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ZURICH. Additional Insured Automatic Owners Lessees Or Contractors Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Addl. Prem Return Prem. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured ECF INC. Address including ZIP Code 1909 WESTGATE DR COLUMBIA IL 62236 This endorsement modifies insurance provided under the Commercial General Liability Coverage Part A. Section Il Who Is An Insured is amended to include as an insured any person or organization who you are required to add as an additional insured on this policy under a written contract or written agreement. However if you have entered into a construction contract or construction agreement with an additional insured person or organization the insurance afforded to such additional insured only applies to the extent permitted by law. B. The insurance provided to the additional insured person or organization applies only to bodily injury property damage or personal and advertising injury covered under Section Coverage A Bodily Injury And Property Damage Liability and Section Coverage B Personal And Advertising Injury 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 and resulting directly from your ongoing operations or your work as included in the products completed operations hazard which is the subject of the written contract or written agreement. C. However regardless of the provisions of Paragraphs A. and B. above 1. We will not extend any insurance coverage to any additional insured person or organization a. That is not provided to you in this policy or b. That is any broader coverage than you are required to provide to the additional insured person or organization in the written contract or written agreement and 2. We will not provide Limits of Insurance to any additional insured person or organization that exceed the lower of a. The Limits of Insurance provided to you in this policy or b. The Limits of Insurance you are required to provide in the written contract or written agreement. D. The insurance provided to the additional insured person or organization does not apply to Bodily injury property damage or personal and advertising injury arising out of the rendering or failure to render any professional architectural engineering or surveying services including 1. The preparing approving or failing to prepare or approve maps shop drawings opinions reports surveys field orders change orders or drawings and specifications and 2. Supervisory inspection architectural or engineering activities. U GL175 E CW 0412 Page 1 of 2 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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E. The following is added to Paragraph 2. Duties In The Event Of Occurrence Offense Claim Or Suit of Section IV Commercial General Liability Conditions The additional insured must see to it that 1. Weare notified as soon as practicable of an occurrence or offense that may result in a claim 2. We receive written notice of a claim or suit as soon as practicable and 3. A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non contributory. F. For the coverage provided by this endorsement 1. The following paragraph is added to Paragraph 4.a. of the Other Insurance Condition of Section IV Commercial General Liability Conditions This insurance is primary insurance as respects our coverage to the additional insured person or organization where the written contract or written agreement requires that this insurance be primary and non contributory with respect to any other policy upon which the additional insured is a Named Insured. In that event we will not seek contribution from any other such insurance policy available to the additional insured on which the additional insured person or organization is a Named Insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV Commercial General Liability Conditions This insurance is excess over Any of the other insurance whether primary excess contingent or on any other basis available to an additional insured in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same occurrence offense claim or suit. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non contributory basis. G. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds and which endorsement applies specifically to that identified additional insured. All other terms and conditions of this policy remain unchanged. U GL1175 E CW 0412 Page 2 of 2 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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Additional Insured Owners Lessees Or Contractors Scheduled Person Or Organization ZURICH Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Addl. Prem Return Prem. GLO 3707241 17 01012020 01012021 37385000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured ECF INC. Address including ZIP Code 1909 WESTGATE DR COLUMBIA IL 62236 3835 This endorsement modifies insurance provided under the Commercial General Liability Coverage Part SCHEDULE Name Of Additional Insured Persons Or Organizations Location And Description Of Covered Operations FLINT HILL RESOURCES LP U GL1177 F CW 0413 Page 1 of 2 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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A. Section Il Who Is An Insured is amended to include as an additional insured the person or organization shown in the Schedule above whom you are required to add as an additional insured on this policy under a written contract or written agreement. Such person or organization is an additional insured 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 or your work as included in the products completed operations hazard which is the subject of the written contract or written agreement at the Location designated and described in the Schedule above. However the insurance afforded to such additional insured 1. Only applies to the extent permitted by law and 2. Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following additional exclusion applies This insurance does not apply to Bodily injury property damage or personal and advertising injury arising out of the rendering or failure to render any professional architectural engineering or surveying services including a. The preparing approving or failing to prepare or approve maps shop drawings opinions reports surveys field orders change orders or drawings and specifications or b. Supervisory inspection architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others by that insured if the occurrence which caused the bodily injury or property damage or the offense which caused the personal and advertising injury involved the rendering of or the failure to render any professional architectural engineering or surveying services. C. The following is added to Paragraph 2. Duties In The Event Of Occurrence Offense Claim Or Suit of Section IV Commercial General Liability Conditions The additional insured must see to it that 1. We are notified as soon as practicable of an occurrence or offense that may result in a claim 2. We receive written notice of a claim or suit as soon as practicable and 3. A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non contributory. D. For the purpose of the coverage provided by this endorsement 1. The following is added to the Other Insurance Condition of Section IV Commercial General Liability Conditions Primary and Noncontributory insurance This Insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that a. The additional insured is a Named Insured under such other insurance and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV Commercial General Liability Conditions This insurance is excess over Any of the other insurance whether primary excess contingent or on any other basis available to an additional insured in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same occurrence offense claim or suit. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non contributory basis. E. With respect to the insurance afforded to the additional insureds under this endorsement the following is added to Section Ill Limits Of Insurance The most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement referenced in Paragraph A. of this endorsement 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. All other terms and conditions of this policy remain unchanged. U GL1177 F CW 0413 Page 2 of 2 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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Additional Insured Owners Lessees Or Contractors Scheduled Person Or Organization ZURICH Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Addl. Prem Return Prem. GLO 3707241 17 01012020 01012021 37385000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured ECF INC. Address including ZIP Code 1909 WESTGATE DR COLUMBIA IL 62236 3835 This endorsement modifies insurance provided under the Commercial General Liability Coverage Part SCHEDULE Name Of Additional Insured Persons Or Organizations Location And Description Of Covered Operations KOCH PIPELINE COMPANY LP U GL1177 F CW 0413 Page 1 of 2 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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A. Section Il Who Is An Insured is amended to include as an additional insured the person or organization shown in the Schedule above whom you are required to add as an additional insured on this policy under a written contract or written agreement. Such person or organization is an additional insured 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 or your work as included in the products completed operations hazard which is the subject of the written contract or written agreement at the Location designated and described in the Schedule above. However the insurance afforded to such additional insured 1. Only applies to the extent permitted by law and 2. Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following additional exclusion applies This insurance does not apply to Bodily injury property damage or personal and advertising injury arising out of the rendering or failure to render any professional architectural engineering or surveying services including a. The preparing approving or failing to prepare or approve maps shop drawings opinions reports surveys field orders change orders or drawings and specifications or b. Supervisory inspection architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others by that insured if the occurrence which caused the bodily injury or property damage or the offense which caused the personal and advertising injury involved the rendering of or the failure to render any professional architectural engineering or surveying services. C. The following is added to Paragraph 2. Duties In The Event Of Occurrence Offense Claim Or Suit of Section IV Commercial General Liability Conditions The additional insured must see to it that 1. We are notified as soon as practicable of an occurrence or offense that may result in a claim 2. We receive written notice of a claim or suit as soon as practicable and 3. A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non contributory. D. For the purpose of the coverage provided by this endorsement 1. The following is added to the Other Insurance Condition of Section IV Commercial General Liability Conditions Primary and Noncontributory insurance This Insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that a. The additional insured is a Named Insured under such other insurance and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV Commercial General Liability Conditions This insurance is excess over Any of the other insurance whether primary excess contingent or on any other basis available to an additional insured in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same occurrence offense claim or suit. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non contributory basis. E. With respect to the insurance afforded to the additional insureds under this endorsement the following is added to Section Ill Limits Of Insurance The most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement referenced in Paragraph A. of this endorsement 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. All other terms and conditions of this policy remain unchanged. U GL1177 F CW 0413 Page 2 of 2 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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ZURICH Illinois Exclusion of Waiver of Kotecki Cap Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Addl. Prem Return Prem. Named Insured Mailing Address Producer THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part The following is added to paragraph f. of SECTION V DEFINITION 9. Insured Contract Paragraph f. does not include that part of any contract or agreement 4 That waives the liability limit afforded under the Illinois Workers Compensation Act. Signed by Authorized Representative Date U GL1267 A IL 052006 Page 1 of 1
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Z ZURICH Limited Operations Coverage Work Excluded Under A Consolidated Wrap Up Insurance Program Policy No. Exp. Date of Pol. Eff. Date of End. Agency No. Addl. Prem. Return Prem. a CS GO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured ECF INC. Address including ZIP Code 1909 WESTGATE DR COLUMBIA IL 62236 3835 This endorsement modifies insurance provided under the Commercial General Liability Coverage Part SCHEDULE Description and Location of Operations ANY LOCATION WHERE THE INSURED HAS OR HAD OPERATIONS INSURED BY A CONSOLIDATED WRAP UP INSURANCE PROGRAM. If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. A. The following exclusion is added to paragraph 2. Exclusions of Coverage A Bodily Injury and Property Damage Liability Section Coverages This insurance does not apply to bodily injury or property damage arising out of either your ongoing opera tions or operations included within the products completed operations hazard at the location described in the SCHEDULE of this endorsement as a consolidated wrap up insurance program has been provided by the prime contractor project manager or owner of the construction project in which you are involved. This exclusion applies whether or not the consolidated wrap up insurance program 1. Provides coverage identical to that provided by this Coverage Part 2. Has limits adequate to cover all claims or 3. Remains in effect. B. The exclusion in A. above shall not apply to your ongoing operations at the location shown in the SCHEDULE for your service maintenance correction repair or replacement of the original work performed and insured under the consolidated wrap up insurance program. U GL1294 A CW 1006 Page 1 of 2
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However this extension of coverage does not apply to damages because of bodily injury or property damage due to any service maintenance correction repair or replacement work 1. as respects the products completed operations hazard or 2. for which coverage is afforded under the consolidated wrap up insurance program. For the application of the coverage provided by this endorsement in paragraph B. above SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONSparagraph 4 Other Insurance is replaced by the following This insurance is excess over any other insurance whether primary excess contingent or on any other ba sis. If any other insurance responds or can respond to this loss we shall have the right but not the duty to defend any suit. 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 1. The total amount that all such other insurance would pay for the loss in the absence of this insurance and 2. The total of all deductible and self insured amounts under all that other insurance. We will share the remaining loss if any with any other insurance that may apply and that was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. Countersigned Authorized Representative U GL1294 A CW 1006 Page 2 of 2
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Z ZURICH Lead Liability Exclusion Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer Addl Prem Return Prem. GLO 3707241 17 01012020 01012021 37385000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part The following exclusion is added to Paragraph 2. Exclusions of Section I Coverage A Bodily Injury And Property Damage Liability and Paragraph 2. Exclusions of Coverage B Personal And Advertising Injury Liability This insurance does not apply to Lead qd 2 3 Bodily injury property damage or personal and advertising injury arising out of resulting from caused by or related to the actual alleged or threatened a Exposure to or existence of lead paint containing lead or any other material product or substance containing lead or b Manufacture distribution sale resale re branding installation repair removal encapsulation abatement replacement or handling of lead paint containing lead or any other material product or substance containing lead whether the lead is or was at any time airborne ingested inhaled absorbed transmitted in any fashion or found in any form whatsoever or whether any other cause event material product or substance contributed concurrently or in any sequence to the injury or damage. Any sums that any insured or other entity must pay repay or reimburse because of any a Request demand order or statutory or regulatory requirement that any insured or others test for sample monitor clean up remove abate cover contain treat mitigate or neutralize lead paint containing lead or any other material product or substance containing lead or in any way respond to or assess the effects of lead in any form or b Claim or suit for damages relating to testing for sampling monitoring cleaning up removing abating covering containing treating mitigating or neutralizing lead paint containing lead or any other material product or substance containing lead or in any way responding to or assessing the effects of lead in any form. Any other loss cost or expense arising out of caused by or relating in any way to lead. U GL 1342 A CW 1007 Page of
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ZURICH Additional Insured Automatic Owners Lessees Or Contractors Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Addl Prem Return Prem GLO 3234490 02 01012021 01012022 28832000 INCL Named Insured ENGINEERING THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Address including ZIP Code AUTOMATION DESIGN INC. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part A. Section Il Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured on this policy under a written contract or written agreement. Such person or organization is an additional insured 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 or your work as included in the products completed operations hazard which is the subject of the written contract or written agreement. However the insurance afforded to such additional insured 1. Only applies to the extent permitted by law and 2. Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following additional exclusion applies This insurance does not apply to Bodily injury property damage or personal and advertising injury arising out of the rendering of or failure to render any professional architectural engineering or surveying services including a. The preparing approving or failing to prepare or approve maps shop drawings opinions reports surveys field orders change orders or drawings and specifications or b. Supervisory inspection architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others by that insured if the occurrence which caused the bodily injury or property damage or the offense which caused the personal and advertising injury involved the rendering of or the failure to render any professional architectural engineering or surveying services. U GL1175 F CW 0413 Page 1 of 2 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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C. The following is added to Paragraph 2. Duties In The Event Of Occurrence Offense Claim Or Suit of Section IV Commercial General Liability Conditions The additional insured must see to it that 1. We are notified as soon as practicable of an occurrence or offense that may result in a claim 2. We receive written notice of a claim or suit as soon as practicable and 3. A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non contributory. D. For the purposes of the coverage provided by this endorsement 1. The following is added to the Other Insurance Condition of Section IV Commercial General Liability Conditions Primary and Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that a. The additional insured is a Named Insured under such other insurance and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV Commercial General Liability Conditions This insurance is excess over Any of the other insurance whether primary excess contingent or on any other basis available to an additional insured in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same occurrence offense claim or suit. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non contributory basis. E. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds and which endorsement applies specifically to that identified additional insured. F. With respect to the insurance afforded to the additional insureds under this endorsement the following is added to Section Ill Limits Of Insurance The most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the written contract or written agreement referenced in Paragraph A. of this endorsement 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. All other terms and conditions of this policy remain unchanged. U GL1175 F CW 0413 Page 2 of 2 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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Z ZURICH Limited Operations Coverage Work Excluded Under A Consolidated Wrap Up Insurance Program Z ZURICH Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Addl. Prem Return Prem. GLO 3234490 02 01012021 01 01 2022 28832000 INCL Address including ZIP Code 3635 S. 149TH ST. OMAHA NE 68144. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured ENGINEERING AUTOMATION DESIGN INC. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part SCHEDULE Description and Location of Operations If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. A. The following exclusion is added to paragraph 2. Exclusions of Coverage A Bodily Injury and Property Damage Liability Section Coverages This insurance does not apply to bodily injury or property damage arising out of either your ongoing operations or operations included within the products completed operations hazard at the location described in the SCHEDULE of this endorsement as a consolidated wrap up insurance program has been provided by the prime contractor project manager or owner of the construction project in which you are involved. This exclusion applies whether or not the consolidated wrap up insurance program 1. Provides coverage identical to that provided by this Coverage Part 2. Has limits adequate to cover all claims or 3. Remains in effect. B. The exclusion in A. above shall not apply to your ongoing operations at the location shown in the SCHEDULE for your service maintenance correction repair or replacement of the original work performed and insured under the consolidated wrap up insurance program. U GL1294 A CW 1006 Page 1 of 2
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However this extension of coverage does not apply to damages because of bodily injury or property damage due to any service maintenance correction repair or replacement work 1. as respects the products completed operations hazard or 2. for which coverage is afforded under the consolidated wrap up insurance program. C. For the application of the coverage provided by this endorsement in paragraph B. above SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS paragraph 4 Other Insurance is replaced by the following This insurance is excess over any other insurance whether primary excess contingent or on any other basis. If any other insurance responds or can respond to this loss we shall have the right but not the duty to defend any suit. 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 1. The total amount that all such other insurance would pay for the loss in the absence of this insurance and 2. The total of all deductible and self insured amounts under all that other insurance. We will share the remaining loss if any with any other insurance that may apply and that was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. Countersigned Authorized Representative U GL1294 A CW 1006 Page 2 of 2
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Z ZURICH Lead Liability Exclusion Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer Addl Prem Return Prem. GLO 3234490 02 01012021 01012022 28832000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part The following exclusion is added to Paragraph 2. Exclusions of Section I Coverage A Bodily Injury And Property Damage Liability and Paragraph 2. Exclusions of Coverage B Personal And Advertising Injury Liability This insurance does not apply to Lead qd 2 3 Bodily injury property damage or personal and advertising injury arising out of resulting from caused by or related to the actual alleged or threatened a Exposure to or existence of lead paint containing lead or any other material product or substance containing lead or b Manufacture distribution sale resale re branding installation repair removal encapsulation abatement replacement or handling of lead paint containing lead or any other material product or substance containing lead whether the lead is or was at any time airborne ingested inhaled absorbed transmitted in any fashion or found in any form whatsoever or whether any other cause event material product or substance contributed concurrently or in any sequence to the injury or damage. Any sums that any insured or other entity must pay repay or reimburse because of any a Request demand order or statutory or regulatory requirement that any insured or others test for sample monitor clean up remove abate cover contain treat mitigate or neutralize lead paint containing lead or any other material product or substance containing lead or in any way respond to or assess the effects of lead in any form or b Claim or suit for damages relating to testing for sampling monitoring cleaning up removing abating covering containing treating mitigating or neutralizing lead paint containing lead or any other material product or substance containing lead or in any way responding to or assessing the effects of lead in any form. Any other loss cost or expense arising out of caused by or relating in any way to lead. U GL 1342 A CW 1007 Page of
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Asbestos Exclusion Endorsement Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer Addl Prem Return Prem. GLO 3234490 02 01012021 01012022 28832000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part The following exclusion is added to paragraph 2. Exclusions of Section I Coverage A Bodily Injury And Property Damage Liability and Coverage B Personal And Advertising Injury Liability 2. Exclusions This insurance does not apply to Asbestos A. C. Any other loss cost or expense ari Bodily injury property damage or personal and advertising injury arising out of or which would not have occurred in whole or in part but for the actual alleged or threatened discharge dispersal release leakage leaching friability flaking escape or presence of asbestos regardless of whether any other cause event material or product contributed concurrently or in any sequence to the injury or damage or Any sums that any insured or other entity must pay repay or reimburse because of any 1. Request demand order statutory or regulatory requirement direction or determination that any insured or others test for investigate monitor clean up remove study contain treat encapsulate control or take any other action regarding asbestos or Claim or suit for damages arising out of or relating in any way to any request demand order statutory or regulatory requirement direction or determination that any insured or others test for investigate monitor clean up remove study contain treat encapsulate control or take any other action regarding asbestos or g out of or relating in any way to asbestos. U GL1178 A CW 0703 Page 1 of 1 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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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 SERVICE PROVIDERS ENVIRONMENTAL COVERAGE FORM SCHEDULE Name Of Additional Insured Persons Or Organizations Location And Description Of Completed Operations Yakima County WA 1128 North 2nd St Yakima WA 98901 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 clean up costs 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 III Limits Of Insurance And Deductible 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. All other terms and conditions remain unchanged. SPE0208 0115 Page 1 of 1 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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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 SERVICE PROVIDERS ENVIRONMENTAL COVERAGE FORM SCHEDULE Name Of Additional Insured Persons Or Organizations Locations Of Covered Operations Yakima County WA 1128 North 2nd St Yakima WA 98901 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 personal and advertising injury or clean up costs 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 property damage or clean up costs occurring after 1. All 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. C. With respect to the insurance afforded to these additional insureds the following is added to Section III Limits Of Insurance And Deductible 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. All other terms and conditions remain unchanged. SPE0209 0115 Page 1 of 1 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON CONTRIBUTORY ENDORSEMENT This endorsement modifies insurance provided under the following SERVICE PROVIDERS ENVIRONMENTAL COVERAGE FORM SCHEDULE Additional Insureds Specified Project or Premises Yakima County WA 1128 North 2nd St Yakima WA 98901 In consideration of the premium charged it is hereby agreed that solely with respect to the specified project or premises shown in the above Schedule of this endorsement and subject to all terms conditions and exclusions of this policy this insurance shall be considered primary to the Additional Insureds listed in the above Schedule. It is also agreed that any other insurance maintained by the additional insureds shown in the Schedule above shall be non contributory. However these considerations will only apply if 1. Other valid and collectible insurance is available to the additional insureds shown in the Schedule above for a loss we cover under this policy and 2. The occurrence pollution condition or wrongful act arises from your sole negligence. All other terms and conditions remain unchanged. SPE0212 0115 Page 1 of 1
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following SERVICE PROVIDERS ENVIRONMENTAL COVERAGE FORM SCHEDULE Name Of Person Or Organization Yakima County WA 128 North 2nd St Yakima WA 98901. Information required to complete this Schedule if not shown above will be shown in the Declarations. In consideration of the premium charged it is hereby agreed that Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us under Section IV Conditions is amended by the addition of the following We waive any right of recovery we may have against the person or organization shown in the above Schedule of this endorsement because of payments we make for injury or damage arising out of your ongoing operations completed 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 above Schedule of this endorsement. All other terms and conditions remain unchanged. SPE0214 0115 Page 1 of 1 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION CROSS SUITS This endorsement modifies insurance provided under the following SERVICE PROVIDERS ENVIRONMENTAL COVERAGE FORM In consideration of the premium charged it is hereby agreed that the following exclusion is added to all coverage parts of this policy other than Coverage E Errors And Omissions Liability This insurance does not apply to any damages defense expenses bodily injury property damage personal and advertising injury clean up costs or any loss cost or expense or any claim or suit Cross Suits Claimed by any Named Insured against another Named Insured. All other terms and conditions remain unchanged. SPE0310 0115 Page 1 of 1
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION ERRORS AND OMISSIONS LIABILITY COVERAGE PART This endorsement modifies insurance provided under the following SERVICE PROVIDERS ENVIRONMENTAL COVERAGE FORM In consideration of the premium charged it is hereby agreed that. Section Coverage E Errors And Omissions Liability is hereby deleted in its entirety and all references to Coverage E within the policy are also deleted. Furthermore no Errors And Omissions Liability coverage is provided under this policy. All other terms and conditions remain unchanged. SPE0313 0115 Page 1 of 1
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WASHINGTON COMMON POLICY CONDITIONS All Coverage Parts included in this policy are subject to the following conditions. The conditions in this endorsement replace any similar conditions in the policy that are less favorable to the insured A. Cancellation 1. The first Named Insured shown in the Declarations may cancel this policy by notifying us or the insurance producer in one of the following ways a. Written notice by mail fax or e mail b. Surrender of the policy or binder or. Verbal notice. Upon receipt of such notice we will cancel this policy or any binder issued as evidence of coverage effective on the later of the following a. The date on which notice is received or the policy or binder is surrendered or b. The date of cancellation requested by the first Named Insured. 2. We may cancel this policy by mailing or delivering to the first Named Insured and the first Named Insured s agent or broker written notice of cancellation including the actual reason for the cancellation to the last mailing address known to us at least a. 10 days before the effective date of cancellation if we cancel for nonpayment of premium or b. 45 days before the effective date of cancellation if we cancel for any other reason 3. We will also mail or deliver to any mortgage holder pledgee or other person shown in this policy to have an interest in any loss which may occur under this policy at their last mailing address known to us written notice of cancellation prior to the effective date of cancellation. This notice will be the same as that mailed or delivered to the first Named Insured. 4. Notice of cancellation will state the effective date of cancellation. The policy period will end on that date. 5. If this policy is cancelled we will send the first Named Insured any premium refund due. If we cancel the refund will be pro rata. If the first Named Insured cancels the refund will be at least 90 of the pro rata refund. The cancellation will be effective even if we have not made or offered a refund. 6. If notice is mailed proof of mailing will be sufficient proof of notice.. Changes The policy contains all the agreements between you and us concerning the insurance afforded. The first Named Insured shown in the Declarations is authorized to make changes in the terms of this policy with our consent. This policy s terms can be amended or waived only by endorsement issued by us and made a part of this policy.. Examination Of Your Books And Records We may examine and audit your books and records as they relate to this policy at any time during the policy period and up to three years afterward. Inspection And Surveys 1. We have the right to a. Make inspections and surveys at any time b. Give you reports on the conditions we find and c. Recommend changes. 2. We are not obligated to make any inspections surveys reports or recommendations and any such actions we do undertake relate only to insurability and the premiums to be charged. We do not make safety inspections. We do not undertake to perform the duty of any person or organization to provide for the health or safety of workers or the public. And we do not warrant that conditions a. Are safe or healthful or b. Comply with laws regulations codes or standards 3. Paragraphs 1. and 2. of this condition apply not only to us but also to any rating advisory rate service or similar organization which makes insurance inspections surveys reports or recommendations. EN0728 0511 Page 1 of 2 Includes copyrighted material of Insurance Service Office Inc. with its permission.
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ZURICH Additional Insured Owners Lessees Or Contractors Scheduled Person Or Organization Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End Producer No. Add. Prem Return Prem. GLO 0144516 01 02272018 02272019 37385000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured EASTON DIAMOND SPORTS LLC Address including ZIP Code 100 DOMAIN DRIVE EXETER NH 03840 This endorsement modifies insurance provided under the Commercial General Liability Coverage Part SCHEDULE Name Of Additional Insured Persons Or Organizations Location And Description Of Covered Operations ALL INSURED LOCATIONS OF WHICH YOU ANY PERSON OR ORGANIZATION TO ARE REQUIRED TO PROVIDE ADDITIONAL WHICH YOU A. Section Il Who Is An Insured is amended to include as an additional insured the person or organization shown in the Schedule above whom you are required to add as an additional insured on this policy under a written contract or written agreement. Such person or organization is an additional insured 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 or your work as included in the products completed operations hazard which is the subject of the written contract or written agreement at the Location designated and described in the Schedule above. However the insurance afforded to such additional insured 1. Only applies to the extent permitted by law and 2. Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following additional exclusion applies This insurance does not apply to U GL1177 F CW 0413 Page 1 of 2 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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Bodily injury property damage or personal and advertising injury arising out of the rendering or failure to render any professional architectural engineering or surveying services including a. The preparing approving or failing to prepare or approve maps shop drawings opinions reports surveys field orders change orders or drawings and specifications or b. Supervisory inspection architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others by that insured if the occurrence which caused the bodily injury or property damage or the offense which caused the personal and advertising injury involved the rendering of or the failure to render any professional architectural engineering or surveying services. C. The following is added to Paragraph 2. Duties In The Event Of Occurrence Offense Claim Or Suit of Section IV Commercial General Liability Conditions The additional insured must see to it that 1. Weare notified as soon as practicable of an occurrence or offense that may result in a claim 2. We receive written notice of a claim or suit as soon as practicable and 3. A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non contributory. D. For the purpose of the coverage provided by this endorsement 1. The following is added to the Other Insurance Condition of Section IV Commercial General Liability Conditions Primary and Noncontributory insurance This Insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that a. The additional insured is a Named Insured under such other insurance and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV Commercial General Liability Conditions This insurance is excess over Any of the other insurance whether primary excess contingent or on any other basis available to an additional insured in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same occurrence offense claim or suit. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non contributory basis. E. With respect to the insurance afforded to the additional insureds under this endorsement the following is added to Section Ill Limits Of Insurance The most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement referenced in Paragraph A. of this endorsement 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. All other terms and conditions of this policy remain unchanged. U GL1177 F CW 0413 Page 2 of 2 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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Asbestos Exclusion Endorsement Policy No. Eff. Date of Pol. Exp. Date of Pol Eff. Date of End Producer Add Prem Return Prem. GLO 0144516 01 02272018 02272019 37385000 s INCL s THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part The following exclusion is added to paragraph 2. Exclusions of Section I Coverage A Bodily Injury And Property Damage Liability and Coverage B Personal And Advertising Injury Liability 2. Exclusions This insurance does not apply to Asbestos A. Bodily injury property damage or personal and advertising injury arising out of or which would not have occurred in whole or in part but for the actual alleged or threatened discharge dispersal release leakage leaching friability flaking escape or presence of asbestos regardless of whether any other cause event material or product contributed concurrently or in any sequence to the injury or damage or B. Any sums that any insured or other entity must pay repay or reimburse because of any 1. Request demand order statutory or regulatory requirement direction or determination that any insured or others test for investigate monitor clean up remove study contain treat encapsulate control or take any other action re garding asbestos or 2. Claim or suit for damages arising out of or relating in any way to any request demand order statutory or regula tory requirement direction or determination that any insured or others test for investigate monitor clean up re move study contain treat encapsulate control or take any other action regarding asbestos or C. Any other loss cost or expense arising out of or relating in any way to asbestos. U GL1178 A CW 0703 Page lof 1 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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7 ZURICH Welding Health Hazard Exclusion Policy No. Eff. Date of Pol. Exp. Date of Pol Eff. Date of End Producer Add Prem Return Prem. GLO 0144516 01 02272018 02272019 37385000 s INCL s THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part Owners and Contractors Protective Liability Coverage FormCoverage For Operations of Designated Contractor Products Completed Operations Liability Coverage Part Railroad Protective Liability Coverage Form The following additional exclusion is added to 2. Exclusions of Section I. Coverages 2. Exclusions This insurance does not apply to Welding Health Hazard Bodily injury caused directly or indirectly by the actual alleged or threatened inhalation ingestion absorption or ex posure to harmful fumes or gases caused by welding materials and equipment used in connection with the process of welding or fusing together of any metals or other materials. For the purposes of this exclusion the following definition applies Welding materials and equipment means 1 Welding machinery or other welding process equipment 2 Welding rods 3 Electrodes or 4 Any consumable products including but not limited to wires fluxes coatings or cleaning agents. Includes copyrighted material of Insurance Services Office Inc. with its permission. U GL1205 B CW 108 Page of
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ZURICH Deductible Policy No. Eff. Date of Eff. Date of Pol. End. GLO 0144516 01 02272018 Commercial General Li THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the lity Coverage Part Employee Benefits Liability Coverage Part Liquor Liability Coverage Part Stop Gap Employers Liability Coverage Part DEDUCTIBLE SCHEDULE Coverage Deductible Amount Basis Coverage A. Bodily Injury and Property Damage Liability All persons or organizations 50000 Each Occurrence Bodily Injury Liability Only All persons or organizations Each Occurrence Property Damage Liability Only All persons or organizations Each Occurrence Coverage A. Bodily Injury and Property Damage Liability Each Claim Bodily Injury Liability Only Each Claim Property Damage Liability Only Each Claim Coverage B. Personal and Advertising Injury Liability By offense Any one person or organization 50000 Each Claim Coverage C. Medical Payments Any One Person Additional Employee Benefits Liability Each Act Error or Coverage 2500 Omission Additional Liquor Liability Coverage Each Common Cause Additional Stop Gap Employers Liability Each Accident Coverage Stop Gap Employers Liability disease Each Employee Aggregate Deductible Amount Adjustable at a rate of per of Flat Initial Exposure Minimum Aggregate Deductible Amount U GL1326 C CW 102007 Page 1 of 5 rh
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ALLOCATED LOSS ADJUSTMENT EXPENSE SELECTION SCHEDULE Select One Option 1 As respects each Deductible Amount you will reimburse us for all allocated loss adjustment expense even if there is no payment for other than allocated loss adjustment expense. Allocated loss adjustment expense reimbursements will contribute toward your Deductible Amount and your Aggregate Deductible Amount as shown in the Deductible Schedule. Option 2 As respects each Deductible Amount you will reimburse us for allocated loss adjustment expense as follows a If the total amount payable for other than allocated loss adjustment expense as respects the basis for each Deductible Amount is equal to or less than the Deductible Amounts or if there is no amount payable other than allocated loss adjustment expense then you will reimburse us for all allocated loss adjustment expense. Allocated loss adjustment expense reimbursements will not contribute toward either your Deductible Amount or your Aggregate Deductible Amount as shown in the Deductible Schedule or b If the total amount payable for other than allocated loss adjustment expense exceeds the Deductible Amount you will reimburse us a pro rata share of total allocated loss adjustment expense based on the ratio of the Deductible Amount divided by the total amount payable for other than allocated loss adjustment expense as respects the basis for each Deductible Amount. Allocated loss adjustment expense reimbursements will not contribute toward either your Deductible Amount or your Aggregate Deductible Amount as shown in the Deductible Schedule. Option 3 As respects each Deductible Amount you will reimburse us for all allocated loss adjustment expense even if there is no payment for other than allocated loss adjustment expense. Allocated loss adjustment expense reimbursements will not contribute toward either your Deductible Amount or your Aggregate Deductible Amount as shown in the Deductible Schedule. If no option is selected Option 3 will apply. a a eee A. How the Deductible Amount Applies You will reimburse us for the Deductible Amounts shown in the Deductible Schedule and for allocated loss adjustment expenses incurred based on the Allocated Loss Adjustment Expense Selection Schedule. The Deductible Amounts applies as follows 1. If an Each Occurrence Deductible is shown the Deductible Amount applies to all sums payable because of any one Occurrence regardless of the number of persons or organizations who sustain damages because of that Occurrence. 2. If an Each Claim Deductible is shown the Deductible Amount applies to all sums payable for each claim sustained by any one person or organization. a. For Other than Coverage B to all sums payable for each claim sustained by any one person or organization and b. For Coverage B to all damages sustained by any one person or organization as the result of an offense. 3. Medical Payments If an Any One Person limit is shown the Deductible Amount applies to all sums payable to any one person as a result of an accident sustained by that person. U GL1326 C CW 102007 Page 2 of 5
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POLICY NUMBER GLO 0144516 01 POLICY NUMBER GLO 0144516 01 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations Locations Of Covered Operations KBN WASHINGTON LLC A CALIFORNIA LLC. STANLEY BLACK R KAP PROPERTIES DELEWARE L.P. K ASSOCIATES A CALIFORNIA GENERAL PARTNERSHIP AS OWNERS CHARLES DUNN REAL ESTATE L.P. A EASTON BASEBALL AND SOFTBALL INC. 634 CHALLENGER RD. SALT LAKE CITY UT 84116 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. All 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. ALT LAKE CITY UT 84116 CG 20 10 04 13 Insurance Services Office Inc. 2012 Page 1 of 2
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C. With respect to the insurance afforded to these additional insureds the following is added to Section Ill Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2.Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 Insurance Services Office Inc. 2012 CG 20 10 04 13
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POLICY NUMBER GLO 0144516 01 POLICY NUMBER GLO 0144516 01 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations Locations Of Covered Operations THE OFFICE OF THE COMMISSIONER OF BASEBALL ITS BUREAUS COMMITTEES SUBCOMMITTEES AND COUNCILS MLB ADVANCED MEDIA L.P. MAJOR LEAGUE BASEBALL ENTERPRISES INC. MAJOR LEAGUE BASEBALL PROPERTIES INC. RE EASTON BASEBALL AND SOFTBALL INC. LOCATED 634 CHALLENGER RD. SALT LAKE CITY UT 84116 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. 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. All 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. 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. NC. OCATED 634 CHALLENGER RD. ALT LAKE CITY UT 84116.P. MAJOR JOR LEAGUE CG 20 10 04 13 Insurance Services Office Inc. 2012 Page 1 of 2
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C. With respect to the insurance afforded to these additional insureds the following is added to Section Ill Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2.Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 Insurance Services Office Inc. 2012 CG 20 10 04 13
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POLICY NUMBER GLO 0144516 01 POLICY NUMBER GLO 0144516 01 COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 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 RESPECTS TO THE OPERATIONS OF INSURED EASTON BASEBALL SOFTBALL INC. SCOTTSDALE COMMERCE LLC C O MARTIN PROPERTIES INC. 890 HAMPSHIRE RD. SUITE A WESTLAKE VILLAGE CA 91361 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 B. With respect to the insurance afforded to these additional insureds the following is added to 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 on your behalf 1. In the performance of your ongoing operations or 2. In connection with your premises owned by or rented to you. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 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. RESPECTS TO THE OPERATIONS OF INSURED EASTON BASEBALL SOFTBALL IC. SOTTSDALE COMMERCE LLC O MARTIN PROPERTIES INC. 90 HAMPSHIRE RD. SUITE A SSTLAKE VILLAGE CA 91361 3 CG 20 26 04 13 Insurance Services Office Inc. 2012 Page 1 of 1
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POLICY NUMBER GLO 0144516 01 POLICY NUMBER GLO 0144516 01 COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 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 SAFETY EQUIPMENT INSTITUTE 1307 DOLLEY MADISON BLVD SUITE 3A MCLEAN VA 22101 Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by your acts or omissions or the acts or omissions of those acting on your behalf 1. In the performance of your ongoing operations or 2. In connection with your premises owned by or rented to you. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. additional insureds the following is added to Section Ill Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. FETY EQUIPMENT INSTITUTE 307 DOLLEY MADISON BLVD SUITE 3A SLEAN VA 22101 CG 20 26 04 13 Insurance Services Office Inc. 2012 Page 1 of 1
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POLICY NUMBER GLO 0144516 01 POLICY NUMBER GLO 0144516 01 COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 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 THE COLLEGIATE LICENSING COMPANY 290 INTERSTATE NORTH CIRCLE SUITE 200 ATLANTA GA 30339 Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by your acts or omissions or the acts or omissions of those acting on your behalf 1. In the performance of your ongoing operations or 2. In connection with your premises owned by or rented to you. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. additional insureds the following is added to Section Ill Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. iE COLLEGIATE LICENSING COMPANY 90 INTERSTATE NORTH CIRCLE JITE 200 TLANTA GA 30339 CG 20 26 04 13 Insurance Services Office Inc. 2012 Page 1 of 1
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POLICY NUMBER GLO 0144516 01 POLICY NUMBER GLO 0144516 01 COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED DESIGNATED PERSON OR ORG ANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations AS RESPECTS TO THE OPERATIONS OF INSURED EASTON BASEBALL SOFTBALL INC. LEAGUE INTERNATIONAL BASEBALL AND SOFTBALL 539 US ROUTE 15 HWY PO BOX 3485 WILLIAMSPORT PA 17701 0485 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. include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by your acts or omissions or the acts or omissions of those acting on your behalf 1. In the performance of your ongoing operations or 2. In connection with your premises owned by or rented to you. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. With respect to the insurance afforded to these additional insureds the following is added to Section Ill Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. 5 RESPECTS TO THE OPERATIONS OF INSURED EASTON BASEBALL SOFTBALL IC. tSAGUE INTERNATIONAL BASEBALL AND SOFTBALL 39 US ROUTE 15 HWY PO BOX 3485 LLIAMSPORT PA 17701 0485 CG 20 26 04 13 Insurance Services Office Inc. 2012 Page 1 of 1
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ZURICH a 4 Additional Insured Automatic Owners Lessees Or ZURICH Contractors Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer Addl. Prem Return Prem. GLO9835767 06 01012019 01012020 01012019 37385000 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured Copan Diagnostics Inc Address including ZIP Code 26055 Jefferson Avenue Murrieta CA 92562 This endorsement modifies insurance provided under the Commercial General Liability Coverage Part A. Section II Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured on this policy under a written contract or written agreement. Such person or organization is an additional insured only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by 1. Your or om 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations or your work as included in the products completed operations hazard which is the subject of the written contract or written agreement. However the insurance afforded to such additional insured 1. Only applies to the extent permitted by law and 2. Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. With respect to the insurance afforded to these additional insureds the following additional exclusion applies This insurance does not apply to Bodily injury property damage or personal and advertising injury arising out of the rendering of or failure to render any professional architectural engineering or surveying services including a. The preparing approving or failing to prepare or approve maps shop drawings opinions reports surveys field orders change orders or drawings and specifications or b. Supervisory inspection architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others by that insured if the occurrence which caused the bodily injury or property damage or the offense which caused the personal and advertising injury involved the rendering of or the failure to render any professional architectural engineering or surveying services. C. The following is added to Paragraph 2. Duties In The Event Of Occurrence Offense Claim Or Suit of Section TV Commercial General Liability Conditions U GL1175 F CW 0413 Page 1 of 2 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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The additional insured must see to it that We are notified as soon as practicable of an occurrence or offense that may result in a claim We receive written notice of a claim or suit s soon as practicable and A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non contributory. D. For the purposes of the coverage provided by this endorsement 1. E. This end The following is added to the Other Insurance Condition of Section TV Commercial General Liability Conditions Primary and Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that a. The additional insured is a Named Insured under such other insurance and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV Commercial General Liability Conditions Thi insurance is excess over Any of the other insurance whether primary excess contingent or on any other basis available to an additional insured in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same occurrence offense claim or suit. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non contributory basis. sement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds and which endorsement applies specifically to that identified additional insured. F. With respect to the insurance afforded to the additional insureds under this endorsement the following is added to Section III Limits Of Insurance The most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the written contract or written agreement referenced in Paragraph A. of this endorsement or 2. Available under the applicable Limits of Ins whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms and conditions of this policy remain unchanged. U GL1175 F CW 0413 Page 2 of 2 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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Asbestos Exclusion Endorsement Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer Addl Prem Return Prem. GLO 9835767 06 01012019 01012020 37385000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part The following exclusion is added to paragraph 2. Exclusions of Section I Coverage A Bodily Injury And Property Damage Liability and Coverage B Personal And Advertising Injury Liability 2. Exclusions This insurance does not apply to Asbestos A. Bodily injury property damage or personal and advertising injury arising out of or which would not have occurred in whole or in part but for the actual alleged or threatened discharge dispersal release leakage leaching friability flaking escape or presence of asbestos regardless of whether any other cause event material or product contributed concurrently or in any sequence to the injury or damage or B. Any sums that any insured or other entity must pay repay or reimburse because of any 1. Request demand order statutory or regulatory requirement direction or determination that any insured or others test for investigate monitor clean up remove study contain treat encapsulate control or take any other action regarding asbestos or 2. Claim or suit for damages arising out of or relating in any way to any request demand order statutory or regulatory requirement direction or determination that any insured or others test for investigate monitor clean up remove study contain treat encapsulate control or take any other action regarding asbestos or C. Any other loss cost or expense arising out of or relating in any way to asbestos. U GL1178 A CW 0703 Page 1 of 1 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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Z ZURICH Welding Health Hazard Exclusion Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer Addl Prem Return Prem. GLO 9835767 06 01012019 01012020 37385000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part Owners and Contractors Protective Liability Coverage Form Coverage For Operations of Designated Contractor Products Completed Operations Liability Coverage Part Railroad Protective Liability Coverage Form The following additional exclusion is added to 2. Exclusions of Section I. Coverages 2. Exclusions This insurance does not apply to Welding Health Hazard Bodily injury caused directly or indirectly by the actual alleged or threatened inhalation ingestion absorption or ex posure to harmful fumes or gases caused by welding materials and equipment used in connection with the process of welding or fusing together of any metals or other materials. For the purposes of this exclusion the following definition applies Welding materials and equipment means 1 Welding machinery or other welding process equipment 2 Welding rods 3 Electrodes or 4 Any consumable products including but not limited to wires fluxes coatings or cleaning agents. ighted material of Insurance Servi Office Inc. with its permission. U GL1205 B CW 108 Page of
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Z ZURICH Lead Liability Exclusion Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer Addl Prem Return Prem. GLO 9835767 06 01012019 01012020 37385000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part The following exclusion is added to Paragraph 2. Exclusions of Section I Coverage A Bodily Injury And Property Damage Liability and Paragraph 2. Exclusions of Coverage B Personal And Advertising Injury Liab This insurance does not apply to Lead qd 2 3 Bodily injury property damage or personal and advertising injury arising out of resulting from caused by or related to the actual alleged or threatened a Exposure to or existence of lead paint containing lead or any other material product or substance containing lead or b Manufacture distribution sale resale re branding installation repair removal encapsulation abatement replacement or handling of lead paint containing lead or any other material product or substance containing lead whether the lead is or was at any time airborne ingested inhaled absorbed transmitted in any fashion or found in any form whatsoever or whether any other cause event material product or substance contributed concurrently or in any sequence to the injury or damage. Any sums that any insured or other entity must pay repay or reimburse because of any a Request demand order or statutory or regulatory requirement that any insured or others test for sample monitor clean up remove abate cover contain treat mitigate or neutralize lead paint containing lead or any other material product or substance containing lead or in any way respond to or assess the effects of lead in any form or b Claim or suit for damages relating to testing for sampling monitoring cleaning up removing abating covering containing treating mitigating or neutralizing lead paint containing lead or any other material product or substance containing lead or in any way responding to or assessing the effects of lead in any form. Any other loss cost or expense arising out of caused by or relating in any way to lead. U GL 1342 A CW 1007 Page 1 of
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ZURICH Recording And Distribution Of Material Or Information In Violation Of Law Exclusion Policy No. Eff. Date of Pol. Exp. Date of Pol Eff. Date of End. Producer No. Addl Prem Return Prem. GLO 9835767 06 01012019 01012020 37385000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part A. Exclusion q. Recording And Distribution Of Material Or Information In Violation Of Law of Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability is replaced by the following 2. Exclusions This insurance does not apply to q. Recording And Distribution Of Material Or Information In Violation Of Law Bodily injury or property damage directly or indirectly arising out of or based upon any action or omission that violates or is alleged to violate 1 The Telephone Consumer Protection Act TCPA including any amendment of or addition to such law 2 The CAN SPAM Act of 2003 including any amendment of or addition to such law 3 The Fair Credit Reporting Act FCRA and any amendment of or addition to such law including the Fair and Accurate Credit Transaction Act FACTA or 4 Any federal state or local statute ordinance or regulation other than the TCPA CAN SPAM Act of 2003 or FCRA and their amendments and additions or any other legal liability at common law or otherwise that addresses prohibits or limits the printing dissemination disposal monitoring collecting recording use of sending transmitting communicating or distribution of material or information. B. Exclusion p. Recording And Distribution Of Material Or Information In Violation Of Law of Paragraph 2. Exclusions of Section Coverage B Personal And Advertising Injury Liability is replaced by the following 2. Exclusions This insurance does not apply to p. Recording And Distribution Of Material Or Information In Violation Of Law Personal and advertising injury directly or indirectly arising out of or based upon any action or omission that violates or is alleged to violate 1 The Telephone Consumer Protection Act TCPA including any amendment of or addition to such law 2 The CAN SPAM Act of 2003 including any amendment of or addition to such law 3 The Fair Credit Reporting Act FCRA and any amendment of or addition to such law including the Fair and Accurate Credit Transaction Act FACTA or U GL1517 B CW 0413 Page 1 of 2 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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ZURICH. Additional Insured Owners Lessees Or Contractors Scheduled Person Or Organization Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Addl. Prem Return Prem. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured CHICAGO BRIDGE IRON COMPANY DELAWARE Address including ZIP Code 2103 RESEARCH FOREST DR THE WOODLANDS TX 77380 2624 This endorsement modifies insurance provided under the Commercial General Liability Coverage Part SCHEDULE Name Of Additional Insured Persons Or Organizations Location And Description Of Covered Operations LOS ANGELES WORLD AIRPORTS RISK MANAGEMENT PO BOX 92216 LOS ANGELES CA 90009 A. Section Il Who Is An Insured is amended to include as an additional insured the person or organization shown in the Schedule above whom you are required to add as an additional insured on this policy under a written contract or written agreement. Such person or organization is an additional insured 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 or your work as included in the products completed operations hazard which is the subject of the written contract or written agreement at the Location designated and described in the Schedule above. However the insurance afforded to such additional insured 1. Only applies to the extent permitted by law and 2. Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following additional exclusion applies This insurance does not apply to U GL1177 F CW 0413 Page 1 of 2 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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Bodily injury property damage or personal and advertising injury arising out of the rendering or failure to render any professional architectural engineering or surveying services including a. The preparing approving or failing to prepare or approve maps shop drawings opinions reports surveys field orders change orders or drawings and specifications or b. Supervisory inspection architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others by that insured if the occurrence which caused the bodily injury or property damage or the offense which caused the personal and advertising injury involved the rendering of or the failure to render any professional architectural engineering or surveying services. C. The following is added to Paragraph 2. Duties In The Event Of Occurrence Offense Claim Or Suit of Section IV Commercial General Liability Conditions The additional insured must see to it that 1. Weare notified as soon as practicable of an occurrence or offense that may result in a claim 2. We receive written notice of a claim or suit as soon as practicable and 3. A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non contributory. D. For the purpose of the coverage provided by this endorsement 1. The following is added to the Other Insurance Condition of Section IV Commercial General Liability Conditions Primary and Noncontributory insurance This Insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that a. The additional insured is a Named Insured under such other insurance and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV Commercial General Liability Conditions This insurance is excess over Any of the other insurance whether primary excess contingent or on any other basis available to an additional insured in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same occurrence offense claim or suit. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non contributory basis. E. With respect to the insurance afforded to the additional insureds under this endorsement the following is added to Section IIl Limits Of Insurance The most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement referenced in Paragraph A. of this endorsement 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. All other terms and conditions of this policy remain unchanged. U GL1177 F CW 0413 Page 2 of 2 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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ZURICH Earlier Notice of Cancellation or Non Renewal ZURICH THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE 1. Number of days required for notice of non renewal other than for nonpayment of premium 90 If the number of days is not provided above please see the nonrenewal provisions of your policy. 2. Number of days required for notice of cancellation other than for nonpayment of premium 90 If the number of days is not provided above please see the cancellation provisions of your policy. 3. Number of days required for notice of cancellation for nonpayment of premium 10 If the number of days is not provided above please see the cancellation provisions of your policy. Number of days required for notice of cancellation for nonpayment of premium 10 If the number of days is not provided above please see the cancellation provisions of your policy. A. For any statutorily permitted reason for non renewal other than nonpayment of premium the number of days required for notice of non renewal as provided in the Commercial General Liability Conditions as amended by an applicable state endorsement or as provided by an applicable state s change in coverage regulation is increased to the number of days shown in Paragraph 1. in the Schedule above. B. For any statutorily permitted reason for cancellation other than nonpayment of premium the number of days required for notice of cancellation as provided in the Common Policy Conditions as amended by an applicable state endorsement or as provided by an applicable state s change in coverage regulation is increased to the number of days shown in Paragraph 2. in the Schedule above. C. For nonpayment of premium the number of days required for notice of cancellation as provided in the Common Policy Conditions as amended by an applicable state endorsement or as provided by an applicable state s change in coverage regulation is increased to the number of days shown in Paragraph 3. in the Schedule above. All other terms and conditions of your policy remain the same. Includes copyrighted material of Insurance Services Office Inc. with its permission. U GL1298 C CW 082008 Page 1 of 1
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ZURICH Deductible Policy No. Eff. Date of Pol. Eff. Date of End. ZURICH THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part Employee Benefits Liability Coverage Part Liquor Liability Coverage Part Stop Gap Employers Liability Coverage Part DEDUCTIBLE SCHEDULE Coverage Deductible Amount Basis Coverage Bodily Injury and Property Damage Liability All persons or organizations 3000000 Each Occurrence Bodily Injury Liability Only All persons or organizations Each Occurrence Property Damage Liability Only All persons or organizations Each Occurrence Coverage Bodily Injury and Property Damage Liability Each Claim Bodily Injury Liability Only Each Claim Property Damage Liability Only Each Claim Coverage Personal and Advertising Injury Liability By offense Any one person or organization 3000000 Each Claim Coverage Medical Payments 3000000 Any One Person Additional Employee Benefits Liability Each Act Error or Coverage Omission Additional Liquor Liability Coverage Each Common Cause Additional Stop Gap Employers Liability Each Accident Coverage Stop Gap Employers Liability disease Each Employee Aggregate Deductible Amount Adjustable at a i rate of per of Flat Initial Exposure PELLET Minimum Aggregate Deductible Amount U GL1326 B CW 102007 Page 1 of 6
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ALLOCATED LOSS ADJUSTMENT EXPENSE SELECTION SCHEDULE Select One Option 1 x As respects each Deductible Amount you will reimburse us for all allocated loss adjustment expense even if there is no payment for other than allocated loss adjustment expense. Allocated loss adjustment expense reimbursements will contribute toward your Deductible Amount and your Aggregate Deductible Amount as shown in the Deductible Schedule. Option 2 As respects each Deductible Amount you will reimburse us for allocated loss a If the total amount payable for other than allocated loss adjustment expense as respects the basis for each Deductible Amount is equal to or less than the Deductible Amounts or if there is no amount payable other than allocated loss adjustment expense then you will reimburse us for all allocated loss adjustment expense. Allocated loss adjustment expense reimbursements will not contribute toward either your Deductible Amount or your Aggregate Deductible Amount as shown in the Deductible Schedule or b If the total amount payable for other than allocated loss adjustment expense exceeds the Deductible Amount you will reimburse us a pro rata share of total allocated loss adjustment expense based on the ratio of the Deductible Amount divided by the total amount payable for other than allocated loss adjustment expense as respects the basis for each Deductible Amount. Allocated loss adjustment expense reimbursements will not contribute toward either your Deductible Amount or your Aggregate Deductible Amount as shown in the Deductible Schedule. Option 3 As respects each Deductible Amount you will reimburse us for all allocated loss adjustment expense even if there is no payment for other than allocated loss adjustment expense. Allocated loss adjustment expense reimbursements will not contribute toward either your Deductible Amount or your Aggregate Deductible Amount as shown in the Deductible Schedule. If no option is selected Option 3 will apply. A. How the Deductible Amount Applies You will reimburse us for the Deductible Amounts shown in the Deductible Schedule and for allocated loss adjustment expenses incurred based on the Allocated Loss Adjustment Expense Selection Schedule. The Deductible Amounts applies as follows 1. If an Each Occurrence Deductible is shown the Deductible Amount applies to all sums payable because of any one Occurrence regardless of the number of persons or organizations who sustain damages because of that Occurrence. If an Each Claim Deductible is shown the Deductible Amount applies to all sums payable for each claim sustained by any one person or organization. a. For Other than Coverage B to all sums payable for each claim sustained by any one person or organization and b. For Coverage B to all damages sustained by any one person or organization as the result of an offense. Medical Payments If an Any One Person limit is shown the Deductible Amount applies to all sums payable to any one person as a result of an accident sustained by that person. U GL1326 B CW 102007 Page 2 of 6
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Employee Benefits Liability If an Each Act Error or Omission Deductible is shown the Deductible Amount applies to all sums payable for all damages sustained by any one Employee including the Employee s dependents and beneficiaries because of acts errors or omissions committed in the administration of employee benefit programs. Liquor Liability If a Common Cause Deductible is shown the Deductible Amount applies to all sums payable for all injury sustained by one or more persons or organizations as the result of the selling serving or furnishing of any alcoholic beverage to any one person. Stop Gap Employers Liability If an Each Accident Deductible is shown the Deductible Amount applies to all sums payable as the result of an accident regardless of the number of people who sustain damages because of that accident. Stop Gap Employers Liability disease If an Each Employee Deductible is shown the Deductible Amount applies to all sums payable because of any one disease and applies separately to each affected Employee. B. Deductible Provisions 1. If more than one Deductible Amount applies to sums payable arising from the same incident because more than one Coverage applies you will be responsible for each and every applicable Deductible Amount. Deductible Amounts 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. Your obligation to pay the Deductible Amounts shown on this policy is not fulfilled by a. The payment of a Deductible Amount under any other policy or b. Any payment made by us or another insurance company even if 3.a. or 3.b. above applies to the same incident as the Deductible Amount due under this policy. If more than one policy issued by us applies to sums payable because of a single continuous incident the Deductible Amounts applies separately to each policy that we issue to which this endorsement or a similar Deductible Endorsement applies. Deductible Amounts also apply separately to each annual period and any remaining period of less than 12 months as described in B.2. above. If a Coverage Part or Additional Coverage of this policy specifically applies a separate deductibles a. the separate additional deductible amount applies to any loss separately and before the Deductible Amounts shown on the Schedule of this endorsement and b. the Deductible Amounts shown on the Schedule of this endorsement applies only if the loss exceeds the separate additional deductible amount described in 5.a. above subject to the other terms and conditions of this endorsement. C. Aggregate Deductible Amount 1. The Aggregate Deductible Amount shown in the Deductible Schedule is the most you must reimburse us for the sum of a. all applicable Deductible Amounts as shown in the Deductible Schedule and b. all applicable allocated loss adjustment expense in accordance with the Allocated Loss Adjustment Expense Selection Schedule above. U GL1326 B CW 102007 Page 3 of 6
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POLICY NUMBER GLO 5821852 01 POLICY NUMBER GLO 5821852 01 COMMERCIAL GENERA LIABILITY G 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations Locations Of Covered Operations CITY OF MOUNTAIN VIEW IT S OFFICERS OFFICIALS EMPLOYEES VOLUNTEERS PO BOX 7540 MOUNTAIN VIEW CA 94039 7540 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. All 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. FFICERS OFFICIALS MPLOYEES VOLUNTEERS SUNTAIN VIEW CA 94039 7540 Insurance Services Office Inc. 2012 CG 20 10 04 13 Page 1 of 2
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C. With respect to the insurance afforded to these additional insureds the following is added to Section III 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 CG 20 10 04 13
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COMMERCIAL GENERAL LIABILITY CG 21 47 12 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EMPLOYMENT RELATED PRACTICES EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily In jury And Property Damage Liability This insurance does not apply to Bodily injury to 1 A person arising out of any a Refusal to employ that person b Termination of that person s employment or c Employment related practices policies acts or omissions such as coercion demotion evaluation reassignment discipline defa mation harassment humiliation discrimina tion or malicious prosecution directed at that person or 2 The spouse child parent brother or sister of that person as a consequence of bodily injury to that person at whom any of the employment related practices described in Paragraphs a b or c above is directed. This exclusion applies 1 Whether the injury causing event described in Paragraphs a b or c above occurs before employment during employment or after em ployment of that person 2 Whether the insured may be liable as an em ployer or in any other capacity and 3 To any obligation to share damages with or repay someone else who must pay damages because of the injury. B. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage B Personal And Advertising Injury Liability This insurance does not apply to Personal and advertising injury to 1 A person arising out of any a Refusal to employ that person b Termination of that person s employment or c Employment related practices policies acts or omissions such as coercion demotion evaluation reassignment discipline defa mation harassment humiliation discrimina tion or malicious prosecution directed at that person or 2 The spouse child parent brother or sister of that person as a consequence of personal and advertising injury to that person at whom any of the employment related practices described in Paragraphs a b or c above is directed. This exclusion applies 1 Whether the injury causing event described in Paragraphs a b or c above occurs before employment during employment or after em ployment of that person 2 Whether the insured may be liable as an em ployer or in any other capacity and 3 To any obligation to share damages with or repay someone else who must pay damages because of the injury. CG 21 47 1207 ISO Properties Inc. 2006 Page 1 of 1 oOo
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COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION INSPECTION APPRAISAL AND SURVEY COMPANIES This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART This insurance does not apply to bodily injury property damage personal injury or advertising injury for which the insured may be held liable because of the rendering or failure to render professional services in the performance of any claim investigation adjustment engineering inspection appraisal survey or audit services. CG 22 2411 85 Copyright Insurance Services Office Inc. 1984 Page 1 of 1 oOo
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COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION PROPERTY ENTRUSTED This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Operations Security and Patrol Agencies Warehouse cold individual storage lockers Warehouses miniwarehouses As respects the operations shown in the Schedule this insurance does not apply to property damage to prop erty of others 1. Entrusted to you for safekeeping or 2. On premises owned by or rented to you. CG 22 29 11 85 Copyright Insurance Services Office Inc. 1984 Page 1 of 1
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COMMERCIAL GENERAL LIABILITY CG 22 43 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION ENGINEERS ARCHITECTS OR SURVEYORS PROFESSIONAL LIABILITY This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability and Paragraph 2. Exclusions of Section Coverage B Personal And Advertising Injury Liability This insurance does not apply to bodily injury property damage or personal and advertising injury arising out of the rendering of or failure to render any professional services by you or any engineer architect or surveyor who is either employed by you or performing work on your behalf in such capacity. Professional services include 1. The preparing approving or failing to prepare or approve maps shop drawings opinions reports surveys field orders change orders or drawings and specifications and 2. Supervisory inspection architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others by that insured if the occurrence which caused the bodily injury or property damage or the offense which caused the personal and advertising injury involved the rendering of or failure to render any professional services by you or any engineer architect or surveyor whois either employed by you or performing work on your behalf in such capacity. CG 22 43 0413 Insurance Services Office Inc. 2012 Page 1 of 1
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Policy Number GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON OR ORGANIZATION CITY OF NEW YORK DEPARTMENT OF ENVIRONMENTAL IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS ENDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS ENDORSEMENT. A. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN INSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS PERFORMED FOR THAT INSURED. B. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL INSUREDS THE FOLLOWING EXCLUSION IS ADDED 2. EXCLUSIONS THIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY DAMAGE OCCURRING AFTER 1 ALL 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 SITE 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 SUB CONTRACTOR ENGAGED IN PERFORMING OPERATIONS FOR A PRINCIPAL AS A PART OF THE SAME PROJECT. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY NT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING ARAL LIABILITY COVERAGE PART SCHEDULE OR ORGANIZATION RK DEPARTMENT OF ENVIRONMENTAL PPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS LL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN RSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY 9 LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS THAT INSURED. TO THE INSURANCE AFFORDED TO THESE ADDITIONAL FOLLOWING EXCLUSION IS ADDED DOES NOT APPLY TO BODILY IN JURY OR PROPERTY ING AFTER INCLUDING MATERIALS PARTS OR EQUIPMENT FURNISHED NITH SUCH WORK ON THE PROJECT OTHER THAN SERVICE REPAIRS TO BE PERFORMED BY OR ON BEHALF OF THE UREDS AT THE SITE OF THE COVERED OPERATIONS HAS BEEN
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Policy Number GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON OR ORGANIZATION EVERGREEN ENERGY INC. IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS ENDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS ENDORSEMENT. A. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN INSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS PERFORMED FOR THAT INSURED. B. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL INSUREDS THE FOLLOWING EXCLUSION IS ADDED 2. EXCLUSIONS THIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY DAMAGE OCCURRING AFTER 1 ALL 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 SITE 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 SUB CONTRACTOR ENGAGED IN PERFORMING OPERATIONS FOR A PRINCIPAL AS A PART OF THE SAME PROJECT. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY HIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING OMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE AME OF PERSON OR ORGANIZATION VERGREEN ENERGY INC. IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS NDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS NDORSEMENT.. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN NSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY ITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS ERFORMED FOR THAT INSURED.. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL NSUREDS THE FOLLOWING EXCLUSION IS ADDED EXCLUSIONS HIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY AMAGE OCCURRING AFTER 1 ALL WORK INCLUDING MATERIALS PARTS OR EQUIPMENT FURNISHED N CONNECTION WITH SUCH WORK ON THE PROJECT OTHER THAN SERVICE AINTENANCE OR REPAIRS TO BE PERFORMED BY OR ON BEHALF OF THE DDITIONAL INSUREDS AT THE SITE OF THE COVERED OPERATIONS HAS BEEN OMPLETED OR
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Policy Number GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 ADDITIONAL INSURED OWNERS LESSES OR CONTRACTORS SCHEDULED PERSON OR THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON OR ORGANIZATION ARMSTRONG DEVELOPMENT PROPERTIES INC. IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS ENDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS ENDORSEMENT. A. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN INSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS PERFORMED FOR THAT INSURED. B. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL INSUREDS THE FOLLOWING EXCLUSION IS ADDED 2. EXCLUSIONS THIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY DAMAGE OCCURRING AFTER 1 ALL 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 SITE 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 SUB CONTRACTOR ENGAGED IN PERFORMING OPERATIONS FOR A PRINCIPAL AS A PART OF THE SAME PROJECT. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY HIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING OMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE AME OF PERSON OR ORGANIZATION RMSTRONG DEVELOPMENT PROPERTIES INC. IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS NDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS NDORSEMENT.. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN NSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY ITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS ERFORMED FOR THAT INSURED.. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL NSUREDS THE FOLLOWING EXCLUSION IS ADDED EXCLUSIONS HIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY AMAGE OCCURRING AFTER 1 ALL WORK INCLUDING MATERIALS PARTS OR EQUIPMENT FURNISHED N CONNECTION WITH SUCH WORK ON THE PROJECT OTHER THAN SERVICE AINTENANCE OR REPAIRS TO BE PERFORMED BY OR ON BEHALF OF THE DDITIONAL INSUREDS AT THE SITE OF THE COVERED OPERATIONS HAS BEEN OMPLETED OR
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Policy Number GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON OR ORGANIZATION CHESAPEAKE APPALACHIA LLC AND ANY PRESENT OR FUTURE SUBSIDIARIES OR AFFILIATES IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS ENDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS ENDORSEMENT. A. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN INSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS PERFORMED FOR THAT INSURED. B. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL INSUREDS THE FOLLOWING EXCLUSION IS ADDED 2. EXCLUSIONS THIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY DAMAGE OCCURRING AFTER 1 ALL 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 SITE 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 SUB CONTRACTOR ENGAGED IN PERFORMING OPERATIONS FOR A PRINCIPAL AS A PART OF THE SAME PROJECT. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY MENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING SENERAL LIABILITY COVERAGE PART SCHEDULE SON OR ORGANIZATION PPALACHIA LLC AND ANY PRESENT OR FUTURE SUBSIDIARIES OR Y APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS IT WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS SR THAT INSURED. ECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL 1E FOLLOWING EXCLUSION IS ADDED US CE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY JRRING AFTER INCLUDING MATERIALS PARTS OR EQUIPMENT FURNISHED ON WITH SUCH WORK ON THE PROJECT OTHER THAN SERVICE OR REPAIRS TO BE PERFORMED BY OR ON BEHALF OF THE INSUREDS AT THE SITE OF THE COVERED OPERATIONS HAS BEEN YR
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Policy Number GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON OR ORGANIZATION COLUMBIA SQUARE PARTNERS LLC IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS ENDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS ENDORSEMENT. A. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN INSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS PERFORMED FOR THAT INSURED. B. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL INSUREDS THE FOLLOWING EXCLUSION IS ADDED 2. EXCLUSIONS THIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY DAMAGE OCCURRING AFTER 1 ALL 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 SITE 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 SUB CONTRACTOR ENGAGED IN PERFORMING OPERATIONS FOR A PRINCIPAL AS A PART OF THE SAME PROJECT. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY HIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING OMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE AME OF PERSON OR ORGANIZATION OLUMBIA SQUARE PARTNERS LLC IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS NDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS NDORSEMENT.. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN NSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY ITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS ERFORMED FOR THAT INSURED.. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL NSUREDS THE FOLLOWING EXCLUSION IS ADDED EXCLUSIONS HIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY AMAGE OCCURRING AFTER 1 ALL WORK INCLUDING MATERIALS PARTS OR EQUIPMENT FURNISHED N CONNECTION WITH SUCH WORK ON THE PROJECT OTHER THAN SERVICE AINTENANCE OR REPAIRS TO BE PERFORMED BY OR ON BEHALF OF THE DDITIONAL INSUREDS AT THE SITE OF THE COVERED OPERATIONS HAS BEEN OMPLETED OR
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Policy Number GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON OR ORGANIZATION AK STEEL CORPORATION IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS ENDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS ENDORSEMENT. A. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN INSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS PERFORMED FOR THAT INSURED. B. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL INSUREDS THE FOLLOWING EXCLUSION IS ADDED 2. EXCLUSIONS THIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY DAMAGE OCCURRING AFTER 1 ALL 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 SITE 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 SUB CONTRACTOR ENGAGED IN PERFORMING OPERATIONS FOR A PRINCIPAL AS A PART OF THE SAME PROJECT. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY NT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING ARAL LIABILITY COVERAGE PART SCHEDULE OR ORGANIZATION RATION PPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS LL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN RSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY 9 LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS THAT INSURED. TO THE INSURANCE AFFORDED TO THESE ADDITIONAL FOLLOWING EXCLUSION IS ADDED DOES NOT APPLY TO BODILY IN JURY OR PROPERTY ING AFTER INCLUDING MATERIALS PARTS OR EQUIPMENT FURNISHED NITH SUCH WORK ON THE PROJECT OTHER THAN SERVICE REPAIRS TO BE PERFORMED BY OR ON BEHALF OF THE UREDS AT THE SITE OF THE COVERED OPERATIONS HAS BEEN
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Policy Number GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON OR ORGANIZATION CITY OF WILLITS ITS ELECTED OR APPOINTED OFFICIALS OFFICERS EMPLOYEES AGENTS VOLUNTEERS IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS ENDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS ENDORSEMENT. A. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN INSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS PERFORMED FOR THAT INSURED. B. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL INSUREDS THE FOLLOWING EXCLUSION IS ADDED 2. EXCLUSIONS THIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY DAMAGE OCCURRING AFTER 1 ALL 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 SITE 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 SUB CONTRACTOR ENGAGED IN PERFORMING OPERATIONS FOR A PRINCIPAL AS A PART OF THE SAME PROJECT. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY HIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING OMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE AME OF PERSON OR ORGANIZATION ITY OF WILLITS ITS ELECTED OR APPOINTED OFFICIALS OFFICERS MPLOYEES AGENTS VOLUNTEERS IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS NDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS NDORSEMENT.. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN NSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY ITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS ERFORMED FOR THAT INSURED.. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL NSUREDS THE FOLLOWING EXCLUSION IS ADDED. EXCLUSIONS HIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY AMAGE OCCURRING AFTER 1 ALL WORK INCLUDING MATERIALS PARTS OR EQUIPMENT FURNISHED N CONNECTION WITH SUCH WORK ON THE PROJECT OTHER THAN SERVICE AINTENANCE OR REPAIRS TO BE PERFORMED BY OR ON BEHALF OF THE DDITIONAL INSUREDS AT THE SITE OF THE COVERED OPERATIONS HAS BEEN OMPLETED OR
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Policy Number GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 LIST OF ADDITIONAL INSUREDS UGL 1447ACW COUNTY SANITATION DISTRICT NO. 2 1955 WORKMAN MILL RD. WHITTIER CA 90601 UNITED PARCEL SERVICE INC. 55 GLENLAKE PARKWAY NE ATLANTA GA 30328 KING BAY SUPPORT SERVICES LLC 930 USS HUNLEY AVE. KINGS BAY GA 31547 PLAINS EXPLORATION PRODUCTION COMPANY ATIN CONNIE REDD 717 TEXAS AVE SUITE 2100 HOUSTON TX 77056 SOUTHERN CALIFORNIA EDISON COMPANY 2244 WALNUT GROVE AVE ROSEMEAD CA 91770 SPECTRA ENERGY TRANSMISSION LLC ITS AFFLILIATES DIRECTORS OFFICERS AND EMPLOYEES 5400 WESTHEIMER COURT5K62 HOUSTON TX 77056 COUNTY OF TULARE RESOURCE MANAGEMENT AGENCY 221 S. MOONEY BLVD. ROOM 3 VISALIA CA 92553 STATE OF CALIFORNIA CALIFORNIA DEPARTMENT OF CORRECTIONS RE OFFICE OF BUSINESS SERVICES ATTN MARDU HANZALIK 10000 GOETHE RD. SUITE C1 SACRAMENTO CA 95827 SOUTHCROSS ENERGY GP LLC 1700 PACIFIC AVE. SUITE 2900 DALLAS TX 75201 TITAN ENGINEERING INC. 2801 NETWORK BLVD. SUITE 200 FRISCO TX 75034 COMMONWEALTH OF MASSACHUSETTS ONE WINTER ST. BOSTON MA 01108 IESI LA LANDFILL CORPORATION CORP 2301 EAGLE PARKWAY SUITE 200 FORT WORTH TX 70809 ARCADIS U.S. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY vi DISTRICT NO. 2 1 RVICE INC. VAY NE SERVICES LLC JE. 17 oN PRODUCTION COMPANY TE 2100 VIA EDISON COMPANY AVE RANSMISSION LLC ITS AFFLILIATES DIRECTORS OYEES SOURT5K62 RESOURCE MANAGEMENT AGENCY D. ROOM 3 VIA CALIFORNIA DEPARTMENT OF CORRECTIONS RE OFFICE CES LIK SUITE C1 327 Y GP LLC. SUITE 2900 3 INC.. MASSACHUSETTS CORPORATION CORP. Y SUITE 200 309
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Policy Number GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 LIST OF ADDITIONAL INSUREDS UGL 1447ACW 284 CRAMER CREEK CT. DUBLIN OH 43017 CARDINAL MIDSTREAM LLC 8150 N. CENTRAL EXPRESSWAY SUITE 1725 DALLAS TX 75206 AEROJET P.O. BOX 13222 SACRAMENTO CA 95813 SOUTHERN CALIFORNIA LOGISTICS AIRPORT AUTHORITY ATIN KEITH METLZER AIRPORT DIRECTOR 18374 PHANTOM ST. VICTORVILLE CA 92394 BOARD OF COUNTY COMMISSIONERS ATTN PURCHASING DEPARTMENT 3327 TAMIAMI TRAIL EAST NAPLES FL 34112 WATERWAYS SURVEYS AND ENGINEERING LTD 321 CLEVELAND PLACE VIRGINA BEACH VA 23462 THE CITY OF MIAMI FLORIDA ATTN RISK ADMINISTRATOR 444 SW 2ND AVE. 8TH FLOOR MIAMI FL 33130 CITY OF LONG BEACH ONE WEST CHESTER ST. LONG BEACH NY 11561 AECOM TECHNICAL SERVICES INC. 4415 METRO PKWY. SUITE 404 FORT MEYERS FL 33916 LRA HAMMOCK BEACH LLC 200 OCEAN CREST DR. SUITE 31 PALM COAST FL 32137 U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY 84 CRAMER CREEK CT. UBLIN OH 43017 ARDINAL MIDSTREAM LLC 150 N. CENTRAL EXPRESSWAY SUITE 1725 ALLAS TX 75206 EROJET O. BOX 13222 ACRAMENTO CA 95813 OUTHERN CALIFORNIA LOGISTICS AIRPORT AUTHORITY TIN KEITH METLZER IRPORT DIRECTOR 8374 PHANTOM ST. ICTORVILLE CA 92394 OARD OF COUNTY COMMISSIONERS TIN PURCHASING DEPARTMENT 327 TAMIAMI TRAIL EAST APLES FL 34112 ATERWAYS SURVEYS AND ENGINEERING LTD 21 CLEVELAND PLACE IRGINA BEACH VA 23462 HE CITY OF MIAMI FLORIDA TIN RISK ADMINISTRATOR 44 SW 2ND AVE. 8TH FLOOR IAMI FL 33130 ITY OF LONG BEACH NE WEST CHESTER ST. ONG BEACH NY 11561 ECOM TECHNICAL SERVICES INC. 415 METRO PKWY. SUITE 404 ORT MEYERS FL 33916 RA HAMMOCK BEACH LLC 00 OCEAN CREST DR. SUITE 31 ALM COAST FL 32137
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Policy Number GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 EXCESS JOINT VENTURE OR WRAP UP COVERAGE ENDORSEMENT EXCESS WRAP UP AND JOINT VENTURE COVERAGE THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART THE FOLLOWING IS ADDED TO SECTION II WHO IS AN INSURED WITH RESPECT TO BODILY INJURY PROPERTY DAMAGE AND PERSONAL AND ADVERTISING INJURY YOU ARE AN INSURED FOR YOUR LIABILITY ARISING OUT OF THE CONDUCT OF ANY WRAP UP OR JOINT VENTURE OF WHICH YOU ARE OR WERE A PARTNER OR MEMBER. THIS COVERAGE IS EXCESS OVER ANY AVAILABLE LIABILITY INSURANCE PURCHASED SPECIFICALLY TO INSURE THE WRAP UP OR JOINT VENTURE. SUCH EXCESS INSURANCE SHALL BE LIMITED TO THE AMOUNT BY WHICH THE LIABILITY LIMITS OF THE POLICY EXCEED THE AVAILABLE LIABILITY LIMITS OF THE WRAP UP OR JOINT VENTURE POLICIES. TO THE EXTENT THAT THE INSURANCE PROVIDED BY THIS POLICY IS BROADER OR LESS RESTRICTIVE THAN THE INSURANCE AFFORDED TO YOU BY POLICIES SPECIFICALLY COVERING WRAP UP PROGRAMS OR JOINT VENTURES WHICH YOU ARE OR WERE A PARTNER OR MEMBER SUCH INSURANCE AS IS AFFORDED BY THIS POLICY SHALL APPLY TO BODILY INJURY PROPERTY DAMAGE AND PERSONAL AND ADVERTISING INJURY NOT COVERED BY SUCH POLICIES. THE COVERAGE PROVIDED BY THIS ENDORSEMENT WILL NOT INURE TO THE BENEFIT OF ANY OTHER PARTY EXCEPT YOU AND SHALL BE PRIMARY WHEN NO OTHER INSURANCE IS AVAILABLE. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY D UNDER THE FOLLOWING IS AN INSURED ERE A PARTNER OR MEMBER. HIS COVERAGE IS EXCESS OVER ANY AVAILABLE LIABILITY INSURANCE URCHASED SPECIFICALLY TO INSURE THE WRAP UP OR JOINT VENTURE. SUCH XCESS INSURANCE SHALL BE LIMITED TO THE AMOUNT BY WHICH THE IABILITY LIMITS OF THE POLICY EXCEED THE AVAILABLE LIABILITY LIMITS F THE WRAP UP OR JOINT VENTURE POLICIES. O THE EXTENT THAT THE INSURANCE PROVIDED BY THIS POLICY IS BROADER RLESS RESTRICTIVE THAN THE INSURANCE AFFORDED TO YOU BY POLICIES PECIFICALLY COVERING WRAP UP PROGRAMS OR JOINT VENTURES WHICH YOU RE OR WERE A PARTNER OR MEMBER SUCH INSURANCE AS IS AFFORDED BY HIS POLICY SHALL APPLY TO BODILY INJURY PROPERTY DAMAGE AND ERSONAL AND ADVERTISING INJURY NOT COVERED BY SUCH POLICIES. HE COVERAGE PROVIDED BY THIS ENDORSEMENT WILL NOT INURE TO THE ENEFIT OF ANY OTHER PARTY EXCEPT YOU AND SHALL BE PRIMARY WHEN NO THER INSURANCE IS AVAILABLE.
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Policy Number GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 NOTIFICATION TO OTHERS OF CANCELLATION THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART A. IF WE CANCEL OR NON RENEW THIS COVERAGE PARTS BY WRITTEN NOTICE TO THE FIRST NAMED INSURED FOR ANY REASON OTHER THAN NONPAYMENT OF PREMIUM WE WILL MAIL OR DELIVER A COPY OF SUCH WRITTEN NOTICE OF CANCELLATION OR NON RENEWAL 1. TO THE NAME AND ADDRESS CORRESPONDING TO EACH PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BELOW AND 2. AT LEAST 10 DAYS PRIOR TO THE EFFECTIVE DATE OF THE CANCELLATION OR NON RENEWAL AS ADVISED IN OUR NOTICE TO THE FIRST NAMED INSURED OR THE LONGER NUMBER OF DAYS NOTICE IF INDICATED IN THE SCHEDULE BELOW. B. IF WE CANCEL THIS COVERAGE PARTS BY WRITTEN NOTICE TO THE FIRST NAMED INSURED FOR NONPAYMENT OF PREMIUM WE WILL MAIL OR DELIVER A COPY OF SUCH WRITTEN NOTICE OF CANCELLATION TO THE NAME AND ADDRESS CORRESPONDING TO EACH PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BELOW AT LEAST 10 DAYS PRIOR TO THE EFFECTIVE DATE OF SUCH CANCELLATION. C. IF COVERAGE AFFORDED BY THIS COVERAGE PARTS IS REDUCED OR RESTRICTED OR MATERIALLY CHANGED WE WILL MAIL OR DELIVER NOTICE OF SUCH REDUCTION OR RESTRICTION 1. TO THE NAME AND ADDRESS CORRESPONDING TO EACH PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BELOW AND 2. AT LEAST 10 DAYS PRIOR TO THE EFFECTIVE DATE OF THE REDUCTION OR RESTRICTION OR THE LONGER NUMBER OF DAYS NOTICE IF INDICATED IN THE SCHEDULE BELOW. D. IF NOTICE AS DESCRIBED IN PARAGRAPHS A. B. OR C. OF THIS ENDORSEMENT IS MAILED PROOF OF MAILING WILL BE SUFFICIENT PROOF OF SUCH NOTICE. SCHEDULE NAME AND ADDRESS OF OTHER PERSONS NUMBER OF DAYS NOTICE ORGANIZATION S CITY OF DULUTH 30 PURCHASING DIVISION CITY HALL 411 WEST FIRST STREET DULUTH MN 55802 U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY READ IT CAREFULLY. UNDER THE sRAGE PART oARTS BY WRITTEN CHEDULE BELOW AT LEAST 10 DAYS PRIOR TO THE EFFECTIVE DATE OF SUCH ANCELLATION.. IF COVERAGE AFFORDED BY THIS COVERAGE PARTS IS REDUCED OR ESTRICTED OR MATERIALLY CHANGED WE WILL MAIL OR DELIVER NOTICE OF UCH REDUCTION OR RESTRICTION. TO THE NAME AND ADDRESS CORRESPONDING TO EACH PERSON OR RGANIZATION SHOWN IN THE SCHEDULE BELOW AND. AT LEAST 10 DAYS PRIOR TO THE EFFECTIVE DATE OF THE REDUCTION RRESTRICTION OR THE LONGER NUMBER OF DAYS NOTICE IF INDICATED IN HE SCHEDULE BELOW.. IF NOTICE AS DESCRIBED IN PARAGRAPHS A. B. OR C. OF THIS NDORSEMENT IS MAILED PROOF OF MAILING WILL BE SUFFICIENT PROOF OF UCH NOTICE. SCHEDULE AME AND ADDRESS OF OTHER PERSONS NUMBER OF DAYS NOTICE RGANIZATION S ITY OF DULUTH 30 URCHASING DIVISION ITY HALL 11 WEST FIRST STREET ULUTH MN 55802 NUMBER OF DAYS NOTICE 30
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Policy Number GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 NOTIFICATION TO OTHERS OF CANCELLATION THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART A. IF WE CANCEL OR NON RENEW THIS COVERAGE PARTS BY WRITTEN NOTICE TO THE FIRST NAMED INSURED FOR ANY REASON OTHER THAN NONPAYMENT OF PREMIUM WE WILL MAIL OR DELIVER A COPY OF SUCH WRITTEN NOTICE OF CANCELLATION OR NON RENEWAL 1. TO THE NAME AND ADDRESS CORRESPONDING TO EACH PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BELOW AND 2. AT LEAST 10 DAYS PRIOR TO THE EFFECTIVE DATE OF THE CANCELLATION OR NON RENEWAL AS ADVISED IN OUR NOTICE TO THE FIRST NAMED INSURED OR THE LONGER NUMBER OF DAYS NOTICE IF INDICATED IN THE SCHEDULE BELOW. B. IF WE CANCEL THIS COVERAGE PARTS BY WRITTEN NOTICE TO THE FIRST NAMED INSURED FOR NONPAYMENT OF PREMIUM WE WILL MAIL OR DELIVER A COPY OF SUCH WRITTEN NOTICE OF CANCELLATION TO THE NAME AND ADDRESS CORRESPONDING TO EACH PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BELOW AT LEAST 10 DAYS PRIOR TO THE EFFECTIVE DATE OF SUCH CANCELLATION. C. IF COVERAGE AFFORDED BY THIS COVERAGE PARTS IS REDUCED OR RESTRICTED OR MATERIALLY CHANGED WE WILL MAIL OR DELIVER NOTICE OF SUCH REDUCTION OR RESTRICTION 1. TO THE NAME AND ADDRESS CORRESPONDING TO EACH PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BELOW AND 2. AT LEAST 10 DAYS PRIOR TO THE EFFECTIVE DATE OF THE REDUCTION OR RESTRICTION OR THE LONGER NUMBER OF DAYS NOTICE IF INDICATED IN THE SCHEDULE BELOW. D. IF NOTICE AS DESCRIBED IN PARAGRAPHS A. B. OR C. OF THIS ENDORSEMENT IS MAILED PROOF OF MAILING WILL BE SUFFICIENT PROOF OF SUCH NOTICE. SCHEDULE NAME AND ADDRESS OF OTHER PERSONS NUMBER OF DAYS NOTICE ORGANIZATION S UNITED STATES DEPARTMENT OF THE NAVY 30 NAVY FACILITIES COMMAND SOUTHWEST CODE RAQEO BLDG 127 ROOM 108 ENVIRONMENTAL CONTRACTS CORE CONTRACT NO. N62473 12 D2005 EMACIII 1220 PACIFIC HIGHWAY SAN DIEGO CA 92132 5790 U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY READ IT CAREFULLY. UNDER THE sRAGE PART oARTS BY WRITTEN CHEDULE BELOW AT LEAST 10 DAYS PRIOR TO THE EFFECTIVE DATE OF SUCH ANCELLATION.. IF COVERAGE AFFORDED BY THIS COVERAGE PARTS IS REDUCED OR ESTRICTED OR MATERIALLY CHANGED WE WILL MAIL OR DELIVER NOTICE OF UCH REDUCTION OR RESTRICTION. TO THE NAME AND ADDRESS CORRESPONDING TO EACH PERSON OR RGANIZATION SHOWN IN THE SCHEDULE BELOW AND. AT LEAST 10 DAYS PRIOR TO THE EFFECTIVE DATE OF THE REDUCTION RRESTRICTION OR THE LONGER NUMBER OF DAYS NOTICE IF INDICATED IN HE SCHEDULE BELOW.. IF NOTICE AS DESCRIBED IN PARAGRAPHS A. B. OR C. OF THIS NDORSEMENT IS MAILED PROOF OF MAILING WILL BE SUFFICIENT PROOF OF UCH NOTICE. SCHEDULE AME AND ADDRESS OF OTHER PERSONS NUMBER OF DAYS NOTICE RGANIZATION S NITED STATES DEPARTMENT OF THE NAVY 30 AVY FACILITIES COMMAND SOUTHWEST ODE RAQEO BLDG 127 ROOM 108 NVIRONMENTAL CONTRACTS CORE ONTRACT NO. N62473 12 D2005 EMACIII 220 PACIFIC HIGHWAY AN DIEGO CA 92132 5790 NUMBER OF DAYS NOTICE 30
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ZURICH Additional Insured Owners Lessees Or Contractors Scheduled Person Or Organization Policy No. Eff. Date of Pol Exp. Date of Pol. Eff. Date of End. Producer No. Addl. Prem Return Prem. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured Address including ZIP Code This endorsement modifies insurance provided under the Commercial General Liability Coverage Part SCHEDULE Name Of Additional Insured Persons Or Organizations Location And Description Of Covered Operations FLORIDA DEPARTMENT OF TRANSPORTATION 3400 WEST COMMERCIAL BLVD FORT LAUDERDALE FL 33309 AITYV ALIN AALIITY AF CAN FPDOANCICAA CITY AND COUNTY OF SAN FRANSISCO SAN FRANSISCO PUBLIC UTILITIES COMM CONTRACT ADMINISTRATION BUREAU LOS ANGELES WORLD AIRPORTS LOS ANGELES WORLD AIRPORTS RISK MANAGEMENT PO BOX 92216 LOS ANGELES CA 90009 A. Section Il Who Is An Insured is amended to include as an additional insured the person or organization shown in the Schedule above whom you are required to add as an additional insured on this policy under a written contract or written agreement. Such person or organization is an additional insured 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 or your work as included in the products completed operations hazard which is the subject of the written contract or written agreement at the Location designated and described in the Schedule above. However the insurance afforded to such additional insured 1. Only applies to the extent permitted by law and 2. Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following additional exclusion applies U GL1177 F CW 0413 Page 1 of 2 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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This insurance does not apply to Bodily injury property damage or personal and advertising injury arising out of the rendering or failure to render any professional architectural engineering or surveying services including a. The preparing approving or failing to prepare or approve maps shop drawings opinions reports surveys field orders change orders or drawings and specifications or b. Supervisory inspection architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others by that insured if the occurrence which caused the bodily injury or property damage or the offense which caused the personal and advertising injury involved the rendering of or the failure to render any professional architectural engineering or surveying services. C. The following is added to Paragraph 2. Duties In The Event Of Occurrence Offense Claim Or Suit of Section IV Commercial General Liability Conditions The additional insured must see to it that 1. Weare notified as soon as practicable of an occurrence or offense that may result in a claim 2. We receive written notice of a claim or suit as soon as practicable and 3. A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non contributory. D. For the purpose of the coverage provided by this endorsement 1. The following is added to the Other Insurance Condition of Section IV Commercial General Liability Conditions Primary and Noncontributory insurance This Insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that a. The additional insured is a Named Insured under such other insurance and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV Commercial General Liability Conditions This insurance is excess over Any of the other insurance whether primary excess contingent or on any other basis available to an additional insured in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same occurrence offense claim or suit. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non contributory basis. E. With respect to the insurance afforded to the additional insureds under this endorsement the following is added to Section Ill Limits Of Insurance The most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement referenced in Paragraph A. of this endorsement 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. All other terms and conditions of this policy remain unchanged. U GL1177 F CW 0413 Page 2 of 2 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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Z ZURICH Limited Operations Coverage Work Excluded Under A Consolidated Wrap Up Insurance Program Policy No. Exp. Date of Pol. Eff. Date of End. Agency No. Addl. Prem. Return Prem. Named Insured CHICAGO BRIDGE IRON COMPANY Address including ZIP Code DELAWARE 2103 RESEARCH FOREST DR THE WOODLANDS TX 77380 2624 This endorsement modifies insurance provided under the Commercial General Liability Coverage Part a SG THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SCHEDULE Description and Location of Operations ANY LOCATION WHERE THE INSURED HAS OR HAD OPERATIONS INSURED BY A CONSOLIDATED WRAP UP INSURANCE PROGRAM. THIS EXCLUSION DOES NOT APPLY TO ANY LOCATIONS THAT MAY BE DESCRIBED IN U GL1146 EXCESS COVERAGE FOR INSUREDS INTEREST IN SPECIFIED WRAP UP PROGRAMS If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. A. The following exclusion is added to paragraph 2. Exclusions of Coverage A Bodily Injury and Property Damage Liability Section Coverages This insurance does not apply to bodily injury or property damage arising out of either your ongoing opera tions or operations included within the products completed operations hazard at the location described in the SCHEDULE of this endorsement as a consolidated wrap up insurance program has been provided by the prime contractor project manager or owner of the construction project in which you are involved. This exclusion applies whether or not the consolidated wrap up insurance program 1. Provides coverage identical to that provided by this Coverage Part 2. Has limits adequate to cover all claims or 3. Remains in effect. B. The exclusion in A. above shall not apply to your ongoing operations at the location shown in the SCHEDULE for your service maintenance correction repair or replacement of the original work performed and insured under the consolidated wrap up insurance program. U GL1294 A CW 1006 Page 1 of 2
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However this extension of coverage does not apply to damages because of bodily injury or property damage due to any service maintenance correction repair or replacement work 1. as respects the products completed operations hazard or 2. for which coverage is afforded under the consolidated wrap up insurance program. For the application of the coverage provided by this endorsement in paragraph B. above SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONSparagraph 4 Other Insurance is replaced by the following This insurance is excess over any other insurance whether primary excess contingent or on any other ba sis. If any other insurance responds or can respond to this loss we shall have the right but not the duty to defend any suit. 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 1. The total amount that all such other insurance would pay for the loss in the absence of this insurance and 2. The total of all deductible and self insured amounts under all that other insurance. We will share the remaining loss if any with any other insurance that may apply and that was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. Countersigned Authorized Representative U GL1294 A CW 1006 Page 2 of 2
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ZURICH Earlier Notice of Cancellation or Non Renewal ZURICH THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE 1. Number of days required for notice of non renewal other than for nonpayment of premium 90 If the number of days is not provided above please see the nonrenewal provisions of your policy. 2. Number of days required for notice of cancellation other than for nonpayment of premium 90 If the number of days is not provided above please see the cancellation provisions of your policy. 3. Number of days required for notice of cancellation for nonpayment of premium 10 If the number of days is not provided above please see the cancellation provisions of your policy. Number of days required for notice of cancellation for nonpayment of premium 10 If the number of days is not provided above please see the cancellation provisions of your policy. A. For any statutorily permitted reason for non renewal other than nonpayment of premium the number of days required for notice of non renewal as provided in the Commercial General Liability Conditions as amended by an applicable state endorsement or as provided by an applicable state s change in coverage regulation is increased to the number of days shown in Paragraph 1. in the Schedule above. B. For any statutorily permitted reason for cancellation other than nonpayment of premium the number of days required for notice of cancellation as provided in the Common Policy Conditions as amended by an applicable state endorsement or as provided by an applicable state s change in coverage regulation is increased to the number of days shown in Paragraph 2. in the Schedule above. C. For nonpayment of premium the number of days required for notice of cancellation as provided in the Common Policy Conditions as amended by an applicable state endorsement or as provided by an applicable state s change in coverage regulation is increased to the number of days shown in Paragraph 3. in the Schedule above. All other terms and conditions of your policy remain the same. Includes copyrighted material of Insurance Services Office Inc. with its permission. U GL1298 C CW 082008 Page 1 of 1
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ZURICH Broad Form Additional Insured Coverage Owners Lessees Or Contractors Scheduled Person or Organization Policy No Eff Date of Pol. Exp. Date of Pol. Eff. DateofEnd. Producer No. Addl Prem Return Prem. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part Name Of Additional Insured Persons Or Organizations Location And Description Of Covered Operations ANY PERSON OR ORGANIZATION FOR WHOM ANY LOCATION WHERE YOU ARE REQUIRED YOU ARE REQUIRED TO PROVIDE ADDITIONAI TO PROVIDE ADDITIONAL INSURED INSURED COVERAGE IN A WRITTEN CONTRACT COVERAGE IN A WRITTEN CONTRACT OR OR AGREEMENT PRIOR TO THE OCCURRENCE AGREEMENT EXECUTED PRIOR TO THE OR OFFENSE OCCURRENCE OR OFFENSE A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule of this endorsement. B. The insurance provided to the additional insured shown in the Schedule of this endorsement applies only to bodily injury property damage or personal and advertising injury covered under Section Coverage A Bodily Injury And Property Damage Liability and Section Coverage B Personal And Advertising Injury Liability but only with respect to liability for bodily injury property damage or personal and advertising injury caused 1. In whole or in part by your acts or omissions or the acts omissions of those acting on your behalf or 2. Unless prohibited by law solely by acts or omissions of such additional insured if coverage for sole acts or omissions of the additional insured is required by written contract or written agreement and resulting from a. Your ongoing operations or b. Your work completed as included in the products completed operations hazard performed for the additional insured at the location designated and described in the Schedule of this endorsement. However 1. The Insurance afforded to such additional insured VE URRENLE UN UEPENoG MEraNon U GL1321 E CW 1013 Page 1 of 3 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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Only applies to the extent permitted by law and a. Will not apply to any insurance coverage that is not provided to you in this policy and If coverage provided to the additional insured is required by a written contract or written agreement the insurance afforded to such additional insured will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. C. With respect to the insurance afforded to the additional insured shown in the Schedule of this endorsement the following additional exclusion applies This insurance does not apply to Bodily injury property damage or personal and advertising injury arising out of the rendering or failure to render any professional architectural engineering or surveying services including a. The preparing approving or failing to prepare or approve maps shop drawings opinions reports surveys field orders change orders or drawings and specifications and b. Supervisory inspection architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others by that insured if the occurrence which caused the bodily injury or property damage or the offense which caused the personal and advertising injury involved the rendering of or the failure to render any professional architectural engineering or surveying services. D. The additional insured shown in the Schedule of this endorsement must see to it that 1. 2. 3. We are notified as soon as practicable of an occurrence or offense that may result in a claim We receive written notice of a claim or suit as soon as practicable and A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by another insurer under which such additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this insurance be primary and non contributory. E. For purposes of the coverage provided by this endorsement 1. F. The following is added to the Other Insurance Condition under Section IV Commercial General Liability Conditions Primary and Noncontributory insurance This Insurance is primary to and will not seek contribution from any other insurance available to an additional insured under this endorsement provided that a. The additional insured is a Named Insured under such other insurance and b. You are required by a written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition under Section IV Commercial General Liability Conditions This insurance is excess over Any of the other insurance whether primary excess contingent or on any other basis available to an additional insured in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same occurrence offense claim or suit. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non contributory basis. With respect to the insurance afforded to the additional insureds under this endorsement the following is added to Section Ill Limits Of Insurance U GL1321 E CW 1013 Page 2 of 3 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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If coverage provided to the additional insured is required by a written contract or written agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the written contract or written 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. All other terms and conditions of this policy remain unchanged. U GL1321 E CW 1013 Page 3 of 3 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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ZURICH Deductible Policy No. Eff. Date of Pol. Eff. Date of End. ZURICH THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part Employee Benefits Liability Coverage Part Liquor Liability Coverage Part Stop Gap Employers Liability Coverage Part DEDUCTIBLE SCHEDULE Coverage Deductible Amount Basis Coverage Bodily Injury and Property Damage Liability All persons or organizations 3000000 Each Occurrence Bodily Injury Liability Only All persons or organizations Each Occurrence Property Damage Liability Only All persons or organizations Each Occurrence Coverage Bodily Injury and Property Damage Liability Each Claim Bodily Injury Liability Only Each Claim Property Damage Liability Only Each Claim Coverage Personal and Advertising Injury Liability By offense Any one person or organization 3000000 Each Claim Coverage Medical Payments 3000000 Any One Person Additional Employee Benefits Liability Each Act Error or Coverage 3000000 Omission Additional Liquor Liability Coverage Each Common Cause Additional Stop Gap Employers Liability Each Accident Coverage Stop Gap Employers Liability disease Each Employee Aggregate Deductible Amount Adjustable at a i rate of per of Flat Initial Exposure PELLET Minimum Aggregate Deductible Amount U GL1326 B CW 102007 Page 1 of 6
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ALLOCATED LOSS ADJUSTMENT EXPENSE SELECTION SCHEDULE Select One Option 1 x As respects each Deductible Amount you will reimburse us for all allocated loss adjustment expense even if there is no payment for other than allocated loss adjustment expense. Allocated loss adjustment expense reimbursements will contribute toward your Deductible Amount and your Aggregate Deductible Amount as shown in the Deductible Schedule. Option 2 As respects each Deductible Amount you will reimburse us for allocated loss a If the total amount payable for other than allocated loss adjustment expense as respects the basis for each Deductible Amount is equal to or less than the Deductible Amounts or if there is no amount payable other than allocated loss adjustment expense then you will reimburse us for all allocated loss adjustment expense. Allocated loss adjustment expense reimbursements will not contribute toward either your Deductible Amount or your Aggregate Deductible Amount as shown in the Deductible Schedule or b If the total amount payable for other than allocated loss adjustment expense exceeds the Deductible Amount you will reimburse us a pro rata share of total allocated loss adjustment expense based on the ratio of the Deductible Amount divided by the total amount payable for other than allocated loss adjustment expense as respects the basis for each Deductible Amount. Allocated loss adjustment expense reimbursements will not contribute toward either your Deductible Amount or your Aggregate Deductible Amount as shown in the Deductible Schedule. Option 3 As respects each Deductible Amount you will reimburse us for all allocated loss adjustment expense even if there is no payment for other than allocated loss adjustment expense. Allocated loss adjustment expense reimbursements will not contribute toward either your Deductible Amount or your Aggregate Deductible Amount as shown in the Deductible Schedule. If no option is selected Option 3 will apply. A. How the Deductible Amount Applies You will reimburse us for the Deductible Amounts shown in the Deductible Schedule and for allocated loss adjustment expenses incurred based on the Allocated Loss Adjustment Expense Selection Schedule. The Deductible Amounts applies as follows 1. If an Each Occurrence Deductible is shown the Deductible Amount applies to all sums payable because of any one Occurrence regardless of the number of persons or organizations who sustain damages because of that Occurrence. If an Each Claim Deductible is shown the Deductible Amount applies to all sums payable for each claim sustained by any one person or organization. a. For Other than Coverage B to all sums payable for each claim sustained by any one person or organization and b. For Coverage B to all damages sustained by any one person or organization as the result of an offense. Medical Payments If an Any One Person limit is shown the Deductible Amount applies to all sums payable to any one person as a result of an accident sustained by that person. U GL1326 B CW 102007 Page 2 of 6
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Employee Benefits Liability If an Each Act Error or Omission Deductible is shown the Deductible Amount applies to all sums payable for all damages sustained by any one Employee including the Employee s dependents and beneficiaries because of acts errors or omissions committed in the administration of employee benefit programs. Liquor Liability If a Common Cause Deductible is shown the Deductible Amount applies to all sums payable for all injury sustained by one or more persons or organizations as the result of the selling serving or furnishing of any alcoholic beverage to any one person. Stop Gap Employers Liability If an Each Accident Deductible is shown the Deductible Amount applies to all sums payable as the result of an accident regardless of the number of people who sustain damages because of that accident. Stop Gap Employers Liability disease If an Each Employee Deductible is shown the Deductible Amount applies to all sums payable because of any one disease and applies separately to each affected Employee. B. Deductible Provisions 1. If more than one Deductible Amount applies to sums payable arising from the same incident because more than one Coverage applies you will be responsible for each and every applicable Deductible Amount. Deductible Amounts 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. Your obligation to pay the Deductible Amounts shown on this policy is not fulfilled by a. The payment of a Deductible Amount under any other policy or b. Any payment made by us or another insurance company even if 3.a. or 3.b. above applies to the same incident as the Deductible Amount due under this policy. If more than one policy issued by us applies to sums payable because of a single continuous incident the Deductible Amounts applies separately to each policy that we issue to which this endorsement or a similar Deductible Endorsement applies. Deductible Amounts also apply separately to each annual period and any remaining period of less than 12 months as described in B.2. above. If a Coverage Part or Additional Coverage of this policy specifically applies a separate deductibles a. the separate additional deductible amount applies to any loss separately and before the Deductible Amounts shown on the Schedule of this endorsement and b. the Deductible Amounts shown on the Schedule of this endorsement applies only if the loss exceeds the separate additional deductible amount described in 5.a. above subject to the other terms and conditions of this endorsement. C. Aggregate Deductible Amount 1. The Aggregate Deductible Amount shown in the Deductible Schedule is the most you must reimburse us for the sum of a. all applicable Deductible Amounts as shown in the Deductible Schedule and b. all applicable allocated loss adjustment expense in accordance with the Allocated Loss Adjustment Expense Selection Schedule above. U GL1326 B CW 102007 Page 3 of 6
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POLICY NUMBER GLO 5821847 01 POLICY NUMBER GLO 5821847 01 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations Locations Of Covered Operations STP NUCLEAR OPERATING COMPANY 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 desig nated above. B. With respect to the insurance afforded to these additional insureds the following additional exclu sions apply This insurance does not apply to bodily injury or property damage occurring after 1. All work including materials parts or equip ment 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 in tended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a princi pal as a part of the same project. CG 20 10 07 04 ISO Properties Inc. 2004 Page 1 of 1 oOo
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POLICY NUMBER GLO 5821847 01 POLICY NUMBER GLO 5821847 01 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations Locations Of Covered Operations CITY OF NEW YORK 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 desig nated above. B. With respect to the insurance afforded to these additional insureds the following additional exclu sions apply This insurance does not apply to bodily injury or property damage occurring after 1. All work including materials parts or equip ment 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 in tended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a princi pal as a part of the same project. CG 20 10 07 04 ISO Properties Inc. 2004 Page 1 of 1 oOo
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POLICY NUMBER GLO 5821847 01 POLICY NUMBER GLO 5821847 01 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations Locations Of Covered Operations Any person or organization that specifically CG 2010 by written contract or agreement. U GL1321 applies to any additional insured where the CG 2010 is not specifically required by written contract or agreement. Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury 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 desig nated above. B. With respect to the insurance afforded to these additional insureds the following additional exclu sions apply This insurance does not apply to bodily injury or property damage occurring after 1. All work including materials parts or equip ment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional insureds at the loca tion of the covered operations has been com pleted 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. vy person or organization that specifically G 2010 by written contract or agreement. GL1321 applies to any additional insured here the CG 2010 is not specifically required written contract or agreement. CG 20 10 07 04 Copyright ISO Properties Inc. 2004 Page 1 of 1 UNIFORM
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POLICY NUMBER GLO 5821847 01 POLICY NUMBER GLO 5821847 01 COMMERCIAL GENERAL LIABILITY CG 20 11 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designation Of Premises Part Leased To You ANY PERSON OR ORGANIZATION WHEN REQUIRE BY WRITTEN CONTRACT OR AGREEMENT EXCEPT WHEN OTHERWISE COVERAGE BY WRAP UPS OR OTHER CONSOLIDATED INSURANCE PROGRAM Name Of Persons Or Organizations Additional Insured Additional Premium INCL. Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability arising out of the ownership maintenance or use of that part of the premises leased to you and shown in the Schedule and subject to the following additional exclusions This insurance does not apply to 1. Any occurrence which takes place after you cease to be a tenant in that premises. 2. Structural alterations new construction or demolition operations performed by or on behalf of the persons or organizations shown in the Schedule. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following is added to Section III 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 20 11 0413 Insurance Services Office Inc. 2012 Page 1 of 1
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POLICY NUMBER GLO 5821847 01 POLICY NUMBER GLO 5821847 01 COMMERCIAL GENERAL LIABILITY CG 20 12 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision ANY STATE OR POLITICAL SUBDIVISION BUY ONLY WHEN SPECIFICALLY REQUIRED BY WRITTEN CONTRACT Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured any state or governmental agency or subdivision or political subdivision shown in the Schedule subject to the following provisions 1. This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. However a. The insurance afforded to such additional insured only applies to the extent permitted by law and b. 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. 2. This insurance does not apply to a. Bodily injury property damage or personal and advertising injury arising out of operations performed for the federal government state or municipality or b. Bodily injury. or property damage included within the products completed operations hazard. B. With respect to the insurance afforded to these additional insureds the following is added to Section III 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. ANY STATE OR POLITICAL SUBDIVISION BUY ONLY WHEN SPECIFICALLY REQUIRED BY WRITTEN CONTRACT CG 20 12 04 13 Insurance Services Office Inc. 2012 Page 1 of 1
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POLICY NUMBER GLO 5821847 01 POLICY NUMBER GLO 5821847 01 COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 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 53589 Name Of Additional Insured Persons Or Organizations 1VILLAGE OF MOUNT HOREB WI AND STRAND ASSOCIATES INC138 EAST MAIN ST MOUNT HOREB WI 53572PROJECT140840 ELEVATED WATER TANK CONSTRUCTION 2STRAND ASSOCIATES INC. ITS OFFICERS DIRECTORS PARTNERS EMPLOYEES AGENTS CONSULTANTS SUBCONTRACTORS 910 WEST WINGRA DRIVE MADISON WI 53715 3CITY OF LANCASTER ITS OFFICERS DIRECTORS PARTNERS EMPLOYEES AGENTS CONSULTANTS SUBCONTRACTORS 206 SOUTH MADISON STREET LANCASTER WI 53813 4STOUGHTON UTILITIES ITS OFFICERS DIRECTORS PARTNERS EMPLOYEES AGENTS CONSULTANTS AND SUBCONSULTANTS 600 FOURTH STREET MADISON WI 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 your acts or omissions or the acts or omissions of those acting on your behalf 1. In the performance of your ongoing operations or 2. In connection with your premises owned by or rented to you. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following is added to Section Ill Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 26 04 13 Insurance Services Office Inc. 2012 Page 1 of 1 Wolters Kluwer Financial Services Uniform Forms
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POLICY NUMBER GLO 5821847 01 POLICY NUMBER GLO 5821847 01 COMMERCIAL GENERAL LIABILITY CG 20 28 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED LESSOR OF LEASED EQUIPMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations ANY PERSON OR ORGANIZATION TO WHOM OR TO WHICH YOU ARE REQUIRED TO PROVIDE ADDITIONAL INSURED STATUS IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT EXECUTED PRIOR TO THE LOSS EXCEPT WHERE SUCH CONTRACT OR AGREEMENT IS PROHIBITED BY LAW 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 this insurance does not apply organizations shown in the Schedule but only to any occurrence which takes place after the with respect to liability for bodily injury property equipment lease expires. damage or personal and advertising injury caused in whole or in part by your maintenance operation or use of equipment leased to you by such persons or organizations. ROVIDE ADDITIONAL INSURED STATUS IN A WRITTEN CONTRACT OR WRITTEN GREEMENT EXECUTED PRIOR TO THE LOSS EXCEPT WHERE SUCH CONTRACT OR GREEMENT IS PROHIBITED BY LAW CG 20 28 07 04 ISO Properties Inc. 2004 Page 1 of 1 oOo
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POLICY NUMBER GLO 5821847 01 POLICY NUMBER GLO 5821847 01 COMMERCIAL GENERAL LIABILITY CG 20 32 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ENGINEERS ARCHITECTS OR SURVEYORS NOT ENGAGED BY THE NAMED INSURED This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Engineers Architects Or Surveyors Not Engaged By The Named Insured ANY ENGINEERS ARCHITECTS OR SURVEYORS WHILE NOT ENGAGED BY YOU TO WHOM OR TO WHICH YOU ARE REQUIRED TO PROVIDE ADDITIONAL INSURED STATUS IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT EXECUTED PRIOR TO THE LOSS EXCEPT WHERE SUCH CONTRACT OR AGREEMENT IS PROHIBITED BY LAW. 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 architects engineers or surveyors 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 performed by you or on your behalf. Such architects engineers or surveyors while not engaged by you are contractually required to be added as an additional insured to your policy. However the insurance afforded to such additional insured 1. Only applies to the extent permitted by law and 2. 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 exclusion applies This insurance does not apply to bodily injury property damage or personal and advertising injury arising out of the rendering of or the failure to render any professional services including 1. The preparing approving or failing to prepare or approve maps drawings opinions reports surveys change orders designs or specifications or 2. Supervisory inspection or engineering services. 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 the failure to render any professional services. 2nO bVoo BALEPL WHERE CULT LUNI AA L UR AGREEMENT 10 FRAUNIDIIEY bt LAW. CG 20 32 04 13 Insurance Services Office Inc. 2012 Page 1 of 2
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C. With respect to the insurance afforded to these additional insureds the following is added to Section III Limits Of Insurance 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 CG 20 32 04 13
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COMMERCIAL GENERAL LIABILITY CG 20 33 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section Il Who Is An Insured is amended to include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured 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 insured. However the insurance afforded to such additional insured 1. Only applies to the extent permitted by law and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person s or organization s status as an additional insured under this endorsement ends when your operations for that additional insured are completed. B. With respect to the insurance afforded to these additional insureds the following additional exclusions apply This insurance does not apply to 1. Bodily injury property damage or personal and advertising injury arising out of the rendering of or the failure to render any professional architectural engineering or surveying services including a. The preparing approving or failing to prepare or approve maps shop drawings opinions reports surveys field orders change orders or drawings and specifications or b. Supervisory inspection architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others by that insured if the occurrence which caused the bodily injury or property damage or the offense which caused the personal and advertising injury involved the rendering of or the failure to render any professional architectural engineering or surveying services. CG 20 33 04 13 Insurance Services Office Inc. 2012 Page 1 of 2
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2. Bodily injury or property damage occurring after a. All 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 b. 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. C. With respect to the insurance afforded to these additional insureds the following is added to Section III Limits Of Insurance The most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement you have entered into with the additional insured 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 20 33 04 13
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COMMERCIAL GENERAL LIABILITY CG 20 34 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED LESSOR OF LEASED EQUIPMENT AUTOMATIC STATUS WHEN REQUIRED IN LEASE AGREEMENT WITH YOU COMMERCIAL GENERAL LIABILITY COVERAGE PART Section Il Who Is An Insured is amended to include as an additional insured any persons or organizations from whom you lease equipment when you and such persons or organizations have agreed in writing in a contract or agreement that such persons or organizations be added as an additional insured on your policy. Such persons or organizations is an in with respect to liability for bodily injur damage or personal and advertising injury caused in whole or in part by your maintenance operation or use of equipment leased to you by such persons or organizations. However the insurance afforded to such additional insured 1. Only applies to the extent permitted by law and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. This endorsement modifies insurance provided under the following A person s or organization s status as an additional insured under this endorsement ends when their contract or agreement with you for such leased equipment ends.. With respect to the insurance afforded to these additional insureds this insurance does not apply to any occurrence which takes place after the equipment lease expires.. With respect to the insurance afforded to these additional insureds the following is added to Section III Limits Of Insurance The most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement you have entered into with the additional insured 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 20 34 04 13 Insurance Services Office Inc. 2012 Page 1 of 1
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POLICY NUMBER GLO 5821847 01 POLICY NUMBER GLO 5821847 01 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 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 Or Organizations Name Of Additional Insured Persons Location And Description Of Completed Operations STP NUCLEAR OPERATING COMPANY LOS ANGELES WORLD AIRPORTS RISK MANAGEMENT PO BOX 92216 LOS ANGELES CA 90009 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 III 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 20 37 04 13 Insurance Services Office Inc. 2012 Page 1 of 1
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POLICY NUMBER GLO 5817029 01 POLICY NUMBER GLO 5817029 01 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 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 ANY PERSON OR ORGANIZATION TO WHOM OR TO WHICH YOU ARE REQUIRED TO PROVIDE ADDITIONAL INSURED STATUS IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT EXECUTED PRIOR TO THE LOSS EXCEPT WHERE SUCH CONTRACT OR AGREEMENT IS PROHIBITED BY THE LAW ANY LOCATION WHERE YOU HAVE AGREED THROUGH WRITTEN CONTRACT AGREEMENT OR PERMIT EXECUTED PRIOR TO THE LOSS TO PROVIDE ADDITIONAL INSURED COVERAGE FOR COMPLETED OPERATIONS. 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. CG 20 37 04 13 Insurance Services Office Inc. 2012 Page 1 of 2 Wolters Kluwer Financial Services Uniform Forms
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B. With respect to the insurance afforded to these additional insureds the following is added to Section Ill Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 ISO Properties Inc. 2004 CG 20 37 07 04 Oo
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COMMERCIAL GENERAL LIABILITY CG 21 47 12 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EMPLOYMENT RELATED PRACTICES EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily In jury And Property Damage Li ity 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 defa mation harassment humiliation discrimina tion or malicious prosecution directed at that person or 2 The spouse child parent brother or sister of that person as a consequence of bodily injury to that person at whom any of the employment related practices described in Paragraphs a b or c above is directed. This exclusion applies 1 Whether the injury causing event described in Paragraphs a b or c above occurs before employment during employment or after em ployment of that person 2 Whether the insured may be liable as an em ployer or in any other capacity and 3 To any obligation to share damages with or repay someone else who must pay damages because of the injury. B. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage B Personal And Advertising Injury Liability This insurance does not apply to Personal and advertising injury to 1 A person arising out of any a Refusal to employ that person b Termination of that person s employment or c Employment related practices policies acts or omissions such as coercion demotion evaluation reassignment discipline defa mation harassment humiliation discrimina tion or malicious prosecution directed at that person or 2 The spouse child parent brother or sister of that person as a consequence of personal and advertising injury to that person at whom any of the employment related practices described in Paragraphs a b or c above is directed. This exclusion applies 1 Whether the injury causing event described in Paragraphs a b or c above occurs before employment during employment or after em ployment of that person 2 Whether the insured may be liable as an em ployer or in any other capacity and 3 To any obligation to share damages with or repay someone else who must pay damages because of the injury. CG 21 47 1207 ISO Properties Inc. 2006 Page 1 of 1 oOo
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COMMERCIAL GENERAL LIABILITY CG 22 24 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION INSPECTION APPRAISAL AND SURVEY COMPANIES 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 because of the rendering of or failure to render professional services in the performance of any claim investigation adjustment engineering inspection appraisal survey or audit services. 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 professional services in the performance of any claim investigation adjustment engineering inspection appraisal survey or audit services. Insurance Services Office Inc. 2012 CG 22 24 04 13 Page 1 of 1
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COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION PROPERTY ENTRUSTED This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Operations Security and Patrol Agencies Warehouse cold individual storage lockers Warehouses miniwarehouses As respects the operations shown in the Schedule this insurance does not apply to property damage to prop erty of others 1. Entrusted to you for safekeeping or 2. On premises owned by or rented to you. CG 22 29 11 85 Copyright Insurance Services Office Inc. 1984 Page 1 of 1
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COMMERCIAL GENERAL LIABILITY CG 22 43 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION ENGINEERS ARCHITECTS OR SURVEYORS PROFESSIONAL LIABILITY This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage bility and Paragraph 2. Exclusions of Section Coverage B Personal And Advertising Injury Liability This insurance does not apply to bodily injury property damage or personal and advertising injury arising out of the rendering of or failure to render any professional services by you or any engineer architect or surveyor who is either employed by you or performing work on your behalf in such capacity. Professional services include 1. The preparing approving or failing to prepare or approve maps shop drawings opinions reports surveys field orders change orders or drawings and specifications and 2. Supervisory inspection architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others by that insured if the occurrence which caused the bodily injury or property damage or the offense which caused the personal and advertising injury involved the rendering of or failure to render any professional services by you or any engineer architect or surveyor whois either employed by you or performing work on your behalf in such capacity. CG 22 43 0413 Insurance Services Office Inc. 2012 Page 1 of 1
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POLICY NUMBER POLICY NUMBER COMMERCIAL GENERAL LIABILITY CG 20 10 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization CITY OF NEW YORK DEPARTMENT OF ENVIRONMENTAL If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. A. Section Il Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule but only with respect to liability arising out of your ongoing operations performed for that insured. B. With respect to the insurance afforded to these additional insureds the following exclusion is added 2. Exclusions This insurance does not apply to bodily in jury or property damage occurring after 1 All work including materials parts or equipment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional in sureds at the site of the covered operations has been completed or 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 subcon 2 TY OF NEW YORK DEPARTMENT OF ENVIRONMENTAL 1 All work including materials parts or equipment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional in sureds at the site 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 subcon tractor engaged in performing op erations for a principal as a part of the same project. CG 20 10 1001 ISO Properties Inc. 2000 Page 1 of 1
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POLICY NUMBER POLICY NUMBER COMMERCIAL GENERAL LIABILITY CG 20 10 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization EVERGREEN ENERGY INC. If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. A. Section Il Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule but only with respect to liability arising out of your ongoing operations performed for that insured. B. With respect to the insurance afforded to these additional insureds the following exclusion is added 2. Exclusions This insurance does not apply to bodily in jury or property damage occurring after 1 All work including materials parts or equipment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional in sureds at the site of the covered operations has been completed or 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 subcon 2 ERGREEN ENERGY INC. 1 All work including materials parts or equipment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional in sureds at the site 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 subcon tractor engaged in performing op erations for a principal as a part of the same project. CG 20 10 1001 ISO Properties Inc. 2000 Page 1 of 1
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POLICY NUMBER POLICY NUMBER COMMERCIAL GENERAL LIABILITY CG 20 10 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization ARMSTRONG DEVELOPMENT PROPERTIES INC. If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. A. Section Il Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule but only with respect to liability arising out of your ongoing operations performed for that insured. B. With respect to the insurance afforded to these additional insureds the following exclusion is added 2. Exclusions This insurance does not apply to bodily in jury or property damage occurring after 1 All work including materials parts or equipment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional in sureds at the site of the covered operations has been completed or 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 subcon 2 3MSTRONG DEVELOPMENT PROPERTIES INC. 1 All work including materials parts or equipment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional in sureds at the site 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 subcon tractor engaged in performing op erations for a principal as a part of the same project. CG 20 10 1001 ISO Properties Inc. 2000 Page 1 of 1
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