or drawings and specifications or 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 b 10. Leased worker means a person leased to you by 1 1 N 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 c. 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. 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. Vehicles maintained for use solely on or next to premises you own or rent. 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. 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. agreement except in ruction or demolition feet of a railroad ired by ordinance to except in connection ty SN rearant s Page 14 of 16 Insurance Services Office Inc. 2012 CG 00010413 | 1 |
1 14. 1 3. o However self propelled vehicles with the 16.Products completed operations hazard 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. b. c. False arrest detention or imprisonment Malicious prosecution 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. 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. Oral or written publication in any manner of material that violates a person s right of privacy. The use of another s advertising idea in your advertisement or 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.. 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 a 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. c 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. 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 3 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. 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. equipment but will be imarily for but not construction milar devices mounted chassis and used to and mps and generators welding building exploration lighting bment. does not include any t to a compulsory or r other motor vehicle icensed or principally ct to a compulsory or r other motor vehicle autos. accident including ure to substantially the ns. injury means injury y injury arising out of ffenses nprisonment n wrongful entry into private occupancy of a nises that a person or on behalf of its n in any manner of r libels a person or aee a pereon s or. TR dam or r wort 2 3 CG 00010413 Insurance Services Office Inc. 2012 Page 15 of 16 | 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 ROMs tapes drives cells data processing devices or any other media which are used with electronically controlled equipment. 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. 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. 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 18. 19. 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 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 warnings or instructions. failure to provide failure to provide Page 16 of 16 Insurance Services Office Inc. 2012 CG 00010413 | 1 |
Policy Number GLO 4641358 15 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured BLACK VEATCH CORPORATION Effective Date 11 01 19 1201 A.M Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 37385 000 OMNIBUS NAMED INSURED WORDING COVERAGE IS INCLUDED FOR PREDECESSOR COMPANIES AND PREVIOUSLY OWNED COMPANIES OF EACH ENTITY NAMED ABOVE AS LONG AS THEY OWNED OR CONTROLLED MORE THAN 50 PERCENT OF SAME BUT ONLY APPLYING TO NEGLIGENT ACTS ERRORS OR OMISSIONS OCCURRING WHILE THOSE COMPANIES WERE OWNED OR CONTROLLED BY THE NAMED ENTITY. THE NAMED INSURED ALSO INCLUDES ANY PARTNERSHIP OR CORPORATION ACQUIRED BY OR MERGED WITH THE NAMED INSURED AFTER THE EFFECTIVE DATE OF THIS POLICY IF SIMILAR SERVICES TO THAT OF THE NAMED INSURED ARE PROVIDED. NOTICE IS GIVEN TO COMPANY IN WRITING WITHIN 60 DAYS OF ACQUISITION OR MERGER.. THE COMPANY HAS THE RIGHT TO MODIFY POLICY TERMS OF COVERAGE APPLICABLE TO SUCH PARTNERSHIPS OR CORPORATIONS. NOTE NO COVERAGE APPLIES TO NEWLY ACQUIRED OR MERGED PARTNERSHIPS OR CORPORATIONS PRIOR TO THE DATE OF ACQUISITION OR MERGER REGARDLESS OF WHEN CLAIM IS MADE. U GL1114 A CW 1002 L P GLO 4641358 15 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY BLACK VEATCH CORPORATION PREVIOUSLY OWNED Y OWNED OR PLYING TO AGE VERAGE | 2 |
Policy Number GLO 4641358 15 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Effective Date 11 01 19 1201 A.M. Standard Time Agent No. 37385 000 Named Insured BLACK VEATCH CORPORATION Agent Name LOCKTON COMPANIES LLC THE LARGE WORKS PROJECT BOUND THE LARGE WORKS PROJECT BOUND UNDER POLICY NUMBERS GLO 4641358 00 GLO 4641358 01 GLO 4641358 02 GLO 4641358 03 GLO 4641358 04GLO 4641358 05GLO 4641358 06 GLO 4641358 07 GLO 4641358 08 GLO 4641358 09 GLO 4641358 10 GLO 4641358 11 GLO 4641358 12 GLO 4641358 13 ARE NOW COVERED UNDER GLO 4641358 14 U GL1114 A CW 1002 L P GLO 4641358 15 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY BLACK VEATCH CORPORATION LO 4641358 13 ARE NOW COVERED UNDER GLO 4641358 14 | 2 |
Policy Number GLO 4641358 15 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Effective Date 11 01 19 1201 A.M. Standard Time Agent No. 37385 000 Named Insured BLACK VEATCH CORPORATION Agent Name LOCKTON COMPANIES LLC DAMAGE TO YOUR WORK ENDORSEMENT SOLELY AS RESPECTS THE AEP JBR REPLACEMENT PROJECTS EXCLUSION L. OF SECTION I COVERAGE A IS DELETED AND REPLACED WITH THE FOLLOWING I. 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. ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED. U GL1114 A CW 1002 L P GLO 4641358 15 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY BLACK VEATCH CORPORATION OLELY AS RESPECTS THE AEP JBR REPLACEMENT PROJECTS EXCLUSION L. OF ECTION I COVERAGE A IS DELETED AND REPLACED WITH THE FOLLOWING. DAMAGE TO YOUR WORK PROPERTY DAMAGE TO YOUR WORK ARISING UT OF IT OR ANY PART OF IT AND INCLUDED IN THE PRODUCTS COMPLETED PERATIONS HAZARD. ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED. | 2 |
Policy Number GLO 4641358 15 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured BLACK VEATCH CORPORATION Effective Date 11 01 19 1201 A.M Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 37385 000 EXCLUSION CONSTRUCTION MANAGEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION CONSTRUCTION MANAGEMENT ERRORS AND OMISSIONS THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART THE FOLLOWING EXCLUSION IS ADDED TO PARAGRAPH 2. EXCLUSIONS OF SECTION I COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY AND PARAGRAPH 2. EXCLUSIONS OF SECTION I COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY THIS INSURANCE DOES NOT APPLY TO BODILY INJURY PROPERTY DAMAGE OR PERSONAL AND ADVERTISING INJURY ARISING OUT OF 1. THE PREPARING APPROVING OR FAILURE TO PREPARE OR APPROVE MAPS SHOP DRAWINGS OPINIONS REPORTS SURVEYS FIELD ORDERS CHANGE ORDERS OR DRAWINGS AND SPECIFICATIONS BY ANY ARCHITECT ENGINEER OR SURVEYOR PERFORMING SERVICES ON A PROJECT ON WHICH YOU SERVE AS CONSTRUCTION MANAGER OR 2. INSPECTION SUPERVISION QUALITY CONTROL ARCHITECTURAL OR ENGINEERING ACTIVITIES DONE BY OR FOR YOU ON A PROJECT ON WHICH YOU SERVE AS CONSTRUCTION MANAGER. THIS EXCLUSION DOES NOT APPLY TO 1 BODILY INJURY OR PROPERTY DAMAGE DUE TO CONSTRUCTION OR DEMOLITION WORK DONE BY YOU YOUR EMPLOYEES OR YOUR SUB CONTRACTORS OR 2 BODILY INJURY OR PROPERTY DAMAGE CAUSED BY YOUR NEGLIGENCE IN RENDERING OR FAILING TO RENDER JOB SAFETY MANAGEMENT SERVICES. THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART U GL1114 A CW 1002 L P GLO 4641358 15 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY BLACK VEATCH CORPORATION HIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. XCLUSION CONSTRUCTION MANAGEMENT ERRORS AND OMISSIONS HIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING OMMERCIAL GENERAL LIABILITY COVERAGE PART HE FOLLOWING EXCLUSION IS ADDED TO PARAGRAPH 2. XCLUSIONS OF SECTION I COVERAGE A BODILY INJURY ND PROPERTY DAMAGE LIABILITY AND PARAGRAPH 2. XCLUSIONS OF SECTION I COVERAGE B PERSONAL AND DVERTISING INJURY LIABILITY HIS INSURANCE DOES NOT APPLY TO BODILY INJURY PROPERTY DAMAGE R PERSONAL AND ADVERTISING INJURY ARISING OUT OF. THE PREPARING APPROVING OR FAILURE TO PREPARE OR APPROVE MAPS HOP DRAWINGS OPINIONS REPORTS SURVEYS FIELD ORDERS CHANGE RDERS OR DRAWINGS AND SPECIFICATIONS BY ANY ARCHITECT ENGINEER OR URVEYOR PERFORMING SERVICES ON A PROJECT ON WHICH YOU SERVE AS ONSTRUCTION MANAGER OR INSPECTION SUPERVISION QUALITY CONTROL ARCHITECTURAL OR NGINEERING ACTIVITIES DONE BY OR FOR YOU ON A PROJECT ON WHICH YOU ERVE AS CONSTRUCTION MANAGER. HIS EXCLUSION DOES NOT APPLY TO BODILY INJURY OR PROPERTY DAMAGE DUE TO CONSTRUCTION OR EMOLITION WORK DONE BY YOU YOUR EMPLOYEES OR YOUR SUB ONTRACTORS OR BODILY INJURY OR PROPERTY DAMAGE CAUSED BY YOUR NEGLIGENCE IN ENDERING OR FAILING TO RENDER JOB SAFETY MANAGEMENT SERVICES. HIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING OMMERCIAL GENERAL LIABILITY COVERAGE PART | 2 |
Policy Number GLO 4641358 15 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured BLACK VEATCH CORPORATION Effective Date 11 01 19 1201 A.M Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 37385 000 CANCELLATION AND NON RENEWAL NOTICE PART SIX CONDITIONS PARAGRAPH D.2. IS REPLACED BY THE FOLLOWING D. CANCELLATION 2. WE MAY CANCEL THIS POLICY. WE MUST MAIL OR DELIVER TO YOU NOT LESS THAN 30 DAYS ADVANCE WRITTEN NOTICE STATING WHEN THE CANCELLATION IS TO TAKE EFFECT EXCEPT FOR CANCELLATION FOR NON PAYMENT OF PREMIUM. IF WE CANCEL THIS POLICY FOR NON PAYMENT OF PREMIUM WE MUST MAIL OR DELIVER TO YOU NOT LESS THAN TEN DAYS ADVANCE WRITTEN NOTICE. MAILING THAT NOTICE TO YOU AT YOUR MAILING ADDRESS SHOWN IN ITEM 1 OF THE INFORMATION PAGE WILL BE SUFFICIENT TO PROVE NOTICE. PART SIX CONDITIONS PARAGRAPH F. IS ADDED F. NON RENEWAL NOTICE WE WILL MAIL OR DELIVER TO YOU NOT LESS THAN 30 DAYS ADVANCE WRITTEN NOTICE OF OUR INTENTION TO NON RENEW THIS POLICY. MAILING THAT NOTICE TO YOU AT YOUR MAILING ADDRESS SHOWN IN ITEM 1 OF THE INFORMATION PAGE WILL BE SUFFICIENT TO PROVE NOTICE. RE CITY OF NEWPORT NEWS U GL1114 A CW 1002 L P GLO 4641358 15 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY BLACK VEATCH CORPORATION IONS PARAGRAPH D.2. IS REPLACED BY THE FOLLOWING THAN TEN DAYS ADVANCE WRITTEN TICE TO YOU AT YOUR MAILING ADDRESS SHOWN IN ON PAGE WILL BE SUFFICIENT TO PROVE NOTICE. PARAGRAPH F. IS ADDED AGE WILL BE SUFFICIENT TO PROVE NOTICE. E CITY OF NEWPORT NEWS | 2 |
Policy Number GLO 4641358 15 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured BLACK VEATCH CORPORATION Effective Date 11 01 19 1201 A.M Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 37385 000 CANCELLATION AND NON RENEWAL NOTICE PART SIX CONDITIONS PARAGRAPH D.2. IS REPLACED BY THE FOLLOWING D. CANCELLATION 2. WE MAY CANCEL THIS POLICY. WE MUST MAIL OR DELIVER TO YOU NOT LESS THAN 30 DAYS ADVANCE WRITTEN NOTICE STATING WHEN THE CANCELLATION IS TO TAKE EFFECT EXCEPT FOR CANCELLATION FOR NON PAYMENT OF PREMIUM. IF WE CANCEL THIS POLICY FOR NON PAYMENT OF PREMIUM WE MUST MAIL OR DELIVER TO YOU NOT LESS THAN TEN DAYS ADVANCE WRITTEN NOTICE. MAILING THAT NOTICE TO YOU AT YOUR MAILING ADDRESS SHOWN IN ITEM 1 OF THE INFORMATION PAGE WILL BE SUFFICIENT TO PROVE NOTICE. PART SIX CONDITIONS PARAGRAPH F. IS ADDED F. NON RENEWAL NOTICE WE WILL MAIL OR DELIVER TO YOU NOT LESS THAN 30 DAYS ADVANCE WRITTEN NOTICE OF OUR INTENTION TO NON RENEW THIS POLICY. MAILING THAT NOTICE TO YOU AT YOUR MAILING ADDRESS SHOWN IN ITEM 1 OF THE INFORMATION PAGE WILL BE SUFFICIENT TO PROVE NOTICE. RE REGIONAL METROPOLITAN UTILITY AUTHORITY U GL1114 A CW 1002 L P GLO 4641358 15 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY BLACK VEATCH CORPORATION IONS PARAGRAPH D.2. IS REPLACED BY THE FOLLOWING THAN TEN DAYS ADVANCE WRITTEN TICE TO YOU AT YOUR MAILING ADDRESS SHOWN IN ON PAGE WILL BE SUFFICIENT TO PROVE NOTICE. PARAGRAPH F. IS ADDED AGE WILL BE SUFFICIENT TO PROVE NOTICE. E REGIONAL METROPOLITAN UTILITY AUTHORITY | 2 |
Policy Number GLO 4641358 15 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured BLACK VEATCH CORPORATION Effective Date 11 01 19 1201 A.M Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 37385 000 CANCELLATION AND NON RENEWAL NOTICE PART SIX CONDITIONS PARAGRAPH D.2. IS REPLACED BY THE FOLLOWING D. CANCELLATION 2. WE MAY CANCEL THIS POLICY. WE MUST MAIL OR DELIVER TO YOU NOT LESS THAN 30 DAYS ADVANCE WRITTEN NOTICE STATING WHEN THE CANCELLATION IS TO TAKE EFFECT EXCEPT FOR CANCELLATION FOR NON PAYMENT OF PREMIUM. IF WE CANCEL THIS POLICY FOR NON PAYMENT OF PREMIUM WE MUST MAIL OR DELIVER TO YOU NOT LESS THAN TEN DAYS ADVANCE WRITTEN NOTICE. MAILING THAT NOTICE TO YOU AT YOUR MAILING ADDRESS SHOWN IN ITEM 1 OF THE INFORMATION PAGE WILL BE SUFFICIENT TO PROVE NOTICE. PART SIX CONDITIONS PARAGRAPH F. IS ADDED F. NON RENEWAL NOTICE WE WILL MAIL OR DELIVER TO YOU NOT LESS THAN 30 DAYS ADVANCE WRITTEN NOTICE OF OUR INTENTION TO NON RENEW THIS POLICY. MAILING THAT NOTICE TO YOU AT YOUR MAILING ADDRESS SHOWN IN ITEM 1 OF THE INFORMATION PAGE WILL BE SUFFICIENT TO PROVE NOTICE. BROWN AND CALDWELL ATTN LEGAL DEPT. PO BOX 8045 WALNUT CREEK CA 94596 1220 U GL1114 A CW 1002 L P GLO 4641358 15 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY BLACK VEATCH CORPORATION IONS PARAGRAPH D.2. IS REPLACED BY THE FOLLOWING THAN TEN DAYS ADVANCE WRITTEN TICE TO YOU AT YOUR MAILING ADDRESS SHOWN IN ON PAGE WILL BE SUFFICIENT TO PROVE NOTICE. PARAGRAPH F. IS ADDED AGE WILL BE SUFFICIENT TO PROVE NOTICE. ROWN AND CALDWELL TTN LEGAL DEPT. O BOX 8045 ALNUT CREEK CA 94596 1220 | 2 |
Policy Number GLO 4641358 15 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured BLACK VEATCH CORPORATION Effective Date 11 01 19 1201 A.M Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 37385 000 HOLD HARMLESS AGREEMENT THE CONTRACTOR FOR ITSELF AGENTS EMPLOYEES SUCCESSOR AND ASSIGNS AGREES TO SAFE AND HOLD HARMLESS THE OWNER FROM AND AGAINST ANY AND ALL CLAIMS DEMANDS AND OR SUITS WHETHER JUDICIAL OR EXTRA JUDICIAL FOR ANY CAUSE WHATSOEVER ARISING OUT OR RELATED TO THE EXECUTION OF THE CONTRACT DESCRIBED BELOW AND ITS INSURERS SHALL DEFEND THE OWNER FROM SUCH CLAIMS DEMANDS AND OR SUITS ARE DUE SOLELY TO THE NEGLIGENCE OF 3 RIOS LTD CORP OR COMPANIA TRES RIOS INC 27 GRAND AVE GONZALEZ GIUSTI 3 RIOS BLDG SUITE 300 GUAYNABO PR 00968 ITS OFFICERS AGENTS AND OR EMPLOYEES. THIS HOLD HARMLESS AGREEMENT DOES NOT EXTEND MODIFY INCREASE LIMITS OF OR OTHERWISE ALTER THE COVERAGE PROVIDED BY THIS POLICY. U GL1114 A CW 1002 L P GLO 4641358 15 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY BLACK VEATCH CORPORATION UCCESSOR AND ASSIGNS AND AGAINST ANY AND AL OR EXTRA JUDICIAL COMPANIA TRES RIOS INC.EZ GIUSTI 3 RIOS BLDG SUITE 300 5 AND OR EMPLOYEES. | 2 |
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