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9. Insured contract means a. A contract for a lease of premises. However that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire to premises while rented to you or temporarily occupied by you with permission of the owner is not an insured contract b. A sidetrack agreement c. Any easement or license agreement except in connection with construction or demolition operations on or within 50 feet of a railroad d. An obligation as required by ordinance to indemnify a municipality except in connection with work for a municipality e. An elevator maintenance agreement. That part of any other contract or agreement pertaining to your business including an indemnification of a municipality in connection with work performed for a municipality under which you assume the tort liability of another party to pay for bodily injury or property damage to a third person or organization. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. Paragraph f. does not include that part of any contract or agreement 1 That indemnifies a railroad for bodily injury or property damage arising out of construction or demolition operations within 50 feet of any railroad property and affecting any railroad bridge or trestle tracks road beds tunnel underpass or crossing That indemnifies an architect engineer or surveyor for injury or damage arising out of a Preparing approving or 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. 1 12 Leased worker means a person leased to you by 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 autoto 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 b. Vehicles maintained for use solely on or next to premises you own or rent c. Vehicles that travel on crawler treads d. Vehicles whether self propelled or not maintained primarily to provide mobility to permanently mounted 1 Power cranes shovels loaders diggers or drills or 2 Road construction or resurfacing equipment such as graders scrapers or rollers e. Vehicles not described in Paragraph a. b. c. or d. above that are not self propelled and are maintained primarily to provide mobility to permanently attached equipment of the following types 1 Air compressors pumps and generators including spraying welding building cleaning geophysical exploration lighting and well servicing equipment or 2 Cherry pickers and similar devices used to raise or lower workers. Vehicles not described in Paragraph a. b. c. or d. above maintained primarily for purposes other than the transportation of persons or cargo. agreement except in ruction or demolition feet of a railroad ired by ordinance to except in connection ty S Nreamant Page 14 of 16 Insurance Services Office Inc. 2012 CG 00010413
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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 productor 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 k chassis and used to and mps and generators welding building exploration lighting pment. 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 mprisonment 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 jee a pereon s or 2 3 CG 00010413 Insurance Services Office Inc. 2012 Page 15 of 16
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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 failure warnings or instructions. c. Does not include vending machines or other property rented to or located for the use of others but not sold. 22.Your work a. Means 1 Work or operations performed by you or on your behalf and 2 Materials parts or equipment furnished in connection with such work or operations. b. Includes 1 Warranties or representations made at any time with respect to the fitness quality durability performance or use of your work and 2 The providing of or failure warnings or instructions. to provide to provide Page 16 of 16 Insurance Services Office Inc. 2012 CG 00010413
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CG AM 1001 12 07 HDI GLOBAL INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BODILY INJURY DEFINITION AMENDMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE FORM of Bodily Injury as stated under Section V Definitions item 3 is replaced with the following 3. Bodily injury means bodily injury mental anguish sickness or disease sustained by a person including death resulting from any of these at any time. All other terms and conditions remain unchanged. THIS ENDORSEMENT MUST BE ATTACHED TO A CHANGE ENDORSEMENT WHEN ISSUED AFTER THE POLICY IS WRITTEN. Page 1 of 1 CG AM 1001 12 07
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CG AM 1003 12 07 HDI GLOBAL INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONFORMITY WITH STATUTE ENDORSEMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM RAILROAD PROTECTIVE LIABILITY COVERAGE FORM Any terms of this policy that are in conflict with the statutes of the state wherein this policy is issued are hereby amended to conform to such statutes if those statutes were in effect prior to the effective date of this policy. All other terms and conditions remain the same. THIS ENDORSEMENT MUST BE ATTACHED TO A CHANGE ENDORSEMENT WHEN ISSUED AFTER THE POLICY IS WRITTEN. Page 1 of 1 CG AM 1003 12 07
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CG AM 1017 12 07 HDI GLOBAL INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. KNOWLEDGE OF OCCURRENCE OFFENSE CLAIM OR SUIT AMENDMENT AND UNINTENTIONAL FAILURE TO DISCLOSE ALL HAZARDS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTS COMPLETED OPERATIONS COVERAGE FORM SCHEDULE Persons AS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT Paragraph 2.a. of Section IV Commercial General Liability Conditions Duties In The Event of Occurrence Offense Claim or Suit is deleted and replaced by the following You must see to it that we or our authorized representative are notified as soon as practicable of an occurrence or an offense which may result in a claim. You will not be charged with knowledge of an occurrence offense claim or suit until the persons shown in the Schedule above have been notified of the occurrence offense claim or suit in writing. To the extent possible the 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. The following paragraph is added to paragraph 6. of Section IV Commercial General Liability Conditions Representations Failure of the insured to disclose all hazards existing as of the inception date of the policy shall not reduce or negate the insurance afforded by this policy provided such failure or omission was not intentional. All other terms and conditions remain the same. THIS ENDORSEMENT MUST BE ATTACHED TO A CHANGE ENDORSEMENT WHEN ISSUED AFTER THE POLICY IS WRITTEN. Page 1 of 1 CG AM 1017 12 07
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CG EX 1000 12 07 HDI GLOBAL INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ABSOLUTE ASBESTOS EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM RAILROAD PROTECTIVE LIABILITY COVERAGE FORM The following exclusion is added to paragraph 2. Exclusions of Section Coverages Coverage A Bodily Injury and Property Damage Liability and paragraph 2. Exclusions of Coverage B Personal and Advertising Injury Liability of the Commercial General Liability Coverage Form or to paragraph 2. Exclusions of Section Coverages Products Completed Operations Coverage Form or to paragraph 2. Exclusions of Section Coverages Bodily Injury and Property Damage of the Owners and Contractors Protective Liabiity Coverage Form or to paragraph 2. Exclusions of Section Coverages Coverage A Bodily Injury and Property Damage Liability of the Railroad Protective Liability Coverage Form This insurance does not apply to Asbestos Exclusion 1 Any bodily injury property damage or personal and advertising injury arising out of or caused by the actual alleged or threatened exposure at any time to an asbestos hazard or 2 Any loss cost or expense arising out of a Any claim or suit b Any request demand or order to test for monitor clean up remove dispose of encapsulate contain treat detoxify or neutralize or in any way respond to or assess the effects of an asbestos hazard or c Any claim or suit by or on behalf of a governmental authority for damages because of testing for monitoring cleaning up removing disposing of encapsulating containing treating detoxifying or neutralizing or in any way responding to or assessing the effects of an asbestos hazard. The following definition is added to Section V Definitions Asbestos means the mineral in any form whether or not the asbestos was at any time 1 Airborne as a fiber particle or dust 2 Contained in or formed a part of a product structure or other real or personal property 3 Carried on clothing materials goods products or structures 4 Inhaled or ingested or 5 Transmitted by any other means. All other terms and conditions remain the same THIS ENDORSEMENT MUST BE ATTACHED TO A CHANGE ENDORSEMENT WHEN ISSUED AFTER THE POLICY IS WRITTEN. apply to rising out of Page 1 of 1 CG EX 1000 12 07
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CG EX 1003 12 07 HDI GLOBAL INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AIRCRAFT PRODUCTS AND AIRCRAFT GROUNDING HAZARDS EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE FORM This insurance does not apply to bodily injury property damage or personal and advertising injury andor any liability assumed under a contract or agreement arising out of aircraft products or the grounding of any aircraft. The following additional definitions are added to Section V Definitions Aircraft products means a. Any manufacture sale rental leasing handling distribution inspection maintenance servicing repair or rebuilding of 1 Any aircraft including missiles satellites or spacecraft or ground control or ground support equipment used in connection with either Any article part or spare part installed in aircraft or ground control or ground support equipment or used in connection with either and 3 Any other ground handling tools or equipment. b. Any plans specifications opinions drawings surveys designs blueprints recommendations suggestions orders or engineering or other advice relating to any article part or spare part installed in or used in connection with aircraft or ground control or ground support equipment including any other ground handling tools or equipment. c. Any training aids instructions and manuals relating to the operation inspection maintenance servicing repair or rebuilding of aircraft ground control or ground support equipment including any other ground handling tools or equipment. d. Any other goods products or services specifically intended for use in the manufacture repair service operation or maintenance of any aircraft or ground control or ground support equipment. e. Any labor or services relating to the manufacture sale rental leasing handling distribution inspection maintenance servicing repair or rebuilding of such aircraft articles parts or spare parts installed in or used in connection with any aircraft or ground control or ground support equipment. Grounding means the withdrawal of one or more aircraft from flight operations or the imposition of speed passenger or load restrictions on such aircraft by reason of the existence of or alleged or suspected existence of any defect fault or condition in such aircraft or any article part or spare part which was manufactured sold rented by leased by handled by distributed by inspection by maintained by serviced by repaired by or rebuilt by the insured or any other person or organization according to the plans specifications drawings opinions surveys designs blueprints recommendations suggestions orders or engineering or other advice of the insured or with tools machinery or other equipment furnished to such persons or organizations by the insured whether such aircraft so withdrawn are owned or operated by the same or different persons or organizations. A grounding shall be deemed to commence on the date of an accident or occurrence which discloses such condition or on the date an aircraft is first withdrawn from service on account of such condition whichever occurs first. All other terms and conditions remain the same. THIS ENDORSEMENT MUST BE ATTACHED TO A CHANGE ENDORSEMENT WHEN ISSUED AFTER THE POLICY IS WRITTEN. Page 1 of 1 CG EX 1003 12 07 2 3
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CG EX 1001 NJ 12 07 ATV T TRV HDI GLOBAL INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ABSOLUTE LEAD EXCLUSION COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTS COMPLETED OPERATIONS COVERAGE FORM LIQUOR LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM RAILROAD PROTECTIVE LIABILITY COVERAGE FORM The following exclusion is added to paragraph 2. Exclusions of Section Coverages Coverage A Bodily Injury and Property Damage Liability and paragraph 2. Exclusions of Coverage B Personal and Advertising Injury Liability of the Commercial General Liability Coverage Form or to paragraph 2. Exclusions of Section Coverages Products Completed Operations Coverage Form or to paragraph 2. Exclusions of Section Coverages Bodily Injury and Property Damage of the Owners and Contractors Protective Liabiity Coverage Form or to paragraph 2. Exclusions of Section Coverages Coverage A Bodily Injury and Property Damage Liability of the Railroad Protective Liability Coverage Form or to paragraph 2. Exclusions of Section Liquor Liability Coverage of the Liquor Liability Coverage Form This insurance does not apply to bodily injury property damage or personal and advertising injury for past present or future claims arising in whole or in part either directly or indirectly out of the suspected actual or alleged Manufacture of Distribution of Transportation of Sale of Resale of Re branding of Installation of Repair of Removal of Encapsulation of Abatement of Replacement of. Carried on clothing Handling of Storage of esgrFT I FarpacTe Ingestion of Absorption of Physical exposure to or. Testing for lead paint or other products containing lead whether or not the lead is or was at any time airborne as a particle contained in a product ingested inhaled transmitted in any fashion or found in any form whatsoever. vrovp In addition this exclusion applies to 1 The costs of clean up or removal of lead or products and materials containing lead The cost of such actions as may be necessary to monitor assess and evaluate the release or threat of release of lead or products and material containing lead The cost of disposal of lead substances or the taking of such other action that may be necessary to temporarily or permanently prevent minimize or mitigate damage to the public health or welfare or to the environment which may otherwise result The cost of compliance with any law or regulation regarding lead. The company does not have any obligation to defend adjust investigate or pay any cost for investigation defense adjustment or attorney fees which are excluded under the terms of this endorsement. This exclusion does not apply if the New Jersey premises covered by this policy was constructed after 1978 or if said premises has been certified as being free of existing lead hazards pursuant to standards to be established by the Department of Community Affairs 2 cl 4 All other terms and conditions remain the same. THIS ENDORSEMENT MUST BE ATTACHED TO A CHANGE ENDORSEMENT WHEN ISSUED AFTER THE POLICY IS WRITTEN. Page 1 of 1 CG EX 1001 NJ 12 07
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COMMERCIAL GENERAL LIABILITY CG02370513 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NEW JERSEY CHANGES TERMINATION PROVISION DRIVER EDUCATION PROVIDERS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART The following condition is added and supersedes any b. The expiration date of this policy. If this provision to the contrary policy does not have a fixed expiration date Termination it shall be deemed to expire annually on the.... anniversary of its inception. If we cancel or decide not to renew this policy we will give written notice to the Chief Administrator of the New Jersey Motor Vehicle Commission 30 days before a. The effective date of the cancellation or b. The expiration date of this policy. If this policy does not have a fixed expiration date it shall be deemed to expire annually on the anniversary of its inception. CG 02370513 Insurance Services Office Inc. 2012 Page 1of 1
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POLICY NUMBER GLD1070908 COMMERCIAL GENERAL LIABILITY CG 04351207 POLICY NUMBER GLD1070908 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EMPLOYEE BENEFITS LIABILITY COVERAGE THIS ENDORSEMENT PROVIDES CLAIMS MADE COVERAGE. PLEASE READ THE ENTIRE ENDORSEMENT CAREFULLY. This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Each Employee Deductible 1000 S 120 Limit Of Insurance Employee Benefits 1000000 each employee Programs 1000000 aggregate Retroactive Date 01 01 2015 Information required to complete this Schedule if not shown above will be shown in the Declarations. No other obligation or liability to pay sums or perform acts or services is covered unless explicitly provided for under Supple mentary Payments. b. This insurance applies to damages only if 1 The act error or omission is negligently of the insured or of any other person for Izl ummmed in thg admmistration of your whose acts the insured is legally liable to employee benefit program which this insurance applies. We will have 2 The act error or omission did not take the right and duty to defend the insured place before the Retroactive Date if any against any suit seeking those damages. shown in the Schedule nor after the end However we will have no duty to defend the of the policy period and insured against any suit seeking damages 3 Aclaim for damages because of an act zawmfh thz doetg nt apply. Wel error or omission is first made against Y at our discretion nvgs igate any repor any insured in accordance with Para I janact error or omission and ette any graph c. below during the policy period claim or suit that may result. But or an Extended Reporting Period we pro 1 The amount we will pay for damages is vide under Paragraph F. of this en limited as described in Paragraph D. dorsement. A. The following is added to Section Coverages COVERAGE EMPLOYEE BENEFITS LIABILITY 1. Insuring Agreement a. We will pay those sums that the insured becomes legally obligated to pay as dam ages because of any act error or omission 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. c. A claimseeking damages will be deemed to have been made at the earlier of the follow ing times 1 When notice of such claim is received and recorded by any insured or by us whichever comes first or CG 04351207 ISO Properties Inc. 2006 Page 10f 6 m
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2 When we make settlement in accordance with Paragraph a. above. A claim received and recorded by the in sured within 60 days after the end of the pol icy period will be considered to have been received within the policy period if no sub sequent policy is available to cover the claim. d. All claims for damages made by an em ployee because of any act error or omis sion or a series of related acts errors or omissions including damages claimed by such employee s dependents and benefici aries will be deemed to have been made at the time the first of those claims is made against any insured.. Exclusions This insurance does not apply to a. Dishonest Fraudulent Criminal Or Malicious Act Damages arising out of any intentional dis honest fraudulent criminal or malicious act error or omission committed by any in sured including the willful or reckless viola tion of any statute. b. Bodily Injury Property Damage Or Personal And Advertising Injury Bodily injury property damage or per sonal and advertising injury. c. Failure To Perform A Contract Damages arising out of failure of perform ance of contract by any insurer. d. Insufficiency Of Funds Damages arising out of an insufficiency of funds to meet any obligations under any plan included in the employee benefit pro gram. e. Inadequacy Of Performance Of Investment Advice Given With Respect To Participation Any claim based upon 1 Failure of any investment to perform 2 Errors in providing information on past performance of investment vehicles or 3 Advice given to any person with respect to that person s decision to participate or not to participate in any plan included in the employee benefit program. f. Workers Compensation And Similar Laws Any claim arising out of your failure to comply with the mandatory provisions of any workers compensation unemployment compensation insurance social security or disability benefits law or any similar law. g. ERISA Damages for which any insured is liable be cause of liability imposed on a fiduciary by the Employee Retirement Income Security Act of 1974 as now or hereafter amended or by any similar federal state or local laws. h. Available Benefits Any claim for benefits to the extent that such benefits are available with reasonable effort and cooperation of the insured from the applicable funds accrued or other col lectible insurance. i. Taxes Fines Or Penalties Taxes fines or penalties including those imposed under the Internal Revenue Code or any similar state or local law. j Employment Related Practices Damages arising out of wrongful termination of employment discrimination or other em ployment related practices. B. For the purposes of the coverage provided by this endorsement 1. All references to Supplementary Payments Coverages A and Bare replaced by Supplemen tary Payments Coverages A B and Employee Benefits Liability. 2. Paragraphs 1.b. and 2. of the Supplementary Payments provision do not apply. C. For the purposes of the coverage provided by this endorsement Paragraphs 2. and 3. of Section Il Who Is An Insured are replaced by the following 2. Each of the following is also an insured a. Each of your employees who is or was authorized to administer your employee benefit program. b. Any persons organizations or employees having proper temporary authorization to administer your employee benefit program if you die but only until your legal represen tative is appointed. Page 2 of 6 ISO Properties Inc. 2006 CG 04351207 o
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c. Your legal representative if you die but only with respect to duties as such. That representative will have all your rights and duties under this Endorsement. 3. Any organization you newly acquire or form other than a partnership joint venture or limited liability company and over which you maintain ownership or majority interest will qualify as a Named Insured if no other similar insurance ap plies 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 pol icy period whichever is earlier. b. Coverage under this provision does not apply to any act error or omission that was committed before you acquired or formed the organization. D. For the purposes of the coverage provided by this endorsement Section Il Limits Of Insurance is replaced by the following 1. Limits Of Insurance a. The Limits of Insurance shown in the Schedule and the rules below fix the most we will pay regardless of the number of 1 Insureds 2 Claims made or suits brought 3 Persons or organizations making claims or bringing suits 4 Acts errors or omissions or 5 Benefits included in your employee benefit program. b. The Aggregate Limit is the most we will pay for all damages because of acts errors or omissions negligently committed in the ad ministration of your employee benefit pro gram. Subject to the Aggregate Limit the Each Employee Limitis the most we will pay for all damages sustained by any one employee including damages sustained by such em ployee s dependents and beneficiaries as a result of 1 Anact error or omission or 2 A series of related acts errors or omis sions negligently committed in the administration of your employee benefit program. However the amount paid under this en dorsement shall not exceed and will be sub ject to the limits and restrictions that apply to the payment of benefits in any plan in cluded in the employee benefit program. 14 The Limits of Insurance of this endorsement ap ply separately to each consecutive annual pe riod and to any remaining period of less than 12 months starting with the beginning of the policy period shown in the Declarations of the policy to which this endorsement is attached unless the policy period is extended after issuance for an additional period of less than 12 months. In that case the additional period will be deemed part of the last preceding period for purposes of determining the Limits Of Insurance. 2. Deductible a. Our obligation to pay damages on behalf of the insured applies only to the amount of damages in excess of the deductible amount stated in the Schedule as applicable to Each Employee. The limits of insurance shall not be reduced by the amount of this deductible. b. The deductible amount stated in the Sched ule applies to all damages sustained by any one employee including such employee s dependents and beneficiaries because of all acts errors or omissions to which this in surance applies. c. The terms of this insurance including those with respect to 1 Our right and duty to defend any suits seeking those damages and 2 Your duties and the duties of any other involved insured in the event of an act error or omission or claim apply irrespective of the application of the deductible amount. d. We may pay any part or all of the deductible amount to effect settlement of any claim or suit and upon notification of the action taken you shall promptly reimburse us for such part of the deductible amount as we have paid. E. For the purposes of the coverage provided by this endorsement Conditions 2. and 4. of Section IV Commercial General Liability Conditions are re placed by the following 2. Duties In The Event Of An Act Error Or Omission Or Claim Or Suit a. You must see to it that we are notified as soon as practicable of an act error or omis sion which may result in a claim. To the ex tent possible notice should include 1 What the act error or omission was and when it occurred and CG 04351207 ISO Properties Inc. 2006 Page 3 of 6 m
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2 The names and addresses of anyone who may suffer damages as a result of the act error or omission. b. If a claim is made or suit is brought against any insured you must 1 Immediately record the specifics of the claim or suit and the date received and 2 Notify us as soon as practicable. You must see to it that we receive written no tice of the claim or suit as soon as practi cable. c. You and any other involved insured must 1 Immediately send us copies of any de mands notices summonses or legal pa pers received in connection with the claim or suit 2 Authorize us to obtain records and other information 3 Cooperate with us in the investigation or settlement of the claim or defense against the suit and 4 Assist us upon our request in the en forcement of any right against any per son or organization which may be liable to the insured because of an act error or omission to which this insurance may also apply. d. No insured will except at that insured s own cost voluntarily make a payment assume any obligation or incur any expense without our consent. 4. Other Insurance If other valid and collectible insurance is avail able to the insured for a loss we cover under this endorsement our obligations are limited as follows a. Primary Insurance This insurance is primary except when Para graph b. below applies. If this insurance is primary our obligations are not affected unless any of the other insurance is also primary. Then we will share with all that other insurance by the method described in Paragraph c. below. b. Excess Insurance 1 This insurance is excess over any of the other insurance whether primary ex cess contingent or on any other basis that is effective prior to the beginning of the policy period shown in the Schedule of this insurance and that applies to an act error or omission on other than a claims made basis if a No Retroactive Date is shown in the Schedule of this insurance or b The other insurance has a policy period which continues after the Ret roactive Date shown in the Schedule of this insurance. 2 When this insurance is excess we will have no duty to defend the insured against any suit if any other insurer has aduty 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. When this insurance is excess over other insurance we will pay only our share of the amount of the loss if any that ex ceeds the sum of the total amount that all such other insurance would pay for the loss in absence of this insurance and the total of all deductible and self insured amounts under all that other insurance. We will share the remaining loss if any with any other insurance that is not de scribed in this Excess Insurance provi sion and was not bought specifically to apply in excess of the Limits of Insurance shown in the Schedule of this endorse ment. c. Method Of Sharing If all of the other insurance permits contribu tion by equal shares we will follow this method also. Under this approach each in surer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains whichever comes first. If any of the other insurance does not permit contribution by equal shares we will con tribute by limits. Under this method each in surer s share is based on the ratio of its ap plicable limits of insurance to the total applicable limits of insurance of all insurers. 3 4 Page 4 of 6 ISO Properties Inc. 2006 CG 04351207 o
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F. For the purposes of the coverage provided by this endorsement the following Extended Reporting Pe riod provisions are added or if this endorsement is attached to a claims made Coverage Part replaces any similar Section in that Coverage Part EXTENDED REPORTING PERIOD 1. You will have the right to purchase an Extended Reporting Period as described below if a. This endorsement is canceled or not re newed or b. We renew or replace this endorsement with insurance that 1 Has a Retroactive Date later than the date shown in the Schedule of this endorse ment or 2 Does not apply to an act error or omis sion on a claims made basis. 2. The Extended Reporting Period does not extend the policy period or change the scope of cover age provided. It applies only to claims for acts errors or omissions that were first committed before the end of the policy period but not be fore the Retroactive Date if any shown in the Schedule. Once in effect the Extended Report ing Period may not be canceled. 3. An Extended Reporting Period of five years is available but only by an endorsement and for an extra charge. You must give us a written request for the en dorsement within 60 days after the end of the policy period. The Extended Reporting Period will not go into effect unless you pay the addi tional premium promptly when due. We will determine the additional premium in ac cordance with our rules and rates. In doing so we may take into account the following a. The employee benefit programs insured b. Previous types and amounts of insurance c. Limits of insurance available under this en dorsement for future payment of damages and d. Other related factors. The additional premium will not exceed 100 of the annual premium for this endorsement. The Extended Reporting Period endorsement applicable to this coverage shall set forth the terms not inconsistent with this Section appli cable to the Extended Reporting Period includ ing a provision to the effect that the insurance afforded for claims first received during such period is excess over any other valid and col lectible insurance available under policies in force after the Extended Reporting Period starts. 4. If the Extended Reporting Period is in effect we will provide an extended reporting period ag gregate limit of insurance described below but only for claims first received and recorded dur ing the Extended Reporting Period. The extended reporting period aggregate limit of insurance will be equal to the dollar amount shown in the Schedule of this endorsement un der Limits of Insurance. Paragraph D.1.b. of this endorsement will be amended accordingly. The Each Employee Limit shown in the Schedule will then continue to ap ply as set forth in Paragraph D.1.c. G. For the purposes of the coverage provided by this endorsement the following definitions are added to the Definitions Section 1. Administration means a. Providing information to employees includ ing their dependents and beneficiaries with respect to eligibility for or scope of em ployee benefit programs b. Handling records in connection with the employee benefit program or c. Effecting continuing or terminating any employee s participation in any benefit in cluded in the employee benefit program. However administration does not include handling payroll deductions. 2. Cafeteria plans means plans authorized by applicable law to allow employees to elect to pay for certain benefits with pre tax dollars. 3. Claim means any demand or suit made by an employee or an employee s dependents and beneficiaries for damages as the result of an act error or omission. CG 04351207 ISO Properties Inc. 2006 Page 5 of 6 m
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4. Employee benefit program means a program providing some or all of the following benefits to employees whether provided through a cafe teria plan or otherwise a. Group life insurance group accident or health insurance dental vision and hearing plans and flexible spending accounts pro vided that no one other than an employee may subscribe to such benefits and such benefits are made generally available to those employees who satisfy the plan s eli gibility requirements b. Profit sharing plans employee savings plans employee stock ownership plans pension plans and stock subscription plans provided that no one other than an em ployee may subscribe to such benefits and such benefits are made generally available to all employees who are eligible under the plan for such benefits c. Unemployment insurance social security benefits workers compensation and disabil ity benefits d. Vacation plans including buy and sell pro grams leave of absence programs including military maternity family and civil leave tui tion assistance plans transportation and health club subsidies and e. Any other similar benefits designated in the Schedule or added thereto by endorsement. H. For the purposes of the coverage provided by this endorsement Definitions 5. and 18. in the Defini tions Section are replaced by the following 5. Employee means a person actively employed formerly employed on leave of absence or dis abled or retired. Employee includes a leased worker. Employee does not include a tempo rary worker. 18. Suit means a civil proceeding in which dam ages because of an act error or omission to which this insurance applies are alleged. Suit includes a. An arbitration proceeding in which such damages are claimed and to which the in sured must submit or does submit with our consent or b. Any other alternative dispute resolution proceeding in which such damages are claimed and to which the insured submits with our consent. Page 6 of 6 ISO Properties Inc. 2006 CG 04351207 o
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COMMERCIAL GENERAL LIABILITY CG20010413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance 2 You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary primary and would not seek contribution Primary And Noncontributory Insurance fmnany ulher insurance available to the L 3. v 3 additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that 1 The additional insured is a Named Insured under such other insurance and CG20010413 Insurance Services Office Inc. 2012 Page 1of 1
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POLICY NUMBER GLD1070908 POLICY NUMBER GLD1070908 COMMERCIAL GENERAL LIABILITY G 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations Locations Of Covered Operations AS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injur property damage or personal and advertising injury caused in whole or in part by 1. Your acts or omissions or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insureds at the locations designated above. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following additional exclusions apply This insurance does not apply to bodily injury or property damage occurring after 1. Al work including materials parts or equipment furnished in connection with such work on the project other than service maintenance or repairs to be performed by or on behalf of the additional insureds at the location of the covered operations has been completed or 2. That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. ONTRACT OR AGREEMENT Insurance Services Office Inc. 2012 CG201004 13 Page 1of 2
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C. With respect to the insurance afforded to these additional insureds the following is added to Section IIl Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 Insurance Services Office Inc. 2012 CG201004 13
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POLICY NUMBER GLD1070908 POLICY NUMBER GLD1070908 COMMERCIAL GENERAL LIABILITY CG20110413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designation Of Premises Part Leased To You AS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT Name Of Persons Or Organizations Additional Insured AS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT Additional Premium INCL. Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability arising out of the ownership maintenance or use of that part of the premises leased to you and shown in the Schedule and subject to the following additional exclusions This insurance does not apply to 1. Any occurrence which takes place after you cease to be a tenant in that premises. 2. Structural alterations new construction or demolition operations performed by or on behalf of the persons or organizations shown in the Schedule. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following is added to Section IIl Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. S REQUIRED BY WRITTEN CONTRACT OR AGREEMENT S REQUIRED BY WRITTEN CONTRACT OR AGREEMENT CG20110413 Insurance Services Office Inc. 2012 Page 1of 1
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POLICY NUMBER GLD1070908 POLICY NUMBER GLD1070908 COMMERCIAL GENERAL LIABILITY CG201504 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED VENDORS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations Vendor Your Products ALL VENDORS OF THE INSURED S PRODUCTS ALL PRODUCTS MANUFACTURED SOLD OR DISTRIBUTED BY THE INSURED Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured any persons or organizations referred to throughout this endorsement as vendor shown in the Schedule but only with respect to bodily injuryor property damage arising out of your products shown in the Schedule which are distributed or sold in the regular course of the vendor s business. However 1. The insurance afforded to such vendor only applies to the extent permitted by law and 2. If coverage provided to the vendor is required by a contract or agreement the insurance afforded to such vendor will not be broader than that which you are required by the contract or agreement to provide for such vendor. CG201504 13 Insurance Services Office Inc. 2012 B. With respect to the insurance afforded to these vendors the following additional exclusions apply 1. The insurance afforded the vendor does not apply to a. Bodily injury or property damage for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement b. Any express warranty unauthorized by you c. Any physical or chemical change in the product made intentionally by the vendor d. Repackaging except when unpacked solely for the purpose of inspection demonstration testing or the substitution of parts under instructions from the manufacturer and then repackaged in the original container Page 1of 2 RODUCTS OLD OR DISTRIBUTED BY THE NSURED CG201504 13 Page 1of 2
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Any failure to make such inspections adjustments tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business in connection with the distribution or sale of the products Demonstration installation servicing or repair operations except such operations performed at the vendor s premises in connection with the sale of the product. Products which after distribution or sale by you have been labeled or relabeled or used as a container part or ingredient of any other thing or substance by or for the vendor or. Bodily injury or property damage arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. However this exclusion does not apply to 1 The exceptions contained in Sub paragraphs d. or f. or 2 Such inspections adjustments tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business in connection with the distribution or sale of the products. 2. This insurance does not apply to any insured person or organization from whom you have acquired such products or any ingredient part or container entering into accompanying or containing such products.. With respect to the insurance afforded to these vendors the following is added to Section Il Limits Of Insurance If coverage provided to the vendor is required by a contract or agreement the most we will pay on behalf of the vendor is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 Insurance Services Office Inc. 2012 CG201504 13
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POLICY NUMBER GLD1070908 POLICY NUMBER GLD1070908 COMMERCIAL GENERAL LIABILITY CG20180413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED MORTGAGEE ASSIGNEE OR RECEIVER This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Persons Or Organizations Designation Of Premises AS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT AS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to their liability as mortgagee assignee or receiver and arising out of the ownership maintenance or use of the premises by you and shown in the Schedule. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. This insurance does not apply to structural alterations new construction and demolition operations performed by or for that person or organization. C. With respect to the insurance afforded to these additional insureds the following is added to Section IIl Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. ONTRACT OR AGREEMENT ONTRACT OR AGREEMENT Insurance Services Office Inc. 2012 CG201804 13 Page 1of 1
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POLICY NUMBER GLD1070908 POLICY NUMBER GLD1070908 COMMERCIAL GENERAL LIABILITY CG20260413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations ANY PERSON OR ORGANIZATION AS REQUIRED BY WRITTEN CONTRACT Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by your acts or omissions or the acts or omissions of those acting on your behalf 1. In the performance of your operations or 2. In connection with your premises owned by or rented to you. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. ongoing additional insureds the following is added to Section IIl Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. NY PERSON OR ORGANIZATION AS REQUIRED BY WRITTEN CONTRACT Insurance Services Office Inc. 2012 CG2026 0413 Page 1of 1
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POLICY NUMBER GLD1070908 POLICY NUMBER GLD1070908 COMMERCIAL GENERAL LIABILITY CG20370413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations Location And Description Of Completed Operations AS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT AS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury or property damage caused in whole or in part by your work at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the products completed operations hazard. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following is added to Section IIl Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Limits of ONTRACT OR AGREEMENT ONTRACT OR AGREEMENT CG20370413 Insurance Services Office Inc. 2012 Page 1of 1
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COMMERCIAL GENERAL LIABILITY CG 2106 05 14 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION ACCESS OR DISCLOSURE OF CONFIDENTIAL OR PERSONAL INFORMATION AND DATA RELATED LIABILITY WITH LIMITED BODILY INJURY EXCEPTION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Exclusion 2.p. of Section Coverage A As used in this exclusion electronic data Bodily Injury And Property Damage Liability is means information facts or programs replaced by the following stored as or on created or used on or 2. Exclusions transmitted to or from computer software This insurance does not apply to p Access Or Disclosure Of Confidential Or Personal Information And Data related Liability Damages arising out of 1 Any access to or disclosure of any person s or organization s confidential or personal information including patents trade secrets processing methods customer lists financial information credit card information health information or any other type of nonpublic information or The loss of loss of use of damage to corruption of inability to access or inability to manipulate electronic data. This exclusion applies even if damages are claimed for notification costs credit monitoring expenses forensic expenses public relations expenses or any other loss cost or expense incurred by you or others arising out of that which is described in Paragraph 1 or 2 above. However unless Paragraph 1 above applies this exclusion does not apply to damages because of bodily injury. 2 including systems and applications software hard or floppy disks CD ROMs tapes drives cells data processing devices or any other media which are used with electronically controlled equipment. B. The following is added to Paragraph 2. Exclusions of Section Coverage B Personal And Advertising Injury Liability 2. Exclusions This insurance does not apply to Access Or Disclosure Of Confidential Or Personal Information Personal and advertising injury arising out of any access to or disclosure of any person s or organization s confidential or personal information including patents trade secrets processing methods customer lists financial information credit card information health information or any other type of nonpublic information. This exclusion applies even if damages are claimed for notification costs credit monitoring expenses forensic expenses public relations expenses or any other loss cost or expense incurred by you or others arising out of any access to or disclosure of any person s or organization s confidential or personal information As used in this exclusion electronic data means information facts or programs stored as or on created or used on or transmitted to or from computer software including systems and applications software hard or floppy disks CD ROMs tapes drives cells data processing devices or any other media which are used with electronically controlled equipment. B. The following is added to Paragraph 2. Exclusions of Section Coverage B Personal And Advertising Injury Liability 2. Exclusions This insurance does not apply to Access Or Disclosure Of Confidential Or Personal Information Personal and advertising injury arising out of any access to or disclosure of any person s or organization s confidential or personal information including patents trade secrets processing methods customer lists financial information credit card information health information or any other type of nonpublic information. This exclusion applies even if damages are claimed for notification costs credit monitoring expenses forensic expenses public relations expenses or any other loss cost or expense incurred by you or others arising out of any access to or disclosure of any person s or organization s confidential or personal information. CG 2106 05 14 Insurance Services Office Inc. 2013 Page 1of 1
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POLICY NUMBER GLD1070908 POLICY NUMBER GLD1070908 COMMERCIAL GENERAL LIABILITY CG21160413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION DESIGNATED PROFESSIONAL SERVICES This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Description Of Professional Services 1. ALL PROFESSIONAL SERVICES OFFERED BY THE INSURED With respect to any professional services shown in the Schedule the following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability and Paragraph 2. Exclusions of Section Coverage B Personal And Advertising Injury Liability This insurance does not apply to bodily injury property damage or personal and advertising injury due to the rendering of or failure to render any professional service. Information required to complete this Schedule if not shown above will be shown in the Declarations. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others by that insured if the occurrence which caused the bodily injury or property damage or the offense which caused the personal and advertising injury involved the rendering of or failure to render any professional service. CG 21160413 Insurance Services Office Inc. 2012 Page 1of 1
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COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION INTERCOMPANY PRODUCTS SUITS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART This insurance does not apply to any claim for damages by any Named Insured against another Named Insured because of bodily injury or property damage arising out of your products and included within the products completed operations hazard. CG21411185 Copyright Insurance Services Office Inc. 1984 Page 10f 1 m
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COMMERCIAL GENERAL LIABILITY CG 21471207 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EMPLOYMENT RELATED PRACTICES EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily In jury And Property Damage Liability This insurance does not apply to Bodily injuryto 1 A person arising out of any a Refusal to employ that person b Termination of that person s employment or c Employment related practices policies acts or omissions such as coercion demotion evaluation reassignment discipline defa mation harassment humiliation discrimina tion or malicious prosecution directed at that person or 2 The spouse child parent brother or sister of that person as a consequence of bodily injury to that person at whom any of the employment related practices described in Paragraphs a b or c above is directed. This exclusion applies 1 Whether the injury causing event described in Paragraphs a b or c above occurs before employment during employment or after em ployment of that person 2 Whether the insured may be liable as an em ployer or in any other capacity and 3 To any obligation to share damages with or repay someone else who must pay damages because of the injury. B. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage B Personal And Advertising Injury Liability This insurance does not apply to Personal and advertising injury to 1 A person arising out of any a Refusal to employ that person b Termination of that person s employment or c Employment related practices policies acts or omissions such as coercion demotion evaluation reassignment discipline defa mation harassment humiliation discrimina tion or malicious prosecution directed at that person or 2 The spouse child parent brother or sister of that person as a consequence of personal and advertising injury to that person at whom any of the employment related practices described in Paragraphs a b or c above is directed. This exclusion applies 1 Whether the injury causing event described in Paragraphs a b or c above occurs before employment during employment or after em ployment of that person 2 Whether the insured may be liable as an em ployer or in any other capacity and 3 To any obligation to share damages with or repay someone else who must pay damages because of the injury. CG 21471207 ISO Properties Inc. 2006 Page 10f 1 m
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COMMERCIAL GENERAL LIABILITY CG 21550999 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TOTAL POLLUTION EXCLUSION WITH A HOSTILE FIRE EXCEPTION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Exclusion. under Paragraph 2. Exclusions of Section I Coverage A Bodily Injury And Property Damage Liability is replaced by the foliowing 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 d spersal seepage migration release or es cape of pollutants at any time. This exclusion does not apply to bodily injury or property damage arising out of heat smoke or fumes from a hostile fire unless that hostile fire occurred or originated a At any premises site or location which is or was at any time used by or for any in sured or others for the handling storage disposal processing or treatment of waste or b At any premises site or location on which any insured or any contractors or subcon tractors working directly or indirectly on any insured s behalf are performing opera tions 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 govern mental authority for damages because of testing for monitoring cleaning up re moving containing treating detoxifying or neutralizing or in any way responding to or assessing the effects of pollutants. Page Lof 1 CG 215509 99 Copyright Insurance Services Office Inc. 1998
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COMMERCIAL GENERAL LIABILITY CG 21671204 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FUNGI OR BACTERIA EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2. B. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily In jury And Property Damage Liability 2. Exclusions This insurance does not apply to Fungi Or Bacteria a. Bodily injury or property damage which would not have occurred in whole or in part but for the actual alleged or threat ened inhalation of ingestion of contact with exposure to existence of or presence of any fungi or bacteria on or within a building or structure including its contents regardless of whether any other cause event material or product contributed con currently or in any sequence to such injury or damage. b. Any loss cost or expenses arising out of the abating testing for monitoring clean ing up removing containing treating de toxifying neutralizing remediating or dis posing of or in any way responding to or assessing the effects of fungi or bacteria by any insured or by any other person or entity. This exclusion does not apply to any fungi or bacteria that are are on or are contained in a good or product intended for bodily consump tion. Exclusions of Section Coverage B Personal And Advertising Injury Liability 2. Exclusions This insurance does not apply to Fungi Or Bacteria a. Personal and advertising injury which would not have taken place in whole or in part but for the actual alleged or threat ened inhalation of ingestion of contact with exposure to existence of or presence of any fungi or bacteria on or within a building or structure including its contents regardless of whether any other cause event material or product contributed con currently or in any sequence to such injury. b. Any loss cost or expense arising out of the abating testing for monitoring cleaning up removing containing treating detoxify ing neutralizing remediating or disposing of or in any way responding to or assess ing the effects of fungior bacteria by any insured or by any other person or entity. C. The following definition is added to the Definitions Section Fungi means any type or form of fungus includ ing mold or mildew and any mycotoxins spores scents or byproducts produced or released by fungi. CG 21671204 ISO Properties Inc. 2003 Page 10f 1 m
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COMMERCIAL GENERAL LIABILITY CG21750115 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. The following exclusion is added This insurance does not apply to TERRORISM Any injury or damage arising directly or indirectly out of a certified act of terrorism or out of an other act of terrorism that is committed outside of the United States including its territories and possessions and Puerto Rico but within the coverage territory. 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 interruption 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 application of any terrorism exclusions or 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 substantial risk of death or b. Protracted and obvious disfigurement 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 radiation or radioactive contamination or 4. The terrorism is carried out by means of the dispersal or application of pathogenic or poisonous biological or chemical materials or 5. Pathogenic or poisonous biological or chemical materials are released and it appears 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 measure the magnitude of an incident of an other act of terrorism and the circumstances in which the threshold will apply for the purpose of determining whether this exclusion will apply 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 environmental damage as may be defined in any applicable Coverage Part. physical b. Protracted and obvious physical disfigurement 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 radiation or radioactive contamination or 4. The terrorism is carried out by means of the dispersal or application of pathogenic or poisonous biological or chemical materials or 5. Pathogenic or poisonous biological or chemical materials are released and it appears 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 measure the magnitude of an incident of an other act of terrorism and the circumstances in which the threshold will apply for the purpose of determining whether this exclusion will apply 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 environmental damage as may be defined in any applicable Coverage Part. CG 21750115 Insurance Services Office Inc. 2015 Page 1 of 2
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2. Certified act of terrorism means an act that is certified by the Secretary of the Treasury in accordance with the provisions of the federal Terrorism Risk Insurance Act to be an act of terrorism pursuant to such Act. The criteria contained in the Terrorism Risk Insurance Act for a certified act of terrorism include the following a. The act resulted in insured losses in excess of 5 million in the aggregate attributable to all types of insurance subject to the Terrorism Risk Insurance Act 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 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 regardless of where the loss occurs or The premises of any United States mission and b c. The act is a violent act or an act that is dangerous to human life property or infrastructure and is committed by an individual or individuals as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. 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 terrorism 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 otherwise excluded under this Coverage Part. Page 2 of 2 Insurance Services Office Inc. 2015 CG 21750115
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COMMERCIAL GENERAL LIABILITY CG 21 96 03 05 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SILICA OR SILICA RELATED DUST EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily In jury And Property Damage Liability 2. Exclusions This insurance does not apply to Silica Or Silica Related Dust a. Bodily injury arising in whole or in part out of the actual alleged threatened or suspected inhalation of or ingestion of sil ica or silica related dust. b. Property damage arising in whole or in part out of the actual alleged threatened or suspected contact with exposure to ex istence of or presence of silica or silica related dust. c. Any loss cost or expense arising in whole or in part out of the abating testing for monitoring cleaning up removing contain ing treating detoxifying neutralizing remediating or disposing of or in any way responding to or assessing the effects of silica or silica related dust by any in sured or by any other person or entity. B. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage B Personal And Advertising Injury Liability 2. Exclusions This insurance does not apply to Silica Or Silica Related Dust a. Personal and advertising injury arising in whole or in part out of the actual alleged threatened or suspected inhalation of in gestion of contact with exposure to exis tence of or presence of silica or silica related dust. b. Any loss cost or expense arising in whole or in part out of the abating testing for monitoring cleaning up removing contain ing treating detoxifying neutralizing remediating or disposing of or in any way responding to or assessing the effects of silica or silica related dust by any in sured or by any other person or entity. C. The following definitions are added to the Defini tions Section 1. Silica means silicon dioxide occurring in crystalline amorphous and impure forms sil ica particles silica dust or silica compounds. 2. Silica related dust means a mixture or combi nation of silica and other dust or particles. CG 21 96 03 05 ISO Properties Inc. 2004 Page 10f 1 m
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COMMERCIAL GENERAL LIABILITY CG22430413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION ENGINEERS ARCHITECTS OR SURVEYORS PROFESSIONAL LIABILITY This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability and Paragraph 2. Exclusions of Section Coverage B Personal And Advertising Injury Liability This insurance does not apply to bodily injury property damage or personal and advertising injury arising out of the rendering of or failure to render any professional services by you or any engineer architect or surveyor who is either employed by you or performing work on your behalf in such capacity. Professional services include 1. The preparing approving or failing to prepare or approve maps shop drawings opinions reports surveys field orders change orders or drawings and specifications and 2. Supervisory inspection architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others by that insured if the occurrence which caused the bodily injury or property damage or the offense which caused the personal and advertising injury involved the rendering of or failure to render any professional services by you or any engineer architect or surveyor who is either employed by you or performing work on your behalf in such capacity. CG22430413 Insurance Services Office Inc. 2012 Page 1of 1
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POLICY NUMBER GLD1070908 POLICY NUMBER GLD1070908 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization AS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT Information required to complete this Schedule if not shown above will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV Conditions We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or your work done under a contract with that person or organization and included in the products completed operations hazard. This waiver applies only to the person or organization shown in the Schedule above. S REQUIRED BY WRITTEN CONTRACT OR AGREEMENT CG 24 04 05 09 Insurance Services Office Inc. 2008 Page 10f 1 m
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COMMERCIAL GENERAL LIABILITY CG24100798 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCESS PROVISION VENDORS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART When you are added to a manufacturer s or distributor s policy as an additional insured because you are a vendor for such manufacturer s or distributor s products Paragraph 4. Other Insurance of Conditions Section IV is amended by the addition of the following The coverage afforded the insured under this Coverage Part will be excess over any valid and collectible insurance available to the insured as an additional insured under a policy issued to a manufacturer or distributor for products manufactured sold handled or distributed. Page Lof 1 CG 241007 98 Copyright Insurance Services Office Inc. 1997
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COMMERCIAL GENERAL LIABILITY CG24260413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT OF INSURED CONTRACT DEFINITION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART The definition of insured contract in the Definitions section is replaced by the following Insured contract means Paragraph f. does not include that part of any contract or agreement 1 That indemnifies a railroad for bodily injury a. A contract for a lease of premises. However that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire to premises while rented to you or temporarily occupied by you with permission of the owner is not an insured contract b. A sidetrack agreement c. Any easement or license agreement except in connection with construction or demolition operations on or within 50 feet of a railroad d. An obligation as required by ordinance to indemnify a municipality except in connection with work for a municipality e. An elevator maintenance agreement f. That part of any other contract or agreement pertaining to your business including an indemnification of a municipality in connection with work performed for a municipality under which you assume the tort liability of another party to pay for bodily injury or property damage to a third person or organization provided the bodily injury or property damage is caused in whole or in part by you or by those acting on your behalf. However such part of a contract or agreement shall only be considered an insured contract to the extent your assumption of the tort liability is permitted by law. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. or property damage arising out of construction or demoliton operations within 50 feet of any railroad property and affecting any railroad bridge or trestle tracks road beds tunnel underpass or crossing That indemnifies an architect engineer or surveyor for injury or damage arising out of a Preparing approving or failing to prepare or approve maps shop drawings opinions reports surveys field orders change orders or drawings and specifications or b Giving directions or instructions or failing to give them if that is the primary cause of the injury or damage or 3 Under which the insured if an architect engineer or surveyor assumes liability for an injury or damage arising out of the insured s rendering or failure to render professional services including those listed in 2 above and supervisory inspection architectural or engineering activities. 2 CG24260413 Insurance Services Office Inc. 2012 Page 1of 1
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COMMERCIAL GENERAL LIABILITY CG 26 20 10 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NEW JERSEY CHANGES LOSS INFORMATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART OCCURRENCE VERSION The following Condition is added TO COMMERCIAL GENERAL LIABILITY CONDITIONS SectionIV 10. Your Right to Loss Information We will provide the first Named Insured shown in the Declarations the following loss information re lating to this and any preceding general liability Coverage Part we have issued to you during the previous three years a. A list or other record of each occurrence of which we were notified in accordance with paragraph 2.a. of the Duties in the Event of Occurrence Offense Claim or Suit Condition in this Section. We will include a brief descrip tion of the occurrence and information on whether any claim arising out of the occur rence is open or closed. b. A summary by policy year of payments made and amounts reserved stated separately under any applicable General Aggregate Limit and Products Completed Operations Aggregate Limit. Amounts reserved are based on our judgment. They are subject to change and should not be re garded as ultimate settlement values. You must not disclose this information to any claimant or any claimant s representative without our consent. We will provide this information only if we receive a written request from the first Named Insured dur ing the policy period. We will provide this informa tion within 45 days of receipt of the request. We compile claim and occurrence information for our own business purposes and exercise reason able care in doing so. In providing this information to the first Named Insured we make no represen tations or warranties to insureds insurers or oth ers to whom this information is furnished by or on behalf of any insured. CG 26 20 10 93 Copyright Insurance Services Office Inc. 1992 Page 10f 1 m
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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
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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
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2 ZURICH Mo 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
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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
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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
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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
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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.
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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
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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
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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 RV 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
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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.
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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.
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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
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IL 00 21 09 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT Broad Form This endorsement modifies insurance provided under the following COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY 1. The insurance does not apply A. Under any Liability Coverage to bodily injury or 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
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Source material special nuclear material and by product material have the meanings given them in the Atomic Energy Act of 1954 or in any law amendatory thereof. Spent fuel means any fuel element or fuel 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
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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
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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
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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
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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
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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
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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
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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
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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
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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 eI EIEE 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
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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
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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
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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
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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
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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
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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
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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.
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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.
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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.
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Z ZURICH Notification to Others of Cancellation Nonrenewal or Reduction of Insurance 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.
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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.
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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.
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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
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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
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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
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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
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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
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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
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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
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