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COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION LEAD This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART OWNERS AND CONTRACTORS LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART CATASTROPHE UMBRELLA POLICY PROVISIONS This insurance does not apply to any injury damage loss cost payment or expense including but not limited to defense and investigation of any kind aris ing out of resulting from caused by or contributed to by the actual or alleged presence or actual al leged or threatened dispersal release ingestion in halation or absorption of lead lead compounds or lead which is or was contained or incorporated into any material or substance. This exclusion applies but is not limited to 1. Any supervision instructions recommendations warnings or advice given in connection with the above Any obligation to share damages losses costs payments or expenses with or repay someone else who must make payment because of such injury or damage loss cost payment or ex pense or Any request order or requirement to abate mitigate remediate contain remove or dispose of lead lead compounds or materials or sub stances containing lead. CG DO 76 06 93 Page 1 of 1
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COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION DISCRIMINATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS 1. COVERAGE A BODILY INJURY AND PROP ERTY DAMAGE LIABILITY is amended by ad ding the following additional exclusion This Insurance does not apply to Bodily injury resulting from or as a consequence of discrimination whether intentional or uninten tional based upon a person s sex sexual prefer ence marital status race creed religion na tional origin age physical capabilities character istics or condition or mental capabilities or con dition. 2. COVE ING II the fol This i Persc quenc uninte prefer nation teristic condit 2. COVERAGE B PERSONAL AND ADVERTIS ING INJURY LIABILITY is amended by adding the following additional exclusion This insurance does not apply to Personal injury resulting from or as a conse quence of discrimination whether intentional or unintentional based upon a person s sex sexual preference marital status race creed religion national origin age physical capabilities charac teristics or condition or mental capabilities or condition. CG D1 42 01 99 Copyright The Travelers Indemnity Company 1999 Page 1 of 1
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COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT POLLUTION EXCLUSION INCLUDING LIMITED COVERAGE FOR POLLUTION COSTS CONTRACTORS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART. REVISED EXCLUSION F. Exclusion f. of COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY Section I Coverages is deleted and replaced by the following This insurance does not apply to f. 1 Bodily injury or property damage aris ing out of the actual alleged or threat ened discharge dispersal seepage mi gration release or escape of pollutants a At or from any premises site or loca tion which is or was at any time owned or occupied or managed by or rented or loaned to any insured. However this paragraph does not apply to i Bodily injury if sustained within a building and caused by smoke fumes vapor or soot from equip ment used to heat that building ii Bodily injury or property dam age for which you may be held liable if you are a contractor and the owner or lessee of such premises site or location has been added to your policy as an additional insured with respect to your ongoing operations per formed for that additional insured at that premises site or location and such premises site or loca tion is not and never was owned or occupied by or rented or loaned to any insured other than that additional insured or iii Bodily injury or property dam age arising out of heat smoke or fumes from a hostile fire. REVISED EXCLUSION F. Exclusion f. of COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY Section I Coverages is deleted and replaced by the following This insurance does not apply to f. 1 Bodily injury or property damage aris ing out of the actual alleged or threat ened discharge dispersal seepage mi gration release or escape of pollutants a At or from any premises site or loca tion which is or was at any time owned or occupied or managed by or rented or loaned to any insured. However this paragraph does not apply to i Bodily injury if sustained within a building and caused by smoke fumes vapor or soot from equip ment used to heat that building ii Bodily injury or property dam age for which you may be held liable if you are a contractor and the owner or lessee of such premises site or location has been added to your policy as an additional insured with respect to your ongoing operations per formed for that additional insured at that premises site or location and such premises site or loca tion is not and never was owned or occupied by or rented or loaned to any insured other than that additional insured or iii Bodily injury or property dam age arising out of heat smoke or fumes from a hostile fire b At or from any premises site or loca c tion which is or was at any time used by or for any insured or others for the handling storage disposal process ing or treatment of waste Which are or were at any time trans ported handled stored treated dis posed of or processed as waste by or for any insured or any person or organization for whom you may be legally responsible d At or from any premises site or loca e tion on which any insured or any con tractors or subcontractors working di rectly or indirectly on any insured s behalf are performing operations if the operations are to test for monitor clean up remove contain treat de toxify or neutralize or in any way re spond to or assess the effects of pollutants or If any such discharge dispersal seepage migration release or es cape of pollutants at or from any premises site or location commences in whole or in part before the policy period. All discharges dispersals seepages migrations releases or escapes of pollutants at or from any premises site or location shall be deemed to commence at the time of the initial discharge release or es cape. However subparagraph e does not apply to bodily injury or property damage included within the Products Completed Operations Hazard. Subparagraphs a b and c do not apply to bodily injury or property dam age if CG D1 73 11 03 Copyright The Travelers Indemnity Company 2003 Page 1 of 3 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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COMMERCIAL GENERAL LIABILITY 1 the discharge release or escape of 2 3 4 pollutants is either i. at or from any premises site or location other than at or from an underground storage tank which is owned or occupied or managed by or rented or loaned to you during the policy period or ii. from a pipe containing sewage and the discharge release or escape of pollutants commences abruptly dur ing the policy period and ends within a period of 7 consecutive days after the initial discharge release or es cape and the discharge release or escape of pollutants becomes known to the insured and reported in writing to us within thirty 30 days from its abrupt commencement and the bodily injury or property dam age arises only out of the discharge release or escape of pollutants de scribed in 1 2 and 3 above. 2 This insurance also does not apply to Pollution costs. Il. COVERAGE D. LIMITED COVERAGE FOR POLLUTION COSTS 1. Insuring Agreement We will pay those sums that the insured becomes legally obligated to pay as lim ited covered pollution costs to which this insurance applies. We will have the right and duty to defend any suit seeking limited covered pollution costs. We may at our discretion investigate any occur rence and settle any claim or suit that may result. But 1 The amount we will pay for limited a. covered pollution costs shall be in cluded within and not in addition to the Each Occurrence Limit because of all bodily injury and property damage arising out of any one oc currence. The total amount we will pay for limited covered pollution costs shall be included within and not in addition to the limits set forth in LIMIT OF INSURANCE Section Ill paragraphs 2. and 3. whichever is applicable and Our right and duty to defend end when we have used up the applicable limit of insurance in the payment of judgments or settlements under Cov erages A or B medical expenses un der Coverage C or limited covered pollution costs under Coverage D. No other obligation or liability to pay sums. or perform acts or services is covered unless explicitly provided for under SUP PLEMENTARY PAYMENTS COVER AGES A B and D. 2. This insurance applies to limited covered pollution costs only if 1 The limited covered pollution costs result from an occurrence that takes place in the coverage territory and 2 The same occurrence which results in limited covered pollution costs also causes bodily injury or prop erty damage to which Coverage A applies. 2. Exclusions This insurance does not apply to Limited covered pollution costs incurred by any person or organization other than the Named Insured shown in the Declara tions. Limited covered pollution costs which the insured is obligated to pay by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability that the insured would have to pay limited covered pollution costs in the absence of the contract or agreement. Limited covered pollution costs if the bodily injury or property damage aris ing out of the actual alleged or threat ened discharge dispersal seepage mi gration release or escape of pollutants is not covered under Coverage A. 3. SUPPLEMENTARY PAYMENTS COVER AGES A AND B is amended to read SUPPLEMENTARY PAYMENTS COVER AGES A B AND D. Page 2 of 3 Copyright The Travelers Indemnity Company 2003 CG D1 73 11 03 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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COMMERCIAL GENERAL LIABILITY Ill. ADDITIONAL DEFINITIONS The following shall be added to DEFINITIONS Section V Limited covered pollution costs means any cost or expense arising out of a. Any request demand or order that the in sured test for monitor cleanup remove con tain treat detoxify or neutralize or assess the effects of pollutants or Any claim or suit by or on behalf of a gov ernmental authority demanding that the in sured test for monitor cleanup remove con tain treat detoxify or neutralize or assess the effects of pollutants. Limited covered pollution costs shall not in clude i. Punitive or exemplary damages or statu tory or administrative fines or penalties or ii. Salaries or benefits paid to your employ ees or Any cost or expense arising out of any request demand or order that the insured test for monitor cleanup remove con tain treat detoxify or neutralize or as sess the effects of pollutants situated on any premises site or location which is or was at any time owned occupied or managed by or rented or loaned to you or iv. Any cost or expense arising out of any claim or suit by or on behalf of a gov ernmental authority demanding that the insured test for monitor cleanup re move contain treat detoxify or neutral ize or assess the effects of pollutants situated on any premises site or location which is or was at any time owned occu pied or managed by rented or loaned to you. Pollution costs means any cost or expense arising out of a. Any request demand order or statutory or regulatory requirement that any in sured or others test for monitor cleanup remove contain treat detoxify or neutral ize or in any way respond to or assess the effects of pollutants or b. Any claim or suit by or on behalf of a governmental authority because of testing for monitoring cleaning up removing containing treating detoxifying or neu tralizing or in any way responding to or assessing the effects of pollutants. Underground storage tank means any one or combination of tanks including pipes connected thereto the volume of which including the vol ume of underground pipes connected thereto is 10 or more beneath the ground surface or oth erwise covered with earthen materials. Under ground pipes means all underground piping in cluding but not limited to valves elbows joints flanges and flexible connectors attached to a tank system. CG D1 73 11 03 Copyright The Travelers Indemnity Company 2003 Page 3 of 3 Includes copyrighted material of Insurance Services Office Inc. with its permission.
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COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION EXTERIOR INSULATION AND FINISH SYSTEM This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART This insurance does not apply to bodily injury property damage advertising injury or personal injury arising out of 1. The design manufacture construction fabrica tion distribution sale preparation installation application maintenance or repair including re modeling service correction or replacement of any exterior insulation and finish system com monly referred to as synthetic stucco or EIFS or any part thereof or any substantially similar sys tem or any part thereof including the application or use of conditioners primers accessories flashing coatings caulking or sealants in con nection with such a system or 2. Your product or your work with respect to any exterior component fixture or feature of any structure if an exterior insulation and finish sys tem or any substantially similar system is used on any part of that structure. The following is added to DEFINITIONS Section V Exterior insulation and finish system means an exterior cladding or finish system used on any part of any structure and consisting of a. A rigid or semi rigid insulation board made of expanded polystyrene or other materials and b. The adhesive andor mechanical fasteners used to attach the insulation board to the substrate and c. A reinforced base coat and d. A finish coat providing surface texture and color. CG D2 04 06 01 Copyright The Travelers Indemnity Company 2001 Page 1 of 1
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COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION SILICA OR SILICA RELATED DUST This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS 1. The following exclusion is added to Paragraph 2. Exclusions of SECTION COVERAGES COVERAGE A BODILY INJURY AND PROP ERTY DAMAGE LIABILITY Silica Or Silica Related Dust Bodily injury or property damage arising out of the actual alleged or threatened discharge dis persal emission release escape handling con tact with exposure to or inhalation or respiration of silica or silica related dust. This includes but is not limited to 1 Any supervision instructions recommenda tions warnings or advice given or which should have been given in connection with the above and 2 Any obligation to share damages with or re pay someone else who must pay damages because of such bodily injury or property damage. The following exclusion is added to Paragraph 2. Exclusions of SECTION COVERAGES COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY Silica Pers of the disper conta tion c cludes Silice tion of Silica Or Silica Related Dust Personal injury or advertising injury arising out of the actual alleged or threatened discharge dispersal emission release escape handling contact with exposure to or inhalation or respira tion of silica or silica related dust. This in cludes but is not limited to 1 Any supervision instructions recommenda tions warnings or advice given or which should have been given in connection with the above and 2 Any obligation to share damages with or re pay someone else who must pay damages because of such injury. The following is added to the DEFINITIONS Sec tion Silica means silicon dioxide occurring in crystal line amorphous and impure forms silica parti cles silica dust or silica compounds. Silica related dust means a mixture or combina tion of silica and other dust or particles. CG D2 40 09 15 Page 1 of 1 2015 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office Inc. with its permission.
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COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION WAR This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Exclusion i. under 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 War Bodily injury or property damage aris ing directly or indirectly out of 1 War including undeclared or civil war or 2 Warlike action by a military force in cluding action in hindering or de fending against an actual or expected attack by any government sovereign or other authority using military per sonnel or other agents or Insurrection rebellion revolution usurped power or action taken by governmental authority in hindering or defending against any of these regardless of any other cause or event that contributes concurrently or in any se quence to the injury or damage. 3 B. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage B Per sonal And Advertising Injury Liability 2. Exclusions This insurance does not apply to War Personal injury or advertising injury aris ing directly or indirectly out of 1 War including undeclared or civil war or 2 Warlike action by a military force includ ing action in hindering or defending against an actual or expected attack by any government sovereign or other authority using military personnel or other agents or Insurrection rebellion revolution usurped power or action taken by gov ernmental authority in hindering or de fending against any of these regardless of any other cause or event that contributes concurrently or in any sequence to the injury. CG D2 42 01 02 Copyright The Travelers Indemnity Company 2002 Page 1 of 1
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COMMERCIAL GENERAL LIABILITY CG 20 330413 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 exdiusions apply This insurance does not apply to 1. Bodily injury property damage or personal and Advertsing une aisieg 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 daims 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 0413 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. CG 20 33 0413 Insurance Services Office Inc. 2012 Page 2 of 2
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POLICY NUMBER COMMERCIAL GENERAL LIABILITY CG 20 3704 13 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUC TS COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations Location And Description Of Completed Operations rior to the loss. Construction. Commercial Construction means all construction activity that not Residential Construction. Residential Construction means all construction activity performed on townhouses condominiums cooperatives duplexes triplexes fourplexes and single family detached housing that is intended to be will be or is maintained or sol for the purpose of being used by natural persons as a dwellin land includes any associated improvements to real property infrastructure improvements grading excavating utility work road paving curb or sidewalk work. Bs required by written contract signed by both parties Coverage under this endorsement applies only to Commercial Information required to complete this Schedule if not shown above will be shown inthe Declarations.. 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. 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 nsured is the amount of insurance 1. Required by the contract or agreement or 2. However is 1. The insurance afforded to such additional insured mly applies tothe 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 contrac or agreement to provide for such additional insured. 2. Avaliable under the applicable Insurance shown inthe Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations Limits of CG 20 37 0413 Insurance Services Office Inc. 2012 Page 1 of 1
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POLICY NUMBER GA CGL0000052625 01 COMMERCIAL GENERAL LIABILITY CG 21 35 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION COVERAGE C MEDICAL PAYMENTS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE IDescription And Location Of Premises Or Classification All Locations. If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. 2. The following is added to Section Supplementary Payments h. Expenses incurred the insured for first aid administered to others at the time of an accident for bodily injury to which this insurance applies. With respect to any premises or classification shown in the Schedule 1. Section Coverage C Medical Payments does not apply and none of the references to it in the Coverage Part apply and Locations. 2. The following is added to Section Supplementary Payments h. Expenses incurred the insured for first aid administered to others at the time of an accident for bodily injury to which this insurance applies. CG 21 35 1001 ISO Properties Inc. 2000 Page 1 of 1
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COMMERCIAL GENERAL LIABILITY CG 21 47 1207 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EMPLOYMENT RELATED PRACTICES EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability This insurance does not apply to Bodily injury to 1 A person arising out of any a Refusal to employ that person b Termination of that person s employment or c Employment related practices policies acts or omissions such as coercion demotion evaluation reassignment discipline defamation harassment humiliation discrimination or malicious 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 employment of that person Whether the insured may be liable as an employer 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. 2 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 defamation harassment humiliation discrimination 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 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 employment of that person 2 Whether the insured may be liable as an employer 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 471207 ISO Properties Inc. 2006 Pagelof1
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COMMERCIAL GENERAL LIABILITY CG 21 49 09 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TOTAL POLLUTION EXCLUSION ENDORSEMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Exclusion f. under Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability is replaced by the following This insurance does not apply to f. Pollution 1 Bodily injury or property damage which would not have occurred in whole or part but for the actual alleged or threatened discharge dispersal seepage migration release or escape of pollutants at any time. 2 Any loss cost or expense arising out of any a b Request demand order or statutory or regulatory requirement that any insured or others test for monitor clean up remove contain treat detoxify or neutralize or in any way respond to or assess the effects of pollutants or Claim or suit by or on behalf of a governmental authority for damages because of testing for monitoring cleaning up removing containing treating detoxifying or neutralizing or in any way responding to or assessing the effects of pollutants. CG 21 49 09 99 Copyright Insurance Services Office Inc. 1998 Pagelof1
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POLICY NUMBER GA CGL0000052625 01 COMMERCIAL GENERAL LIABILITY CG 21 540196 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION DESIGNATED OPERATIONS COVERED BY A CONSOLIDATED WRAP UP INSURANCE PROGRAM This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Description and Location of Operations Every project where coverage is being provided under a consolidated or wrap up program. If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. The following exclusion is added to paragraph 2. Exclusions of COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY Section I 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. 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. CG 21 540196 Copyright Insurance Services Office Inc. 1994 Page 1 of 1
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COMMERCIAL GENERAL LIABILITY CG 2167 12 04 FUNGI OR BACTERIA EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability 2. Exclusions This insurance does not apply to Fungi Or Bacteria a. Bodily injury or property damage which would not have occurred in whole or in part but for the actual alleged or threatened inhalation of ingestion of contact with exposure to existence of or presence of any fungi or bacteria on or within a building or structure including its contents regardless of whether any other cause event material or product contributed concurrently or in any sequence to such injury or damage. b. Any loss cost or expenses arising out of the abating testing for monitoring cleaning up removing containing treating detoxifying neutralizing remediating or disposing of or in any way responding to or assessing the effects of fungi or bacteria by any insured or by any other person or entity. This exclusion does not apply to any fungi or bacteria that are are on or are contained in a good or product intended for bodily consumption. B. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage B Personal And Advertising Injury Liability 2. Exclusions This insurance does not apply to Fungi Or Bacteria a. Personal and advertising injury which would not have taken place in whole or in part but for the actual alleged or threatened inhalation of ingestion of contact with exposure to existence of or presence of any fungi or bacteria on or within a building or structure including its contents regardless of whether any other cause event material or product contributed concurrently or in any sequence to such injury. b. Any loss cost or expense arising out of the abating testing for monitoring cleaning up removing containing treating detoxifying neutralizing remediating or disposing of or in any way responding to or assessing the effects of fungi or bacteria by any insured or by any other person or entity. C. The following definition is added to the Definitions Section Fungi means any type or form of fungus including mold or mildew and any mycotoxins spores scents or byproducts produced or released by fungi. aragraph 2. A Bodily lage which whole or in alleged or gestion of tence of or cteria on or including its r any other r product y sequence ising out of ng cleaning treating ediating or y any other B. The Excl Pers 2. E aon CG 21 67 1204 ISO Properties Inc. 2003 Page 1 of 1
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT OF POLICY CONDITIONS OTHER INSURANCE PROVISION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART Section IV Paragraph 4 Other Insurance of the COMMERCIAL GENERAL LIABILITY CONDITIONS and the PRODUCTS COMPLETED OPERATIONS LIABILITY CONDITIONS is deleted in its entirety and replaced by the following This insurance is excess over any other insurance whether primary excess contingent or on any other basis that is available to you including as an additional insured or contractual indemnitee under a policy issued to a subcontractor. You are required to give notice of claim to all potential insurers within 30 days of giving notice of claim to us. We have no duty under COVERAGE A or B to defend any claim or suit that any other insurer has a duty to defend. If no other insurer defends we will undertake to do so but we will be entitled to your rights against all those other insurers. We will pay only our share of the amount of loss if any that exceeds the sum of a The total amount that all such other insurance would pay for the loss in the absence of this insurance and b The total of all deductible and self insurance amounts under all such insurance. We will share the remaining loss if any with any other insurance that is not described in this Excess insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declaration of this Coverage Part. Potential insurers means all insurance companies who may be obligated to defend the insured as either a named insured or an additonal insured. Potential insurers includes the insurers of all subcontractors who were contractually obligated to name the insured as an additional insured on their own insurance policy ies. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. This endorsement forms a part of the Policy to which attached effective on the inception date of the Policy unless otherwise stated herein. The following information is required only when this endorsement is issued subsequent to preparation of the Policy. Endorsement effective Policy No. Endorsement No. Named Insured Countersigned by Policy No. Countersigned by FMIC GL215607201 1
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. MINIMUM EARNED PREMIUM ENDORSEMENT The following additional policy Conditions supersede any other policy conditions and the Named Insured hereby agrees that the total policy premium and minimum earned premiums due for this policy shall be calculated in accordance with the following Total Policy Premium This policy is subject to a Total Policy Premium which means the premium that is calculated as fdlows 1. The deposit premium as shown in the policy Declarations plus 2. Any premium adjustment by endorsement plus 3. Any additional premium developed by audit. The premium entered on the Declarations page of this policy as DEPOSIT PREMIUM is a provisional premium only and is subject to adjustment in accordance with our rules rates and the Premium Audit provisions of this policy. A. Minimum Earned Premium by Date Certain Ifthe box below is checked and a date filled in where applicable the minimum eamed premium for this policy will be 100 earned by the specific date referenced in this endorsement and there will be no return of premium if you cancel this policy. After the premium is fully earned. B. Audits and Minimum Earned Premium With regard to audits the DEPOSIT PREMIUM as stated in the policy Declarations can not be reduced due to an audit. Premium adjustments affected as a result of premium audits may be done while the policy is in effect or after the policy is no longer in effect. The due date for audit premiums is the date shown as the due date on the bill. C. Cancellation and Minimum Earned Premium 1. If you cancel this policy the return premium will be the lesser of a. 90 of the pro rata unearned premium or b. 75 of the Deposit Premium. 2. If the Named Insured fails to remit premium payment when due such failure shall be considered a request by the Named Insured to cancel this policy and the return premium will be determined in accordance with C. 1. 3. If we cancel the policy for any reason other than for non payment of premium the minimum earned premium shall not apply. We will return to you the pro rata amount of the unearned premium. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. This endorsement forms a part of the Policy to which attached effective on the inception date of the Policy unless otherwise stated herein. The following infor mation is required only when this endorsement is issued subsequent to preparation of the Policy. Endorsement effective Policy No. Endorsement No. Named Insured Countersigned by FMIC GL2 163 052012
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BASIS OF PREMIUM ENDORSEMENT This endorsement modifies insurance provided under the folowing COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART It is understood and agreed that SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS SECTION IV PRODUCTS COMPLETED OPERATIONS LIABILITY CONDITIONS and SECTION IV OWNERS AND CONTRACTORS PROTECTIVE LIABILITY CONDITIONS are amended to include the following definitions of basis of premium used for computing premiums for this coverage Gross Sales or Receipts is defined as the gross amount charged by the Named Insured concessionaires of the Named Insured or by others trading under the Insured s name for 1. All goods or products sold or distributed in the coverage territory as defined in the policy 2. Operations performed during the policy period 3. Rentals during the policy period and 4. Dues or fees during the policy period. Only the following items shall be deducted from Gross Sales or Receipts Sales or excise taxes which are collected and remitted directly to a governmental division Credits for repossessed merchandise and products returned Finance charges for items sold on installment Freight charges on sales if freight is charged as a separate item on customer s invoice and Royalty income from patent rights or copyrights which are not product sales. MW Ponea Construction Costs is defined as the total cost of all work let or sublet in connection with each specific project including 1. The cost of labor materials and equipment furnished used or delivered for use in the execution of the work and 2. All fees bonuses or commissions made paid or due. Total Cost is defined as the total cost of all work let or sublet in connection with each specific project including 1. The cost of all labor materials and equipment fumished used or delivered for use in the execution of the work and 2. The other costs associated with the execution of the work including office costs and overhead expenses as well as all other fees involved in the completion of the project such as Attorney fees Professional fees Testing Appraisal Marketing and 3. All bonuses or commissions paid or due on the project. Total cost does not include the cost of the land financing and insurance charges and fees for permits. Payroll or Remuneration is defined as the sum of salaries wages tips piece of work commission bonuses overtime board and meals for work performed and excluding excess in accordance with the state payroll limitation rules. Overtime is defined as hours worked at increased rates of pay in excess of hours normally worked in a given day or week. If there is a guaranteed wage plan which assures employees a given wage for working a specific number of hours per week then the overtime means only the hours workedin excess of that specific amount. If there are records available showing the wages paid for overtime separately which exceed the amount that would have been paid for the same work during normal hours then all such excess wages are excluded. If these records show only the total of wages paid including overtime on a time and one half basis then one third of those wages should be excluded. If double time is paid for overtime and the total pay for such overtime is recorded separately one halfof the total pay for double time shall be excluded. Excluded from payroll is remuneration paid to clerical office employees including those whose duties are strictly limited to keeping the Insured s books or records conducting correspondence or engaged in clerical work in these areas. Anyone who does not work in the area separated physicaly by walled floors or partitions from all other work areas of the Insured is not considered. An exception to this is if the payroll or clerical office employees are specifically included in a classification wording or footnote of the ISO general liability classification. FMIC GL2203102014 Page 1 of 2
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Subcontracted Costs is defined as the total costs of all work all labor materials and equipment furnished used or delivered for use in the execution of work that has been contracted by the Insured to be performed by an independentparty. Tonnage or Sales to Tomage is defined as the total weight of oilfield pipe and oilfield pipe casing sold by the Insured. Units is defined as the number of persons or items descrbed. Rental Receipts is defined as the gross amount charged by the Named Insured concessionaires of the Named Insured or by others trading under the Insured s name for rental of equipment. Admissions is defined as the total number of persons other than employees of the Named Insured admitted to an event or events conducted on the premises whether on paid admission tickets complimentary tickets or passes. This endorsement forms a part of the Policy to which attached effective on the inception date of the Policy unless otherwise stated herein. The following information is required only when this endorsement is issued subsequent to preparation of the Policy. Endorsement effective Policy No. Endorsement No. Named Insured Countersigned by FMIC GL2203102014 Page 2of2
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION INDEPENDENT CONTRACTORS EMPLOYEES OR LEASED WORKERS WITH CONDITIONAL EXCEPTIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SECTION COVERAGES COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY 2. Exclusions is amended and the following is added It is agreed this insurance does not apply to bodily injury or property damage to 1. Any independent contractor hired directly or indirectly by or on behalf of any Insured 2. Any employee or independent contractor of any independent contractor described above in paragraph 1. or 3. The spouse child parent brother sister or registered domestic partner of that independent contractor or employee of that independent contractor as a consequence or 1. or 2. above. Solely for the purpose of this endorsement the term employee includes a leased employee temporary employee borrowed servant casual laborer independent contractor subcontractor or any other person working for any independent contractor hired directly or indirectly by or on behalf of any insured. However this exclusion shall not apply in those cases or situations where the independent contractor has met all of the following conditions 1. The independent contractor has Commercial General Liability coverage in place at the time of the loss with minimum limits ors 000.000 per occurrence 2000000 general aggregate and2000000 products completed operations aggregate. 2. The Insured is named as an additional insured on the independent contractor s Commercial General Liability Policy. 3. The independent contractor has in place at the time of the loss an indemnity agreement whereby the independent contractor agrees to indemnify defend and hold harmless the Insured. 4. The independent contractor waives any right of subrogation against the Insured. Commercial General Liability coverage maintained by independent contractors shall be primary and non contributory and this Policy shall be excess of the Limits of Liability of such insurance. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. This endorsement forms a part of the Policy to which attached effective on the inception date of the Policy unless otherwise stated herein. The following information is required only when this endorsement is issued subsequent to preparation of the Policy. Endorsement effective Policy No. Endorsement No. Named Insured Countersigned by Policy No. Endorsement No. Countersigned by FMIC GL2231 012012
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONDITIONAL SUBSIDENCE EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS COVERAGE PART SECTION COVERAGES COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY 2. Exclusions and SECTION COVERAGES PRODUCTS COMPLETED OPERATIONS BODILY INJURY AND PROPERTY DAMAGE LIABILITY 2. Exclusions are amended and the following is added A. SUBSIDENCE EXCLUSION This insurance does not apply to bodily injury or property damage directly or indirectly arising out of caused by resulting from contributed to aggravated by or related to a claim or suit involving a subsidence as defined herein. This exclusion applies regardless of any other cause or event that contributes concurrently or in any sequence to the bodily injury or property damage. We shall have no duty or obligation under this insurance to defend respond to investigate or indemnity any insured against any loss claim suit or other proceeding alleging damages arising out of or related to bodily injury or property damage to which this endorsement applies. This exclusion also applies to any obligation to share damages with repay or indemnify someone else who must pay damages because of such bodily injury or property damage. However the above exclusion does not apply to bodily injury or property damage arising out of subsidence at an insured project covered by this policy where all of the following conditions have been satisfied a. An Insured under this policy entered into a written contract with and utilized the services of a licensed geotechnical engineer to evaluate the surface and subsurface conditions at the project b. The geotechnical engineer developed and provided written recommendations and guidelines for use in preparing appropriate design and related construction specifications for the project c. The project was designed and built in conformity with the recommendations and guidelines developed and provided by the geotechnical engineer d. The contract between any insured covered under this policy and the geotechnical engineer provides 1 that any insured under this policy is entitled to indemnity and defense from the geotechnical engineer with respect to any claim for liability arising out of Subsidence and Earth Movement or Earth Pressure and 2 that the geotechnical engineer must maintain both commercial general liability insurance or commercial general liability insurance and excess or umbrella insurance with a minimum limit of 5000000 per occurrence and professional liability insurance with a minimum limit of 5000000 per claim and 3 that any insured covered under this policy is named as an additional insured under the insurance maintained by the geotechnical engineer and e. Coverage for the bodily injury or property damage is available and collectible on a primary and non contributing basis for the full limits specified in paragraph d. 2 above under the commercial general liability insurance or commercial general liability insurance and excess or umbrella insurance or professional liability insurance maintained by the geotechnical engineer. FMIC GL2254 042012 Page 1 of 2
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The following definition is added to SECTION V DEFINITIONS Subsidence means settling settlement expansion sinking slipping falling away tilting caving in shifting eroding rising heaving landslide flood or mud flow earthquake volcanic eruption or other tectonic processes or any other movement of land or earth however caused and whether by natural manmade accidental or artificial means. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. This endorsement forms a part of the Policy to which attached effective on the inception date of the Policy unless otherwise stated herein. The following information is required only when this endorsement is issued subsequent to preparation of the Policy. Endorsement effective Policy No. Endorsement No. Named Insured Countersigned by FMIC GL2254042012 Page 2of 2
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POLICYHOLDER NOTICE CERTIFICATES OF INSURANCE The issuarce of a certficate of insurance shall not amend extend or alter the coverage provided by tris policy or change the persons or entities to whom such coverage is afforded under this policy. In no event shalla certificate of insurance include any change andor modification of the policy terms or conditions or purport to add any named insured or any additional named insured unless such change modification or addition is first approved by a policy endorsement issued by the First Mercury Insurance Company providing this insurance Company and signed by an officer of he Company. The Compary wil not be responsibe for any liabiity resulting from the issuarce of any cettificate of insurance. In no event does anyone have the authori to issue a certificate of insurance which indudes any additions andor modifications to the policy teams and conditions including but not limited to waivers of subrogation additional insureds or any specia additional coverages unless expressly approved in writing by a endorsement issued by the Company. No one other than this Company can issue an endorsement or change the terms of the policy on behalfof the Company. The Company will not review accept or retain copies o any certificates of insurance or additional insured endorsements prepared by anyone. A cettiicate of insurance is intended to be infomational only and should rot be relied upon to corfer or alter coverage or used to request or evidence a change to the policy. The Company will not be responsible for any liability or claims of reliance resulting from the issuance of any unauthorized endorsement or certificate or the issuance of an endorsement which has been authoiized by the Company but where the authorized wording is amended or revised in any way. The Company providing this insurance does not approve or authorize any certificates that are prohbited by law or otherwise prepared in violation of an applicable insurance code or statute. FMIC GL2496 102013
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IL 00 21 09 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT Broad Form This endorsement modifies insurance provided under the following COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY 1. The insurance does not apply A. Under any Liability Coverage to bodily injury or property damage 1 With respect to which an insured under the policy is also an insured under a nuclear energy liability policy issued by Nuclear Energy Liability Insurance Association C. Under any Liability Coverage to bodily injury or property damage resulting from hazardous properties of nuclear material if 1 The nuclear material a is at any nuclear facility owned by or operated by or on behalf of an insured or b has been discharged or dispersed therefrom Mutual Atomic Energy Liability Underwriters 2 The nuclear material is contained in spent Nuclear Insurance Association of Canada or fuel or waste at any time possessed any of their successors or would be an handled used processed stored insured under any such policy but for its transported or disposed of by or on behalf of termination upon exhaustion of its limit of an insured or liability or 3 The bodily injury or property damage Resulting from the hazardous properties of nuclear material and with respect to which a any person or organization is required to maintain financial protection pursuant to the Atomic Energy Act of 1954 or any law amendatory thereof or b the insured is or had this policy not been issued would be entitled to indemnity from the United States of America or any agency thereof under any agreement entered into by the United States of America or any agency thereof with any person or organization. B. Under any Medical Payments coverage to expenses incurred with respect to bodily injury resulting from the hazardous properties of nuclear material and arising out of the operation of a nuclear facility by any person or organization. arises out of the furnishing by an insured of services materials parts or equipment in connection with the planning construction maintenance operation or use of any nuclear facility but if such facility is located within the United States of America its territories or possessions or Canada this exclusion 3 applies only to property damage to such nuclear facility and any property thereat.. As used in this endorsement Hazardous properties includes radioactive toxic or explosive properties. Nuclear material. means source material special nuclear material or by product material. jury IL 00 21 09 08 ISO Properties Inc. 2007 Page 1of2
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Source material special nuclear material and by product material have the meanings given them in the Atomic Energy Act of 1954 or in any law amendatory thereof. Spent fuel means any fuel element or fuel component solid or liquid which has been used or exposed to radiation in a nuclear reactor. Waste means any waste material a containing by product material other than the tailings or wastes produced by the extraction or concentration of uranium or thorium from any ore processed primarily for its source material content and b resulting from the operation by any person or organization of any nuclear facility included under the first two paragraphs of the definition of nuclear facility. Nuclear facility means a Any nuclear reactor b Any equipment or device designed or used for 1 separating the isotopes of uranium or plutonium 2 processing or utilizing spent fuel or 3 handling processing or packaging waste c Any equipment or device used for the processing fabricating or alloying of special nuclear material if at any time the total amount of such material in the custody of the insured at the premises where such equipment or device is located consists of or contains more than 25 grams of plutonium or uranium 233 or any combination thereof or more than 250 grams of uranium 235 d Any structure basin excavation premises or place prepared or used for the storage or disposal of waste and includes the site on which any of the foregoing is located all operations conducted on such site and all premises used for such operations. Nuclear reactor means any apparatus designed or used to sustain nuclear fission in a self supporting chain reaction or to contain a critical mass of fissionable material. Property damage includes all forms of radioactive contamination of property. Page 2 of 2 1SO Properties Inc. 2007 IL 00 210908
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POLICY NUMBER 37 UEN QU2335 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS OPTION II This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations Designated Projects Or Locations Of Covered Operations JALL ALL Information required to complete this Schedule if not shown above will be shown in the Declarations. A. With respect to those persons or organizations shown in the Schedule above when you have agreed in a written contract or written agreement to provide insurance such as is afforded under this policy to them Subparagraph f. Any Other Party under the Additional Insureds When Required By Written Contract Written Agreement Or Permit Paragraph of Section Il Who Is An Insured is replaced with the following f. Any Other Party Any other person or organization who is not an insured under Paragraphs a. through e. but only with respect to liability for bodily injury property damage or personal and advertising injury caused by 1 Your acts or omissions or the acts or omissions of those acting on your behalf a In the performance of your ongoing operations for such additional insured at the projects or locations designated in the Schedule b In connection with your premises owned by or rented to you and shown Form HS 24 81 07 13 in the Schedule or c In connection with your work for the additional insured at the projects or locations designated in the Schedule and included within the products completed operations hazard but only if i The written contract or agreement requires you to provide such coverage to such additional insured at the projects or locations designated in the Schedule and This Coverage Part provides coverage for bodily injury or property damage included within the products completed operations hazard or 2 The acts or omissions of the additional insured in connection with their general supervision of your operations at the projects or locations designated in the Schedule. ii Page 1 of 2 2013 The Hartford Includes copyrighted material of Insurance Services Office Inc. with its permission.
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The insurance afforded to the additional insured shown in the Schedule applies 1 Only if the bodily injury or property damage occurs or the personal and advertising injury offense is committed a During the policy period and b Subsequent to the execution of such written contract or written agreement and c Prior to the expiration of the period of time that the written contract or written agreement requires such insurance be provided to the additional insured. 2 Only to the extent permitted by law and 3 Will not be broader than that which you are required by the written contract or agreement to provide for such additional insured. With respect to the insurance afforded to the persons or organizations that are additional insureds under 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 of or the 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 designs or specifications or 2 Supervisory inspection engineering activities. The limits of insurance that apply to the additional insured shown in the schedule are described in the Limits Of Insurance section. How this insurance applies when other insurance is available to the additional insured is described in the Other Insurance Condition in Section IV Commercial General Liability Conditions except as otherwise amended below. B. With respect to insurance provided to the persons or organizations that are additional insureds under this endorsement the When You Add Others As An Additional Insured To This Insurance subparagraph under the Other Insurance Condition of Section lV Commercial General Liability Conditions is replaced with the following architectural or When You Add Others As An Additional Insured To This Insurance a Primary Insurance When Required By Contract This insurance is primary if you have agreed in a written contract or written agreement that this insurance be primary. If other insurance is also primary we will share with all that other insurance by the method described in Paragraph c below. This insurance does not apply to other insurance to which the additional insured in the Schedule has been added as an additional insured. Primary And Non Contributory To Other Insurance When Required By Contract This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that i The additional insured in the Schedule is a Named Insured under such other insurance and ii You have agreed in a written contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured in the Schedule. c Method Of Sharing If all of the other insurance permits contribution by equal shares we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains whichever comes first. If any of the other insurance does not permit contribution by equal shares we will contribute by limits. Under this method each insurer s share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. All other terms and conditions in the policy remain unchanged. b Page 2 of 2 Form HS 24 81 07 13
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COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 Policy Number 37 VEN QU2335 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 UTAH DOT AND STATE OF UTAH UTAH Locations Of Covered Operations UTAH 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. 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 an other contractor or subcontractor en gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 c ISO Properties Inc. 2004 Page 1 of 1
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ICY NUMBER 37 VEN QU2335 ry THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. INDEPENDENT CONTRACTORS ENDORSEMENT POLICY NUMBER 37 VEN QU2335 This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART The following condition is added to Conditions Section IV. Independent Contractors You shall obtain Certificates of Insurance from all independent Contractors or sub contractors providing evidence of General Liability insurance coverage with limits at least equal to that afforded by this policy. Such Certificates of Insurance shall also specify that you are named as an additional insured under their policy as respects to work for which you have engaged their services. Failure to comply with these conditions does not alter the coverage provided by this policy. However should you fail to comply independent contractors will be considered your employees and a premium charge will be made accordingly. The entire cost of all work sublet will be used as the premium basis for the work performed. Form HS 99 51 06 05 c 2005 The Hartford Page 1 of 1
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POLICY NUMBER 37 VEN QU2335 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT PREMIUMS AND PREMIUM AUDIT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART A. The following is added to the Premiums Common Policy Condition The Minimum Retained Premium stated in the Declarations shall be considered as fully earned at the inception of the policy. In the event of cancellation by the first Named Insured we shall be entitled to retain any Minimum Retained Premium stated in the applicable Coverage Part Declarations. B. The following is added to the Premium Audit Condition If the Advance Premium set forth in the applicable Coverage Part Declarations is adjustable such Advance Premium is an estimated premium for the Audit Period set forth in the Declarations. At the end of such Audit Period we will compute any applicable Audit Premium. Then 1 Audit Premium which is greater than the paid Advance Premium is due and payable by the first Named Insured upon notice or 2 Paid Advance Premium which is greater than Audit Premium will be refunded to the first Named Insured subject to any Minimum Retained Audit Premium or Minimum Retained Premium set forth in the Declarations whichever of 1 or 2 applies. Form HS 25 31 06 05 Page 1 of 1 c 2005 The Hartford
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POLICY NUMBER 37 UEN QU2335 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following COMMERICIAL GENERAL LIABILITY COVERAGE PART A. Paragraph 4. the Other Insurance Condition Section IV Commercial General Liability Conditions is replaced by the following 4. Other Insurance This insurance is excess over any other insurance whether primary excess contingent or on any other basis except when purchased specifically to apply in excess of this insurance. If this insurance is excess we will have no duty under this Coverage Part to defend the insured against any suit if any other insurer has a duty to defend the insured against that suit. If no other insurer defends we will undertake to do so but we will be entitled to the insured s rights against all those other insurers. If this insurance is excess over other insurance we will pay only our share of the amount of the loss if any that exceeds the sum of a. The total amount that all such other insurance would pay for damages in the absence of this insurance and b. The total of all deductible and self insured amounts under all that other insurance. Paragraph 2.e. of Section IV Commercial General Liability Conditions is replaced by the following Ad If we cover a claim or suit under this Coverage Part that may also be covered by other insurance available to an additional insured such additional insured must submit such claim or suit to the other insurer for defense and indemnity. ional Insureds Other Insurance Form HS 25 32 06 08 Page 1 of 1 2008 The Hartford Includes copyrighted material of Insurance Services Office Inc. with its permission.
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QUICK REFERENCE COMMERCIAL GENERAL LIABILITY COVERAGE PART OCCURRENCE READ YOUR POLICY CAREFULLY DECLARATIONS PAGES Named Insured and Mailing Address Policy Period Description of Business and Location Coverages and Limits of Insurance Beginning on Page SECTION COVERAGES Coverage A Insuring Agreement Bodily Injury and Property Exclusions...... Damage Liability Coverage B Insuring Agreement Personal and Advertising Exclusions....... 6 Injury Liability Coverage C Insuring Agreement.7 Medical Payments Exclusions 8 Supplementary Payments Coverages A And B..... 8 SECTION II WHO IS AN INSURED..... 9 SECTION Ill LIMITS OF INSURANCE SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS. Bankruptcy seseeeeneee wen Duties in The Event Of Occurrence Offense Claim or Suit Legal Action Against Us. Other Insurance Premium Audit. Representations Separation of Insureds Transfer of Rights of Recovery Against Others To Us When We Do Not Renew SECTION V DEFINITIONS COMMON POLICY CONDITIONS Cancellation Changes Examination of Your Books and Records Inspections and Surveys Premiums Transfer of Your Rights and Duties under this Policy ENDORSEMENTS These form numbers are shown on the Coverage Part Declarations Page or on the Common Policy Declarations Page. Form HC 70 01 06 05 2005 The Hartford Includes copyrighted material of Insurance Services Office Inc. with its permission.
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT OF EXCLUSIONS AND DEFINITION PERSONAL AND ADVERTISING INJURY This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Exclusions i. j. t. and u. of Paragraph 2. Exclusions of Section Coverage B Personal And Advertising Injury Liability are replaced by the following Infringement Of Intellectual Property Rights 1 Personal and advertising injury arising out of any actual or alleged infringement or violation of any intellectual property right such as copyright patent trademark trade name trade secret service mark or other designation of origin or authenticity or Any injury or damage alleged in any clam or suit that also alleges an infringement or violation of any intellectual property right whether such allegation of infringement or violation is made by you or by any other party involved in the claim or suit regardless of whether this insurance would otherwise apply. However this exclusion does not apply if the only allegation in the claim or suit involving any intellectual property right is limited to 1 Infringement in your advertisement of a Copyright b Slogan or c Title of any literary or artistic 2 work or 2 Copying in your advertisement a person s or organization s advertising idea or style of advertisement. i. Insureds In Media And Internet Type Businesses Personal and advertising injury committed by an insured whose business is 1 Advertising broadcasting publishing or telecasting 2 Designing or determining content of web sites for others or 3 An Internet search access content or service provider. However this exclusion does not apply to Paragraphs a. b. and c. of the definition of personal and advertising injury under the Definitions Section. For the purposes of this exclusion the placing of frames borders or links or advertising for you or others anywhere on the Internet is not by itself considered the business of advertising broadcasting publishing or telecasting. Discrimination Personal and advertising injury arising out of discrimination committed by or at your direction or the direction of any partner member manager executive officer director stockholder or trustee of the insured. Form HC 00 97 12 10 Page 1 of 2 2010 The Hartford Includes copyrighted material of Insurance Services Office Inc. with its permission.
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u. Employment Related Practices Personal and advertising injury to 1 A person arising out of any employmentrelated practices 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 employment related practices are directed. This exclusion applies a Whether the injury causing event described in the definition of employment related practices occurs before employment during employment or after employment of that person Whether the insured may be liable as an employer or in any other capacity and To any obligation to share damages with or repay someone else who must pay damages because of the injury. b c B. Paragraphs c. and h. of the definition of personal and advertising injury in the Definitions Section are replaced by the following Personal and advertising injury means injury including consequential bodily injury arising out of one or more of the following offenses c. The wrongful eviction from wrongful entry into or invasion of the right of private occupancy of a room dwelling or premises that a person or organization occupies committed by or on behalf of its owner landlord or lessor h. Discrimination that results in humiliation or other injury to the feelings or reputation of a natural person. Page 2 of 2 Form HC 00 97 12 10
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POLICY NUMBER POLICY NUMBER COMMERCIAL GENERAL LIABILITY CG 20100413 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 Mills Civic Hotel Associates LLC 2 Quail Creek Cir North Liberty IA 52317 Information required to complete this Schedule if notshown above will be shown in the Declarations. A. Section ll Who Is An Insured is amended to include as an add itional insured the person s 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 notbe broader than that which you are required by the contract or agreement to provide for such add itional insured. CG 20 10 0413 Insurance Services Office Inc. 2012 B. With respectto 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 wo rk out of which the injury or damage arises has been put to its intended use by any person or organiz ation other than another contractor or subcontractor engagedin performing operations for a principal as a part of the same project. Page 1 of 2 Quail Creek Cir rth Liberty 1A 52317 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. CG 20 100413 Insurance Services Office Inc. 2012 Page 2 of 2
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POLICY NUMBER COMMERCIAL GENERAL LIABILITY CG 20 37 0413 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations Location And Description Of Completed Operations As required by written contract signed by both parties lprior to the loss. overage under this endorsement applies only to Commercial onstruction. Commercial Construction means all construction activity that s ot Residential Construction. Residential Construction means all construction activity erformed on townhouses condominiums cooperatives luplexes triplexes fourplexes and single family detached jousing that is intended to be will be or is maintained or sold for the purpose of being used by natural persons as a dwelling. ind includes any associated improvements to real property infrastructure improvements grading excavating utility work road paving curb or sidewalk work. 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 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. CG 20 37 0413 Insurance Services Office Inc. 2012 Page 1 of 1
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POLICY NUMBER IL CGL0000044657 01 COMMERCIAL GENERAL LIABILITY CG 21 35 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION COVERAGE C MEDICAL PAYMENTS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE IDescription And Location Of Premises Or Classification All Locations and All Operations If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. 2. The following is added to Section Supplementary Payments h. Expenses incurred the insured for first aid administered to others at the time of an accident for bodily injury to which this insurance applies. With respect to any premises or classification shown in the Schedule 1. Section Coverage C Medical Payments does not apply and none of the references to it in the Coverage Part apply and Locations and All Operations 2. The following is added to Section Supplementary Payments h. Expenses incurred the insured for first aid administered to others at the time of an accident for bodily injury to which this insurance applies. CG 21 35 1001 ISO Properties Inc. 2000 Page 1 of 1
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POLICY NUMBER IL CGL0000044657 01 COMMERQAL GENERAL LIABILITY CG 21 44 0798 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LIMITATION OF COVERAGE TO DESIGNATED PREMISES OR PROJECT This endorsement modifies nsurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Premises 6620 Stagecoach Drive West Des Moines IA 50266 Project Construction of a 5 story 102 unit hotel building If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable to this endors ement. This insurance applies only to bodily injury property damage personal and advertising injury and medical expenses arising out of 1. The ownership maintenance or use of the premises shown in the Schedule and operations necessary or incidental to those premises or 2. The project shown inthe Schedule. CG 2144 07 98Copyright Insurance Services Office Inc. 1997 Page 1 of 1 Page 1 of 1
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COMMERCIAL GENERAL LIABILITY CG 21 47 1207 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EMPLOYMENT RELATED PRACTICES EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability This insurance does not apply to Bodily injury to 1 A person arising out of any a Refusal to employ that person b Termination of that person s employment or c Employment related practices policies acts or omissions such as coercion demotion evaluation reassignment discipline defamation harassment humiliation discrimination or malicious 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 employment of that person Whether the insured may be liable as an employer 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. 2 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 defamation harassment humiliation discrimination 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 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 employment of that person 2 Whether the insured may be liable as an employer 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 471207 ISO Properties Inc. 2006 Pagelof1
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COMMERCIAL GENERAL LIABILITY CG 21 49 09 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TOTAL POLLUTION EXCLUSION ENDORSEMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Exclusion f. under Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability is replaced by the following This insurance does not apply to f. Pollution 1 Bodily injury or property damage which would not have occurred in whole or part but for the actual alleged or threatened discharge dispersal seepage migration release or escape of pollutants at any time. 2 Any loss cost or expense arising out of any a b Request demand order or statutory or regulatory requirement that any insured or others test for monitor clean up remove contain treat detoxify or neutralize or in any way respond to or assess the effects of pollutants or Claim or suit by or on behalf of a governmental authority for damages because of testing for monitoring cleaning up removing containing treating detoxifying or neutralizing or in any way responding to or assessing the effects of pollutants. CG 21 49 09 99 Copyright Insurance Services Office Inc. 1998 Pagelof1
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POLICY NUMBER IL CGL0000044657 01 COMMERCIAL GENERAL LIABILITY CG 21 540196 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION DESIGNATED OPERATIONS COVERED BY A CONSOLIDATED WRAP UP INSURANCE PROGRAM This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Description and Location of Operations Every project where coverage is being provided under a consolidated or wrap up program If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. The following exclusion is added to paragraph 2. Exclusions of COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY Section I 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. 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. CG 21 540196 Copyright Insurance Services Office Inc. 1994 Page 1 of 1
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SPECIAL CONDITIONS FOR SUBCONTRACTORS INCLUDING DEDUCTIBLE This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS is amended and the following Policy Conditions added 1. Certificates of insurance with limits of liability equal to or greater than those provided by this policy underwritten by an insurance company with at least an A7 Best rating as defined by AM Best will be obtained from all subcontractors prior to commencement of any work performed for the insured. Insurance must be maintained during the policy period to coincide with those listed on this policy s declaration page. Note If this policy provides a per location or per project aggregate subcontractor s policy must also provide the same. 2. The insured will obtain hold harmless agreements from subcontractors indemnifying the insured and the owner against all losses for work performed for the insured by any and all subcontractors. 3. The insured will be named as an Additional Insured on all subcontractors General Liability policies using ISO Additional Insured endorsements CG2010 or CG2033 for Ongoing Operations and CG2037 for Products Completed Operations endorsement or other similar equivalent endorsements. Evidence of compliance must be provided to the company during the annual premium audit. Failure to comply with the above conditions will result in the following 1. Additional supplementary premium will be charged at a rate of 7.00 per 1000 of subcontracted costs. The additional supplementary premium is in addition to any premium from alll other rating bases. 2. A deductible of 2500Qwill also apply for any losses that is the result of subcontractor s operations. This deductible is applicable only to losses that is due to subcontractor s operations. Any other deductible listed on the policy declarations or found in any policy endorsement remains as scheduled. Commercial General Liability coverage maintained by subcontractors shall be primary and this policy shall be excess of limits of liability of such insurance not withstanding the language of the Other Insurance provisions of this policy. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. This endorsement forms a part of the Policy to which attached effective on the inception date of the Policy unless otherwise stated herein. The following information is required only when this endorsement is issued subsequent to preparation of the Policy. Endorsement effective Policy No. Endorsement No. Named Insured Countersigned by Policy No. Endorsement No. Countersigned by FMIC GL2009052014
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CROSS SUITS ENDORSEMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS COVERAGE PART SECTION COVERAGES COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY 2. Exclusions COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY 2. Exclusions COVERAGE D PROFESSIONAL LIABILITY 2. Exclusions and SECTION COVERAGES PRODUCTS COMPLETED OPERATIONS BODILY INJURY AND PROPERTY DAMAGE LIABILITY 2. Exclusions are amended and the following is added CROSS SUITS EXCLUSION This Policy does not apply to a claim demand or suit for damages initiated alleged or caused to be brought about by a Named Insured covered by this Policy against any other Named Insured. It is the intent of this exclusion to exclude from this insurance all claims demands or suits as above described. This endorsement forms a part of the Policy to which attached effective on the inception date of the Policy unless otherwise stated herein. The following information is required only when this endorsement is issued subsequent to preparation of the Policy. Endorsement effective Policy No. Endorsement No. Named Insured Countersigned by Policy No. Countersigned by Authorized Representative FMIC GL2010012014
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTINUOUS OR PROGRESSIVE INJURY AND DAMAGE EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE COVERAGE PART It is agreed under Section COVERAGES COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY 1. Insuring Agreement Paragraph b 3 c and d are deleted in their entirety and the following exclusion is added to Section I 2. Exclusions of this policy. This insurance does not apply to 1. Any damages arising out of or related to bodily injury or property damage whether such bodily injury or property damage is known or unknown a which first occurred in whole or in part prior to the inception date of this policy or the retroactive date of this policy if any whichever is earlier or b which are or are alleged to be in the process of occurring as of the inception date of the policy or the retroactive date of this policy if any whichever is earlier even if the bodily injury or property damage continues during this policy period or c which were caused or are alleged to have been caused by the same conditions or defective construction which first existed prior to the inception date of this policy. 2. Any damages arising out of or related to bodily injury or property damage whether known or unknown which are in the process of adjustment settlement or suit as of the inception date of this policy or the retroactive date of this policy if any whichever is earlier. We shall have no duty to defend any insured against any loss claim suit or other proceeding alleging damages arising out of or related to bodily injury or property damage to which this endorsement applies. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. This endorsement forms a part of the Policy to which attached effective on the inception date of the Policy unless otherwise stated herein. The following information is required only when this endorsement is issued subsequent to preparation of the Policy. Endorsement effective Policy No. Endorsement No. Named Insured Countersigned by FMIC GL201 1042011
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POLICY DEDUCTIBLE ENDORSEMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE AMOUNT AND BASIS OF DEDUCTIBLE PER CLAIM PER INJURY 5000 PER CLAIM PER OCCURRENCE 5000 PER OCCURRENCE COVERAGE A BODILY INJURY LIABILITY OR PROPERTY DAMAGE LIABILITY OR BODILY INJURY LIABILITY AND OR PROPERTY DAMAGE LIABILITY COMBINED COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY COVERAGE C MEDICAL PAYMENTS. PER OCCURRENCE A. Our obligation under the Bodily Injury Liability Property Damage Liability Personal and Advertising Injury Liability or Medical Payments Coverages to pay damages and Supplementary Payments on your behalf applies only to the amount of damages and Supplementary Payments in excess of any deductible amounts stated in the Schedule above as applicable to such coverages. B. Your policy may have a deductible amount on either a per claim a per occurrence or a per injury basis. Your deductible applies to the coverage option and to the basis of the deductible indicated by the placement of the deductible amount in the Schedule above. The deductible amount stated in the Schedule above applies as follows 1. PER CLAIM BASIS. If the deductible amount indicated in the Schedule above is on a per claim basis that deductible applies as follows a. Under Bodily Injury Liability Coverage to all damages sustained by any one person because of bodily injury b. Under Property Damage Liability Coverage to all damages sustained by any one person because of property damage c. Under Bodily Injury Liability andor Property Damage Liability Coverage Combined to all damages sustained by any one person because of 1 Bodily injury 2 Property damage or 3 Bodily injury and property damage combined or d. Under Supplementary Payments Coverages A and B to all amounts we pay in the defense and investigation of any claim or suit to which this insurance applies e. Under Medical Payments Coverage C to all damages sustained by any one person because of bodily injury as the result of any one occurrence. If damages are claimed for care loss of services or death resulting at any time from bodily injury a separate deductible amount will be applied to each person making aclaim for such damages. With respect to property damage person includes an organization. FMIC GL2015012014 Page 1 of 2 Page 1 of 2
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2. PER OCCURRENCE BASIS. If the deductible amount indicated in the Schedule above is on a per occurrence basis that deductible amount applies as follows a. Under Bodily Injury Liability Coverage to all damages because of bodily injury b. Under Property Damage Liability Coverage to all damages because of property damage c. Under Bodily Injury Liability andor Property Damage Liability Coverage Combined to all damages because of 1 Bodily injury 2 Property damage or 3 Bodily injury and property damage combined or d. Under Supplementary Payments Coverages A and B to all amounts we pay in the defense and investigation of any claim or suit to which this insurance applies. e. Under Medical Payments Coverage C to all damages sustained by any one person because of bodily injury as the result of any one occurrence regardless of the number of persons or organizations who sustain damages because of that occurrence. 3. PER INJURY BASIS. If the deductible amount indicated in the Schedule above is on a per injury basis the deductible amount applies as follows a. Under the Personal and Advertising Injury Liability Coverage to all damages because of personal and advertising injury sustained by any one person or organization as a result of any one injury. b. Under Supplementary Payments Coverages A and B to all amounts we pay in the defense and investigation of any claim or suit to which this insurance applies. The terms of this insurance including those with respect to 1. Ourright and duty to defend the insured against any suits seeking those damages and 2. Your duties in the event of an occurrence claim or suit apply irrespective of the application of the deductible amount. We at our sole election and option may either 1. Pay any patt of or all of the deductible amount to effect settlement of any claim or suit or payment of Supplementary Payments. Upon notification of the action taken you shall promptly reimburse us for such part of the deductible amount as has been paid by us or 2. Simultaneously upon receipt of notice of any claim or suit or at any time thereafter request you pay or deposit with us all or any part of the deductible amount to be held and applied by us as herein provided. The deductible may not be satisfied by payments made by any additional insured any other insurance or any other insurer unless such payments are made under a policy written specifically to cover the deductible obligations under this policy. Notwithstanding any other provision of this policy or any endorsements thereto including the Separation of Insureds Condition all Named Insureds are jointly and severally liable to us for payment of the full deductible amounts applicable to any and all claims and occurrences to which this policy may apply. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. This endorsement forms a part of the policy to which attached effective on the inception date of the policy unless otherwise stated herein. The following information is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement effective Policy No. Endorsement No. Named Insured Countersigned by Page 2of 2 FMIC GL2015012014
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. HAZARDOUS MATERIALS EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE COVERAGE PART A. SECTION COVERAGES COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY 2. Exclusions and SECTION COVERAGES COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY 2. Exclusions and SECTION COVERAGES PRODUCTS COMPLETED OPERATIONS BODILY INJURY AND PROPERTY DAMAGE LIABILITY 2. Exclusions and SECTION COVERAGES BODILY INJURY AND PROPERTY DAMAGE LIABILITY are amended and the following Exclusion is added This insurance does not apply to Hazardous Materials 1 Bodily injury property damage or personal and advertising injury which would not have occurred in whole or part but for the actual alleged or threatened discharge ingestion inhalation dispersal seepage migration release or escape of hazardous materials at any time. 2 Any loss cost or expense arising out of any a Request demand order or statutory or regulatory requirement that any insured or others test for monitor clean up remove contain treat detoxify or neutralize or in any way respond to or assess the effects of hazardous materials or b Claim or suit by or on behalf of a governmental authority for damages because of testing for monitoring cleaning up removing containing treating detoxifying or neutralizing or in any way responding to or assessing the effects of hazardous materials. 3 Any obligations to share damages with or indemnify another party whom must pay damages because of injury or damage relating to hazardous materials. 4 Any supervision instructions recommendations wamings or advice given or which should have been given in connection with paragraphs 1 2 or 3 above This exclusion applies whether or not such hazardous materials has any function in your business operations premises site or location. B. SECTION V DEFINITIONS is amended and the following added Hazardous materials means pollutants and materials that are radioactive corrosive oxidizers asphyxiates biohazardous toxic pathogen or allergen substances and organisms lead asbestos silica and materials containing them. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. This endorsement forms a part of the Policy to which attached effective on the inception date of the Policy unless otherwise stated herein. The following information is required only when this endorsement is issued subsequent to preparation of the Policy. Endorsementeffective Policy No. Named Insured Endorsement No. Countersigned by FMIC GL207704201 1
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COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS INCLUDING COMPLETED OPERATIONS This endorsement modifies the insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE Name Of Additional Insured Persons Or Organizations Project Location Of Project 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 arising out of your work performed for that additional insured by or for you at the location designated and described in the Schedule of this endorsement. However 1. The insurance afforded to such additional in sured 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 insur ance 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 Sec tion Ill Limits Of Insurance If coverage provided to the additional insured is re quired 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 Insur ance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. f Project CG7193 10 13 Includes copyrighted material of ISO Properties Inc. with its permission. Page 1 of 1
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT AGGREGATE LIMITS OF INSURANCE PER LOCATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART The General Aggregate Limit under LIMITS OF INSURANCE Section Ill applies separately to each of your locations owned by or rented to you. Location means premises involving the same or connecting lots or premises whose connection is interrupted only by a street roadway waterway or right of way of a railroad. Includes copyrighted material of Insurance Services Office Inc. with its permission. Form CG7428 Ed. 11 98 Copyright Insurance Services Office Inc. 1984
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COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ABUSE OR MOLESTATION LIABILITY This endorsement changes insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM Except to the extent specifically provided within this b. endorsement the coverage form to which this endorsement is attached does not apply to any claim or suit seeking damages arising out of any actual or threatened abuse molestation or any related breach of duty. SECTION COVERAGES is amended by adding the following COVERAGE ABUSE OR MOLESTATION LIABILITY d 1. INSURING AGREEMENT a. We will pay those sums that the insured becomes legally obligated to pay as damages because of loss arising out of abuse or molestation to which this endorsement applies. We have the right and duty to defend the e. insured against any suit seeking damages because of loss to which this endorsement applies. However we have no duty under this endorsement to defend any insured against a suit seeking damages not covered by this endorsement. We may at our discretion investigate and settle any claim or suit that may result. But 1 The total amount we will pay as damages is limited as described in SECTION Ill LIMITS OF INSURANCE and 2 Our right and duty to defend ends when we have used up the applicable limit of insurance in the payment of judgments or f. settlements under this endorsement. No other obligation or liability to pay sums or perform acts or services is covered by this endorsement unless explicitly provided for under SUPPLEMENTARY PAYMENTS COVERAGE Abuse or Molestation Liability. b. The coverage within this endorsement applies to loss only if 1 The loss takes place in the coverage territory and g 2 The loss occurs during the endorsement period. 2. EXCLUSIONS This coverage does not apply a. Any Perpetrator To any person who knowingly participated in or knowingly allowed or directed any act of abuse or molestation. Criminal Actions To the cost of defense of or the cost of paying any fines for any person resulting from an actual or alleged violation of any penal or criminal statute. Contractual Liability To liability assumed by the insured under any contract or agreement. Workers Compensation To any obligation of the insured under a Workers Compensation disability benefits or unemployment compensation law or any similar law. Employers Liability To loss 1 To an employee or volunteer worker arising out of and in the course of his or her employment or while performing duties related to the conduct of your business 2 To the spouse child parent brother or sister of that employee or volunteer worker as a consequence of Paragraph 1 above. This exclusion applies regardless of the relationship between the insured and any party described in this paragraph. Aircraft Auto Watercraft To any loss arising out of the ownership maintenance use or entrustment to others of any aircraft auto or watercraft. 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 with respect to any aircraft auto or watercraft. Employment Practices To any loss arising out of any employment related practices. This exclusion applies 1 Whether the insured may be liable as an employer or in any other capacity and 2 To the spouse child parent brother or sister as a consequence of loss to that person at whom any of the employment related practices is directed. CG755110 19 Includes copyrighted material of ISO Properties Inc. with its permission. Page 1 of 4
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h. Failure to Report Abuse or Molestation To any insured with knowledge of the loss who intentionally fails to report such act to the proper authorities. Proper authorities may include those within your organization and any governmental legal or regulatory bodies. SUPPLEMENTARY PAYMENTS COVERAGES A AND B is replaced by the following for COVERAGE Abuse or Molestation Liability SUPPLEMENTARY PAYMENTS We will pay with respect to any claim we investigate or settle or any suit against an insured we defend 1. 2. All expenses we incur. The cost of bonds to release attachments but only for bond amounts within the applicable limit of insurance. We do not have to furnish these bonds. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or suit including actual loss of earnings up to 300 a day because of time off from work. All court costs taxed against the insured in the suit. However these payments do not include attorneys fees or attorneys expenses taxed against the insured. Prejudgment interest awarded against the insured on that part of the judgment we pay. If we make an offer to pay the applicable limit of insurance we will not pay any prejudgment interest based on that period of time after the offer. All interest on the full amount of any judgment that accrues after entry of the judgment and before we have paid offered to pay or deposited in court the part of the judgment that is within the applicable limit of insurance. We will indemnify any insured for 100 of the attorney s fees and reasonable expenses other than loss of earnings not to exceed a maximum expenditure of 100000 per occurrence which fees and expenses are incurred in the defense of any criminal action or proceeding arising within the scope of employment brought against the insured and meeting the following conditions 1 A dismissal of the criminal action or 2 A final judgment or conviction must not have been entered against the insured and the insured must not have pled guilty to any criminal offense either felony or misdemeanor and a No reimbursement will be made until the first trial verdict is entered. b No reimbursement will be provided for appeals after a guilty verdict is rendered at the first trial. This coverage does not apply to any retrial upon an entry of mistrial after verdict or to any retrial after appeal. The statement We will pay with respect to any claim we investigate or settle or any suit against an insured we defend does not apply to item 7. These payments will not reduce the limits of insurance. SECTION II WHO IS AN INSURED is replaced by the following SECTION Il WHO IS AN INSURED 1. If you are designated in the Declarations as a. An individual you and your spouse are insureds but only with respect to the conduct of a business of which you are the sole owner. b. A partnership or joint venture you are an insured. Your members your partners and their spouses are also insureds but only with respect to the conduct of your business. c. A limited liability company you are an insured. Your members are also insureds but only with respect to the conduct of your business. Your managers are insureds but only with respect to their duties as your managers. d. An organization other than a partnership or joint venture you are an insured. Your executive officers and directors are insureds but only with respect to their duties as your officers or directors. Your stockholders are also insureds but only with respect to their liability as stockholders. e. A trust you are an insured. Your trustees are also insureds but only with respect to their duties as trustees 2. Each of the following is also an insured for loss Your volunteer workers but only while performing duties related to the conduct of your business or your employees other than either your executive officers if you are an organization other than a partnership joint venture or limited liability company or your managers if you are a limited liability company but only for acts within the scope of their employment by you or while performing duties related to the conduct of your business. 3. Any organization you newly acquire or form other than a partnership joint venture or limited liability company and over which you maintain ownership or majority interest will qualify as a Named Insured if there is no other similar insurance available to that organization. However a. Coverage under this endorsement is afforded only until the 90th day after you acquire or form the organization or the end of the policy period whichever is earlier and b. Coverage Abuse or Molestation Liability does not apply to loss that occurred before you acquired or formed the organization. No person or organization is an insured with respect to the conduct of any current or past partnership or joint venture that is not shown as a named insured in the Declarations. m we investigate or d we defend tachments but only applicable limit of rnish these bonds. 2d by the insured at he investigation or icluding actual loss because of time off the insured in the nts do not include expenses taxed against the insured pay. If we make an of insurance we will rest based on that f any judgment that nent and before we posited in court the ithin the applicable 1 for 100 of the 2xpenses other than ceed a maximum surrence which fees tha dafance of any CG755110 19 Includes copyrighted material of ISO Properties Inc. with its permission. Page 2 of 4
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SECTION Ill LIMITS OF INSURANCE is replaced by the following SECTION Ill LIMITS OF INSURANCE 1. The Limits of Insurance shown in the Declarations and the rules below fix the most we will pay regardless of a. The number of insureds b. The number of claims made or suits brought or c. The number of persons or organizations making claims or bringing suits or d. In addition with respect to payment under the coverage for Abuse or Molestation Liability 1 The number of actual or alleged errors misstatements misleading statements acts omissions negligent acts or breaches of duty 2 The period of time during which the acts described in d.1 took place or 3 The number of persons who have been subject to the acts described in d.1. 2. The General Aggregate Limit is the most we will pay for the sum of a. Medical expenses under Coverage C b. Damages under Coverage A c. Damages under Coverage B and d. Damages under the coverage for Abuse or Molestation Liability. 3. Subject to Paragraph 2. above the Personal and Advertising Injury Limit is the most we will pay under Coverage B for the sum of all damages because of all personal and advertising injury sustained by any one person or organization. 4. Subject to Paragraph 2. above the Each Occurrence Limit is the most we will pay for the sum of a. Damages under Coverage A and b. Medical expenses under Coverage C because of all loss arising out of any one occurrence. If such occurrence is causally related to the facts circumstances situations or events for which coverage for Abuse or Molestation Liability applies then such coverage in item 6. below will be subject to one Each Occurrence Limit for the sum of damages under item 6. below and the damages and medical expenses in 4.a. and 4.b. above. 5. Subject to Paragraph 4. above the Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of bodily injury sustained by any one person. 6. Subject to Paragraph 4. above all damages under the Abuse or Molestation Liability coverage arising out of all acts of actual or threatened abuse or molestation by one person or by two or more persons acting together and all breaches of duty giving rise to such acts will be considered to result from one loss which is deemed to take place at the time of the first such loss. Such loss will be subject to an each loss limit which is equal to the Each Occurrence Limit shown on the Declarations page. Loss is defined as shown within the Abuse or Molestation Liability Coverage. The Limits of Insurance of this Coverage Part apply separately to each consecutive annual period and to any remaining period of less than 12 months starting with the beginning of the policy period shown in the Declarations unless the policy period is extended after issuance for an additional period of less than 12 months. In that case the additional period will be deemed part of the last preceding period for purposes of determining the Limits of Insurance. SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS applies to this COVERAGE Abuse or Molestation Liability without change. SECTION V DEFINITIONS All definitions contained in the Commercial General Liability Coverage Form apply except as modified by this endorsement. For the purpose of this endorsement only the following definitions apply 18. Suit means a civil proceeding in which damages are alleged because of loss to which this endorsement applies. Suit includes a. An arbitration proceeding in which such damages are claimed and to which you must submit with our consent or b. Any other alternative dispute resolution proceeding in which such damages are claimed and to which you submit with our consent and c. Administrative suits before teacher practices review boards provided that such suit is not originated by an administrative official of the school district while acting in that capacity. 23. Loss means bodily injury property damage personal and advertising injury or a wrongful act including continuous or repeated exposure to substantially the same general harmful conditions. 24. Wrongful act means injury other than bodily injury or personal and advertising injury arising out of one or more of the following a. actual or alleged errors b. misstatement or misleading statements c. act omission or neglect or d. breach of duty by any insured. NCE 1 in the Declarations most we will pay te or suits brought S or organizations suits or payment under the 2Station Liability or alleged errors sading statements ent acts or breaches Iring which the acts place or ns who have been cribed in d.1. is the most we will overage C A Re and sctrprn 2OM rsonal and ve will pay damages sing injury tion. the Each oay for the roo a e CG755110 19 Includes copyrighted material of ISO Properties Inc. with its permission. Page 3 of 4
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25. Employment related practices means Refusal to employ an applicant Termination of an employee or Employment related policies acts or omissions such as coercion demotion evaluation reassignment iscipline defamation harassment humiliation or discrimination directed at a former employee employee or applicant for employment. CG755110 19 Includes copyrighted material of ISO Properties Inc. with its permission. Page 4 of 4
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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 M.E. COLLINS CONTRACTING COMPANY INC. Address including ZIP Code 980 EB 25TH ST WAHOO NE 68066 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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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. 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 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. 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. 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. 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 F. 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 Welding Health Hazard Exclusion ZURICH Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Addl. Prem 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. Includes copyrighted material of Insurance Services Office Inc. with its permission. U GL1205 B CW 108 Page 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 SG THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured M.E. COLLINS CONTRACTING COMPANY Address including ZIP Code INC. 980 EB 25TH ST PO BOX 83 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. THIS EXCLUSION DOES NOT APPLY TO ANY LOCATIONS THAT MAY BE DESCRIBED IN U GL1058 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 Lead Liability Exclusion Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Addl. Prem 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 Dam age Liability and Paragraph 2. Exclusions of Coverage B Personal And Advertising Injury Liability This insurance does not apply to Lead 1 Bodily injury property damage or personal and advert 2 sing injury arising out of resulting from caused by or related to the actual alleged or threatened a b Exposure to or existence of lead paint containing lead or any other material product or substance containing lead or Manufacture distribution sale resale re branding installation repair removal encapsulation abatement replace ment 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 se quence to the injury or damage. Any sums that any insured or other entity must pay repay or reimburse because of any a b 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 mate rial product or substance containing lead or in any way respond to or asses s the effects of lead in any form or 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 sub stance containing lead or in any way responding to or assessing the effects of lead in any form. 3 Any other loss cost or expense arising out of caused by or relating in any way to lead. U GL 1342 4 CW 1007 Page 1 of 1
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POLICY NUMBER 37 c s38817 CY NUMBER 37 c s38817 COMMERCIAL GENERAL LIABILITY G 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 Moss Associates LLLC dba Lockhart Construction Team Barton Malow Company MasTec Inc. Lemartec Corporation Miami Beckham United LLC and each of the foregoing affiliates and their respective officials officers directors partners members managers shareholders employees and Lenders as well as agents and contractors. 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. ntractors. CG 20 26 0413 Insurance Services Office Inc. 2012 Page 1 of 1
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POLICY NUMBER 37 c s38817 CY NUMBER 37 c s38817 COMMERCIAL GENERAL LIABILITY G 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 MRC 37 LLC 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. C37 LLC CG 20 26 0413 Insurance Services Office Inc. 2012 Page 1 of 1
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POLICY NUMBER 37 c s38817 CY NUMBER 37 c s38817 COMMERCIAL GENERAL LIABILITY G 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 TWAIN INVESTMENT FUND 390 LLC 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. JAIN INVESTMENT FUND 390 LLC CG 20 26 0413 Insurance Services Office Inc. 2012 Page 1 of 1
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POLICY NUMBER 37 c s38817 CY NUMBER 37 c s38817 COMMERCIAL GENERAL LIABILITY G 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 U.S. BANCORP COMMUNITY DEVELOPMENT CORPORATION 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. S. BANCORP COMMUNITY DEVELOPMENT CORPORATION CG 20 26 0413 Insurance Services Office Inc. 2012 Page 1 of 1
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POLICY NUMBER 37 c s38817 CY NUMBER 37 c s38817 COMMERCIAL GENERAL LIABILITY G 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 DVCI CDE XLVII LLC 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. CI CDE XLVII LLC CG 20 26 0413 Insurance Services Office Inc. 2012 Page 1 of 1
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COMMERCIAL GENERAL LIABILITY COMMERCIAL GENERAL LIAE POLICY NUMBER 37 c s38817 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ALIENATED PREMISES COVERAGE This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Paragraph 2. of Exclusion j. of COVERAGE A Section does not apply. Form HS 04 02 01 88 Page 1 of 1 c 1988 The Hartford
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COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED CONTRACTORS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. WHO IS AN INSURED Section II is amended to include any person or organization that you agree in a written contract requiring insurance to include as an additional insured on this Cover age Part but a Only with respect to liability for bodily injury property damage or personal injury and b If and only to the extent that the injury or damage is caused by acts or omissions of you or your subcontractor in the performance of your work to which the written contract requiring insurance applies. The person or organization does not qualify as an additional insured with respect to the independent acts or omissions of such person or organization. 2. The insurance provided to the additional insured by this endorsement is limited as follows a In the event that the Limits of Insurance of this Coverage Part shown in the Declarations exceed the limits of liability required by the written contract requiring insurance the in surance provided to the additional insured shall be limited to the limits of liability re quired by that written contract requiring in surance. This endorsement shall not in crease the limits of insurance described in Section Ill Limits Of Insurance. b The insurance provided to the additional in sured does not apply to bodily injury prop erty damage or personal injury arising out of the rendering of or failure to render any professional architectural engineering or sur veying services including i. The preparing approving or failing to prepare or approve maps shop draw ings opinions reports surveys field or ders or change orders or the preparing approving or failing to prepare or ap prove drawings and specifications and ii. Supervisory inspection architectural or engineering activities. c The insurance provided to the additional in sured does not apply to bodily injury or property damage caused by your work and included in the products completed op erations hazard unless the written contract requiring insurance specifically requires you to provide such coverage for that additional insured and then the insurance provided to the additional insured applies only to such bodily injury or property damage that oc curs before the end of the period of time for which the written contract requiring insur ance requires you to provide such coverage or the end of the policy period whichever is earlier. The insurance provided to the additional insured by this endorsement is excess over any valid and collectible other insurance whether primary excess contingent or on any other basis that is available to the additional insured for a loss we cover under this endorsement. However if the written contract requiring insurance specifically requires that this insurance apply on a primary basis or a primary and non contributory basis this insurance is primary to other insurance available to the additional insured which covers that person or organization as a named insured for such loss and we will not share with that other insurance. But the insurance provided to the additional insured by this endorsement still is excess over any valid and collectible other in surance whether primary excess contingent or on any other basis that is available to the addi tional insured when that person or organization is an additional insured under such other insur ance. As a condition of coverage provided to the additional insured by this endorsement a The additional insured must give us written notice as soon as practicable of an occur rence or an offense which may result in a claim. To the extent possible such notice should include CG D2 46 08 05 2005 The St. Paul Travelers Companies Inc. Page 1 of 2
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COMMERCIAL GENERAL LIABILITY b c d i. How when and where the occurrence or offense took place ii. The names and addresses of any injured persons and witnesses and iii. The nature and location of any injury or damage arising out of the occurrence or offense. If a claim is made or suit is brought against the additional insured the additional insured must i. Immediately record the specifics of the claim or suit and the date received and ii. Notify us as soon as practicable. The additional insured must see to it that we receive written notice of the claim or suit as soon as practicable. The additional insured must immediately send us copies of all legal papers received in connection with the claim or suit cooperate with us in the investigation or settlement of the claim or defense against the suit and otherwise comply with all policy conditions. The additional insured must tender the de fense and indemnity of any claim or suit to any provider of other insurance which would cover the additional insured for a loss we cover under this endorsement. However this condition does not affect whether the insur ance provided to the additional insured by this endorsement is primary to other insur ance available to the additional insured which covers that person or organization as a named insured as described in paragraph 3. above. 5. The following definition is added to SECTION V. DEFINITIONS Written contract requiring insurance means that part of any written contract or agreement under which you are required to include a person or organization as an additional in sured on this Coverage Part provided that the bodily injury and property damage oc curs and the personal injury is caused by an offense committed a. After the signing and execution of the contract or agreement by you b. While that part of the contract or agreement is in effect and c. Before the end of the policy period. Page 2 of 2 2005 The St. Paul Travelers Companies Inc. CG D2 46 08 05
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COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT OF COVERAGE POLLUTION COOLING DEHUMIDIFYING AND WATER HEATING EQUIPMENT EXCEPTION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS The following replaces Paragraph 1ai of Exclusion f. Pollution in Paragraph 2. of SECTION COVER AGES COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY i Bodily injury if sustained within a building and caused by smoke fumes vapor or soot produced by or origi nating from equipment that is used to heat cool or dehumidify the building or equipment that is used to heat water for personal use by the building s occupants or their guests CG D4 13 04 08 Page 1 of 1 2008 The Travelers Companies Inc. Includes the copyrighted material of Insurance Services Office Inc. with its permission.
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COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. INTERNATIONAL XTEND ENDORSEMENT FOR SERVICE INDUSTRIES This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE This endorsement broadens coverage. However coverage for any injury damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to this Coverage Part and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en dorsement and the rest of your policy carefully to determine rights duties and what is and is not covered. A. Broadened Named Insured B. Blanket Additional Insured Broad Form Vendors C. Limited Worldwide Liability Coverage In demnity Basis D. Damage To Premises Rented To You Perils of fire explosion lightning smoke water Limit increased to 300000 E. Blanket Waiver of Subrogation F. Blanket Additional Insured Owners Manag ers or Lessors of Premises G. Blanket Additional Insured Lessors of Leased Equipment H. Incidental Medical Malpractice I. Personal Injury Assumed by Contract PROVISIONS A. BROADENED NAMED INSURED 1. The following is added to SECTION Il WHO IS AN INSURED Any organization other than a partnership or joint venture over which you maintain owner ship or majority interest on the effective date of the policy qualifies as a Named Insured. However coverage for any such organization will cease as of the date during the policy pe riod that you no longer maintain ownership of or majority interest in such organization. J. K. Bodily Amended Bodily Injury Definition Injury to Co Employees and Co Volunteer Workers Aircraft Chartered with Crew M. Non Owned Watercraft Increased from 25 feet to 50 feet Increased Supplementary Payments Cost of bail bonds increased to 2500 Loss of earnings increased to 500 per day. Knowledge and Notice of Occurrence or Offense Unintentional Omission. Reasonable Force Bodily Injury or Property Damage Transportation Expenses For Repatriation or Relocation of Injured Or Sick Employees The following replaces Paragraph 4.a. of SECTION Il WHO IS AN INSURED a. Coverage under this provision is afforded only until the 180th day after you acquire or form the organization or the end of the policy period whichever is earlier unless reported in writing to us within 180 days.. BLANKET ADDITIONAL INSURED BROAD FORM VENDORS The following is added to SECTION Il WHO IS AN INSURED Any person or organization that is a vendor and that you have agreed in a written contract or PROVISIONS A. BROADENED NAMED INSURED 1. The following is added to SECTION Il WHO IS AN INSURED Any organization other than a partnership or joint venture over which you maintain owner ship or majority interest on the effective date of the policy qualifies as a Named Insured. However coverage for any such organization will cease as of the date during the policy pe riod that you no longer maintain ownership of or majority interest in such organization. CG D4 67 12 08 Page 1 of 9 2008 The Travelers Companies Inc.
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COMMERCIAL GENERAL LIABILITY agreement to include as an additional insured on this Coverage Part is an insured but only with re spect to liability for bodily injury or property damage that a. Is caused by an occurrence that takes place after you have signed and executed that con tract or agreement and Arises out of your products which are dis tributed or sold in the regular course of such vendor s business. The insurance provided to such vendor is subject to the following provisions a. The limits of insurance provided to such ven dor will be the limits which you agreed to pro vide in the written contract or agreement or the limits shown in the Declarations of this Coverage Part whichever are less. The insurance provided to such vendor does not apply to 1 Bodily injury or property damage for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement 2 Any express warranty unauthorized by you 3 Any physical or chemical change in your products made intentionally by such vendor Repackaging unless unpacked solely for the purpose of inspection demonstration testing or the substitution of parts under instructions from the manufacturer and then repackaged in the original container Any failure to make such inspections ad justments tests or servicing as vendors agree to perform or normally undertake to perform in the regular course of business in connection with the distribution or sale of your products Demonstration installation servicing or repair operations except such operations performed at such vendor s premises in connection with the sale of your prod ucts or Your products which after distribution or sale by you have been labeled or re labeled or used as a container part or in 4 5 6 7 gredient of any other thing or substance by or for such vendor. Coverage under this provision does not apply to a. Any person or organization from whom you have acquired your products or any ingre dient part or container entering into accom panying or containing such products or b. Any vendor for which coverage as an addi tional insured specifically is scheduled by en dorsement. C. LIMITED WORLDWIDE LIABILITY COVERAGE INDEMNITY BASIS. 1. The following replaces the definition of cov erage territory in the DEFINITIONS Section Coverage territory means The United States of America including its territories and possessions Puerto Rico and Canada International waters or airspace but only if 1 The bodily injury or property dam age is caused by an occurrence that takes place or 2 The personal injury or advertising injury is caused by an offense com mitted in the course of travel or transportation between any places included in Para graph a. above or All other parts of the world except the prohibited area but only if the injury or damage arises out of 1 Goods or products made sold han dled or distributed by you or services provided by you to your customers or clients in the territory described in Paragraph a. above The activities of a person whose home is in the territory described in Paragraph a. above but is away fora short time on your business or 3 Personal injury or advertising in jury offenses committed through the Internet or similar electronic means of communication 2 provided that the insured s responsibility to pay damages is determined in a suit on the merits brought anywhere in the world except Page 2 of 9 CG D4 67 12 08 2008 The Travelers Companies Inc.
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COMMERCIAL GENERAL LIABILITY INJURY LIABILITY is replaced by the phrase We will indemnify the in sured for..... 2 You must arrange to defend the in sured against and investigate or set tle any claim or suit. Neither you nor any other involved insured will make any settlement without our consent. We will pay expenses incurred with our consent for your defense of the insured against any suit seeking damages for bodily injury property damage personal injury or adver tising injury to which this insurance applies. 5 We may at our discretion participate in defending the insured against or in the settlement of any claim or suit. 4 2. The following is added to the DEFINITIONS Section Prohibited area means any country or juris diction while any trade sanction embargo or similar regulation imposed by the United States of America applies to and prohibits the transaction of business with or within such country or jurisdiction. D. DAMAGE TO PREMISES RENTED TO YOU 1. The following replaces the last paragraph of Paragraph 2. Exclusions of SECTION COVERAGES COVERAGE A BODILY IN JURY AND PROPERTY DAMAGE LIABIL ITY Exclusions c. through n. do not apply to dam age to premises while rented to you or tem porarily occupied by you with permission of the owner caused by a. Fire b. Explosion c. Lightning d. Smoke resulting from such fire explosion or lightning or e. Water. A separate limit of insurance applies to such damage to premises as described in Para graph 6. of Section Ill Limits Of Insurance. This insurance does not apply to damage to premises while rented to you or temporarily occupied by you with permission of the owner caused by the prohibited area or in a settlement we agree to. With respect to occurrences that take place or personal injury or advertising injury of fenses committed within the territory de scribed in Paragraph c. above the following conditions apply i ii This insurance is excess over any valid and collectible other insurance available to the insured whether primary excess contingent or on any other basis. This insurance is not a substitute for compulsory admitted insurance in any country or jurisdiction included in Para graph c. above regardless of whether this insurance would qualify as compul sory admitted insurance in such country or jurisdiction or is accepted by the ap propriate authorities as proof of compul sory admitted insurance. You agree to maintain compulsory ad mitted insurance at the limits required by law. Your failure to do so will not invali date the coverage provided for such oc currences or offenses but we will only be liable to the same extent we would have been liable had you maintained compulsory admitted insurance. For purposes of this Paragraph ii compulsory admitted insurance means insurance that is 1 Required to be in force to satisfy the legal requirements of a specific coun try or jurisdiction and 2 Issued by an insurance fund adminis tered by such country or jurisdiction or issued by an insurer licensed or permitted by law to do business in such country or jurisdiction. iii With respect to defending the insured against or the investigation or settlement of any claim or suit brought against the insured the following will apply 1 The phrase We will pay..... in the first sentence of Paragraph 1.a. of SECTION I COVERAGES COV ERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY and Paragraph 1.a. of SECTION COVERAGES COVERAGE B PERSONAL AND ADVERTISING CG D4 67 12 08 Page 3 of 9 2008 The Travelers Companies Inc.
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POLICY NUMBER RGR9437680 POLICY NUMBER RGR9437680 COMMERCIAL GENERAL LIABILITY CG 20 10 0413 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 NAMED INSURED HAS AGREED TO PROVIDE INSURANCE PRIOR TO LOSS AS PROVIDED BY OF INSURANCE AGREED TO BY THE NAMED INSURED. ANY PERSON OR ORGANIZATION FOR WHOM THE ALL LEASED PREMISES THIS POLICY BUT ONLY TO THE LIMIT AND SCOPE 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. 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 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 0413
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POLICY NUMBER RGR9437680 POLICY NUMBER RGR9437680 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 CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM PERSHING POINT PLAZA PARKING GARAGE 1375 PEACHTREE STREET ATLANTA GEORGIA 30309 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. STEM RSHING POINT PLAZA PARKING GARAGE TLANTA GEORGIA 30309 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 0413
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POLICY NUMBER RGR9437680 POLICY NUMBER RGR9437680 COMMERCIAL GENERAL LIABILITY CG 20 11 0413 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 ALL LEASED PREMISES Name Of Persons Or Organizations Additional Insured ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED TO PROVIDE INSURANCE PRIOR TO LOSS AS PROVIDED BY THIS POLICY BUT ONLY TO THE LIMIT AND SCOPE OF INSURANCE AGREED TO BY THE NAMED INSURED. Additional Premium INCLUDED Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability arising out of the ownership maintenance or use of that part of the premises leased to you and shown in the Schedule and subject to the following additional exclusions This insurance does not apply to 1. Any occurrence which takes place after you cease to be a tenant in that premises. 2. Structural alterations new construction or demolition operations performed by or on behalf of the persons or organizations shown in the Schedule. However 4. 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 tequired 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. Insurance Services Office Inc. 2012 CG 20 1104 13 Page 1 of 1
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POLICY NUMBER RGR9437680 COMMERCIAL GENERAL LIABILITY CG 20 15 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED VENDORS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART POLICY NUMBER RGR9437680 SCHEDULE Name Of Additional Insured Persons Or Organizations Vendor ANY VENDOR FOR WHOM THE NAMED INSURED HAS AGREED TO PROVIDE INSURANCE PRIOR TO. LOSS AS PROVIDED BY THIS POLICY BUT ONLY TO THE LIMIT AND SCOPE OF INSURANCE AGREED TO Your Products ALL PRODUCTS OF THE NAMED INSURED BY THE NAMED INSURED. Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured any persons or organizations referred to throughout this endorsement as vendor shown in the Schedule but only with respect to bodily injury or property damage arising out of your products shown in the Schedule which are distributed or sold in the regular course of the vendor s business. However 41. The insurance afforded to such vendor only applies to the extent permitted by law and 2. If coverage provided to the vendor is required by a contract or agreement the insurance afforded to such vendor will not be broader than that which you are required by the contract or agreement to provide for such vendor. B. With respect to the insurance afforded to these vendors the following additional exclusions apply 1. The insurance afforded the vendor does not apply to a. Bodily injury or property damage for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement b. Any express warranty unauthorized by you c. Any physical or chemical change in the product made intentionally by the vendor d. Repackaging except when unpacked solely for the purpose of inspection demonstration testing or the substitution of parts under instructions from the manufacturer and then repackaged in the original container Page 1 of 2 Insurance Services Office Inc. 2012 CG 20 15 04 13
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m. Any failure to make such inspections adjustments tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business in connection with the distribution or sale of the products Demonstration installation servicing or repair operations except such operations performed at the vendor s premises in connection with the sale of the product. Products which after distribution or sale by you have been labeled or relabeled or used as a container part or ingredient of any other thing or substance by or for the vendor or. Bodily injury or property damage arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. However this exclusion does not apply to 1 The exceptions contained paragraphs d. or f. or in Sub 2 Such inspections adjustments tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business in connection with the distribution or sale of the products. 2. This insurance does not apply to any insured person or organization from whom you have acquired such products or any ingredient part or container entering into accompanying or containing such products. C. With respect to the insurance afforded to these vendors the following is added to Section Ill Limits Of Insurance If coverage provided to the vendor is required by a contract or agreement the most we will pay on behalf of the vendor is the amount of insurance 41. 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 in the applicable Limits of Insurance shown Declarations. Insurance Services Office Inc. 2012 CG 20 15 04 13 Page 2 of 2
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POLICY NUMBER RGR9437680 POLICY NUMBER RGR9437680 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 ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED TO PROVIDE INSURANCE PRIOR TO LOSS AS PROVIDED BY THIS POLICY BUT ONLY TO THE LIMIT AND SCOPE OF INSURANCE AGREED TO BY THE NAMED INSURED. Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to 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. f 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. Insurance Services Office Inc. 2012 CG 20 26 04 13 Page 1 of 1
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POLICY NUMBER RGR9437680 POLICY NUMBER RGR9437680 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 FOR WHOM THE NAMED INSURED HAS AGREED TO PROVIDE INSURANCE PRIOR TO LOSS AS PROVIDED BY THIS POLICY BUT ONLY TO THE LIMIT AND SCOPE OF INSURANCE AGREED TO BY THE NAMED INSURED. Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to 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 0413 Insurance Services Office Inc. 2012 Page 1 of 2
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B. With respect to the insurance afforded to these additional insureds the following is added to Section IIl Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 37 07 04 a ISO Properties Inc. 2004 Page 2 of 2
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POLICY NUMBER RGR9437680 POLICY NUMBER RGR9437680 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 CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM PERSHING POINT PLAZA PARKING GARAGE 1375 PEACHTREE STREET ATLANTA GEORGIA 30309 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 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 41. 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. LANTA GEORGIA 30309 Insurance Services Office Inc. 2012 CG 20 37 04 13 Page 1 of 1
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COMMERCIAL GENERAL LIABILITY CG 21 46 07 98 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ABUSE OR MOLESTATION EXCLUSION 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 1. The actual or threatened abuse or molestation by anyone of any person while in the care custody or control of any insured or 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 1. The actual or threatened abuse or molestation by anyone of any person while in the care custody or control of any insured or The negligent a. b. c. d e Employment Investigation Supervision Reporting to the proper authorities or failure to so report or Retention of a person for whom any insured is or ever was. legally responsible and whose conduct would be excluded by Paragraph 1. above. CG 21 46 07 98 Copyright Insurance Services Office Inc. 1997
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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. B. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability This insurance does not apply to Bodily injury to 1 A person arising out of any a Refusal to employ that person b Termination of that person s employment or c Employment related practices policies acts or omissions such as coercion demotion evaluation reassignment discipline defamation harassment humiliation discrimination or malicious e 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 employment of that person 2 Whether the insured may be liable as an employer 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. Exclusions of Section Coverage B Personal And Advertising Injury Liability This insurance does not apply to Personal and advertising injury to 1 Aperson arising out of any a Refusal to employ that person b Termination of that person s employment or c Employment related practices policies acts or omissions such as coercion demotion evaluation reassignment discipline defamation harassment humiliation discrimination or malicious 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 employment of that person 2 Whether the insured may be liable as an employer 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. d to Paragraph 2. B. The f erage A Bodily Exclu iability And 5 This i Pers 1 A erson z son s employment k ractices policies c uch as coercion reassignment n harassment ion or malicious ISO Properties Inc. 2006 Page 1 CG 21 47 1207
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COMMERCIAL GENERAL LIABILITY CG 21 65 12 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TOTAL POLLUTION EXCLUSION WITH A BUILDING HEATING COOLING AND DEHUMIDIFYING EQUIPMENT EXCEPTION AND A HOSTILE FIRE EXCEPTION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Exclusion f. under Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability is replaced by the following This insurance does not apply to f. Pollution 1 Bodily injury or property damage which would not have occurred in whole or part but for the actual alleged or threatened discharge dispersal seepage migration release or escape of pollutants at any time. This exclusion does not apply to which is or was at any time owned or occupied by or rented or loaned to any insured and caused by smoke fumes vapor or soot produced by or originating from equipment that is used to heat cool or dehumidify the building or equipment that is used to heat water for personal use by the building s occupants or their guests or Bodily injury or property damage arising out of heat smoke or fumes from a hostile fire unless that hostile fire occurred or originated b aBodily injuryif sustainedwithin abuilding2Any losscost or expense arisingout of any i At any premises site or location which is or was at any time used by or for any insured or others for the handling storage disposal processing or treatment of waste or ii At any premises site or location on which any insured or any contractors or subcontractors working directly or indirectly on any insured s behalf are performing operations to test for monitor clean up remove contain treat detoxify neutralize or in any way respond to or assess the effects of pollutants. a Request demand order or statutory or regulatory requirement that any insured or others test for monitor clean up remove contain treat detoxify or neutralize or in any way respond to or assess the effects of pollutants or Claim or suit by or on behalf of a governmental authority for damages because of testing for monitoring cleaning up removing containing treating detoxifying or neutralizing or in any way responding to or assessing the effects of pollutants. b ISO Properties Inc. 2003 CG 21651204
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COMMERCIAL GENERAL LIABILITY CG 21 67 12 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FUNGI OR BACTERIA EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART. A. The following exclusion is added to Paragraph 2. B. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Exclusions of Section Coverage B Personal Injury And Property Damage Liability And Advertising Injury Liability 2. Exclusions 2. Exclusions This insurance does not apply to This insurance does not apply to Fungi Or Bacteria Fungi Or Bacteria a. Bodily injury or property damage which a. Personal and advertising injury which would not have occurred in whole or in part but for the actual alleged or threatened inhalation of ingestion of contact with exposure to existence of or presence of any fungi or bacteria on or within a building or structure including its contents regardless of whether any other cause event material or product contributed concurrently or in any sequence to such i injury or damage. b. Any loss cost or expenses arising out of the abating testing for monitoring cleaning up removing containing treating detoxifying neutralizing remediating or disposing of or in any way responding to or assessing the effects of fungi or bacteria by any insured or by any other person or entity. would not have taken place in whole or in part but for the actual alleged or threatened inhalation of ingestion of contact with exposure to existence of or presence of any fungi or bacteria on or within a building or structure including its contents regardless of whether any other cause event material or product contributed concurrently or in any sequence to such injury. b Any losscost or expense arising out of the abating testing for monitoring cleaning up removing containing treating detoxifying neutralizing remediating or disposing of or in any way responding to or assessing the effects of fungi or bacteria by any insured or by any other person or entity. C. The following definition is added to the Definitions This exclusion does not apply to any fungi or Section bacteria that are are on or are contained in a good or product intended for bodily consumption. CG 21 67 12 04 ISO Properties Inc. 2003 Fungi means any type or form of fungus including mold or mildew and any mycotoxins spores scents or byproducts produced or released by fungi. aragraph 2. A Bodily B nage which le or in part threatened ontact with presence of in a building contents ther cause contributed nce to sich ISO Properties Inc. 2003 CG 21 67 12 04
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COMMERCIAL GENERAL LIABILITY CG 2170 01 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY If aggregate insured losses attributable to terrorist acts certified under the federal Terrorism Risk Insur ance Act exceed 100 billion in a Program Year Jan uary 1 through December 31 and we have met our insurer deductible under the Terrorism Risk Insurance Act we shall not be liable for the payment of any portion of the amount of such losses that exceeds 100 billion and in such case insured losses up to that amount are subject to pro rata allocation in ac cordance with procedures established by the Secre tary of the Treasury. Certified act of terrorism means an act that is certi fied by the Secretary of the Treasury in concurrence with the Secretary of State and the Attorney General of the United States to be an act of terrorism pursu ant to the federal Terrorism Risk Insurance Act. The criteria contained in the Terrorism Risk Insurance Act for a certified act of terrorism include the following 1. The act resulted in insured losses in excess of 5 Act and 2. The act is a violent act or an act that is dangerous fo human life property or infrastructure and is committed by an individual or individuals as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. Page 1 of 1 Oo ISO Properties Inc. 2007 CG 21 70 01 08
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ENDORSEMENT 011 This endorsement effective 1201 a.m. January 1 2014 forms a part of Policy No. RGR9437680 issued to TOWNE HOLDINGS INC. by Greenwich Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY INSURANCE CLAUSE ENDORSEMENT SCHEDULED This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM RAILROAD PROTECTIVE LIABILITY COVERAGE FORM It is agreed that to the extent that insurance is afforded to the following Additional Insured under this policy this insurance shall apply as primary and not contributing with any insurance carried by such Additional Insured as required by written contract. Name of Person or Organization 550 15 Owner LLC a Delaware Limited Liability Company 9100 East Panorama Drive Suite 300 Englewood CO 80112 All other terms and conditions of this policy remain unchanged XIL 431 0605 2005 XL America Inc.
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ENDORSEMENT 012 This endorsement effective on January 1 2014 at 1201 A.M. standard time forms a part of Policy No. RGR9437680 ofthe Greenwich Insurance Company Issued to TOWNE HOLDINGS INC. AIRCRAFT PRODUCTS AND GROUNDING EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART With respect to coverage provided by this endorsement the provisions of the Coverage Part apply unless modified by this endorsement. The following exclusions are added to Paragraph 2. Exclusions under SECTION COVERAGES COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY This insurance does not apply to Bodily Injury or Property Damage arising out of the Products Completed Operations Hazard relating to 1 Aircraft including missiles or spacecrafts and any group support or controt equipment used therein 2. Any other goods or products manufactured sold handled or distributed by the Insured or any services provided or recommended by the Insured or by others trading under the insured s name for use in the manufacture repair operation or use of any aircraft or 3. Any articles furnished by the Insured or by others trading under the Insured s name and installed in aircraft or used in connection with aircraft or for the spare parts for aircraft including but not limited to ground handling tools and equipment training aids instructions manuals blueprints engineering or other advice or service relating to aircraft and any other labor relating to such aircraft or articles. it is further agreed that this insurance does not apply to Bodily Injury or Property Damage arising out of the grounding of any aircraft. For the purposes of this endorsement grounding means the withdrawal of one or more aircraft from flight operations or the imposition of speed passenger or load restrictions on such aircraft by reason of existence of or alleged or suspected existence of any defect fault or condition in such aircraft or any part thereof sold handled or distributed by the Insured or manufactured assembled or processed by any other person or organizations by the Insured whether such aircraft so withdrawn are owned or operated by the same or different persons organizations or corporations. A grounding shall be deemed to commence on the date of an occurrence which discloses such condition or on the date an aircraft is first withdrawn from service on account of such condition whichever occurs first. All other terms and conditions remain unchanged. Authorized Representative MANUS 2014 X.L. America Inc. All Rights Reserved. May not be copied without permission. Authorized Representative 2014 X.L. America Inc. All Rights Reserved. May not be copied without permission. MANUS
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ENDORSEMENT 013 This endorsement effective on January 1 2014 at 1201 A.M. standard time forms a part of Policy No. RGR9437680 of the TOWNE HOLDINGS INC. Issued to Greenwich Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FELLOW EMPLOYEE COVERAGE ENDORSEMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS COVERAGE PART With respect to coverage provided by this endorsement the provisions of the Coverage Part apply unless modified by this endorsement. SECTION II WHO IS AN INSURED Paragrap 1 a through c are deleted. All other terms and conditions remain unchanged Authorized Representative MANUS. 2014 X.L. America Inc. All Rights Reserved. May not be copied without permission.
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ENDORSEMENT 014 This endorsement effective on January 1 2014 at 1201 A.M. standard time forms a part of Policy No. RGR9437680 of the TOWNE HOLDINGS INC Issued to Greenwich Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NEWLY FORMED OR ACQUIRED ORGANIZATIONS COVERAGE INCLUDING PARTNERSHIPS JOINT VENTURES AND LIMITED LIABILITY COMPANIES This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS COVERAGE PART With respect to coverage provided by this endorsement the provisions of the Coverage Part apply unless modified by this endorsement. SECTION fl WHO IS AN INSURED 3. is deleted and replaced by the following liability company and over which you maintain a majority interest will qualify as a Named Insured if there is no other similar insurance available to that organization. However a. Coverage under this provision is afforded only until the 120 day after you acquire or form the organization or until the end of the policy period whichever is earlier and b. SECTION I COVERAGES COVERAGE A does not apply to bodily injury or property damage that occurred before you acquired or formed the organization and c. SECTION COVERAGES COVERAGE B does not apply to personal and advertising injury arising out of an offense committed before you acquired or formed the organization. SECTION III LIMITS OF INSURANCE is amended to include the following paragraphs a. In the event a claim or suit is brought against a newly acquired or formed partnership joint venture or limited liability company that is a Named Insured under SECTION il WHO IS AN INSURED 3. the Limits of Insurance under this policy shall be limited to your percentage ownership or participation interest in the partnership joint venture or limited liability company. b. Where your percentage interest in the partnership joint venture or limited liability company is not set forth in writing the percentage to be applied under a. above shall be that which would be imposed by law at the inception of such entity. Such percentage shall not be increased by the insolvency of other s interests in such entity. MANUS 2014 X.L. America Inc. All Rights Reserved. May not be copied without permission.
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All other terms and conditions remain unchanged Authorized Representative MANUS 2014 X.L. America Inc. All Rights Reserved. May not be copied without permission.
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ENDORSEMENT 015 This endorsement effective on January 1 2014 at 1201 A.M. standard time forms a part of Policy No. RGR9437680 of the Greenwich Insurance Company issued to TOWNE HOLDINGS INC. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DEFINITION OF EMPLOYEE BROADENED This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART. With respect to coverage provided by this endorsement the provisions of the Coverage Part apply unless modified by this endorsement. SECTION V DEFINITIONS 5. is deleted and replaced by the following All other terms and conditions remain unchanged Authorized Representative 2014 X.L. America Inc. All Rights Reserved. May not be copied without permission. MANUS
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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 0277267 00 04012017 04012018 37385000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured ELITE AUTOMATION INC. Address including ZIP Code 20011 NALL AVE STILWELL KS 66085 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. 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 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 Policy No. Exp. Date of Pol. Eff. Date of End. Agency No. Addl. Prem. Return Prem. a SC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured ELITE AUTOMATION LLC Address including ZIP Code 20011 NALL AVE STILWELL KS 66085 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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ZURICH Lead Liability Exclusion Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End Addl. Prem 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 Dam age Liability and Paragraph 2. Exclusions of Coverage B Personal And Advertising Injury Liability This insurance does not apply to Lead 1 Bodily injury property damage or personal and advert 2 sing injury arising out of resulting from caused by or related to the actual alleged or threatened a b Exposure to or existence of lead paint containing lead or any other material product or substance containing lead or Manufacture distribution sale resale re branding installation repair removal encapsulation abatement replace ment 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 se quence to the injury or damage. Any sums that any insured or other entity must pay repay or reimburse because of any a b 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 mate rial product or substance containing lead or in any way respond to or asses s the effects of lead in any form or 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 sub stance containing lead or in any way responding to or assessing the effects of lead in any form. 3 Any other loss cost or expense arising out of caused by or relating in any way to lead. U GL 1342 4 CW 1007 Page 1 of 1
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