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IL N 01409 03 ARIZONA FRAUD STATEMENT For your protection Arizona law requires the following statement to appear on this form. Any person who knowingly presents a false or fraudulent claim for payment of a loss is subject to criminal and civil penalties. 1SO Properties Inc. 2003 Page 1 of 1 IL N 01409 03 | 2 |
IL N 016 09 03 ARKANSAS FRAUD STATEMENT Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and con finement in prison. 1SO Properties Inc. 2003 Page 1 of 1 IL N 016 09 03 | 2 |
SNIL PN 00103 Ed. 11 09 ARKANSAS POLICYHOLDER NOTICE As our Insured your satisfaction is very important to us. If you have a question about your policy or if you need assistance with a problem please contact your insurance agent or us. You may reach your insurance agent or broker at Name of Agent WILLIS INSURANCE SERVICES OF GEORGIA INC. Address 5 CONCOURSE PARKWAY 18TH FLOOR ATLANTA GA 30328 Telephone Number You may reach us at Safety National Casualty Corporation 1832 Schuetz Road St. Louis MO 63146 888 995 5300 You may also contact the Arkansas Insurance Department to obtain information on companies agents rights or other inquires at Arkansas Insurance Department 1200 West Third Street Little Rock Arkansas 72201 501 371 2640 or 800 852 5494 ATTACH THIS NOTICE TO YOUR POLICY This notice is for information only and does not become a part or condition of policy. | 2 |
ILN 018 09 03 CALIFORNIA FRAUD STATEMENT For your protection California law requires that you be made aware of the following Any person who knowingly presents false or fraudulent claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison. 1SO Properties Inc. 2003 Page 1 of 1 ILN 018 09 03 | 2 |
IL N 020 09 03 COLORADO FRAUD STATEMENT It is unlawful to knowingly provide false incomplete or misleading facts or information to an insurance company for the purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment fines denial of insurance and civil damages. Any insurance company or agent of an insurance company who knowingly provides false incomplete or misleading facts or information to a policyholder or claimant for the purpose of de frauding or attempting to defraud the policyholder or claimant with regard to a settlement or award payable from insurance proceeds shall be reported to the Colorado division of insurance within the department of regulatory agencies. 1SO Properties Inc. 2003 Page 1 of 1 IL N 020 09 03 | 2 |
SNGL PN 001 06 06 13 CONNECTICUT ADVISORY NOTICE TO POLICYHOLDERS This Notice does NOT form a part of your insurance contract. The Notice is designed to alert you to changes due to the inclusion of a Deductible Liability Endorsement on your policy. If there is any conflict between this Notice and the policy including its endorsements the provisions of the policy including its endorsements apply. Please read your policy and the endorsements attached to your policy carefully. If your policy is endorsed with one of the following endorsements please note the following in regard to application of the deductible provisions to Allocated Loss Adjustment Expenses SNGL 018A Deductible Liability Coverage Allocated Loss Adjustment Expenses Within Deductible Paid by You The deductible limit provisions of this endorsement include Allocated Loss Adjustment Expense as a portion of the deductible amount reimbursed by you to us. When the deductible limit has been exceeded by your reimbursement of actual damages and Allocated Loss Adjustment Expense we will pay all additional Allocated Loss Adjustment Expense on a per claim or per occurrence basis. Allocated Loss Adjustment Expenses is defined as those expenses under the Supplementary Payments section of the policy which we directly allocate to a particular claim or suit. The attachment of this endorsement does not affect the policy limit of liability. In connection with any deductible offset by Allocated Loss Adjustment Expense and upon written request by you to us you have the right to an accounting of legal defense costs actually expended. SNGL 019A Deductible Liability Coverage Allocated Loss Adjustment Expenses Shared Proportionally Between You and Us The deductible limit provisions of this endorsement do not include Allocated Loss Adjustment Expense as a portion of the deductible amount reimbursed by you to us. Unless the Deductible Aggregate Limit has been exhausted you will reimburse us for all Allocated Loss Adjustment Expense until the per claim or per occurrence deductible limit has been exceeded by your reimbursement of actual damages and then Allocated Loss Adjustment Expense will be shared by you and us with you reimbursing us for the amount the Allocated Loss Adjustment Expense bears to the ratio of the deductible limit to the actual damages paid by us under the policy in disposition of the claim or suit. The attachment of this endorsement does not affect the policy limit of liability. Allocated Loss Adjustment Expenses is defined as those expenses under the Supplementary Payments section of the policy which we directly allocate to a particular claim or suit. SNGL PN 001 06 06 13 Safety National Casualty Corporation Page 1 of 1 | 2 |
IL N 026 06 09 DISTRICT OF COLUMBIA FRAUD STATEMENT WARNING It is a crime to provide false or misleading information to an insurer for the purpose of defrauding the insurer or any other person. Penalties include imprisonment andor fines. In addition an insurer may deny insur ance benefits if false information materially related to a claim was provided by the applicant. Insurance Services Office Inc. 2009 Page 1 of 1 IL N 026 06 09 | 2 |
SNIL PN 001 08 0609 DISTRICT OF COLUMBIA WAIVER OF PREMIUM DISCLOSURE NOTICE The following paragraph is provided per the District of Columbia Code 31 2406 2. Waiver Of Premium We will waive return premium amounts of 15.00 or less. However any return premium requested by you the insured must be granted by us despite the waiver and will be returned to you. SNIL PN 001 08 0609 Page 1 of 1 | 2 |
SNIL PN 001 09 Ed. 05 09 IMPORTANT NOTICE To obtain general information or for complaint resolution You may call safety National Casualty Corporation s toll free telephone number for general information or to resolve a complaint 1 888 995 5300 You may also write to Safety National Casualty Corporation Safety National Casualty Corporation 1832 Schuetz Road St. Louis MO 63146 ATTACH THIS NOTICE TO YOUR POLICY This notice is for information only and does not become a part or condition of the attached document. Date of Notice 01252019 Policy Period 01012019 to 01012020 Page 1 of 1 Insured FIRST DATA CORPORATION Policy No. GL 4056109 | 2 |
IL N 034 08 09 HAWAII FRAUD STATEMENT Intentionally or knowingly misrepresenting or concealing a material fact opinion or intention to obtain coverage benefits recovery or compensation when presenting an application for the issuance or renewal of an insurance policy or when presenting a claim for the payment of a loss is a criminal offense punishable by fines or imprison ment or both. Insurance Services Office Inc. 2009 Page 1 of 1 IL N 034 08 09 | 2 |
IL N 036 09 03 IDAHO FRAUD STATEMENT Any person who knowingly and with intent to defraud or deceive any insurance company files a statement of claim containing any false incomplete or misleading information is guilty of a felony. 1SO Properties Inc. 2003 Page 1 of 1 IL N 036 09 03 | 2 |
PN 1199 01 Ed. 10 13 IDAHO POLICYHOLDER NOTICE As our Insured your satisfaction is very important to us. If you have a question about your policy or if you need assistance with a problem please contact your insurance agent or us. You may reach your insurance agent or broker at Name of Agent WILLIS INSURANCE SERVICES OF GEORGIA INC. Address 5 CONCOURSE PARKWAY 18TH FLOOR ATLANTA GA 30328 Telephone Number You may reach us at Safety National Casualty Corporation 1832 Schuetz Road St. Louis MO 63146 1888 995 5300 You may also contact the Idaho Department of Insurance to obtain information on companies agents rights or other inquires at Idaho Department of Insurance Consumer Affairs 700 West State Street 3 Floor P. 0. Box 83720 Boise ID 83720 0043 1800721 3272 or 208 334 4250 or www.DOl.ldaho.gov ATTACH THIS NOTICE TO YOUR POLICY This notice is for information only and does not become a part or condition of policy. | 2 |
SNGL PN 018A 12 1109 ILLINOIS ACKNOWLEDGMENT BY POLICYHOLDER RE Policy Number cL 4056109 Named Insured FIRST DATA CORPORATION As an authorized representative of the Insured acknowledge that the attachment of the endorsement tited DEDUCTIBLE LIABILITY COVERAGE Allocated Loss Adjustment Expenses Within Deductible Paid by You to the Commercial General Liability Coverage Form provides that the application of any deductible amount will result in the reduction of the Limits of Insurance set forth in the Declarations applicable to the endorsement and in the reduction of the Aggregate Limits of Insurance stated in the Policy for such coverages. Signature of Named Insured Authorized Officer Typed Printed Name and Title SNGL PN 018A 12 1109 | 2 |
ILN17511 11 ILLINOIS NOTICE TO POLICYHOLDERS REGARDING THE RELIGIOUS FREEDOM PROTECTION AND CIVIL UNION ACT Dear Policyholder This is to provide notice that pursuant to lllinois Department of Insurance Company Bulletin 2011 06 CB 2011 06 this policy is in compliance with the lllinois Religious Freedom Protection and Civil Union Act the Act 750 ILL. COMP. STAT. 751. The Act which became effective on June 1 2011 creates a legal relationship between two persons of either the same or opposite sex who establish a civil union. The Act provides that parties to a civil union are entitled to the same legal obligations responsibilities protections and benefits that are afforded or recognized by the law of lllinois to spouses whether they are derived from statute administrative rule policy common law or any source of civil or criminal law. In addition this law requires recognition of a same sex civil union marriage or other substantially similar legal relationship except for common law marriage legally entered into in other jurisdictions. The Act further provides that party to a civil union shall be included in any definition or use of the terms spouse family immediate family dependent next of kin and other terms descriptive of spousal relationships as those terms are used throughout the law. According to CB 2011 06 this includes the terms marriage or married or any variations thereof. CB 2011 06 also states that if policies of insurance provide coverage for children the children of civil unions must also be provided coverage. Insurance Services Office Inc. 2011 Page 1 of 1 ILN17511 11 | 2 |
IL N 040 09 03 INDIANA FRAUD STATEMENT Any person who knowingly and with intent to defraud an insurer files a statement of claim containing any false incomplete or misleading information commits a felony. 1SO Properties Inc. 2003 Page 1 of 1 IL N 040 09 03 | 2 |
POLICY NUMBER GL 4056109 R GL 4056109 IL N 120 10 05 INDIANA NOTICE TO POLICYHOLDERS REGARDING FILING COMPLAINTS WITH THE DEPARTMENT OF INSURANCE Questions regarding your policy or coverage should be directed to Company Name Safety National Casualty Corporation Contact Number 1 888 995 5300 If you a Need the assistance of the governmental agency that regulates insurance or b Have a complaint you have been unable to resolve with your insurer you may contact the Department of Insurance by mail telephone or E mail State of Indiana Department of Insurance Consumer Services Division 311 West Washington Street Suite 300 Indianapolis Indiana 46204 Consumer Hotline 800 622 4461 317 232 2395 Complaints can be filed electronically at www.in.govidoi. 1SO Properties Inc. 2005 Page 1 of 1 IL N 120 10 05 | 2 |
IL N 043 01 16 KANSAS FRAUD STATEMENT Any person who commits a fraudulent insurance act is guilty of a crime and may be subject to restitution fines and confinement in prison. A fraudulent insurance act means an act committed by any person who knowingly and with intent to defraud presents causes to be presented or prepares with knowledge or belief that it will be presented to or by an insurer purported insurer or insurance agent or broker any written electronic electronic impulse facsimile magnetic oral or telephonic communication or statement as part of or in support of an application for insurance or the rating of an insurance policy or a claim for payment or other benefit under an insurance policy which such person knows to contain materially false information concerning any material fact thereto or conceals for the purpose of misleading information concerning any fact material thereto. Insurance Services Office Inc. 2015 Page 1 of 1 IL N 043 0116 | 2 |
IL N 048 09 03 LOUISIANA FRAUD STATEMENT Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and con finement in prison. 1SO Properties Inc. 2003 Page 1 of 1 IL N 048 09 03 | 2 |
IL N 050 09 03 MAINE FRAUD STATEMENT Itis a crime to knowingly provide false incomplete or misleading information to an insurance company for the pur pose of defrauding the company. Penalties may include imprisonment fines or a denial of insurance benefits. 1SO Properties Inc. 2003 Page 1 of 1 IL N 050 09 03 | 2 |
ILN 167 01 13 MARYLAND FRAUD STATEMENT Any person who knowingly or willfully presents a false or fraudulent claim for payment of a loss or benefit or who knowingly or willfully presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison. Insurance Services Office Inc. 2012 Page 1 of 1 ILN 167 0113 | 2 |
SNIL PN 001 21 0411 MICHIGAN DISCLOSURE NOTICE FOR EXEMPT COMMERCIAL POLICYHOLDER This policy is exempt from the filing requirements of section 2236 of the insurance code of 1956 1956 PA 218 MCL 500.2236. SNIL PN 001 21 0411 Page 1 of 1 | 2 |
IL N 058 09 03 MINNESOTA FRAUD STATEMENT Any person who files a claim with intent to defraud or helps commit a fraud against an insurer is guilty of a crime. 1SO Properties Inc. 2003 Page 1 of 1 IL N 058 09 03 | 2 |
IL N 070 09 03 NEW HAMPSHIRE FRAUD STATEMENT Any person who with a purpose to injure defraud or deceive any insurance company files a statement of claim containing any false incomplete or misleading information is subject to prosecution and punishment for insurance fraud as provided in RSA 63820. 1SO Properties Inc. 2003 Page 1 of 1 IL N 070 09 03 | 2 |
IL N 072 03 04 NEW JERSEY FRAUD STATEMENT APPLICATION Any person who includes any false or misleading information on an application for an insurance policy is subject to criminal and civil penalties. 1SO Properties Inc. 2004 Page 1 of 1 IL N 072 03 04 | 2 |
IL N 073 03 04 NEW JERSEY FRAUD STATEMENT CLAIM FORM Any person who knowingly files a statement of claim containing any false or misleading information is subject to criminal and civil penalties. 1SO Properties Inc. 2004 Page 1 of 1 IL N 073 03 04 | 2 |
IL N 074 09 03 NEW MEXICO FRAUD STATEMENT ANY PERSON WHO KNOWINGLY PRESENTS A FALSE OR FRAUDULENT CLAIM FOR PAYMENT OF A LOSS OR BENEFIT OR KNOWINGLY PRESENTS FALSE INFORMATION IN AN APPLICATION FOR INSUR ANCE IS GUILTY OF A CRIME AND MAY BE SUBJECT TO CIVIL FINES AND CRIMINAL PENALTIES. 1SO Properties Inc. 2003 Page 1 of 1 IL N 074 09 03 | 2 |
SNGL PN 001 31 0210 NEW YORK ADVISORY NOTICE TO POLICYHOLDERS If your policy is endorsed with the following endorsement please note the following in regard to application of the deductible provisions to Allocated Loss Adjustment Expenses SNGL 018B 31 1209 New York Deductible Liability Coverage Allocated Loss Adjustment Expenses Within Deductible Paid by You The deductible limit provisions of this endorsement include Allocated Loss Adjustment Expense as a portion of the deductible amount reimbursed by you to us. When the deductible limit has been exceeded by your reimbursement of actual damages and Allocated Loss Adjustment Expense we will pay all additional Allocated Loss Adjustment Expense on a per claim or per occurrence basis. Allocated Loss Adjustment Expenses is defined as those expenses under the Supplementary Payments section of the policy excluding post judgment interest which we directly allocate to a particu lar claim or suit. The attachment of this endorsement reduces the policy limit of liability for actual damages paid and reim bursed within the deductible amount. In connection with any deductible offset by Allocated Loss Adjustment Expense and upon written request by you to us you have the right to an accounting of legal defense costs actually expended. NOTE THIS ADVISORY NOTICE TO POLICYHOLDERS IS PAGE ONE OF YOUR POLICY. SNGL PN 001 31 0210 | 2 |
IL N 084 09 03 OKLAHOMA FRAUD STATEMENT WARNING Any person who knowingly and with intent to injure defraud or deceive any insurer makes any claim for the proceeds of an insurance policy containing any false incomplete or misleading information is guilty of a felony. 1SO Properties Inc. 2003 Page 1 of 1 IL N 084 09 03 | 2 |
IL 0179 10 02 OKLAHOMA NOTICE The following statement is added to the policy WARNING Any person who knowingly and with intent to injure defraud or deceive any insurer makes any claim for the proceeds of an insurance policy containing any false incomplete or misleading information is guilty of a felony. 1SO Properties Inc. 2002 Page 1 of 1 IL 01791002 | 2 |
IL N 08502 11 OREGON FRAUD STATEMENT Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents materially false information in an application for insurance may be guilty of a crime and may be subject to fines and confinement in prison. In order for us to deny a claim on the basis of misstatements misrepresentations omissions or concealments on your part we must show that A. The misinformation is material to the content of the policy B. We relied upon the misinformation and C. The information was either 1. Material to the risk assumed by us or 2. Provided fraudulently. For remedies other than the denial of a claim misstatements misrepresentations omissions or concealments on your part must either be fraudulent or material to our interests. With regard to fire insurance in order to trigger the right to remedy material misrepresentations must be willful or intentional. Misstatements misrepresentations omissions or concealments on your part are not fraudulent unless they are made with the intent to knowingly defraud. Insurance Services Office Inc. 2010 Page 1 of 1 ILN 0850211 | 2 |
IL N 088 09 03 PENNSYLVANIA FRAUD STATEMENT Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information or conceals for the purpose of misleading information concerning any fact material thereto commits a fraudulent insurance act which is a crime and subjects such person to criminal and civil penalties. 1SO Properties Inc. 2003 Page 1 of 1 IL N 088 09 03 | 2 |
IL 09 10 07 02 ILU9 1007 02 PENNSYLVANIA NOTICE An Insurance Company its agents employees or service contractors acting on its behalf may provide services to reduce the likelihood of injury death or loss. These services may include any of the following or related services incident to the ap plication for issuance renewal or continuation of a policy of insurance 1. Surveys 2. Consultation or advice or 3. Inspections. The Insurance Consultation Services Exemption Act of Pennsylvania provides that the Insurance Company its agents employees or service con tractors acting on its behalf is not liable for dam ages from injury death or loss occurring as a res ult of any act or omission by any person in the fur nishing of or the failure to furnish these services. The Act does not apply 1. If the injury death or loss occurred during the ac tual performance of the services and was caused by the negligence of the Insurance Company its agents employees or service contractors 2. To consultation services required to be per formed under a written service contract not re lated to a policy of insurance or 3. If any acts or omissions of the Insurance Company its agents employees or service con tractors are judicially determined to constitute a crime actual malice or gross negligence. Instruction to Policy Writers Attach the Pennsylvania Notice to all new and renewal certificates insuring risks located in Pennsylvania. 1SO Properties Inc. 2001 Page 1 of 1 IL 09 10 07 02 | 2 |
IL P 006 11 05 RHODE ISLAND NOTICE TO POLICYHOLDERS CONCERNING AVAILABILITY OF LEAD LIABILITY COVERAGE This policy does not provide lead liability coverage. You may be eli gible for lead liability coverage through the FAIR Plan. The FAIR Plan s address and telephone numbers are FAIR Plan Two Center Place Boston MA 02108 1904 800 851 8978. 1SO Properties Inc. 2005 Page 1 of 1 IL P 006 11 05 | 2 |
SNIL PN 004 42 Ed. 09 09 IMPORTANT NOTICE TO POLICYHOLDER. PLEASE READ IT CAREFULLY. SPECIAL TEXAS NOTICE NOTIFICATION OF THE AVAILABILITY OF LOSS CONTROL INFORMATION SERVICES In an effort to help prevent and reduce potential claims and losses Safety National is committed to providing loss control information and services at no charge to its Texas commercial automobile liability and general liability policyholders. For more information or to request services please call our Loss Control Department at the following toll free number 1 888 995 5300 You may also write to our Loss Control Department at Loss Control Department Safety National Casualty Corporation 1832 Schuetz Road St. Louis MO 63146 ATTACH THIS NOTICE TO YOUR POLICY This notice is for information only and does not become a part or condition of the attached document. Date of Notice 01252019 Policy Period 01012019 To 01012020 Page 1 of 1 Insured FIRST DATA CORPORATION Policy No. GL 4056109 | 2 |
IL N 098 09 03 TENNESSEE FRAUD STATEMENT Itis a crime to knowingly provide false incomplete or misleading information to an insurance company for the pur pose of defrauding the company. Penalties include imprisonment fines and denial of insurance benefits. 1SO Properties Inc. 2003 Page 1 of 1 IL N 098 09 03 | 2 |
SNIL PN 003 42 Ed. 06 10 EXCLUSION ASBESTOS ADVISORY NOTICE TO POLICYHOLDERS This Notice does NOT form a part of your insurance contract. The Notice is designed to alert you to coverage changes when the exclusion for silica or silica related dust is attached to this policy. If there is any conflict between this Notice and the policy including its endorsements the provisions of the policy including its endorsements apply. Please read your policy and the endorsements attached to your policy carefully. This Notice contains a brief synopsis of the following endorsements SNGL 044 0514 Asbestos Exclusion When this endorsement is attached to your policy coverage is excluded for bodily injury or property damage arising out of the inhalation ingestion or prolonged physical exposure to asbestos or goods or products con taining asbestos the use of asbestos in constructing or manufacturing any goods products or structure the removal of asbestos from any goods products or structure the manufacture sale transportation storage or disposal of asbestos or goods or products containing asbestos. Coverage is also excluded for payment for the investigation or defense of any claim or suit or any loss cost expense fine or penalty related to the exclusion outlined above. The attachment of this endorsement may result in a restriction of coverage. SNIL PN 003 42 Ed. 06 10 1SO Properties Inc. 2004 Page 1 of 1 | 2 |
SNIL PN 002 42 Ed. 04 09 EXCLUSION LEAD CONTAMINATION ADVISORY NOTICE TO POLICYHOLDERS This Notice does NOT form a part of your insurance contract. The Notice is designed to alert you to coverage changes when the exclusion for silica or silica related dust is attached to this policy. If there is any conflict between this Notice and the policy including its endorsements the provisions of the policy including its endorsements apply. Please read your policy and the endorsements attached to your policy carefully. This Notice contains a brief synopsis of the following endorsements SNGL 043 0514 Lead Contamination Exclusion When this endorsement is attached to your policy coverage is excluded for bodily injury or property dam age arising out of the actual or alleged or suspected ingestion inhalation absorption or prolonged physic al exposure or threat of exposure to lead in any form or goods or products containing any form of lead use of any form of lead in constructing or manufacturing any good product or structure removal of any form of lead from any good product or structure or manufacture sale transportation storage or disposal of lead or goods or products containing any form of lead. Coverage is also excluded for any loss cost or expense arising in whole or in part out of the abating testing for monitoring cleaning up removing containing treating detoxifying neutralizing remediating or disposing of or in any way responding to or assessing the effects of lead due to any request demand claim or suit on the part of any insured governmental authority or others. The attachment of this endorsement may result in a restriction of coverage. SNIL PN 002 42 Ed. 04 09 1SO Properties Inc. 2004 Page 1 of 1 | 2 |
SNIL PN 001 42 Ed. 01 13 IMPORTANT NOTICE To obtain information or make a complaint You may call safety National Casualty Corporation s toll free telephone number for information or to make a complaint at 1 888 995 5300 You may also write to Safety National Casualty Corporation at Safety National Casualty Corporation 1832 Schuetz Road St. Louis MO 63146 You may contact the Texas Department of Insurance to obtain information on companies coverages rights or complaints at 1 800 252 3439 You may write the Texas Department of Insurance Texas Department of Insurance P. O. Box 149104 Austin TX 78714 9104 Fax 512 475 1771 Web httpwww.tdi.texas.gov E mail ConsumerProtectiontdi.texas.gov PREMIUM OR CLAIM DISPUTES Should you have a dispute concerning your premium or about a claim you should contact the agent or the company first. If the dispute is not resolved you may contact the Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR POLICY This notice is for information only and does not become a part or condition of the attached document. Date of Notice 01252019 Policy Period 01012019 to 01012020 Page 1 of 1 Insured FIRST DATA CORPORATION Policy No. GL 4056109 | 2 |
IL N 106 09 03 VIRGINIA FRAUD STATEMENT Itis a crime to knowingly provide false incomplete or misleading information to an insurance company for the pur pose of defrauding the company. Penalties include imprisonment fines and denial of insurance benefits. 1SO Properties Inc. 2003 Page 1 of 1 IL N 106 09 03 | 2 |
COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED CLUB MEMBERS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART. WHO IS AN INSURED Section Il is amended to include as an insured any of your members but only with re spect to their liability for your activities or activities they perform on your behalf. CG 20021185 Copyright Insurance Services Office Inc. 1984 Page 1 of 1 | 2 |
POLICY NUMBER GL 4056109 POLICY NUMBER GL 4056109 COMMERCIAL GENERAL LIABILITY CG 20050413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED CONTROLLING INTEREST This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Persons Or Organizations As required by written contract or agreement when such written contract or agreement is executed prior to an occurrence offense or loss to which this endorsement applies but only for the limits agreed to in such contract or the Limits of Liability provided by this policy whichever is less. Any individually scheduled additional insureds shall not be construed to override nor negate this blanket additional 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 the persons or organizations shown in the Schedule but only with respect to their liability arising out of 1. Their financial control of you or 2. Premises they own maintain or control while you lease or occupy these premises. 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 Il 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. CG 20050413 Insurance Services Office Inc. 2012 Page 1 of 1 | 2 |
POLICY NUMBER GL 4056109 POLICY NUMBER GL 4056109 COMMERCIAL GENERAL LIABILITY CG 20260413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations As required by written contract or agreement when such written contract or agreement is executed prior to an occurrence offense or loss to which this endorsement applies but only for the limits agreed to in such contract or the Limits of Liability provided by this policy whichever is less. Any individually scheduled additional insureds shall not be construed to override nor negate this blanket additional 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 B. With respect to the insurance afforded to these include as an additional insured the persons or additional insureds the following is added to organizations shown in the Schedule but only Section Ill Limits Of Insurance 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 amount of insurance on your behalf. L 1. Required by the contract or agreement or 1. In the performance of your ongoing operations or 2. Available under the applicable Limits of. Insurance shown in the Declarations 2. In connection with your premises owned by or rented to you. whichever is less. However This endorsement shall not increase the 1. The insurance afforded to such additional appllcabe Limits of Insurance shown in the h. Declarations. 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. 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 CG 20260413 Insurance Services Office Inc. 2012 Page 1 of 1 | 2 |
POLICY NUMBER GL 4056109 POLICY NUMBER GL 4056109 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 Designation Of Premises Part Leased To You locations owned by leased to or occupied by the insured. Name Of Persons Or Organizations Additional Insured As required by written contract or agreement when such written contract or agreement is executed prior to an occurrence offense or loss to which this endorsement applies but only for the limits agreed to in such contract or the Limits of Liability provided by this policy whichever is less. Any individually scheduled additional insureds shall not be construed to override nor negate this blanket additional insured. Additional Premium Included 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 lll 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. 11 locations owned by leased to or occupied by the insured. amended to he persons chedule but g out of the that part of hown in the ng additional CG20110413 Insurance Services Office Inc. 2012 Page 1 of 1 | 2 |
POLICY NUMBER GL 4056109 POLICY NUMBER GL 4056109 COMMERCIAL GENERAL LIABILITY CG 20370413 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 when such written contract or agreement is executed prior to an occurrence offense or loss to which this endorsement applies but only for the limits agreed to in such contract or the Limits of Liability provided by this policy whichever is less. Any individually scheduled additional insureds shall not be construed to override nor negate this blanket additional insured. A1l your owned or leased locations or premises 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 Il 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. emises idividually scheduled additional 1sureds shall not be construed to rerride nor negate this blanket iditional insured. CG 20370413 Insurance Services Office Inc. 2012 Page 1 of 1 | 2 |
POLICY NUMBER GL 4056109 POLICY NUMBER GL 4056109 COMMERCIAL GENERAL LIABILITY CG20100413 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 Name Of Additional Insured Persons Or Organizations Locations Of Covered Operations As required by written contract or agreement when such written contract or agreement is executed prior to an occurrence offense or loss to which this endorsement applies but only for the limits agreed to in such contract or the Limits of Liability provided by this policy whichever is less. Any individually scheduled additional insureds shall not be construed to override nor negate this blanket additional insured. ALl your owned or leased locations or premises 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 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. CG20100413 Insurance Services Office Inc. 2012 Page 1 of 2 | 2 |
C. With respect to the insurance afforded to these additional insureds the following is added to Section lll 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 CG20100413 | 2 |
POLICY NUMBER GL 4056109 POLICY NUMBER GL 4056109 COMMERCIAL GENERAL LIABILITY CG20150413 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 As required by written contract or agreement when such written contract or agreement is executed prior to an occurrence offense or loss to which this endorsement applies but only for the limits agreed to in such contract or the Limits of Liability provided by this policy whichever is less. Any individually scheduled additional insureds shall not be construed to override nor negate this blanket additional insured. A1l your Products 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 injury or property damage arising out of your products shown in the Schedule which are distributed or sold in the regular course of the vendor s business. However 1. The insurance afforded to such vendor only applies to the extent permitted by law and 2. If coverage provided to the vendor is required by a contract or agreement the insurance afforded to such vendor will not be broader than that which you are required by the contract or agreement to provide for such vendor. B. With respect to the insurance afforded to these vendors the following additional exclusions apply 1. The insurance afforded the vendor does not apply to a. Bodily injury or property damage for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement b. Any express warranty unauthorized by you c. Any physical or chemical change in the product made intentionally by the vendor d. Repackaging except when unpacked solely for the purpose of inspection demonstration testing or the substitution of parts under instructions from the manufacturer and then repackaged in the original container CG20150413 Insurance Services Office Inc. 2012 Page 1 of 2 | 2 |
. Bodily 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 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 paragraphs d. or f. or in Sub 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. C. 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 CG 20150413 | 2 |
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ALIENATED PREMISES This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE FORM CHANGE The following is deleted in its entirety SECTION COVERAGE COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY 2. Exclusions j.2 for COMMERCIAL GENERAL LIABILITY COVERAGE FORM or SECTION COVERAGE COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY 2. Exclusions g.2 for PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE FORM This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By SNGL 028 1111 Safety National Casualty Corporation Page 1 of 1 | 2 |
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDED DEFINITION OF BODILY INJURY This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE FORM LIQUOR LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM RAILROAD PROTECTIVE LIABILITY COVERAGE FORM POLLUTION LIABILITY COVERAGE FORM CHANGE Under SECTION V DEFINITIONS and SECTION VI DEFINITIONS for POLLUTION LIABILITY COVERAGE FORM the definition of Bodily injury is amended to include the following Bodily injury shall also mean mental anguish shock humiliation or emotional distress sustained by a person in conjunction with a covered occurrence or offense when accompanied by physical injury sickness or disease. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By SNGL 004 1111 Safety National Casualty Corporation Page 1 of 1 | 2 |
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ASBESTOS EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART CHANGE This insurance does not apply to bodily injury or property damage arising out of 1 The inhalation ingestion or prolonged physical exposure to asbestos or goods or products containing asbestos 2 The use of asbestos in constructing or manufacturing any goods products or structure 3 The removal of asbestos from any goods products or structure 4 The manufacture sale transportation storage or disposal of asbestos or goods or products containing asbestos or 5 Payment for the investigation or defense of any claim or suit or any loss cost expense fine or penalty related to the above exclusions. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By Countersignature by the Broker or Agent shall only occur in the mailing states that require countersignature SNGL 044 0514 Safety National Casualty Corporation Page 1 of 1 | 2 |
POLICY NUMBER GL 4056109 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BOATS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Description of Watercraft Any boat you rent up to 100 feet in length that is operated by a paid crew and is not transporting passengers or property for a charge. Additional Premium Included If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. 1. Exclusion g. of COVERAGE A Section does not apply to any watercraft owned or used by or rented to the insured shown in the Schedule. 2. WHO IS AN INSURED Section Il is amended to include as an insured any person or organization legally re sponsible for the use of any such watercraft you own provided the actual use is with your permission. CG24121185 Copyright Insurance Services Office Inc. 1984 1992 Page 1 of 1 | 2 |
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BROADENED NAMED INSURED ENDORSEMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART CHANGE Throughout this policy the words you and your refer to the Named Insured shown in the Declarations and any subsidiaries affiliated associated controlled or allied companies corporations or firms in which the Named Insured shown in the Declarations owns during the policy period an interest of more than 50 percent. This insurance shall be excess over any other valid and collectible insurance available to the above entities but only to the extent that the amount of loss exceeds the Limits of Insurance for Liability Coverage of the other insurance and then only for an amount not exceeding the difference between any higher applicable Limits of Insurance for Liability Coverage stated in the Declarations of this policy and the Limits of Insurance for Liability Coverage of the other insurance. The first Named Insured shown in the Declarations by acceptance of this policy is authorized to act and agrees to act on behalf of all persons or organizations insured under the policy with respect to all matters pertaining to the insurance afforded by the policy including the provision or receipt of notice of cancellation the payment of premiums and the receiving of return premiums if any. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By Countersignature by the Broker or Agent shall only occur in the mailing states that require countersignature SNGL 048 0514 Safety National Casualty Corporation Page 1 of 1 | 2 |
COMMERCIAL GENERAL LIABILITY CG21700115 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART This endorsement modifies insurance provided under the following OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY. If aggregate insured losses attributable to terrorist acts certified under the federal Terrorism Risk Insurance Act exceed 100 billion in a calendar year and we have met our insurer deductible under the Terrorism Risk Insurance Act we shall not be liable for the payment of any portion of the amount of such losses that exceeds 100 billion and in such case insured losses up to that amount are subject to pro rata allocation in accordance with procedures established by the Secretary of the Treasury. Certified act of terrorism means an act that is certified by the Secretary of the Treasury in accordance with the provisions of the federal Terrorism Risk Insurance Act to be an act of terrorism pursuant to such Act. The criteria contained in the Terrorism Risk Insurance Act for a certified act of terrorism include the following 1. The act resulted in insured losses in excess of 5 million in the aggregate attributable to all types of insurance subject to the Terrorism Risk Insurance Act and 2. The act is a violent act or an act that is dangerous to human life property or infrastructure and is committed by an individual or individuals as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. B. The terms and limitations of any terrorism exclusion or the inapplicability or omission of a terrorism exclusion do not serve to create coverage for injury or damage that is otherwise excluded under this Coverage Part. CG21700115 Insurance Services Office Inc. 2015 Page 1 of 1 | 2 |
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY CO EMPLOYEE EXCLUSION DELETED This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART This endorsement changes the policy effective on the inception date of the policy unless another endorsement effective date is indicated below. CHANGES Section Il Who is an Insured 2. a. 1 a is amended to read a To you to your partners or members if you are a partnership or joint venture to your members if you are a limited liability company or to your other volunteer workers while performing duties related to the conduct of your business Section Il Who is an Insured 2. a. 1 b is amended to read b To the spouse child parent brother or sister of that volunteer worker as a consequence of Paragraph 1a above This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By SNGL 012 1209 Safety National Casualty Corporation Page 1 of 1 | 2 |
COMMON POLICY CHANGE ENDORSEMENT SAFETY NATIONAL CASUALTY CORP ST.LOUIS MO 63146 888 995 5300 Policy Number Effective Date GL 4056109 01012019 Endorsement Number 1201 AM. Standard Time at the described location Named Insured and Address Agent FIRST DATA CORPORATION 5565 GLENRIDGE CONNECTOR NE ATLANTA GA 30342 WILLIS INSURANCE SERVICES OF GEORGIA INC. 5 CONCOURSE PARKWAY 18TH FLOOR ATLANTA GA 30328 Telephone CHANGE DESCRIPTION At your request and as agreed to by us your attached policy is hereby endorsed and amended as follows This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM With respect to coverage provided by this endorsement the provisions of the Coverage Forms apply unless modified by this endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. IONAL CASUALTY CORP 3146 565 GLENRIDGE CONNECTOR NE TLANTA GA 30342 CONCOURSE PARKWAY 18TH FLOOR TLANTA GA 30328 AMENDED OTHER INSURANCE CLAUSE Section 4.b. titled Other Insurance Excess Insurance under SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows Subsection 4.b.1a is deleted in its entirety and replaced by a Any of the other insurance whether primary excess contingent or on any other basis unless such insurance is specifically purchased by you to apply on an excess basis over this policy or you are contractually obligated to provide primary insurance. Subsection 4.b.1ai through iv are deleted in their entirety. Subsection 4.b.1b is deleted in its entirety. Subsection 4.b.2 is deleted in its entirety and replaced by 2 When this insurance is excess we will have no duty under Coverages A or B to defend the insured against any claim or suit if any other insurer has a duty to defend the insured against that claim or suit. If no other insurer defends we will undertake to do so but we will be entitled to the insured s rights against all those other insurers Subsection 3 is deleted in its entirety. GLM 099 1217 Page 1 of 1 IL 10 0512 08 | 2 |
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMPOSITE RATING PLAN PREMIUM ENDORSEMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART The premium for the insurance afforded under this policy will be computed on the basis of the composite rates and basis of premium shown below and in accordance with our rules rates rating plans premiums minimum premium and other terms of the policy. Rates and Premiums Physical Damage Deductible... Comp.Spec. Coverage Vehicle Premium Base Estimated Composite Advafce Causes of Collision Type Base Exposure Rate Premium Loss G 1 Per U.S oenera Employee 13075 3.359 Included Liability Headcount Final Audited TRIA Commercial Included 0.0115 Included General Liability Premium TRIA TRIA This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By Countersignature by the Broker or Agent shall only occur in the mailing states that require countersignature SNGL 045 0514 Safety National Casualty Corporation Page 1 of 1 | 2 |
COMMERCIAL GENERAL LIABILITY CG 21391093 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTUAL LIABILITY LIMITATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART The definition of insured contract in the DEFINI TIONS Section is replaced by the following Insured contract means a. A contract for a lease of premises. However that portion of the contract for a lease of premises that indemnifies any person or organization for dam age by fire to premises while rented to you or tem porarily occupied by you with permission of the owner is not an insured contract b. A sidetrack agreement. Any easement or license agreement except in connection with construction or demolition opera tions on or within 50 feet of a railroad. An obligation as required by ordinance to indem nify a municipality except in connection with work for a municipality. An elevator maintenance agreement. CG 21391093 Copyright Insurance Services Office Inc. 1992 Page 1 of 1 | 2 |
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY DEDUCTIBLE LIABILITY COVERAGE Allocated Loss Adjustment Expenses Within Deductible Paid by You This endorsement modifies insurance provided under the following Coverage Part COMMERCIAL GENERAL LIABILITY LIQUOR LIABILITY OWNERS AND CONTRACTORS PROTECTIVE LIABILITY RAILROAD PROTECTIVE LIABILITY PRODUCTS COMPLETED OPERATIONS LIABILITY POLLUTION LIABILITY UNDERGROUND STORAGE TANK LIABILITY ELECTRONIC DATA LIABILITY PRODUCT WITHDRAWAL SCHEDULE Coverage Bodily Injury Liability wn Amount and Basis of Deductible NA No NA No NA No NA No NA No Coverage Coverage Coverage Coverage Coverage 250000 NA No Coverage 250000 250000 250000 NA No Coverage per claim per occurrence per claim per occurrence per claim per occurrence per claim per any one person or organization per premises or per fire if indicated as such in your policy per person per Property Damage Liability Bodily Injury Liability and Property Damage Liability Combined Personal and Advertising Injury 250000 Damage to Premises Rented to You or Fire Damage if indicated as such in your policy Medical Expenses 250000 Other NA No Coverage Coverage Deductible Aggregate NA No Coverage If no entry appears in the Schedule above information required to complete this endorsement will be shown in the Declarations as applicable to this Endorsement. SNGL 018 0210 Safety National Casualty Corporation Page 1 0of 3 | 2 |
The Policy is changed as follows DEDUCTIBLE A Our obligation under the Policy to pay damages on behalf of any insured applies only to the amount of damages in excess of any deductible amounts stated in the above Schedule as applicable to such coverages. The Limits of Insurance set forth in the Declarations applicable to this Endorsement for such coverages will be reduced by the amount of such deductible excluding Allocated Loss Adjustment Expenses within deductible paid by you. The Aggregate Limits of Insurance stated in the Declarations of the Policy for such coverages shall be reduced by the application of such deductible amount excluding Allocated Loss Adjustment Expenses within deductible paid by you. If the policy period is longer than one year the Deductible Aggregate amount applies separately to each policy year. Each policy year begins with the inception or anniversary date of the policy and ends at the earlier of the next anniversary date or the expiration of the policy. The terms of this insurance including those with respect to 1. Ourright and duty to defend any suit seeking those damages and 2. Your duties in the event of an occurrence claim or suit apply irrespective of the application of the deductible amount. The deductible amounts stated in the above Schedule on a per claim basis a per occurrence basis per any one person or organization basis per premises or per fire if indicated as such in your policy basis and as an Aggregate apply as follows 1. PER CLAIM BASIS if the deductible is on a per claim basis the deductible amount applies a. Under the Bodily Injury Liability or Property Damage Liability coverage respectively i To all damages because of bodily injury sustained by one person or i To all damages because of property damage sustained by one person or organization as the result of any one occurrence. b. Under Bodily Injury Liability and Property Damage Liability coverage combined to all damages because of bodily injury and property damage sustained by one person or organization as the result of any one occurrence. c. Under the Personal and Advertising Injury coverage to all damages because of all personal injury and all advertising injury or personal and advertising injury if defined as such in your policy sustained by one person or organization. 2. PER OCCURRENCE BASIS if the deductible is on a per occurrence basis the deductible amount applies a. Under Bodily Injury Liability or Property Damage Liability Coverage respectively i To all damages because of bodily injury as the result of any one occurrence or i To all damages because of property damage as the result of any one occurrence regardless of the number of persons or organizations who sustain damages because of that occurrence. b. Under Bodily Injury Liability and Property Damage Liability Coverage combined to all damages because of bodily injury and property damage as the result of any one occurrence regardless of the number of persons or organizations who sustain damages because of that occurrence. SNGL 018 0210 Safety National Casualty Corporation Page 2 of 3 | 2 |
3. DEDUCTIBLE AGGREGATE If a Deductible Aggregate is shown in the above Schedule a. When as a result of the application of deductibles the total of all deductibles paid by you exceeds the amount shown as Deductible Aggregate in the above Schedule we will then pay for all damages that would otherwise be payable without applying any further deductibles but the amount we will pay is limited as described under all provisions of the Policy applying to the Limits of Insurance. b. The Deductible Aggregate amount applies separately to each Policy year. Each Policy year i begins with the inception or anniversary date of the Policy and i ends at the next anniversary date or the expiration of the Policy. ALLOCATED LOSS ADJUSTMENT EXPENSES Allocated Loss Adjustment Expenses for claims within the Deductible amount shall be paid by you and shall reduce the Deductible amount stated in the above Schedule. After the Deductible amount has been exceeded by your payments of claims and related Allocated Loss Adjustment Expenses or after exhaustion of any Deductible Aggregate we shall pay all Allocated Loss Adjustment Expenses. Allocated Loss Adjustment Expenses shall not reduce the applicable Limit of Insurance shown in the policy. Allocated Loss Adjustment Expenses is defined as those expenses under the Supplementary Payments section of the policy which we directly allocate to a particular claim or suit. OUR RIGHT TO REIMBURSEMENT When we pay all or any part of any Deductible shown in the Schedule you must promptly reimburse us for a the Deductible or that part of the Deductible amount paid by us and b all related Allocated Loss Adjustment Expenses within the Deductible amount we incur in accordance with Section Il thereof. If we require collateral or other security to secure deductible amounts and other obligations under the Deductible Liability Coverage Endorsement you shall provide such collateral or other security in the amount and form as we may determine. Upon notification of payment by us you will promptly reimburse us for any such amounts that we have paid. If you fail to reimburse us or fail to provide us with any security or collateral in an amount or form as we may require we may treat such failure as non payment of premium and we may at our option cancel this Policy by mailing or delivering to you not less than ten days advance written notice stating when the cancellation is to take effect. Any resulting return premium may be applied to the reimbursement amounts due. We may mutually agree upon a final payment amount to satisfy your present and future payment obligations under this Deductible Liability Coverage Endorsement. Payment by you of such amount will end your obligations to make payments to us under that endorsement. All other terms conditions and exclusions of the policy including any other endorsements thereto not inconsistent with the provisions of this endorsement remain in full force and effect. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By SNGL 018 0210 Safety National Casualty Corporation Page 3 of 3 | 2 |
POLICY NUMBER GL 4056109 FOLICY NUMBERD GL 4056109 IL 09 850115 THIS ENDORSEMENT IS ATTACHED TO AND MADE PART OF YOUR POLICY IN RESPONSE TO THE DISCLOSURE REQUIREMENTS OF THE TERRORISM RISK INSURANCE ACT. THIS ENDORSEMENT DOES NOT GRANT ANY COVERAGE OR CHANGE THE TERMS AND CONDITIONS OF ANY COVERAGE UNDER THE POLICY. DISCLOSURE PURSUANT TO TERRORISM RISK INSURANCE ACT SCHEDULE SCHEDULE PART Terrorism Premium Certified 505 Acts This premium is the total Certified Acts premium attributable to the following Coverage Parts Coverage Forms andor Policyies Additional information if any concerning the terrorism premium SCHEDULE PART Il Federal share of terrorism losses Year 20 Refer to Paragraph B. in this endorsement. Federal share of terrorism losses Year 20 Refer to Paragraph B. in this endorsement. Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Disclosure Of Premium In accordance with the federal Terrorism Risk Insurance Act we are required to provide you with a notice disclosing the portion of your premium if any attributable to coverage for terrorist acts certified under the Terrorism Risk Insurance Act. The portion of your premium attributable to such coverage is shown in the Schedule of this endorsement or in the policy Declarations. cts his premium is the total Certified Acts premium attributable to the following Coverage Parts overage Forms andor Policyies dditional information if any concerning the terrorism premium Year 20 Year 20 Insurance Services Office Inc. 2015 Page 1 of 2 IL 09 850115 | 2 |
B. Disclosure Of Federal Parti ipation In Payment Of Terrorism Losses The United States Government Department of the Treasury will pay a share of terrorism losses insured under the federal program. The federal share equals a percentage as shown in Part Il of the Schedule of this endorsement or in the policy Declarations of that portion of the amount of such insured losses that exceeds the applicable insurer retention. However if aggregate insured losses attributable to terrorist acts certified under the Terrorism Risk Insurance Act exceed 100 billion in a calendar year the Treasury shall not make any payment for any portion of the amount of such losses that exceeds 100 billion. C. Cap On Insurer Participation In Payment Of Terrorism Losses If aggregate insured losses attributable to terrorist acts certified under the Terrorism Risk Insurance Act exceed 100 billion in a calendar year and we have met our insurer deductible under the Terrorism Risk Insurance Act we shall not be liable for the payment of any portion of the amount of such losses that exceeds 100 billion and in such case insured losses up to that amount are subject to pro rata allocation in accordance with procedures established by the Secretary of the Treasury. Page 2 of 2 Insurance Services Office Inc. 2015 IL 09850115 | 2 |
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ERISA EXCLUSION This endorsement modifies insurance provided under the following Coverage Part COMMERCIAL GENERAL LIABILITY CHANGES This policy shall not apply to claims for which the insured is liable because of liability imposed by the Employment Retirement Income Security Act of 1974 ERISA including subsequent amendments or any similar federal state or local law or regulation. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By SNGL 002 0908 Safety National Casualty Corporation Page 1 of 1 | 2 |
POLICY NUMBER GL 4056109 ICY NUMBER GL 4056109 COMMERCIAL GENERAL LIABILITY CG 02241093 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EARLIER NOTICE OF CANCELLATION PROVIDED BY US This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Number of Days Notice 90 days except 10 days notice for non payment of premium where allowed by state law. If no entry appears above information required to complete this Schedule will be shown in the Declarations as applicable to this endorsement. For any statutorily permitted reason other than nonpayment of premium the number of days required for notice of cancellation as provided in paragraph 2. of either the CANCELLATION Common Policy Condition or as amended by an applicable state cancellation endorsement is increased to the number of days shown in the Schedule above. CG 02241093 Copyright Insurance Services Office Inc. 1992 Page 1 of 1 | 2 |
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EARLIER NOTICE OF NONRENEWAL This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART CHANGE If we decide not to renew this policy the minimum number of days for notice of nonrenewal as provided by the policy or any applicable state nonrenewal endorsement is increased to 90 days. If any applicable state nonrenewal endorsement provides for more than the specified number of days notice of nonrenewal shown above this provision shall not apply. This earlier notice of nonrenewal shall be void if we do not receive adequate renewal information needed to underwrite the renewal of the account prior to the above specified time frame for providing notice of nonrenewal. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By Countersignature by the Broker or Agent shall only occur in the mailing states that require countersignature SNGL 049 0514 Safety National Casualty Corporation Page 1 of 1 | 2 |
POLICY NUMBER GL 4056109 POLICY NUMBER GL 4056109 COMMERCIAL GENERAL LIABILITY CG 04351207 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EMPLOYEE BENEFITS LIABILITY COVERAGE THIS ENDORSEMENT PROVIDES CLAIMS MADE COVERAGE. PLEASE READ THE ENTIRE ENDORSEMENT CAREFULLY. This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Each Employee Coverage Limit Of Insurance Deductible Premium Employee Benefits 1000000 each employee Programs 250000 Included 2000000 aggregate Retroactive Date 112005 Information required to complete this Schedule if not shown above will be shown in the Declarations. A. The following is added to Section Coverages No other obligation or liability to pay sums COVERAGE EMPLOYEE BENEFITS or perform acts or services is covered un less explicitly provided for under Sup LIABILITY plementary Payments. 1. Insuring Agreement b. This insurance applies to damages only if a. We will pay those sums that the insured becomes legally obligated to pay as dam ages because of any act error or omission of the insured or of any other person for whose acts the insured is legally liable to which this insurance applies. We will have the right and duty to defend the insured against any suit seeking those damages. However we will have no duty to defend the insured against any suit seeking dam ages to which this insurance does not ap ply. We may at our discretion investigate any report of an act error or omission and settle any claim or suit that may result. But 1 The amount we will pay for damages is limited as described in Paragraph D. Section lll Limits Of Insurance and 2 Our right and duty to defend ends when we have used up the applicable limit of insurance in the payment of judgments or settlements. 1 The act error or omission is negligently committed in the administration of your employee benefit program 2 The act error or omission did not take place before the Retroactive Date if any shown in the Schedule nor after the end of the policy period and A claim for damages because of an act error or omission is first made against any insured in accordance with Paragraph c. below during the policy period or an Extended Reporting Period we provide under Paragraph F. of this endorsement.. A claim seeking damages will be deemed to have been made at the earlier of the fol lowing times 1 When notice of such claim is received and recorded by any insured or by us whichever comes first or CG 04351207 1SO Properties Inc. 2006 Page 1 of 6 | 2 |
2 When we make settlement in accord ance with Paragraph a. above. A claim received and recorded by the in sured within 60 days after the end of the policy period will be considered to have been received within the policy period if no subsequent policy is available to cover the claim. d. All claims for damages made by an em ployee because of any act error or omission or a series of related acts errors or omissions including damages claimed by such employee s dependents and benefi ciaries will be deemed to have been made at the time the first of those claims is made against any insured.. Exclusions This insurance does not apply to a. Dishonest Fraudulent Criminal Or Malicious Act Damages arising out of any intentional dis honest fraudulent criminal or malicious act error or omission committed by any in sured including the willful or reckless viola tion of any statute. b. Bodily Injury Property Damage Or Personal And Advertising Injury Bodily injury property damage or per sonal and advertising injury. c. Failure To Perform A Contract Damages arising out of failure of per formance of contract by any insurer. d. Insufficiency Of Funds Damages arising out of an insufficiency of funds to meet any obligations under any plan included in the employee benefit pro gram. e. Inadequacy Of Performance Of Investment Advice Given With Respect To Participation Any claim based upon 1 Failure of any investment to perform 2 Errors in providing information on past performance of investment vehicles or 3 Advice given to any person with respect to that person s decision to participate or not to participate in any plan included in the employee benefit program. f. Workers Compensation And Similar Laws Any claim arising out of your failure to comply with the mandatory provisions of any workers compensation unemployment compensation insurance social security or disability benefits law or any similar law. g. ERISA Damages for which any insured is liable because of liability imposed on a fiduciary by the Employee Retirement Income Secu rity Act of 1974 as now or hereafter amended or by any similar federal state or local laws. h. Available Benefits Any claim for benefits to the extent that such benefits are available with reasonable effort and cooperation of the insured from the applicable funds accrued or other col lectible insurance. i. Taxes Fines Or Penalties Taxes fines or penalties including those imposed under the Internal Revenue Code or any similar state or local law. j. Employment Related Practices Damages arising out of wrongful termina tion of employment discrimination or other employment related practices. B. For the purposes of the coverage provided by this endorsement 1. All references to Supplementary Payments Coverages A and B are replaced by Supple mentary Payments overages A B and Em ployee Benefits Liability. 2. Paragraphs 1.b. and 2. of the Supplementary Payments provision do not apply. C. For the purposes of the coverage provided by this endorsement Paragraphs 2. and 3. of Section Il Who Is An Insured are replaced by the following 2. Each of the following is also an insured a. Each of your employees who is or was authorized to administer your employee benefit program. b. Any persons organizations or employees having proper temporary authorization to administer your employee benefit program if you die but only until your legal repre sentative is appointed. e of per ficiency of Page 2 of 6 1SO Properties Inc. 2006 CG 04351207 | 2 |
c. Your legal representative if you die but only with respect to duties as such. That repre sentative will have all your rights and duties under this Endorsement. 3. Any organization you newly acquire or form other than a partnership joint venture or limited liability company and over which you maintain ownership or majority interest will qualify as a Named Insured if no other similar insurance applies to that organization. However a. Coverage under this provision is afforded only until the 90th day after you acquire or form the organization or the end of the poli cy period whichever is earlier. b. Coverage under this provision does not apply to any act error or omission that was committed before you acquired or formed the organization. The Limits of Insurance of this endorsement apply separately to each consecutive annual period and to any remaining period of less than 12 months starting with the beginning of the policy period shown in the Declarations of the policy to which this endorsement is attached unless the policy period is extended after issu ance for an additional period of less than 12 months. In that case the additional period will be deemed part of the last preceding period for purposes of determining the Limits Of Insur ance.. Deductible a. Our obligation to pay damages on behalf of the insured applies only to the amount of damages in excess of the deductible amount stated in the Schedule as applica ble to Each Employee. The limits of insur ance shall not be reduced by the amount of D. For the purposes of the coverage provided by this endorsement Section Ill Limits Of Insurance is replaced by the following 1. Limits Of Insurance this deductible. b. The deductible amount stated in the Schedule applies to all damages sustained a. The Limits of Insurance shown in the Schedule and the rules below fix the most we will pay regardless of the number of 1 Insureds 2 Claims made or suits brought 3 Persons or organizations claims or bringing suits 4 Acts errors or omissions or 5 Benefits included benefit program. b. The Aggregate Limit is the most we will pay for all damages because of acts errors or omissions negligently committed in the administration of your employee benefit program. c. Subject to the Aggregate Limit the Each Employee Limit is the most we will pay for all damages sustained by any one em ployee including damages sustained by such employee s dependents and benefi ciaries as a result of 1 An act error or omission or 2 A series of related acts errors or omis sions negligently committed in the administra tion of your employee benefit program. However the amount paid under this endorsement shall not exceed and will be subject to the limits and restrictions that apply to the payment of benefits in any plan included in the employee benefit program. making in your employee by any one employee including such employee s dependents and beneficiaries because of all acts errors or omissions to which this insurance applies. c. The terms of this insurance including those with respect to 1 Our right and duty to defend any suits seeking those damages and 2 Your duties and the duties of any other involved insured in the event of an act error or omission or claim apply irrespective of the application of the deductible amount. d. We may pay any part or all of the deducti ble amount to effect settlement of any claim or suit and upon notification of the action taken you shall promptly reimburse us for such part of the deductible amount as we have paid. E. For the purposes of the coverage provided by this endorsement Conditions 2. and 4. of Section IV Commercial General Liability Conditions are replaced by the following 2. Duties In The Event Of An Act Error Or Omission Or Claim Or Suit a. You must see to it that we are notified as soon as practicable of an act error or omis sion which may result in a claim. To the extent possible notice should include 1 What the act error or omission was and when it occurred and CG 04351207 1SO Properties Inc. 2006 Page 3 of 6 | 2 |
2 The names and addresses of anyone who may suffer damages as a result of the act error or omission. b. If a claim is made or suit is brought against any insured you must 1 Immediately record the specifics of the claim or suit and the date received and 2 Notify us as soon as practicable. You must see to it that we receive written notice of the claim or suit as soon as practicable. c. You and any other involved insured must 1 Immediately send us copies of any demands notices summonses or legal papers received in connection with the claim or suit 2 Authorize us to obtain records and other information Cooperate with us in the investigation or settlement of the claim or defense against the suit and Assist us upon our request in the en forcement of any right against any per son or organization which may be liable to the insured because of an act error or omission to which this insurance may also apply. 4 d. No insured will except at that insured s own cost voluntarily make a payment assume any obligation or incur any expense without our consent.. Other Insurance If other valid and collectible insurance is avail able to the insured for a loss we cover under this endorsement our obligations are limited as follows a. Primary Insurance This insurance is primary except when Par agraph b. below applies. If this insurance is primary our obligations are not affected un less any of the other insurance is also pri mary. Then we will share with all that other insurance by the method described in Par agraph c. below. b. Excess Insurance 1 This insurance is excess over any of the other insurance whether primary ex cess contingent or on any other basis that is effective prior to the beginning of the policy period shown in the Schedule of this insurance and that applies to an act error or omission on other than a claims made basis if a No Retroactive Date is shown in the Schedule of this insurance or b The other insurance has a policy period which continues after the Ret roactive Date shown in the Schedule of this insurance. 2 When this insurance is excess we will have no duty to defend the insured against any suit if any other insurer has a duty to defend the insured against that suit. If no other insurer defends we will undertake to do so but we will be entitled to the insured s rights against all those other insurers. 3 When this insurance is excess over other insurance we will pay only our share of the amount of the loss if any that exceeds the sum of the total amount that all such other insurance would pay for the loss in absence of this insurance and the total of all deductible and self insured amounts under all that other insurance. 4 We will share the remaining loss if any with any other insurance that is not de scribed in this Excess Insurance provi sion and was not bought specifically to apply in excess of the Limits of Insur ance shown in the Schedule of this en dorsement. c. Method Of Sharing If all of the other insurance permits contri bution by equal shares we will follow this method also. Under this approach each in surer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains whichever comes first. If any of the other insurance does not per mit contribution by equal shares we will contribute by limits. Under this method each insurer s share is based on the ratio of its applicable limits of insurance to the total applicable limits of insurance of all insurers. Page 4 of 6 1SO Properties Inc. 2006 CG 04351207 | 2 |
F. For the purposes of the coverage provided by this endorsement the following Extended Reporting Period provisions are added or if this endorse ment is attached to a claims made Coverage Part replaces any similar Section in that Coverage Part EXTENDED REPORTING PERIOD 1. You will have the right to purchase an Extend ed Reporting Period as described below if a. This endorsement is canceled or not re newed or b. We renew or replace this endorsement with insurance that 1 Has a Retroactive Date later than the date shown in the Schedule of this en dorsement or 2 Does not apply to an act error or omis sion on a claims made basis. 2. The Extended Reporting Period does not ex tend the policy period or change the scope of coverage provided. It applies only to claims for acts errors or omissions that were first committed before the end of the policy period but not before the Retroactive Date if any shown in the Schedule. Once in effect the Ex tended Reporting Period may not be canceled. 3. An Extended Reporting Period of five years is available but only by an endorsement and for an extra charge. You must give us a written request for the en dorsement within 60 days after the end of the policy period. The Extended Reporting Period will not go into effect unless you pay the addi tional premium promptly when due. We will determine the additional premium in accordance with our rules and rates. In doing s0 we may take into account the following a. The employee benefit programs insured b. Previous types and amounts of insurance c. Limits of insurance available under this endorsement for future payment of damage es and d. Other related factors. The additional premium will not exceed 100 of the annual premium for this endorsement. The Extended Reporting Period endorsement applicable to this coverage shall set forth the terms not inconsistent with this Section appli cable to the Extended Reporting Period include ing a provision to the effect that the insurance afforded for claims first received during such period is excess over any other valid and col lectible insurance available under policies in force after the Extended Reporting Period starts.. If the Extended Reporting Period is in effect we will provide an extended reporting period aggregate limit of insurance described below but only for claims first received and recorded during the Extended Reporting Period. The extended reporting period aggregate limit of insurance will be equal to the dollar amount shown in the Schedule of this endorsement under Limits of Insurance. Paragraph D.1.b. of this endorsement will be amended accordingly. The Each Employee Limit shown in the Schedule will then continue to apply as set forth in Paragraph D.1.c. G. For the purposes of the coverage provided by this endorsement the following definitions are added to the Definitions Section 1. Administration means a. Providing information to employees including their dependents and beneficiaries with respect to eligibility for or scope of employee benefit programs b. Handling records in connection with the employee benefit program or c. Effecting continuing or terminating any employee s participation in any benefit included in the employee benefit program. However administration does not include handling payroll deductions.. Cafeteria plans means plans authorized by applicable law to allow employees to elect to pay for certain benefits with pre tax dollars.. Claim means any demand or suit made by an employee or an employee s dependents and beneficiaries for damages as the result of an act error or omission. CG 04351207 1SO Properties Inc. 2006 Page 5 of 6 | 2 |
4. Employee benefit program means a program providing some or all of the following benefits to employees whether provided through a cafeteria plan or otherwise a. Group life insurance group accident or health insurance dental vision and hearing plans and flexible spending accounts pro vided that no one other than an employee may subscribe to such benefits and such benefits are made generally available to those employees who satisfy the plan s el igibility requirements b. Profit sharing plans employee savings plans employee stock ownership plans pension plans and stock subscription plans provided that no one other than an em ployee may subscribe to such benefits and such benefits are made generally available to all employees who are eligible under the plan for such benefits c. Unemployment insurance social security benefits workers compensation and disa bility benefits d. Vacation plans including buy and sell pro grams leave of absence programs includ ing military maternity family and civil leave tuition assistance plans transporta tion and health club subsidies and e. Any other similar benefits designated in the Schedule or added thereto by endorse ment. H. For the purposes of the coverage provided by this endorsement Definitions 5. and 18. in the Defini tions Section are replaced by the following 18. Employee means a person actively em ployed formerly employed on leave of ab sence or disabled or retired. Employee in cludes a leased worker. Employee does not include a temporary worker. Suit means a civil proceeding in which dam ages because of an act error or omission to which this insurance applies are alleged. Suit includes a. An arbitration proceeding in which such damages are claimed and to which the in sured must submit or does submit with our consent or b. Any other alternative dispute resolution proceeding in which such damages are claimed and to which the insured submits with our consent. Page 6 of 6 1SO Properties Inc. 2006 CG 04351207 | 2 |
COMMERCIAL GENERAL LIABILITY CG 21471207 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EMPLOYMENT RELATED PRACTICES EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability This insurance does not apply to Bodily injury to 1 A person arising out of any a Refusal to employ that person b Termination of that person s employment or c Employment related practices policies acts or omissions such as coercion demotion evaluation reassignment discipline defamation harassment humiliation discrimination or malicious pro secution directed at that person or 2 The spouse child parent brother or sister of that person as a consequence of bodily injury to that person at whom any of the employment related practices described in Paragraphs a b or c above is directed. This exclusion applies 1 Whether the injury causing event described in Paragraphs a b or c above occurs before employment during employment or after em ployment of that person 2 Whether the insured may be liable as an em ployer or in any other capacity and 3 To any obligation to share damages with or re pay someone else who must pay damages be cause of the injury. B. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage B Person al And Advertising Injury Liability This insurance does not apply to Personal and advertising injury to 1 A person arising out of any a Refusal to employ that person b Termination of that person s employment or c Employment related practices policies acts or omissions such as coercion demotion evaluation reassignment discipline defamation harassment humiliation discrimination or malicious pro secution directed at that person or 2 The spouse child parent brother or sister of that person as a consequence of personal and advertising injury to that person at whom any of the employment related practices de scribed in Paragraphs a b or c above is directed. This exclusion applies 1 Whether the injury causing event described in Paragraphs a b or c above occurs before employment during employment or after em ployment of that person 2 Whether the insured may be liable as an em ployer or in any other capacity and 3 To any obligation to share damages with or re pay someone else who must pay damages be cause of the injury. CG 21471207 1SO Properties Inc. 2006 Page 1 of 1 | 2 |
COMMERCIAL GENERAL LIABILITY CG 21070514 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION ACCESS OR DISCLOSURE OF CONFIDENTIAL OR PERSONAL INFORMATION AND DATA RELATED LIABILITY LIMITED BODILY INJURY EXCEPTION NOT INCLUDED This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Exclusion 2.p. of Section Coverage A B. The following is added to Paragraph 2. Bodily Injury And Property Damage Liability is Exclusions of Section Coverage B replaced by the following Personal And Advertising Injury Liability 2. Exclusions 2. Exclusions This insurance does not apply to This insurance does not apply to p. Access Or Disclosure Of Confidential Or Access Or Disclosure Of Confidential Or Personal Information And Data related Personal Information Liability Personal and advertising injury arising out of Damages arising out of any access to or disclosure of any person s or 1 Any access to or disclosure of any organization s confidential or personal person s or organization s confidential or personal information including patents trade secrets processing methods customer lists financial information credit card information health information or any other type of nonpublic information or The loss of loss of use of damage to corruption of inability to access or inability to manipulate electronic data. information including patents trade secrets processing methods customer lists financial information credit card information health information or any other type of nonpublic information. This exclusion applies even if damages are claimed for notification costs credit monitoring expenses forensic expenses public relations expenses or any other loss cost or expense incurred by you or others arising out of any access to or disclosure of any person s or organization s confidential or personal information. This exclusion applies even if damages are claimed for notification costs credit monitoring expenses forensic expenses public relations expenses or any other loss cost or expense incurred by you or others arising out of that which is described in Paragraph 1 or 2 above. As used in this exclusion electronic data means information facts or programs stored as or on created or used on or transmitted to or from computer software including systems and applications software hard or floppy disks CD ROMs tapes drives cells data processing devices or any other media which are used with electronically controlled equipment. CG 21070514 Insurance Services Office Inc. 2013 Page 1 of 1 | 2 |
POLICY NUMBER GL 4056109 POLICY NUMBER GL 4056109 COMMERCIAL GENERAL LIABILITY CG21160413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION DESIGNATED PROFESSIONAL SERVICES This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Description Of Professional Services 1. Printers Errors Omissions Information required to complete this Schedule if not shown above will be shown in the Declarations. With respect to any professional services shown in the Schedule the following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability and Paragraph 2. Exclusions of Section Coverage B Personal And Advertising Injury Lial y This insurance does not apply to bodily injury property damage or personal and advertising injury due to the rendering of or failure to render any professional service. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others by that insured if the occurrence which caused the bodily injury or property damage or the offense which caused the personal and advertising injury involved the rendering of or failure to render any professional service. CG 21160413 Insurance Services Office Inc. 2012 Page 1 of 1 | 2 |
COMMERCIAL GENERAL LIABILITY CG 223807 98 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION FIDUCIARY OR REPRESENTATIVE LIABILITY OF FINANCIAL INSTITUTIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bod ily Injury And Property Damage Liability This insurance does not apply to bodily injury or property damage arising out of the ownership maintenance or use including all re lated operations of property for which you are acting in a fiduciary or representative capacity. B. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage B Per This insurance does not apply to personal and advertising injury arising out of the ownership maintenance or use including all related operations of property for which you are acting in a fiduciary or representative capacity. CG 22380798 Copyright Insurance Services Office Inc. 1997 Page 1 of 1 m | 2 |
COMMERCIAL GENERAL LIABILITY CG 22480413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION INSURANCE AND RELATED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability and Paragraph 2. Exclusions of Section Coverage B Personal And Advertising Injury Liability This insurance does not apply to bodily injury property damage or personal and advertising injury for which the insured may be held liable 1. Because of a. Any obligation assumed by any insured or b. The failure to discharge or the improper discharge of any obligaton or duty contractual or otherwise with respect to any contract or treaty of insurance reinsurance suretyship annuity endowment or employee benefit plan including applications receipts or binders 2. Because of the membership in or contribution to or management or administration of any insurance plan pool association insolvency or guarantee fund or any similar insurance fund organization or association whether voluntary or involuntary or 3. Resulting from the rendering of or failure to render the following professional services a. Advising inspecting reporting or making recommendations in the insured s capacity as an insurance company consultant broker agent or representative thereof b. Effecting insurance reinsurance or suretyship coverages c. Investigating defending or settling any claim under any contract or treaty of insurance self insurance reinsurance or suretyship d. Auditing or maintaining accounts or records of others e. Conducting an investment loan or real estate department or operations f. Acting in any capacity as a fiduciary or trustee for mutual funds pension or welfare funds annuities endowments employee benefit plans or other similar activities or g. Performing any claim investigative adjustment engineering inspection consulting survey audit appraisal actuarial or data processing service for a fee. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others by that insured if the occurrence which caused the bodily injury or property damage or the offense which caused the personal and advertising injury involved that which is described in Paragraph 1. 2. or 3. roper duty y of nuity uding k. CG 22480413 Insurance Services Office Inc. 2012 Page 1 of 1 | 2 |
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXPECTED OR INTENDED ACTS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE FORM OWNERS CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM RAILROAD PROTECTIVE LIABILITY COVERAGE FORM POLLUTION LIABILITY COVERAGE FORM CHANGE Paragraph 2. Exclusions a. Expected or Intended Injury of the BODILY INJURY AND PROPERTY DAMAGE LIABILITY section within the COVERAGES section of the above referenced forms except the POLLUTION LIABILITY COVERAGE FORM is deleted in its entirety and replaced as follows a. Expected Or Intended Injury Bodily injury or property damage expected or intended from the standpoint of the insured. This exclusion does not apply to bodily injury or property damage resulting from the use of reasonable force to protect persons or property. For the POLLUTION LIABILITY COVERAGE FORM Paragraph 4. Exclusions b. Expected Or Intended Injury of the POLLUTION LIABILITY COVERAGE section is deleted in its entirety and replaced as follows b. Expected Or Intended Injury Bodily injury or property damage expected or intended from the standpoint of the insured. This exclusion does not apply to bodily injury or property damage resulting from the use of reasonable force to protect persons or property. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By SNGL 030 1111 Safety National Casualty Corporation Page 1 of 1 | 2 |
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXTENDED DEFINITION PERSONAL ADVERTISING INJURY This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM CHANGE Item g. of Paragraph 14. Personal and Advertising Injury under SECTION V DEFINITIONS is deleted in its entirety and replaced as follows g. Infringing upon another s copyright trade dress trademark trade name service mark or slogan in your advertisement. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL. 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By SNGL 036 1111 Safety National Casualty Corporation Page 1 of 1 | 2 |
COMMERCIAL GENERAL LIABILITY CG 21671204 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FUNGI OR BACTERIA EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2. B. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liabil 2. Exclusions This insurance does not apply to i Fungi Or Bacts a. Bodily injury or property damage which would not have occurred in whole or in part but for the actual alleged or threatened inhalation of ingestion of con tact with exposure to existence of or pres ence of any fungi or bacteria on or within a building or structure including its contents regardless of whether any other cause event material or product contrib uted concurrently or in any sequence to such injury or damage. b. Any loss cost or expenses arising out of the abating testing for monitoring clean ing up removing containing treating detoxifying neutralizing remediating or dis posing of or in any way responding to or assessing the effects of fungi or bacteria by any insured or by any other person or entity. This exclusion does not apply to any fungi or bacteria that are are on or are contained in a good or product intended for bodily consumption. Exclusions of Section Coverage B Person al And Advertising Injury Liability 2. Exclusions This insurance does not apply to Fungi Or Bacteria a. Personal and advertising injury which would not have taken place in whole or in part but for the actual alleged or threatened inhalation of ingestion of con tact with exposure to existence of or pres ence of any fungi or bacteria on or within a building or structure including its contents regardless of whether any other cause event material or product contrib uted concurrently or in any sequence to such injury. b. Any loss cost or expense arising out of the abating testing for monitoring cleaning up removing containing treating detoxifying neutralizing remediating or dis posing of or in any way responding to or assessing the effects of fungi or bacteria by any insured or by any other person or entity. C. The following definition is added to the Defini tions Section Fungi means any type or form of fungus includ ing mold or mildew and any mycotoxins spores scents or byproducts produced or released by fungi. 1age which wvhole or in alleged or ion of con of or pres on or within cluding its r any other uct contrib equence to ising out of ring clean g treating ating or dis nding to or or bacteria r person or 1 CG21671204 1SO Properties Inc. 2003 Page 1 of 1 | 2 |
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. INCIDENTAL EMERGENCY MEDICAL MALPRACTICE LIABILITY This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE FORM CHANGE SECTION Il WHO IS AN INSURED 2.a.1d is deleted in its entirety and replaced by the following d Arising out of his or her providing or failing to provide professional health care services. However the following Good Samaritan type activities shall not be considered rendering of professional medical health care services and shall not be excluded by this Item Rendering of emergency medical first aid without charge by a nurse paramedic emergency medical technician or a doctor when such services are outside the normal scope of duties such persons performs for you and when rendered by such persons due to the unavailability of other appropriate professional medical or paramedical practitioners at the time of the emergency. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By SNGL 032 1111 Safety National Casualty Corporation Page 1 of 1 | 2 |
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. KNOWLEDGE OF OCCURRENCE This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE FORM LIQUOR LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM RAILROAD PROTECTIVE LIABILITY COVERAGE FORM POLLUTION LIABILITY COVERAGE FORM CHANGE The following is added to the Duties In the Event of Occurrence Offense Injury Pollution Incident Claim or Suit under the CONDITIONS section of the above listed coverage forms Itis agreed that knowledge of an occurrence offense injury pollution incident claim or suit by your agent servant or employee will not in itself be considered to be your knowledge of the occurrence offense claim or suit unless the individuals in the following positions or departments shall have received such notice from the agent servant or employee Knowledge by any person in the Risk Management Department Human Resources Department Law Department or a Corporate Executive that is responsible for receiving or acting on such information. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By SNGL 020 1111 Safety National Casualty Corporation Page 1 of 1 | 2 |
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LEAD CONTAMINATION EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Description of Premises Work or Operations All your premises work and operations. This endorsement applies only with respect to the premises work or operations listed in the Schedule above. If no entry appears in the Schedule this endorsement applies with respect to all premises work and operations. This insurance does not apply to 1. Bodily injury or property damage arising out of the actual or alleged or suspected a. Ingestion inhalation absorption or prolonged physical exposure or threat of exposure to lead in any form or goods or products containing any form of lead b. Use of any form of lead in constructing or manufacturing any good product or structure c. Removal of any form of lead from any good product or structure or d. Manufacture sale transportation storage or disposal of lead or goods or products containing any form of lead 2. Any loss cost or expense arising out of any request demand or order that any insured or others identify abate test for sample monitor clean up remove cover contain treat detoxify decontaminate neutralize or mitigate or in any way respond to or assess the effects of lead or repair replace or improve any property as a result of such effects or 3. Any loss cost or expense arising our of any claim or suit by or on behalf of a governmental authority for damages because of identification of abatement of testing for sampling monitoring cleaning up removing covering containing treating detoxifying decontaminating neutralizing or mitigating or in any way responding to or assessing the effects of lead or repairing replacing or improving any property as a result of such effects. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By Countersignature by the Broker or Agent shall only occur in the mailing states that require countersignature SNGL 043 0514 Safety National Casualty Corporation Page 1 of 1 | 2 |
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. MAJORITY INTEREST BROADENED NAMED INSURED ENDORSEMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART CHANGE Throughout this policy the words you and your refer to the Named Insured shown in the Declarations and any subsidiaries affiliated associated controlled or allied companies corporations or firms in which during the policy period the Named Insured shown in the Declarations owns a majority interest. This insurance shall be excess over any other valid and collectible insurance available to the above entities but only to the extent that the amount of loss exceeds the Limits of Insurance for Liability Coverage of the other insurance and then only for an amount not exceeding the difference between any higher applicable Limits of Insurance for Liability Coverage stated in the Declarations of this policy and the Limits of Insurance for Liability Coverage of the other insurance. The first Named Insured shown in the Declarations by acceptance of this policy is authorized to act and agrees to act on behalf of all persons or organizations insured under the policy with respect to all matters pertaining to the insurance afforded by the policy including the provision or receipt of notice of cancellation the payment of premiums and the receiving of return premiums if any. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By Countersignature by the Broker or Agent shall only occur in the mailing states that require countersignature SNGL 046 0514 Safety National Casualty Corporation Page 1 of 1 | 2 |
IL 00 23 07 02 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT Broad Form This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART SPECIAL PROTECTIVE AND HIGHWAY LIABILITY POLICY NEW YORK DEPARTMENT OF TRANSPORTATION 1. The insurance does not apply C. Under any Liability Coverage to bodily injury A. Under any Liability Coverage to bodily injury or Prtpery fdfimalge resllinl frfcnm hazardous or property damage properties of nuclear material if 1 With respect to which an insured under 1 The nuclear materia a is at any the policy is also an insured under a nucle ar energy liability policy issued by Nuclear Energy Liability Insurance Association Mu tual Atomic Energy Liability Underwriters Nuclear Insurance Association of Canada or any of their successors or would be an insured under any such policy but for its termination upon exhaustion of its limit of liability or Resulting from the hazardous properties of nuclear material and with respect to which a any person or organization is re quired to maintain financial protection pur suant to the Atomic Energy Act of 1954 or any law amendatory thereof or b the insured is or had this policy not been is sued would be entitled to indemnity from the United States of America or any agency thereof under any agreement entered into by the United States of America or any agency thereof with any person or organization. B. Under any Medical Payments coverage to ex penses incurred with respect to bodily injury resulting from the hazardous properties of nuclear material and arising out of the opera tion of a nuclear facility by any person or organization. nuclear facility owned by or operated by or on behalf of an insured or b has been discharged or dispersed therefrom The nuclear material is contained in spent fuel or waste at any time possessed handled used processed stored transported or disposed of by or on behalf of an insured or The bodily injury or property damage arises out of the furnishing by an insured of services materials parts or equipment in connection with the planning construction maintenance operation or use of any nuclear facility but if such fa cility is located within the United States of America its territories or possessions or Canada this exclusion 3 applies only to property damage to such nuclear facility and any property thereat. 2 3. As used in this endorsement Hazardous properties includes radioactive toxic or explosive properties. Nuclear material means source material Special nuclear material or by product material. Under any Liability Coverage to bodily injury or property damage resulting from hazardous properties of nuclear material if 1 The nuclear material a is at any nuclear facility owned by or operated by or on behalf of an insured or b has been discharged or dispersed therefrom 2 The nuclear material is contained in spent fuel or waste at any time possessed handled used processed stored transported or disposed of by or on behalf of an insured or 3 The bodily injury or property damage arises out of the furnishing by an insured of services materials parts or equipment in connection with the planning construction maintenance operation or use of any nuclear facility but if such fa cility is located within the United States of America its territories or possessions or Canada this exclusion 3 applies only to property damage to such nuclear facility and any property thereat.. As used in this endorsement Hazardous properties includes radioactive toxic or explosive properties. Nuclear material means source material Special nuclear material or by product material. 1SO Properties Inc. 2001 Page 1 of 2 IL 00 23 07 02 | 2 |
Source material special nuclear material and by product material have the meanings given them in the Atomic Energy Act of 1954 or in any law amendatory thereof. Spent fuel means any fuel element or fuel component solid or liquid which has been used or exposed to radiation in a nuclear reactor. Waste means any waste material a containing by product material other than the tailings or wastes produced by the extraction or concentra tion of uranium or thorium from any ore pro cessed primarily for its source material content and b resulting from the operation by any per son or organization of any nuclear facility in cluded under the first two paragraphs of the defin ition of nuclear facility. Nuclear facility means a Any nuclear reactor b Any equipment or device designed or used for 1 separating the isotopes of uranium or plutonium 2 processing or utilizing spent fuel or 3 handling processing or packaging waste c Any equipment or device used for the processing fabricating or alloying of special nuclear material if at any time the total amount of such material in the custody of the insured at the premises where such equipment or device is located consists of or contains more than 25 grams of plutonium or uranium 233 or any combination thereof or more than 250 grams of uranium 235 d Any structure basin excavation premises or place prepared or used for the storage or dis posal of waste and includes the site on which any of the forego ing is located all operations conducted on such site and all premises used for such operations. Nuclear reactor means any apparatus designed or used to sustain nuclear fission in a self supporting chain reaction or to contain a critical mass of fissionable material. Property damage includes all forms of radioactive contamination of property. Page 2 of 2 1SO Properties Inc. 2001 IL 00 23 07 02 | 2 |
IL 00 21 07 02 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT Broad Form This endorsement modifies insurance provided under the following COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART PROFESSIONAL LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY 1. The insurance does not apply A. Under any Liability Coverage to bodily injury or property damage 1 With respect to which an insured under the policy is also an insured under a nucle ar energy liability policy issued by Nuclear Energy Liability Insurance Association Mu tual Atomic Energy Liability Underwriters Nuclear Insurance Association of Canada or any of their successors or would be an insured under any such policy but for its ter mination upon exhaustion of its limit of liability or Resulting from the hazardous properties of nuclear material and with respect to which a any person or organization is re quired to maintain financial protection pur suant to the Atomic Energy Act of 1954 or any law amendatory thereof or b the insured is or had this policy not been is sued would be entitled to indemnity from the United States of America or any agency thereof under any agreement entered into by the United States of America or any agency thereof with any person or organization. B. Under any Medical Payments coverage to ex penses incurred with respect to bodily injury resulting from the hazardous properties of nuclear material and arising out of the opera tion of a nuclear facility by any person or organization. C. Under any Liability Coverage to bodily injury or property damage resulting from hazardous properties of nuclear material if 1 The nuclear material a is at any nuclear facility owned by or operated by or on be half of an insured or b has been dis charged or dispersed therefrom 2 The nuclear material is contained in spent fuel or waste at any time possessed handled used processed stored transported or disposed of by or on behalf of an insured or The bodily injury or property damage arises out of the furnishing by an insured of services materials parts or equipment in connection with the planning construction maintenance operation or use of any nuclear facility but if such facil ity is located within the United States of America its territories or possessions or Canada this exclusion 3 applies only to property damage to such nuclear facility and any property thereat. ISO Properties Inc. 2001 Page 1 of 2 IL 00 21 07 02 | 2 |
c d Any equipment or device used for the processing fabricating or alloying of special nuclear material if at any time the total amount of such material in the cus tody of the insured at the premises where such equipment or device is located con sists of or contains more than 25 grams of plutonium or uranium 233 or any combina tion thereof or more than 250 grams of uranium 235 Any structure basin excavation premises or place prepared or used for the storage or disposal of waste and includes the site on which any of the forego ing is located all operations conducted on such site and all premises used for such operations. Nuclear reactor means any apparatus designed or used to sustain nuclear fission in a self supporting chain reaction or to contain a critical mass of fissionable material. Property damage includes all forms of radioact i ve contamination of property. 2. As used in this endorsement Hazardous properties includes radioactive toxic or explosive properties. Nuclear material means source material Special nuclear material or by product material. Source material special nuclear material and by product material have the meanings given them in the Atomic Energy Act of 1954 or in any law amendatory thereof. Spent fuel means any fuel element or fuel component solid or liquid which has been used or exposed to radiation in a nuclear reactor. Waste means any waste material a containing by product material other than the tailings or wastes produced by the extraction or concentra tion of uranium or thorium from any ore processed primarily for its source material content and b resulting from the operation by any person or or ganization of any nuclear facility included under the first two paragraphs of the definiton of nuclear facility. Nuclear facility means a Any nuclear reactor b Any equipment or device designed or used for 1 separating the isotopes of uranium or plutonium 2 processing or utilizing spent fuel or 3 handling processing or packaging waste Page 2 of 2 ISO Properties Inc. 2001 IL 00 21 07 02 | 2 |
IL 00 21 09 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT Broad Form This endorsement modifies insurance provided under the following COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY 1. The insurance does not apply A. Under any Liability Coverage to bodily injury or C. Under any Liability Coverage to bodily injury or property damage resulting from property damage 1 With respect to which an insured under the policy is also an insured under a nuclear en ergy liability policy issued by Nuclear Energy Li ability Insurance Association Mutual Atomic Energy Liability Underwriters Nuclear Insur ance Association of Canada or any of their successors or would be an insured under any such policy but for its termination upon exhaus tion of its limit of liability or 2 Resulting from the hazardous properties of nuclear material and with respect to which a any person or organization is required to main tain financial protection pursuant to the Atomic Energy Act of 1954 or any law amendatory thereof or b the insured is or had this policy not been issued would be entitled to in demnity from the United States of America or any agency thereof under any agreement entered into by the United States of America or any agency thereof with any person or organization. B. Under any Medical Payments coverage to ex penses incurred with respect to bodily injury res ulting from the hazardous properties of nuclear material and arising out of the operation of a nuclear facility by any person or organization. hazardous properties of nuclear material if 1 The nuclear material a is at any nuclear facility owned by or operated by or on behalf of an insured or b has been discharged or dispersed therefrom 2 The nuclear material is contained in spent fuel or waste at any time possessed handled used processed stored transported or disposed of by or on behalf of an insured or The bodily injury or property damage arises out of the furnishing by an insured of services materials parts or equipment in connection with the planning construction maintenance operation or use of any nuclear facility but if such facil ity is located within the United States of America its territories or possessions or Canada this exclusion 3 applies only to property damage to such nuclear facility and any property thereat. 3. As used in this endorsement Hazardous properties includes radioactive toxic or explosive properties. means source material material or by product Nuclear material special nuclear material. 1SO Properties Inc. 2007 Page 1 of 2 IL 00 21 09 08 | 2 |
Source material special nuclear material and by product material have the meanings given them in the Atomic Energy Act of 1954 or in any law amendatory thereof. Spent fuel means any fuel element or fuel component solid or liquid which has been used or exposed to radiation in a nuclear reactor. Waste means any waste material a containing by product material other than the tailings or wastes produced by the extraction or concentra tion of uranium or thorium from any ore pro cessed primarily for its source material content and b resulting from the operation by any per son or organization of any nuclear facility in cluded under the first two paragraphs of the defini tion of nuclear facility. Nuclear facility means a Any nuclear reactor b Any equipment or device designed or used for 1 separating the isotopes of uranium or plutonium 2 processing or utilizing spent fuel or 3 handling processing or packaging waste c Any equipment or device used for the processing fabricating or alloying of special nuclear material if at any time the total amount of such material in the cus tody of the insured at the premises where such equipment or device is located con sists of or contains more than 25 grams of plutonium or uranium 233 or any combina tion thereof or more than 250 grams of uranium 235 d Any structure basin excavation premises or place prepared or used for the storage or disposal of waste and includes the site on which any of the forego ing is located all operations conducted on such site and all premises used for such operations. Nuclear reactor means any apparatus designed or used to sustain nuclear fission in a self supporting chain reaction or to contain a critical mass of fissionable material. Property damage includes all forms of radioact i ve contamination of property. Page 2 of 2 1SO Properties Inc. 2007 IL 00 21 09 08 | 2 |
IL 00 21 05 02 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT Broad Form This endorsement modifies insurance provided under the following COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART FARM COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY 1. The insurance does not apply A. Under any Liability Coverage to bodily injury or property damage 1 With respect to which an insured under the policy is also an insured under a nucle ar energy liability policy issued by Nuclear Energy Liability Insurance Association Mu tual Atomic Energy Liability Underwriters Nuclear Insurance Association of Canada or any of their successors or would be an insured under any such policy but for its termination upon exhaustion of its limit of liability or Resulting from the hazardous properties of nuclear material and with respect to which a any person or organization is re quired to maintain financial protection pur suant to the Atomic Energy Act of 1954 or any law amendatory thereof or b the insured is or had this policy not been is sued would be entitled to indemnity from the United States of America or any agency thereof under any agreement entered into by the United States of America or any agency thereof with any person or organization. B. Under any Medical Payments coverage to ex penses incurred with respect to bodily injury resulting from the hazardous properties of nuclear material and arising out of the opera tion of a nuclear facility by any person or organization. 2. C. Under any Liability Coverage to bodily injury or property damage resulting from hazardous properties of nuclear material if 1 The nuclear material a is at any nuclear facility owned by or operated by or on behalf of an insured or b has been discharged or dispersed therefrom 2 The nuclear material is contained in spent fuel or waste at any time possessed handled used processed stored transported or disposed of by or on behalf of an insured or The bodily injury or property damage arises out of the fumishing by an insured of services materials parts or equipment in connection with the planning construction maintenance op eration or use of any nuclear facility but if such facility is located within the United States of America its territories or pos sessions or Canada this exclusion 3 ap plies only to property damage to such nuclear facility and any property thereat. 3 As used in this endorsement Hazardous properties includes radioactive toxic or explosive properties. Nuclear material means source material Special nuclear material or by product material. 1SO Properties Inc. 2001 Page 1 of 2 IL 00 21 05 02 | 2 |
Source material special nuclear material and by product material have the meanings given them in the Atomic Energy Act of 1954 or in any law amendatory thereof. Spent fuel means any fuel element or fuel component solid or liquid which has been used or exposed to radiation in a nuclear reactor. Waste means any waste material a containing by product material other than the tailings or wastes produced by the extraction or concentration of uranium or thorium from any ore processed primarily for its source material content and b resulting from the operation by any person or organ ization of any nuclear facility included under the first two paragraphs of the definition of nuclear facility. Nuclear facility means a Any nuclear reactor b Any equipment or device designed or used for 1 separating the isotopes of uranium or plutonium 2 processing or utilizing spent fuel or 3 handling processing or packaging waste c Any equipment or device used for the processing fabricating or alloying of special nuclear material if at any time the total amount of such material in the custody of the insured at the premises where such equip ment or device is located consists of or con tains more than 25 grams of plutonium or urani um 233 or any combination thereof or more than 250 grams of uranium 235 Any structure basin excavation premises or place prepared or used for the storage or dis posal of waste and includes the site on which any of the forego ing is located all operations conducted on such site and all premises used for such operations. d Nuclear reactor means any apparatus designed or used to sustain nuclear fission in a self supporting chain reaction or to contain a critical mass of fissionable material. Property damage includes all forms of radioact i ve contamination of property. Page 2 of 2 1SO Properties Inc. 2001 IL 00 21 05 02 | 2 |
COMMERCIAL GENERAL LIABILITY CG22750413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PROFESSIONAL LIABILITY EXCLUSION COMPUTER SOFTWARE This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability and Section Coverage B Personal And Advertising Injury Liability This insurance does not apply to bodily injury property damage or personal and advertising injury arising out of the rendering of or failure to render any service by you or on your behalf in connection with the selling licensing franchising or furnishing of your computer software including electronic data processing programs designs specifications manuals and instructions. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others by that insured if the occurrence which caused the bodily injury or property damage or the offense which caused the personal and advertising injury involved the rendering of or failure to render any service described above. B. With respect to the rendering of or failure to render any service by you or on your behalf in connection with the selling licensing franchising or furnishing of your computer software including electronic data processing programs designs specifications manuals and instructions Exclusion 2.b. Contractual Liability under Section Coverage A Bodily Injury And Property Damage Liability is replaced by the following 2. Exclusions This insurance does not apply to b. Bodily injury or property damage for which the insured is obligated to pay damages by reason of the assumption of liability in a contract or agreement. CG 22750413 Insurance Services Office Inc. 2012 Page 1 of 1 | 2 |
COMMERCIAL GENERAL LIABILITY CG 2196 03 05 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SILICA OR SILICA RELATED DUST EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2. B. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Exclusions of Section Coverage B Person Injury And Property Damage Liability al And Advertising Injury Liability 2. Exclusions 2. Exclusions This insurance does not apply to This insurance does not apply to Silica Or Silica Related Dust Silica Or Silica Related Dust a. Bodily injury arising in whole or in part a. Personal and advertising injury arising in out of the actual alleged threatened or whole or in part out of the actual alleged suspected inhalation of or ingestion of threatened or suspected inhalation of in silica or silica related dust. gestion of contact with exposure to exist b. Property damage arising in whole or in ence of orpresence of silica or silica part out of the actual alleged threatened related dust. or suspected contact with exposure to ex b. Any loss cost or expense arising in whole istence of or presence of silica or silica or in part out of the abating testing for related dust. monitoring cleaning up removing containing treating detoxifying neutralizing remediating or disposing of or in any way responding to or assessing the effects of silica or silica related dust by c. Any loss cost or expense arising in whole or in part out of the abating testing for monitoring cleaning up removing containing treating detoxifying neutralizing remediating or disposing of or any insured or by any other person or in any way responding to or assessing the entity. effects of silica or silica related dust by C. The following definitions are added to the Defini any insured or by any other person or tions Section entity. 1. Silica means silicon dioxide occurring in crystalline amorphous and impure forms silica particles silica dust or silica compounds. 2. Silica related dust means a mixture or com bination of silica and other dust or particles. or in part eatened or gestion of whole or in threatened sure to ex a or silica 1 g in whole testing for removing detoxifying osing of or PP CG 2196 03 05 1SO Properties Inc. 2004 Page 1 of 1 | 2 |
COMMERCIAL GENERAL LIABILITY CG 21651204 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TOTAL POLLUTION EXCLUSION WITH A BUILDING HEATING COOLING AND DEHUMIDIFYING EQUIPMENT EXCEPTION AND A HOSTILE FIRE EXCEPTION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Exclusion f. under Paragraph 2. Exclusions of Sec tion Coverage A Bodily Injury And Property Damage Liability is replaced by the following This insurance does not apply to f. Pollution 1 Bodily injury or property damage which would not have occurred in whole or part but for the actual alleged or threatened discharge dispersal seepage migration release or es 2 An cape of pollutants at any time. This exclusion does not apply to a Bodily injury if sustained within a building which is or was at any time owned or occu pied by or rented or loaned to any insured and caused by smoke fumes vapor or soot produced by or originating from equip b ment that is used to heat cool or dehumidi fy the building or equipment that is used to heat water for personal use by the building s occupants or their guests or Bodily injury or property damage arising out of heat smoke or fumes from a hostile fire unless that hostile fire occurred or originated i At any premises site or location which is or was at any time used by or for any insured or others for the handling storage disposal processing or treat ment of waste or b ij At any premises site or location on which any insured or any contractors or subcontractors working directly or indir ectly on any insured s behalf are per forming operations to test for monitor clean up remove contain treat detoxify neutralize or in any way re spond to or assess the effects of pollutants. 2 Any loss cost or expense arising out of any a b Request demand order or statutory or reg ulatory requirement that any insured or oth ers test for monitor clean up remove contain treat detoxify or neutralize or in any way respond to or assess the effects of pollutants or Claim or suit by or on behalf of a govern mental authority for damages because of testing for monitoring cleaning up removing containing treating detoxifying or neutralizing or in any way responding to or assessing the effects of pollutants. CG 21651204 1SO Properties Inc. 2003 Page 1 of 1 | 2 |
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. UNINTENDED FAILURE TO PROVIDE NOTICE OF OCCURRENCE This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTS COMPLETED OPERATIONS COVERAGE FORM LIQUOR LIABILITY COVERAGE FORM OWNERS CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM RAILROAD PROTECTIVE LIABILITY COVERAGE FORM POLLUTION LIABILITY COVERAGE FORM CHANGE Paragraph 2. Duties in the Event of Occurrence Offense Claim or Suit of the CONDITIONS section of each of the above referenced forms except OWNERS CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM where Paragraph 4. Duties in the Event of Occurrence Offense Claim or Suit applies and RAILROAD PROTECTIVE LIABILITY COVERAGE FORM where Parapraph B. 2. Duties in the Event of Occurrence Offense Claim or Suit applies is amended to add the following e. We will not deny coverage as the result of an unintentional failure meaning no intent to conceal misrepresent or defraud by you to provide notice of an occurrence an offense that may result in a claim a claim or a suit as long as notice is given by you to us as soon as practicable after becoming aware that the coverage afforded by this Coverage Form may apply. Paragraph 2. Duties in the Event of Occurrence Offense Claim or Suit of the CONDITIONS section of the PRODUCTS COMPLETED OPERATIONS COVERAGE FORM is amended to add the following c. We will not deny coverage as the result of an unintentional failure meaning no intent to conceal misrepresent or defraud by you to provide notice of an occurrence an offense that may result in a claim a claim or a suit as long as notice is given by you to us as soon as practicable after becoming aware that the coverage afforded by this Coverage Form may apply. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By SNGL 038 1111 Safety National Casualty Corporation Page 1 of 1 | 2 |
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS OR OCCURRENCES This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE FORM LIQUOR LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM RAILROAD PROTECTIVE LIABILITY COVERAGE FORM POLLUTION LIABILITY COVERAGE FORM CHANGE Paragraph 6. Representations of the CONDITIONS section of each of the above listed coverage forms is amended to add the following Your failure to disclose all hazards or prior occurrences existing as of the inception date of this policy shall not prejudice the coverage afforded by this policy provided such failure to disclose all hazards or prior occurrences is not intentional meaning there is or was no intent to conceal misrepresent or defraud. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By SNGL 021 1111 Safety National Casualty Corporation Page 1 of 1 | 2 |
POLICY NUMBER GL 4056109 CY NUMBER GL 4056109 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization Persons or Organizations as required by written contract when such written contract is executed prior to an occurrence offense or loss to which this endorsement applies. Any individually scheduled Waivers shall not be construed to override nor negate this blanket Waiver. Information required to complete this Schedule if not shown above will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV Conditions We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or your work done under a contract with that person or organization and included in the products completed operations hazard. This waiver applies only to the person or organization shown in the Schedule above. equired by written contract when such r to an occurrence offense or loss to s shall not be construed to override nor CG 24 04 05 09 Insurance Services Office Inc. 2008 Page 1 of 1 | 2 |
POLICY NUMBER GL 4056109 FOLICY NUMBERD GL 4056109 IL 01210908 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ALASKA CHANGES ATTORNEY S FEES This endorsement modifies insurance provided under the following COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL LIABILITY UMBRELLA COVERAGE PART COMMERCIAL PROPERTY LEGAL LIABILITY COVERAGE FORM COMMERCIAL PROPERTY MORTGAGEHOLDER S ERRORS AND OMISSIONS COVERAGE FORM FARM COVERAGE PART FARM UMBRELLA LIABILITY POLICY LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART SCHEDULE Attorney s Fees For A Judgment Of Additional Premium If Any Included Information required to complete this Schedule if not shown above will be shown in the Declarations. In any suit we defend in Alaska our obligation under Supplementary Payments to pay all costs taxed against the insured is amended by the following A We will pay that portion of the attorney s fees awarded as costs which does not exceed the amount allowed for a contested case in the sched ule of attorney s fees contained in Alaska Civil Rule 82 for a judgment equal to the applicable Limit of Insurance. However if a premium and a judgment amount are shown in the Schedule we will pay instead of the attorney s fees provided in Paragraph A. above that portion of the attorney s fees awarded as costs which do not exceed the amount allowed for a contested case in Civil Rule 82 for the judg ment amount shown in the Schedule. Insurance Services Office Inc. 2008 Page 1 of 1 IL 012109 08 | 2 |
IL 02 80 09 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ALASKA CHANGES CANCELLATION AND NONRENEWAL This endorsement modifies insurance provided under the following CAPITAL ASSETS PROGRAM OUTPUT POLICY COVERAGE PART COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL LIABILITY UMBRELLA COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EMPLOYMENT RELATED PRACTICES LIABILITY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART FARM UMBRELLA LIABILITY POLICY LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART A. The Cancellation Common Policy Condition is replaced by the following 1. The first Named Insured shown in the Declarations may cancel this policy by mailing to us advance written notice of cancellation. 2. We may cancel this policy by mailing to you and the agent or broker of record written notice of cancellation. Such notice stating the reason for cancellation must be sent by first class mail at least a. 10 days before the effective date of cancellation if we cancel for 1 Conviction of the insured of a crime having as one of its necessary elements an act increasing a hazard insured against or Fraud or material misrepresentation by the insured or a representative of the insured in obtaining the insurance or by the insured in pursuing a claim under this policy or b. 20 days before the effective date of cancellation if we cancel for 1 Nonpayment of premium or 2 Failure or refusal of the insured to provide the information necessary to confirm exposure or determine the policy premium or c. 60 days before the effective date of cancellation if we cancel for any other reason. 3. We will mail our notice to your last known address and the last known address of the agent or broker of record. 4. Notice of cancellation will state the effective date of cancellation. The policy period will end on that date. 5. A post office certificate of mailing or certified mail receipt will be sufficient proof of mailing of notice. Insurance Services Office Inc. 2008 Page 1 of 2 IL 02 80 09 08 | 2 |
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