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Policy Number GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON OR ORGANIZATION CITY OF NEW YORK DEPARTMENT OF ENVIRONMENTAL IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS ENDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS ENDORSEMENT. A. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN INSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS PERFORMED FOR THAT INSURED. B. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL INSUREDS THE FOLLOWING EXCLUSION IS ADDED 2. EXCLUSIONS THIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY DAMAGE OCCURRING AFTER 1 ALL WORK INCLUDING MATERIALS PARTS OR EQUIPMENT FURNISHED IN CONNECTION WITH SUCH WORK ON THE PROJECT OTHER THAN SERVICE MAINTENANCE OR REPAIRS TO BE PERFORMED BY OR ON BEHALF OF THE ADDITIONAL INSUREDS AT THE SITE OF THE COVERED OPERATIONS HAS BEEN COMPLETED OR 2 THAT PORTION OF YOUR WORK OUT OF WHICH THE INJURY OR DAMAGE ARISES HAS BEEN PUT TO ITS INTENDED USE BY ANY PERSON OR ORGANIZATION OTHER THAN ANOTHER CONTRACTOR OR SUB CONTRACTOR ENGAGED IN PERFORMING OPERATIONS FOR A PRINCIPAL AS A PART OF THE SAME PROJECT. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY NT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING ARAL LIABILITY COVERAGE PART SCHEDULE OR ORGANIZATION RK DEPARTMENT OF ENVIRONMENTAL PPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS LL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN RSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY 9 LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS THAT INSURED. TO THE INSURANCE AFFORDED TO THESE ADDITIONAL FOLLOWING EXCLUSION IS ADDED DOES NOT APPLY TO BODILY IN JURY OR PROPERTY ING AFTER INCLUDING MATERIALS PARTS OR EQUIPMENT FURNISHED NITH SUCH WORK ON THE PROJECT OTHER THAN SERVICE REPAIRS TO BE PERFORMED BY OR ON BEHALF OF THE UREDS AT THE SITE OF THE COVERED OPERATIONS HAS BEEN | 0 |
Policy Number GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON OR ORGANIZATION EVERGREEN ENERGY INC. IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS ENDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS ENDORSEMENT. A. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN INSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS PERFORMED FOR THAT INSURED. B. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL INSUREDS THE FOLLOWING EXCLUSION IS ADDED 2. EXCLUSIONS THIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY DAMAGE OCCURRING AFTER 1 ALL WORK INCLUDING MATERIALS PARTS OR EQUIPMENT FURNISHED IN CONNECTION WITH SUCH WORK ON THE PROJECT OTHER THAN SERVICE MAINTENANCE OR REPAIRS TO BE PERFORMED BY OR ON BEHALF OF THE ADDITIONAL INSUREDS AT THE SITE OF THE COVERED OPERATIONS HAS BEEN COMPLETED OR 2 THAT PORTION OF YOUR WORK OUT OF WHICH THE INJURY OR DAMAGE ARISES HAS BEEN PUT TO ITS INTENDED USE BY ANY PERSON OR ORGANIZATION OTHER THAN ANOTHER CONTRACTOR OR SUB CONTRACTOR ENGAGED IN PERFORMING OPERATIONS FOR A PRINCIPAL AS A PART OF THE SAME PROJECT. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY HIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING OMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE AME OF PERSON OR ORGANIZATION VERGREEN ENERGY INC. IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS NDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS NDORSEMENT.. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN NSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY ITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS ERFORMED FOR THAT INSURED.. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL NSUREDS THE FOLLOWING EXCLUSION IS ADDED EXCLUSIONS HIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY AMAGE OCCURRING AFTER 1 ALL WORK INCLUDING MATERIALS PARTS OR EQUIPMENT FURNISHED N CONNECTION WITH SUCH WORK ON THE PROJECT OTHER THAN SERVICE AINTENANCE OR REPAIRS TO BE PERFORMED BY OR ON BEHALF OF THE DDITIONAL INSUREDS AT THE SITE OF THE COVERED OPERATIONS HAS BEEN OMPLETED OR | 0 |
Policy Number GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 ADDITIONAL INSURED OWNERS LESSES OR CONTRACTORS SCHEDULED PERSON OR THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON OR ORGANIZATION ARMSTRONG DEVELOPMENT PROPERTIES INC. IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS ENDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS ENDORSEMENT. A. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN INSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS PERFORMED FOR THAT INSURED. B. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL INSUREDS THE FOLLOWING EXCLUSION IS ADDED 2. EXCLUSIONS THIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY DAMAGE OCCURRING AFTER 1 ALL WORK INCLUDING MATERIALS PARTS OR EQUIPMENT FURNISHED IN CONNECTION WITH SUCH WORK ON THE PROJECT OTHER THAN SERVICE MAINTENANCE OR REPAIRS TO BE PERFORMED BY OR ON BEHALF OF THE ADDITIONAL INSUREDS AT THE SITE OF THE COVERED OPERATIONS HAS BEEN COMPLETED OR 2 THAT PORTION OF YOUR WORK OUT OF WHICH THE INJURY OR DAMAGE ARISES HAS BEEN PUT TO ITS INTENDED USE BY ANY PERSON OR ORGANIZATION OTHER THAN ANOTHER CONTRACTOR OR SUB CONTRACTOR ENGAGED IN PERFORMING OPERATIONS FOR A PRINCIPAL AS A PART OF THE SAME PROJECT. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY HIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING OMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE AME OF PERSON OR ORGANIZATION RMSTRONG DEVELOPMENT PROPERTIES INC. IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS NDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS NDORSEMENT.. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN NSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY ITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS ERFORMED FOR THAT INSURED.. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL NSUREDS THE FOLLOWING EXCLUSION IS ADDED EXCLUSIONS HIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY AMAGE OCCURRING AFTER 1 ALL WORK INCLUDING MATERIALS PARTS OR EQUIPMENT FURNISHED N CONNECTION WITH SUCH WORK ON THE PROJECT OTHER THAN SERVICE AINTENANCE OR REPAIRS TO BE PERFORMED BY OR ON BEHALF OF THE DDITIONAL INSUREDS AT THE SITE OF THE COVERED OPERATIONS HAS BEEN OMPLETED OR | 0 |
Policy Number GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON OR ORGANIZATION CHESAPEAKE APPALACHIA LLC AND ANY PRESENT OR FUTURE SUBSIDIARIES OR AFFILIATES IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS ENDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS ENDORSEMENT. A. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN INSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS PERFORMED FOR THAT INSURED. B. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL INSUREDS THE FOLLOWING EXCLUSION IS ADDED 2. EXCLUSIONS THIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY DAMAGE OCCURRING AFTER 1 ALL WORK INCLUDING MATERIALS PARTS OR EQUIPMENT FURNISHED IN CONNECTION WITH SUCH WORK ON THE PROJECT OTHER THAN SERVICE MAINTENANCE OR REPAIRS TO BE PERFORMED BY OR ON BEHALF OF THE ADDITIONAL INSUREDS AT THE SITE OF THE COVERED OPERATIONS HAS BEEN COMPLETED OR 2 THAT PORTION OF YOUR WORK OUT OF WHICH THE INJURY OR DAMAGE ARISES HAS BEEN PUT TO ITS INTENDED USE BY ANY PERSON OR ORGANIZATION OTHER THAN ANOTHER CONTRACTOR OR SUB CONTRACTOR ENGAGED IN PERFORMING OPERATIONS FOR A PRINCIPAL AS A PART OF THE SAME PROJECT. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY MENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING SENERAL LIABILITY COVERAGE PART SCHEDULE SON OR ORGANIZATION PPALACHIA LLC AND ANY PRESENT OR FUTURE SUBSIDIARIES OR Y APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS IT WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS SR THAT INSURED. ECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL 1E FOLLOWING EXCLUSION IS ADDED US CE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY JRRING AFTER INCLUDING MATERIALS PARTS OR EQUIPMENT FURNISHED ON WITH SUCH WORK ON THE PROJECT OTHER THAN SERVICE OR REPAIRS TO BE PERFORMED BY OR ON BEHALF OF THE INSUREDS AT THE SITE OF THE COVERED OPERATIONS HAS BEEN YR | 0 |
Policy Number GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON OR ORGANIZATION COLUMBIA SQUARE PARTNERS LLC IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS ENDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS ENDORSEMENT. A. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN INSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS PERFORMED FOR THAT INSURED. B. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL INSUREDS THE FOLLOWING EXCLUSION IS ADDED 2. EXCLUSIONS THIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY DAMAGE OCCURRING AFTER 1 ALL WORK INCLUDING MATERIALS PARTS OR EQUIPMENT FURNISHED IN CONNECTION WITH SUCH WORK ON THE PROJECT OTHER THAN SERVICE MAINTENANCE OR REPAIRS TO BE PERFORMED BY OR ON BEHALF OF THE ADDITIONAL INSUREDS AT THE SITE OF THE COVERED OPERATIONS HAS BEEN COMPLETED OR 2 THAT PORTION OF YOUR WORK OUT OF WHICH THE INJURY OR DAMAGE ARISES HAS BEEN PUT TO ITS INTENDED USE BY ANY PERSON OR ORGANIZATION OTHER THAN ANOTHER CONTRACTOR OR SUB CONTRACTOR ENGAGED IN PERFORMING OPERATIONS FOR A PRINCIPAL AS A PART OF THE SAME PROJECT. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY HIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING OMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE AME OF PERSON OR ORGANIZATION OLUMBIA SQUARE PARTNERS LLC IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS NDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS NDORSEMENT.. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN NSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY ITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS ERFORMED FOR THAT INSURED.. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL NSUREDS THE FOLLOWING EXCLUSION IS ADDED EXCLUSIONS HIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY AMAGE OCCURRING AFTER 1 ALL WORK INCLUDING MATERIALS PARTS OR EQUIPMENT FURNISHED N CONNECTION WITH SUCH WORK ON THE PROJECT OTHER THAN SERVICE AINTENANCE OR REPAIRS TO BE PERFORMED BY OR ON BEHALF OF THE DDITIONAL INSUREDS AT THE SITE OF THE COVERED OPERATIONS HAS BEEN OMPLETED OR | 0 |
Policy Number GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON OR ORGANIZATION AK STEEL CORPORATION IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS ENDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS ENDORSEMENT. A. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN INSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS PERFORMED FOR THAT INSURED. B. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL INSUREDS THE FOLLOWING EXCLUSION IS ADDED 2. EXCLUSIONS THIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY DAMAGE OCCURRING AFTER 1 ALL WORK INCLUDING MATERIALS PARTS OR EQUIPMENT FURNISHED IN CONNECTION WITH SUCH WORK ON THE PROJECT OTHER THAN SERVICE MAINTENANCE OR REPAIRS TO BE PERFORMED BY OR ON BEHALF OF THE ADDITIONAL INSUREDS AT THE SITE OF THE COVERED OPERATIONS HAS BEEN COMPLETED OR 2 THAT PORTION OF YOUR WORK OUT OF WHICH THE INJURY OR DAMAGE ARISES HAS BEEN PUT TO ITS INTENDED USE BY ANY PERSON OR ORGANIZATION OTHER THAN ANOTHER CONTRACTOR OR SUB CONTRACTOR ENGAGED IN PERFORMING OPERATIONS FOR A PRINCIPAL AS A PART OF THE SAME PROJECT. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY NT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING ARAL LIABILITY COVERAGE PART SCHEDULE OR ORGANIZATION RATION PPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS LL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN RSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY 9 LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS THAT INSURED. TO THE INSURANCE AFFORDED TO THESE ADDITIONAL FOLLOWING EXCLUSION IS ADDED DOES NOT APPLY TO BODILY IN JURY OR PROPERTY ING AFTER INCLUDING MATERIALS PARTS OR EQUIPMENT FURNISHED NITH SUCH WORK ON THE PROJECT OTHER THAN SERVICE REPAIRS TO BE PERFORMED BY OR ON BEHALF OF THE UREDS AT THE SITE OF THE COVERED OPERATIONS HAS BEEN | 0 |
Policy Number GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON OR ORGANIZATION CITY OF WILLITS ITS ELECTED OR APPOINTED OFFICIALS OFFICERS EMPLOYEES AGENTS VOLUNTEERS IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS ENDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS ENDORSEMENT. A. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN INSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS PERFORMED FOR THAT INSURED. B. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL INSUREDS THE FOLLOWING EXCLUSION IS ADDED 2. EXCLUSIONS THIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY DAMAGE OCCURRING AFTER 1 ALL WORK INCLUDING MATERIALS PARTS OR EQUIPMENT FURNISHED IN CONNECTION WITH SUCH WORK ON THE PROJECT OTHER THAN SERVICE MAINTENANCE OR REPAIRS TO BE PERFORMED BY OR ON BEHALF OF THE ADDITIONAL INSUREDS AT THE SITE OF THE COVERED OPERATIONS HAS BEEN COMPLETED OR 2 THAT PORTION OF YOUR WORK OUT OF WHICH THE INJURY OR DAMAGE ARISES HAS BEEN PUT TO ITS INTENDED USE BY ANY PERSON OR ORGANIZATION OTHER THAN ANOTHER CONTRACTOR OR SUB CONTRACTOR ENGAGED IN PERFORMING OPERATIONS FOR A PRINCIPAL AS A PART OF THE SAME PROJECT. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY HIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING OMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE AME OF PERSON OR ORGANIZATION ITY OF WILLITS ITS ELECTED OR APPOINTED OFFICIALS OFFICERS MPLOYEES AGENTS VOLUNTEERS IF NO ENTRY APPEARS ABOVE INFORMATION REQUIRED TO COMPLETE THIS NDORSEMENT WILL BE SHOWN IN THE DECLARATIONS AS APPLICABLE TO THIS NDORSEMENT.. SECTION II WHO IS AN INSURED IS AMENDED TO INCLUDE AS AN NSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BUT ONLY ITH RESPECT TO LIABILITY ARISING OUT OF YOUR ONGOING OPERATIONS ERFORMED FOR THAT INSURED.. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL NSUREDS THE FOLLOWING EXCLUSION IS ADDED. EXCLUSIONS HIS INSURANCE DOES NOT APPLY TO BODILY IN JURY OR PROPERTY AMAGE OCCURRING AFTER 1 ALL WORK INCLUDING MATERIALS PARTS OR EQUIPMENT FURNISHED N CONNECTION WITH SUCH WORK ON THE PROJECT OTHER THAN SERVICE AINTENANCE OR REPAIRS TO BE PERFORMED BY OR ON BEHALF OF THE DDITIONAL INSUREDS AT THE SITE OF THE COVERED OPERATIONS HAS BEEN OMPLETED OR | 0 |
Policy Number GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 LIST OF ADDITIONAL INSUREDS UGL 1447ACW COUNTY SANITATION DISTRICT NO. 2 1955 WORKMAN MILL RD. WHITTIER CA 90601 UNITED PARCEL SERVICE INC. 55 GLENLAKE PARKWAY NE ATLANTA GA 30328 KING BAY SUPPORT SERVICES LLC 930 USS HUNLEY AVE. KINGS BAY GA 31547 PLAINS EXPLORATION PRODUCTION COMPANY ATIN CONNIE REDD 717 TEXAS AVE SUITE 2100 HOUSTON TX 77056 SOUTHERN CALIFORNIA EDISON COMPANY 2244 WALNUT GROVE AVE ROSEMEAD CA 91770 SPECTRA ENERGY TRANSMISSION LLC ITS AFFLILIATES DIRECTORS OFFICERS AND EMPLOYEES 5400 WESTHEIMER COURT5K62 HOUSTON TX 77056 COUNTY OF TULARE RESOURCE MANAGEMENT AGENCY 221 S. MOONEY BLVD. ROOM 3 VISALIA CA 92553 STATE OF CALIFORNIA CALIFORNIA DEPARTMENT OF CORRECTIONS RE OFFICE OF BUSINESS SERVICES ATTN MARDU HANZALIK 10000 GOETHE RD. SUITE C1 SACRAMENTO CA 95827 SOUTHCROSS ENERGY GP LLC 1700 PACIFIC AVE. SUITE 2900 DALLAS TX 75201 TITAN ENGINEERING INC. 2801 NETWORK BLVD. SUITE 200 FRISCO TX 75034 COMMONWEALTH OF MASSACHUSETTS ONE WINTER ST. BOSTON MA 01108 IESI LA LANDFILL CORPORATION CORP 2301 EAGLE PARKWAY SUITE 200 FORT WORTH TX 70809 ARCADIS U.S. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY vi DISTRICT NO. 2 1 RVICE INC. VAY NE SERVICES LLC JE. 17 oN PRODUCTION COMPANY TE 2100 VIA EDISON COMPANY AVE RANSMISSION LLC ITS AFFLILIATES DIRECTORS OYEES SOURT5K62 RESOURCE MANAGEMENT AGENCY D. ROOM 3 VIA CALIFORNIA DEPARTMENT OF CORRECTIONS RE OFFICE CES LIK SUITE C1 327 Y GP LLC. SUITE 2900 3 INC.. MASSACHUSETTS CORPORATION CORP. Y SUITE 200 309 | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 LIST OF ADDITIONAL INSUREDS UGL 1447ACW 284 CRAMER CREEK CT. DUBLIN OH 43017 CARDINAL MIDSTREAM LLC 8150 N. CENTRAL EXPRESSWAY SUITE 1725 DALLAS TX 75206 AEROJET P.O. BOX 13222 SACRAMENTO CA 95813 SOUTHERN CALIFORNIA LOGISTICS AIRPORT AUTHORITY ATIN KEITH METLZER AIRPORT DIRECTOR 18374 PHANTOM ST. VICTORVILLE CA 92394 BOARD OF COUNTY COMMISSIONERS ATTN PURCHASING DEPARTMENT 3327 TAMIAMI TRAIL EAST NAPLES FL 34112 WATERWAYS SURVEYS AND ENGINEERING LTD 321 CLEVELAND PLACE VIRGINA BEACH VA 23462 THE CITY OF MIAMI FLORIDA ATTN RISK ADMINISTRATOR 444 SW 2ND AVE. 8TH FLOOR MIAMI FL 33130 CITY OF LONG BEACH ONE WEST CHESTER ST. LONG BEACH NY 11561 AECOM TECHNICAL SERVICES INC. 4415 METRO PKWY. SUITE 404 FORT MEYERS FL 33916 LRA HAMMOCK BEACH LLC 200 OCEAN CREST DR. SUITE 31 PALM COAST FL 32137 U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY 84 CRAMER CREEK CT. UBLIN OH 43017 ARDINAL MIDSTREAM LLC 150 N. CENTRAL EXPRESSWAY SUITE 1725 ALLAS TX 75206 EROJET O. BOX 13222 ACRAMENTO CA 95813 OUTHERN CALIFORNIA LOGISTICS AIRPORT AUTHORITY TIN KEITH METLZER IRPORT DIRECTOR 8374 PHANTOM ST. ICTORVILLE CA 92394 OARD OF COUNTY COMMISSIONERS TIN PURCHASING DEPARTMENT 327 TAMIAMI TRAIL EAST APLES FL 34112 ATERWAYS SURVEYS AND ENGINEERING LTD 21 CLEVELAND PLACE IRGINA BEACH VA 23462 HE CITY OF MIAMI FLORIDA TIN RISK ADMINISTRATOR 44 SW 2ND AVE. 8TH FLOOR IAMI FL 33130 ITY OF LONG BEACH NE WEST CHESTER ST. ONG BEACH NY 11561 ECOM TECHNICAL SERVICES INC. 415 METRO PKWY. SUITE 404 ORT MEYERS FL 33916 RA HAMMOCK BEACH LLC 00 OCEAN CREST DR. SUITE 31 ALM COAST FL 32137 | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 EXCESS JOINT VENTURE OR WRAP UP COVERAGE ENDORSEMENT EXCESS WRAP UP AND JOINT VENTURE COVERAGE THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING COMMERCIAL GENERAL LIABILITY COVERAGE PART THE FOLLOWING IS ADDED TO SECTION II WHO IS AN INSURED WITH RESPECT TO BODILY INJURY PROPERTY DAMAGE AND PERSONAL AND ADVERTISING INJURY YOU ARE AN INSURED FOR YOUR LIABILITY ARISING OUT OF THE CONDUCT OF ANY WRAP UP OR JOINT VENTURE OF WHICH YOU ARE OR WERE A PARTNER OR MEMBER. THIS COVERAGE IS EXCESS OVER ANY AVAILABLE LIABILITY INSURANCE PURCHASED SPECIFICALLY TO INSURE THE WRAP UP OR JOINT VENTURE. SUCH EXCESS INSURANCE SHALL BE LIMITED TO THE AMOUNT BY WHICH THE LIABILITY LIMITS OF THE POLICY EXCEED THE AVAILABLE LIABILITY LIMITS OF THE WRAP UP OR JOINT VENTURE POLICIES. TO THE EXTENT THAT THE INSURANCE PROVIDED BY THIS POLICY IS BROADER OR LESS RESTRICTIVE THAN THE INSURANCE AFFORDED TO YOU BY POLICIES SPECIFICALLY COVERING WRAP UP PROGRAMS OR JOINT VENTURES WHICH YOU ARE OR WERE A PARTNER OR MEMBER SUCH INSURANCE AS IS AFFORDED BY THIS POLICY SHALL APPLY TO BODILY INJURY PROPERTY DAMAGE AND PERSONAL AND ADVERTISING INJURY NOT COVERED BY SUCH POLICIES. THE COVERAGE PROVIDED BY THIS ENDORSEMENT WILL NOT INURE TO THE BENEFIT OF ANY OTHER PARTY EXCEPT YOU AND SHALL BE PRIMARY WHEN NO OTHER INSURANCE IS AVAILABLE. U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY D UNDER THE FOLLOWING IS AN INSURED ERE A PARTNER OR MEMBER. HIS COVERAGE IS EXCESS OVER ANY AVAILABLE LIABILITY INSURANCE URCHASED SPECIFICALLY TO INSURE THE WRAP UP OR JOINT VENTURE. SUCH XCESS INSURANCE SHALL BE LIMITED TO THE AMOUNT BY WHICH THE IABILITY LIMITS OF THE POLICY EXCEED THE AVAILABLE LIABILITY LIMITS F THE WRAP UP OR JOINT VENTURE POLICIES. O THE EXTENT THAT THE INSURANCE PROVIDED BY THIS POLICY IS BROADER RLESS RESTRICTIVE THAN THE INSURANCE AFFORDED TO YOU BY POLICIES PECIFICALLY COVERING WRAP UP PROGRAMS OR JOINT VENTURES WHICH YOU RE OR WERE A PARTNER OR MEMBER SUCH INSURANCE AS IS AFFORDED BY HIS POLICY SHALL APPLY TO BODILY INJURY PROPERTY DAMAGE AND ERSONAL AND ADVERTISING INJURY NOT COVERED BY SUCH POLICIES. HE COVERAGE PROVIDED BY THIS ENDORSEMENT WILL NOT INURE TO THE ENEFIT OF ANY OTHER PARTY EXCEPT YOU AND SHALL BE PRIMARY WHEN NO THER INSURANCE IS AVAILABLE. | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 NOTIFICATION TO OTHERS OF CANCELLATION THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART A. IF WE CANCEL OR NON RENEW THIS COVERAGE PARTS BY WRITTEN NOTICE TO THE FIRST NAMED INSURED FOR ANY REASON OTHER THAN NONPAYMENT OF PREMIUM WE WILL MAIL OR DELIVER A COPY OF SUCH WRITTEN NOTICE OF CANCELLATION OR NON RENEWAL 1. TO THE NAME AND ADDRESS CORRESPONDING TO EACH PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BELOW AND 2. AT LEAST 10 DAYS PRIOR TO THE EFFECTIVE DATE OF THE CANCELLATION OR NON RENEWAL AS ADVISED IN OUR NOTICE TO THE FIRST NAMED INSURED OR THE LONGER NUMBER OF DAYS NOTICE IF INDICATED IN THE SCHEDULE BELOW. B. IF WE CANCEL THIS COVERAGE PARTS BY WRITTEN NOTICE TO THE FIRST NAMED INSURED FOR NONPAYMENT OF PREMIUM WE WILL MAIL OR DELIVER A COPY OF SUCH WRITTEN NOTICE OF CANCELLATION TO THE NAME AND ADDRESS CORRESPONDING TO EACH PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BELOW AT LEAST 10 DAYS PRIOR TO THE EFFECTIVE DATE OF SUCH CANCELLATION. C. IF COVERAGE AFFORDED BY THIS COVERAGE PARTS IS REDUCED OR RESTRICTED OR MATERIALLY CHANGED WE WILL MAIL OR DELIVER NOTICE OF SUCH REDUCTION OR RESTRICTION 1. TO THE NAME AND ADDRESS CORRESPONDING TO EACH PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BELOW AND 2. AT LEAST 10 DAYS PRIOR TO THE EFFECTIVE DATE OF THE REDUCTION OR RESTRICTION OR THE LONGER NUMBER OF DAYS NOTICE IF INDICATED IN THE SCHEDULE BELOW. D. IF NOTICE AS DESCRIBED IN PARAGRAPHS A. B. OR C. OF THIS ENDORSEMENT IS MAILED PROOF OF MAILING WILL BE SUFFICIENT PROOF OF SUCH NOTICE. SCHEDULE NAME AND ADDRESS OF OTHER PERSONS NUMBER OF DAYS NOTICE ORGANIZATION S CITY OF DULUTH 30 PURCHASING DIVISION CITY HALL 411 WEST FIRST STREET DULUTH MN 55802 U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY READ IT CAREFULLY. UNDER THE sRAGE PART oARTS BY WRITTEN CHEDULE BELOW AT LEAST 10 DAYS PRIOR TO THE EFFECTIVE DATE OF SUCH ANCELLATION.. IF COVERAGE AFFORDED BY THIS COVERAGE PARTS IS REDUCED OR ESTRICTED OR MATERIALLY CHANGED WE WILL MAIL OR DELIVER NOTICE OF UCH REDUCTION OR RESTRICTION. TO THE NAME AND ADDRESS CORRESPONDING TO EACH PERSON OR RGANIZATION SHOWN IN THE SCHEDULE BELOW AND. AT LEAST 10 DAYS PRIOR TO THE EFFECTIVE DATE OF THE REDUCTION RRESTRICTION OR THE LONGER NUMBER OF DAYS NOTICE IF INDICATED IN HE SCHEDULE BELOW.. IF NOTICE AS DESCRIBED IN PARAGRAPHS A. B. OR C. OF THIS NDORSEMENT IS MAILED PROOF OF MAILING WILL BE SUFFICIENT PROOF OF UCH NOTICE. SCHEDULE AME AND ADDRESS OF OTHER PERSONS NUMBER OF DAYS NOTICE RGANIZATION S ITY OF DULUTH 30 URCHASING DIVISION ITY HALL 11 WEST FIRST STREET ULUTH MN 55802 NUMBER OF DAYS NOTICE 30 | 2 |
Policy Number GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY Named Insured CHICAGO BRIDGE IRON COMPANY Effective Date 07 01 14 1201 A.M. Standard Time Agent Name LOCKTON COMPANIES LLC Agent No. 45259 000 NOTIFICATION TO OTHERS OF CANCELLATION THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART A. IF WE CANCEL OR NON RENEW THIS COVERAGE PARTS BY WRITTEN NOTICE TO THE FIRST NAMED INSURED FOR ANY REASON OTHER THAN NONPAYMENT OF PREMIUM WE WILL MAIL OR DELIVER A COPY OF SUCH WRITTEN NOTICE OF CANCELLATION OR NON RENEWAL 1. TO THE NAME AND ADDRESS CORRESPONDING TO EACH PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BELOW AND 2. AT LEAST 10 DAYS PRIOR TO THE EFFECTIVE DATE OF THE CANCELLATION OR NON RENEWAL AS ADVISED IN OUR NOTICE TO THE FIRST NAMED INSURED OR THE LONGER NUMBER OF DAYS NOTICE IF INDICATED IN THE SCHEDULE BELOW. B. IF WE CANCEL THIS COVERAGE PARTS BY WRITTEN NOTICE TO THE FIRST NAMED INSURED FOR NONPAYMENT OF PREMIUM WE WILL MAIL OR DELIVER A COPY OF SUCH WRITTEN NOTICE OF CANCELLATION TO THE NAME AND ADDRESS CORRESPONDING TO EACH PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BELOW AT LEAST 10 DAYS PRIOR TO THE EFFECTIVE DATE OF SUCH CANCELLATION. C. IF COVERAGE AFFORDED BY THIS COVERAGE PARTS IS REDUCED OR RESTRICTED OR MATERIALLY CHANGED WE WILL MAIL OR DELIVER NOTICE OF SUCH REDUCTION OR RESTRICTION 1. TO THE NAME AND ADDRESS CORRESPONDING TO EACH PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE BELOW AND 2. AT LEAST 10 DAYS PRIOR TO THE EFFECTIVE DATE OF THE REDUCTION OR RESTRICTION OR THE LONGER NUMBER OF DAYS NOTICE IF INDICATED IN THE SCHEDULE BELOW. D. IF NOTICE AS DESCRIBED IN PARAGRAPHS A. B. OR C. OF THIS ENDORSEMENT IS MAILED PROOF OF MAILING WILL BE SUFFICIENT PROOF OF SUCH NOTICE. SCHEDULE NAME AND ADDRESS OF OTHER PERSONS NUMBER OF DAYS NOTICE ORGANIZATION S UNITED STATES DEPARTMENT OF THE NAVY 30 NAVY FACILITIES COMMAND SOUTHWEST CODE RAQEO BLDG 127 ROOM 108 ENVIRONMENTAL CONTRACTS CORE CONTRACT NO. N62473 12 D2005 EMACIII 1220 PACIFIC HIGHWAY SAN DIEGO CA 92132 5790 U GL1114 A CW 1002 GLO 5821847 01 ENDORSEMENT ZURICH AMERICAN INSURANCE COMPANY CHICAGO BRIDGE IRON COMPANY READ IT CAREFULLY. UNDER THE sRAGE PART oARTS BY WRITTEN CHEDULE BELOW AT LEAST 10 DAYS PRIOR TO THE EFFECTIVE DATE OF SUCH ANCELLATION.. IF COVERAGE AFFORDED BY THIS COVERAGE PARTS IS REDUCED OR ESTRICTED OR MATERIALLY CHANGED WE WILL MAIL OR DELIVER NOTICE OF UCH REDUCTION OR RESTRICTION. TO THE NAME AND ADDRESS CORRESPONDING TO EACH PERSON OR RGANIZATION SHOWN IN THE SCHEDULE BELOW AND. AT LEAST 10 DAYS PRIOR TO THE EFFECTIVE DATE OF THE REDUCTION RRESTRICTION OR THE LONGER NUMBER OF DAYS NOTICE IF INDICATED IN HE SCHEDULE BELOW.. IF NOTICE AS DESCRIBED IN PARAGRAPHS A. B. OR C. OF THIS NDORSEMENT IS MAILED PROOF OF MAILING WILL BE SUFFICIENT PROOF OF UCH NOTICE. SCHEDULE AME AND ADDRESS OF OTHER PERSONS NUMBER OF DAYS NOTICE RGANIZATION S NITED STATES DEPARTMENT OF THE NAVY 30 AVY FACILITIES COMMAND SOUTHWEST ODE RAQEO BLDG 127 ROOM 108 NVIRONMENTAL CONTRACTS CORE ONTRACT NO. N62473 12 D2005 EMACIII 220 PACIFIC HIGHWAY AN DIEGO CA 92132 5790 NUMBER OF DAYS NOTICE 30 | 2 |
ZURICH Additional Insured Owners Lessees Or Contractors Scheduled Person Or Organization Policy No. Eff. Date of Pol Exp. Date of Pol. Eff. Date of End. Producer No. Addl. Prem Return Prem. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured Address including ZIP Code This endorsement modifies insurance provided under the Commercial General Liability Coverage Part SCHEDULE Name Of Additional Insured Persons Or Organizations Location And Description Of Covered Operations FLORIDA DEPARTMENT OF TRANSPORTATION 3400 WEST COMMERCIAL BLVD FORT LAUDERDALE FL 33309 AITYV ALIN AALIITY AF CAN FPDOANCICAA CITY AND COUNTY OF SAN FRANSISCO SAN FRANSISCO PUBLIC UTILITIES COMM CONTRACT ADMINISTRATION BUREAU LOS ANGELES WORLD AIRPORTS LOS ANGELES WORLD AIRPORTS RISK MANAGEMENT PO BOX 92216 LOS ANGELES CA 90009 A. Section Il Who Is An Insured is amended to include as an additional insured the person or organization shown in the Schedule above whom you are required to add as an additional insured on this policy under a written contract or written agreement. Such person or organization is an additional insured only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by 1. Your acts or omissions or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations or your work as included in the products completed operations hazard which is the subject of the written contract or written agreement at the Location designated and described in the Schedule above. However the insurance afforded to such additional insured 1. Only applies to the extent permitted by law and 2. Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following additional exclusion applies U GL1177 F CW 0413 Page 1 of 2 Includes copyrighted material of Insurance Services Office Inc. with its permission. | 0 |
This insurance does not apply to Bodily injury property damage or personal and advertising injury arising out of the rendering or failure to render any professional architectural engineering or surveying services including a. The preparing approving or failing to prepare or approve maps shop drawings opinions reports surveys field orders change orders or drawings and specifications or b. Supervisory inspection architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others by that insured if the occurrence which caused the bodily injury or property damage or the offense which caused the personal and advertising injury involved the rendering of or the failure to render any professional architectural engineering or surveying services. C. The following is added to Paragraph 2. Duties In The Event Of Occurrence Offense Claim Or Suit of Section IV Commercial General Liability Conditions The additional insured must see to it that 1. Weare notified as soon as practicable of an occurrence or offense that may result in a claim 2. We receive written notice of a claim or suit as soon as practicable and 3. A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non contributory. D. For the purpose of the coverage provided by this endorsement 1. The following is added to the Other Insurance Condition of Section IV Commercial General Liability Conditions Primary and Noncontributory insurance This Insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that a. The additional insured is a Named Insured under such other insurance and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV Commercial General Liability Conditions This insurance is excess over Any of the other insurance whether primary excess contingent or on any other basis available to an additional insured in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same occurrence offense claim or suit. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non contributory basis. E. With respect to the insurance afforded to the additional insureds under this endorsement the following is added to Section Ill Limits Of Insurance The most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement referenced in Paragraph A. of this endorsement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms and conditions of this policy remain unchanged. U GL1177 F CW 0413 Page 2 of 2 Includes copyrighted material of Insurance Services Office Inc. with its permission. | 1 |
Z ZURICH Limited Operations Coverage Work Excluded Under A Consolidated Wrap Up Insurance Program Policy No. Exp. Date of Pol. Eff. Date of End. Agency No. Addl. Prem. Return Prem. Named Insured CHICAGO BRIDGE IRON COMPANY Address including ZIP Code DELAWARE 2103 RESEARCH FOREST DR THE WOODLANDS TX 77380 2624 This endorsement modifies insurance provided under the Commercial General Liability Coverage Part a SG THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SCHEDULE Description and Location of Operations ANY LOCATION WHERE THE INSURED HAS OR HAD OPERATIONS INSURED BY A CONSOLIDATED WRAP UP INSURANCE PROGRAM. THIS EXCLUSION DOES NOT APPLY TO ANY LOCATIONS THAT MAY BE DESCRIBED IN U GL1146 EXCESS COVERAGE FOR INSUREDS INTEREST IN SPECIFIED WRAP UP PROGRAMS If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. A. The following exclusion is added to paragraph 2. Exclusions of Coverage A Bodily Injury and Property Damage Liability Section Coverages This insurance does not apply to bodily injury or property damage arising out of either your ongoing opera tions or operations included within the products completed operations hazard at the location described in the SCHEDULE of this endorsement as a consolidated wrap up insurance program has been provided by the prime contractor project manager or owner of the construction project in which you are involved. This exclusion applies whether or not the consolidated wrap up insurance program 1. Provides coverage identical to that provided by this Coverage Part 2. Has limits adequate to cover all claims or 3. Remains in effect. B. The exclusion in A. above shall not apply to your ongoing operations at the location shown in the SCHEDULE for your service maintenance correction repair or replacement of the original work performed and insured under the consolidated wrap up insurance program. U GL1294 A CW 1006 Page 1 of 2 | 2 |
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 | 2 |
ZURICH Earlier Notice of Cancellation or Non Renewal ZURICH THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE 1. Number of days required for notice of non renewal other than for nonpayment of premium 90 If the number of days is not provided above please see the nonrenewal provisions of your policy. 2. Number of days required for notice of cancellation other than for nonpayment of premium 90 If the number of days is not provided above please see the cancellation provisions of your policy. 3. Number of days required for notice of cancellation for nonpayment of premium 10 If the number of days is not provided above please see the cancellation provisions of your policy. Number of days required for notice of cancellation for nonpayment of premium 10 If the number of days is not provided above please see the cancellation provisions of your policy. A. For any statutorily permitted reason for non renewal other than nonpayment of premium the number of days required for notice of non renewal as provided in the Commercial General Liability Conditions as amended by an applicable state endorsement or as provided by an applicable state s change in coverage regulation is increased to the number of days shown in Paragraph 1. in the Schedule above. B. For any statutorily permitted reason for cancellation other than nonpayment of premium the number of days required for notice of cancellation as provided in the Common Policy Conditions as amended by an applicable state endorsement or as provided by an applicable state s change in coverage regulation is increased to the number of days shown in Paragraph 2. in the Schedule above. C. For nonpayment of premium the number of days required for notice of cancellation as provided in the Common Policy Conditions as amended by an applicable state endorsement or as provided by an applicable state s change in coverage regulation is increased to the number of days shown in Paragraph 3. in the Schedule above. All other terms and conditions of your policy remain the same. Includes copyrighted material of Insurance Services Office Inc. with its permission. U GL1298 C CW 082008 Page 1 of 1 | 2 |
ZURICH Broad Form Additional Insured Coverage Owners Lessees Or Contractors Scheduled Person or Organization Policy No Eff Date of Pol. Exp. Date of Pol. Eff. DateofEnd. Producer No. Addl Prem Return Prem. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part Name Of Additional Insured Persons Or Organizations Location And Description Of Covered Operations ANY PERSON OR ORGANIZATION FOR WHOM ANY LOCATION WHERE YOU ARE REQUIRED YOU ARE REQUIRED TO PROVIDE ADDITIONAI TO PROVIDE ADDITIONAL INSURED INSURED COVERAGE IN A WRITTEN CONTRACT COVERAGE IN A WRITTEN CONTRACT OR OR AGREEMENT PRIOR TO THE OCCURRENCE AGREEMENT EXECUTED PRIOR TO THE OR OFFENSE OCCURRENCE OR OFFENSE A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule of this endorsement. B. The insurance provided to the additional insured shown in the Schedule of this endorsement applies only to bodily injury property damage or personal and advertising injury covered under Section Coverage A Bodily Injury And Property Damage Liability and Section Coverage B Personal And Advertising Injury Liability but only with respect to liability for bodily injury property damage or personal and advertising injury caused 1. In whole or in part by your acts or omissions or the acts omissions of those acting on your behalf or 2. Unless prohibited by law solely by acts or omissions of such additional insured if coverage for sole acts or omissions of the additional insured is required by written contract or written agreement and resulting from a. Your ongoing operations or b. Your work completed as included in the products completed operations hazard performed for the additional insured at the location designated and described in the Schedule of this endorsement. However 1. The Insurance afforded to such additional insured VE URRENLE UN UEPENoG MEraNon U GL1321 E CW 1013 Page 1 of 3 Includes copyrighted material of Insurance Services Office Inc. with its permission. | 0 |
Only applies to the extent permitted by law and a. Will not apply to any insurance coverage that is not provided to you in this policy and If coverage provided to the additional insured is required by a written contract or written agreement the insurance afforded to such additional insured will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. C. With respect to the insurance afforded to the additional insured shown in the Schedule of this endorsement the following additional exclusion applies This insurance does not apply to Bodily injury property damage or personal and advertising injury arising out of the rendering or failure to render any professional architectural engineering or surveying services including a. The preparing approving or failing to prepare or approve maps shop drawings opinions reports surveys field orders change orders or drawings and specifications and b. Supervisory inspection architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others by that insured if the occurrence which caused the bodily injury or property damage or the offense which caused the personal and advertising injury involved the rendering of or the failure to render any professional architectural engineering or surveying services. D. The additional insured shown in the Schedule of this endorsement must see to it that 1. 2. 3. We are notified as soon as practicable of an occurrence or offense that may result in a claim We receive written notice of a claim or suit as soon as practicable and A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by another insurer under which such additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this insurance be primary and non contributory. E. For purposes of the coverage provided by this endorsement 1. F. The following is added to the Other Insurance Condition under Section IV Commercial General Liability Conditions Primary and Noncontributory insurance This Insurance is primary to and will not seek contribution from any other insurance available to an additional insured under this endorsement provided that a. The additional insured is a Named Insured under such other insurance and b. You are required by a written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition under Section IV Commercial General Liability Conditions This insurance is excess over Any of the other insurance whether primary excess contingent or on any other basis available to an additional insured in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same occurrence offense claim or suit. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non contributory basis. With respect to the insurance afforded to the additional insureds under this endorsement the following is added to Section Ill Limits Of Insurance U GL1321 E CW 1013 Page 2 of 3 Includes copyrighted material of Insurance Services Office Inc. with its permission. | 1 |
If coverage provided to the additional insured is required by a written contract or written agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the written contract or written agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms and conditions of this policy remain unchanged. U GL1321 E CW 1013 Page 3 of 3 Includes copyrighted material of Insurance Services Office Inc. with its permission. | 1 |
ZURICH Deductible Policy No. Eff. Date of Pol. Eff. Date of End. ZURICH THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part Employee Benefits Liability Coverage Part Liquor Liability Coverage Part Stop Gap Employers Liability Coverage Part DEDUCTIBLE SCHEDULE Coverage Deductible Amount Basis Coverage Bodily Injury and Property Damage Liability All persons or organizations 3000000 Each Occurrence Bodily Injury Liability Only All persons or organizations Each Occurrence Property Damage Liability Only All persons or organizations Each Occurrence Coverage Bodily Injury and Property Damage Liability Each Claim Bodily Injury Liability Only Each Claim Property Damage Liability Only Each Claim Coverage Personal and Advertising Injury Liability By offense Any one person or organization 3000000 Each Claim Coverage Medical Payments 3000000 Any One Person Additional Employee Benefits Liability Each Act Error or Coverage 3000000 Omission Additional Liquor Liability Coverage Each Common Cause Additional Stop Gap Employers Liability Each Accident Coverage Stop Gap Employers Liability disease Each Employee Aggregate Deductible Amount Adjustable at a i rate of per of Flat Initial Exposure PELLET Minimum Aggregate Deductible Amount U GL1326 B CW 102007 Page 1 of 6 | 2 |
ALLOCATED LOSS ADJUSTMENT EXPENSE SELECTION SCHEDULE Select One Option 1 x As respects each Deductible Amount you will reimburse us for all allocated loss adjustment expense even if there is no payment for other than allocated loss adjustment expense. Allocated loss adjustment expense reimbursements will contribute toward your Deductible Amount and your Aggregate Deductible Amount as shown in the Deductible Schedule. Option 2 As respects each Deductible Amount you will reimburse us for allocated loss a If the total amount payable for other than allocated loss adjustment expense as respects the basis for each Deductible Amount is equal to or less than the Deductible Amounts or if there is no amount payable other than allocated loss adjustment expense then you will reimburse us for all allocated loss adjustment expense. Allocated loss adjustment expense reimbursements will not contribute toward either your Deductible Amount or your Aggregate Deductible Amount as shown in the Deductible Schedule or b If the total amount payable for other than allocated loss adjustment expense exceeds the Deductible Amount you will reimburse us a pro rata share of total allocated loss adjustment expense based on the ratio of the Deductible Amount divided by the total amount payable for other than allocated loss adjustment expense as respects the basis for each Deductible Amount. Allocated loss adjustment expense reimbursements will not contribute toward either your Deductible Amount or your Aggregate Deductible Amount as shown in the Deductible Schedule. Option 3 As respects each Deductible Amount you will reimburse us for all allocated loss adjustment expense even if there is no payment for other than allocated loss adjustment expense. Allocated loss adjustment expense reimbursements will not contribute toward either your Deductible Amount or your Aggregate Deductible Amount as shown in the Deductible Schedule. If no option is selected Option 3 will apply. A. How the Deductible Amount Applies You will reimburse us for the Deductible Amounts shown in the Deductible Schedule and for allocated loss adjustment expenses incurred based on the Allocated Loss Adjustment Expense Selection Schedule. The Deductible Amounts applies as follows 1. If an Each Occurrence Deductible is shown the Deductible Amount applies to all sums payable because of any one Occurrence regardless of the number of persons or organizations who sustain damages because of that Occurrence. If an Each Claim Deductible is shown the Deductible Amount applies to all sums payable for each claim sustained by any one person or organization. a. For Other than Coverage B to all sums payable for each claim sustained by any one person or organization and b. For Coverage B to all damages sustained by any one person or organization as the result of an offense. Medical Payments If an Any One Person limit is shown the Deductible Amount applies to all sums payable to any one person as a result of an accident sustained by that person. U GL1326 B CW 102007 Page 2 of 6 | 2 |
Employee Benefits Liability If an Each Act Error or Omission Deductible is shown the Deductible Amount applies to all sums payable for all damages sustained by any one Employee including the Employee s dependents and beneficiaries because of acts errors or omissions committed in the administration of employee benefit programs. Liquor Liability If a Common Cause Deductible is shown the Deductible Amount applies to all sums payable for all injury sustained by one or more persons or organizations as the result of the selling serving or furnishing of any alcoholic beverage to any one person. Stop Gap Employers Liability If an Each Accident Deductible is shown the Deductible Amount applies to all sums payable as the result of an accident regardless of the number of people who sustain damages because of that accident. Stop Gap Employers Liability disease If an Each Employee Deductible is shown the Deductible Amount applies to all sums payable because of any one disease and applies separately to each affected Employee. B. Deductible Provisions 1. If more than one Deductible Amount applies to sums payable arising from the same incident because more than one Coverage applies you will be responsible for each and every applicable Deductible Amount. Deductible Amounts apply separately to each consecutive annual period and to any remaining period of less than 12 months starting with the beginning of the policy period shown in the Declarations. Your obligation to pay the Deductible Amounts shown on this policy is not fulfilled by a. The payment of a Deductible Amount under any other policy or b. Any payment made by us or another insurance company even if 3.a. or 3.b. above applies to the same incident as the Deductible Amount due under this policy. If more than one policy issued by us applies to sums payable because of a single continuous incident the Deductible Amounts applies separately to each policy that we issue to which this endorsement or a similar Deductible Endorsement applies. Deductible Amounts also apply separately to each annual period and any remaining period of less than 12 months as described in B.2. above. If a Coverage Part or Additional Coverage of this policy specifically applies a separate deductibles a. the separate additional deductible amount applies to any loss separately and before the Deductible Amounts shown on the Schedule of this endorsement and b. the Deductible Amounts shown on the Schedule of this endorsement applies only if the loss exceeds the separate additional deductible amount described in 5.a. above subject to the other terms and conditions of this endorsement. C. Aggregate Deductible Amount 1. The Aggregate Deductible Amount shown in the Deductible Schedule is the most you must reimburse us for the sum of a. all applicable Deductible Amounts as shown in the Deductible Schedule and b. all applicable allocated loss adjustment expense in accordance with the Allocated Loss Adjustment Expense Selection Schedule above. U GL1326 B CW 102007 Page 3 of 6 | 2 |
POLICY NUMBER GLO 5821847 01 POLICY NUMBER GLO 5821847 01 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations Locations Of Covered Operations STP NUCLEAR OPERATING COMPANY Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by 1. Your acts or omissions or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insureds at the locations desig nated above. B. With respect to the insurance afforded to these additional insureds the following additional exclu sions apply This insurance does not apply to bodily injury or property damage occurring after 1. All work including materials parts or equip ment furnished in connection with such work on the project other than service maintenance or repairs to be performed by or on behalf of the additional insureds at the location of the covered operations has been completed or 2. That portion of your work out of which the injury or damage arises has been put to its in tended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a princi pal as a part of the same project. CG 20 10 07 04 ISO Properties Inc. 2004 Page 1 of 1 oOo | 0 |
POLICY NUMBER GLO 5821847 01 POLICY NUMBER GLO 5821847 01 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations Locations Of Covered Operations CITY OF NEW YORK Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by 1. Your acts or omissions or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insureds at the locations desig nated above. B. With respect to the insurance afforded to these additional insureds the following additional exclu sions apply This insurance does not apply to bodily injury or property damage occurring after 1. All work including materials parts or equip ment furnished in connection with such work on the project other than service maintenance or repairs to be performed by or on behalf of the additional insureds at the location of the covered operations has been completed or 2. That portion of your work out of which the injury or damage arises has been put to its in tended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a princi pal as a part of the same project. CG 20 10 07 04 ISO Properties Inc. 2004 Page 1 of 1 oOo | 0 |
POLICY NUMBER GLO 5821847 01 POLICY NUMBER GLO 5821847 01 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations Locations Of Covered Operations Any person or organization that specifically CG 2010 by written contract or agreement. U GL1321 applies to any additional insured where the CG 2010 is not specifically required by written contract or agreement. Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by 1. Your acts or omissions or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insureds at the locations desig nated above. B. With respect to the insurance afforded to these additional insureds the following additional exclu sions apply This insurance does not apply to bodily injury or property damage occurring after 1. All work including materials parts or equip ment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional insureds at the loca tion of the covered operations has been com pleted or 2. That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. vy person or organization that specifically G 2010 by written contract or agreement. GL1321 applies to any additional insured here the CG 2010 is not specifically required written contract or agreement. CG 20 10 07 04 Copyright ISO Properties Inc. 2004 Page 1 of 1 UNIFORM | 0 |
POLICY NUMBER GLO 5821847 01 POLICY NUMBER GLO 5821847 01 COMMERCIAL GENERAL LIABILITY CG 20 11 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designation Of Premises Part Leased To You ANY PERSON OR ORGANIZATION WHEN REQUIRE BY WRITTEN CONTRACT OR AGREEMENT EXCEPT WHEN OTHERWISE COVERAGE BY WRAP UPS OR OTHER CONSOLIDATED INSURANCE PROGRAM Name Of Persons Or Organizations Additional Insured Additional Premium INCL. Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability arising out of the ownership maintenance or use of that part of the premises leased to you and shown in the Schedule and subject to the following additional exclusions This insurance does not apply to 1. Any occurrence which takes place after you cease to be a tenant in that premises. 2. Structural alterations new construction or demolition operations performed by or on behalf of the persons or organizations shown in the Schedule. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following is added to Section III Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 11 0413 Insurance Services Office Inc. 2012 Page 1 of 1 | 2 |
POLICY NUMBER GLO 5821847 01 POLICY NUMBER GLO 5821847 01 COMMERCIAL GENERAL LIABILITY CG 20 12 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision ANY STATE OR POLITICAL SUBDIVISION BUY ONLY WHEN SPECIFICALLY REQUIRED BY WRITTEN CONTRACT Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured any state or governmental agency or subdivision or political subdivision shown in the Schedule subject to the following provisions 1. This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. However a. The insurance afforded to such additional insured only applies to the extent permitted by law and b. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 2. This insurance does not apply to a. Bodily injury property damage or personal and advertising injury arising out of operations performed for the federal government state or municipality or b. Bodily injury. or property damage included within the products completed operations hazard. B. With respect to the insurance afforded to these additional insureds the following is added to Section III Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. ANY STATE OR POLITICAL SUBDIVISION BUY ONLY WHEN SPECIFICALLY REQUIRED BY WRITTEN CONTRACT CG 20 12 04 13 Insurance Services Office Inc. 2012 Page 1 of 1 | 2 |
POLICY NUMBER GLO 5821847 01 POLICY NUMBER GLO 5821847 01 COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE 53589 Name Of Additional Insured Persons Or Organizations 1VILLAGE OF MOUNT HOREB WI AND STRAND ASSOCIATES INC138 EAST MAIN ST MOUNT HOREB WI 53572PROJECT140840 ELEVATED WATER TANK CONSTRUCTION 2STRAND ASSOCIATES INC. ITS OFFICERS DIRECTORS PARTNERS EMPLOYEES AGENTS CONSULTANTS SUBCONTRACTORS 910 WEST WINGRA DRIVE MADISON WI 53715 3CITY OF LANCASTER ITS OFFICERS DIRECTORS PARTNERS EMPLOYEES AGENTS CONSULTANTS SUBCONTRACTORS 206 SOUTH MADISON STREET LANCASTER WI 53813 4STOUGHTON UTILITIES ITS OFFICERS DIRECTORS PARTNERS EMPLOYEES AGENTS CONSULTANTS AND SUBCONSULTANTS 600 FOURTH STREET MADISON WI Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by your acts or omissions or the acts or omissions of those acting on your behalf 1. In the performance of your ongoing operations or 2. In connection with your premises owned by or rented to you. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following is added to Section Ill Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 26 04 13 Insurance Services Office Inc. 2012 Page 1 of 1 Wolters Kluwer Financial Services Uniform Forms | 2 |
POLICY NUMBER GLO 5821847 01 POLICY NUMBER GLO 5821847 01 COMMERCIAL GENERAL LIABILITY CG 20 28 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED LESSOR OF LEASED EQUIPMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations ANY PERSON OR ORGANIZATION TO WHOM OR TO WHICH YOU ARE REQUIRED TO PROVIDE ADDITIONAL INSURED STATUS IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT EXECUTED PRIOR TO THE LOSS EXCEPT WHERE SUCH CONTRACT OR AGREEMENT IS PROHIBITED BY LAW Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the persons or additional insureds this insurance does not apply organizations shown in the Schedule but only to any occurrence which takes place after the with respect to liability for bodily injury property equipment lease expires. damage or personal and advertising injury caused in whole or in part by your maintenance operation or use of equipment leased to you by such persons or organizations. ROVIDE ADDITIONAL INSURED STATUS IN A WRITTEN CONTRACT OR WRITTEN GREEMENT EXECUTED PRIOR TO THE LOSS EXCEPT WHERE SUCH CONTRACT OR GREEMENT IS PROHIBITED BY LAW CG 20 28 07 04 ISO Properties Inc. 2004 Page 1 of 1 oOo | 2 |
POLICY NUMBER GLO 5821847 01 POLICY NUMBER GLO 5821847 01 COMMERCIAL GENERAL LIABILITY CG 20 32 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ENGINEERS ARCHITECTS OR SURVEYORS NOT ENGAGED BY THE NAMED INSURED This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Engineers Architects Or Surveyors Not Engaged By The Named Insured ANY ENGINEERS ARCHITECTS OR SURVEYORS WHILE NOT ENGAGED BY YOU TO WHOM OR TO WHICH YOU ARE REQUIRED TO PROVIDE ADDITIONAL INSURED STATUS IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT EXECUTED PRIOR TO THE LOSS EXCEPT WHERE SUCH CONTRACT OR AGREEMENT IS PROHIBITED BY LAW. Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the architects engineers or surveyors shown in the Schedule but only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by 1. Your acts or omissions or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations performed by you or on your behalf. Such architects engineers or surveyors while not engaged by you are contractually required to be added as an additional insured to your policy. However the insurance afforded to such additional insured 1. Only applies to the extent permitted by law and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following additional exclusion applies This insurance does not apply to bodily injury property damage or personal and advertising injury arising out of the rendering of or the failure to render any professional services including 1. The preparing approving or failing to prepare or approve maps drawings opinions reports surveys change orders designs or specifications or 2. Supervisory inspection or engineering services. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others by that insured if the occurrence which caused the bodily injury or property damage or the offense which caused the personal and advertising injury involved the rendering of or the failure to render any professional services. 2nO bVoo BALEPL WHERE CULT LUNI AA L UR AGREEMENT 10 FRAUNIDIIEY bt LAW. CG 20 32 04 13 Insurance Services Office Inc. 2012 Page 1 of 2 | 2 |
C. With respect to the insurance afforded to these additional insureds the following is added to Section III Limits Of Insurance The most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 Insurance Services Office Inc. 2012 CG 20 32 04 13 | 2 |
COMMERCIAL GENERAL LIABILITY CG 20 33 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section Il Who Is An Insured is amended to include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by 1. Your acts or omissions or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insured. However the insurance afforded to such additional insured 1. Only applies to the extent permitted by law and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person s or organization s status as an additional insured under this endorsement ends when your operations for that additional insured are completed. B. With respect to the insurance afforded to these additional insureds the following additional exclusions apply This insurance does not apply to 1. Bodily injury property damage or personal and advertising injury arising out of the rendering of or the failure to render any professional architectural engineering or surveying services including a. The preparing approving or failing to prepare or approve maps shop drawings opinions reports surveys field orders change orders or drawings and specifications or b. Supervisory inspection architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others by that insured if the occurrence which caused the bodily injury or property damage or the offense which caused the personal and advertising injury involved the rendering of or the failure to render any professional architectural engineering or surveying services. CG 20 33 04 13 Insurance Services Office Inc. 2012 Page 1 of 2 | 0 |
2. Bodily injury or property damage occurring after a. All work including materials parts or equipment furnished in connection with such work on the project other than service maintenance or repairs to be performed by or on behalf of the additional insureds at the location of the covered operations has been completed or b. That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds the following is added to Section III Limits Of Insurance The most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement you have entered into with the additional insured or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 Insurance Services Office Inc. 2012 CG 20 33 04 13 | 1 |
COMMERCIAL GENERAL LIABILITY CG 20 34 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED LESSOR OF LEASED EQUIPMENT AUTOMATIC STATUS WHEN REQUIRED IN LEASE AGREEMENT WITH YOU COMMERCIAL GENERAL LIABILITY COVERAGE PART Section Il Who Is An Insured is amended to include as an additional insured any persons or organizations from whom you lease equipment when you and such persons or organizations have agreed in writing in a contract or agreement that such persons or organizations be added as an additional insured on your policy. Such persons or organizations is an in with respect to liability for bodily injur damage or personal and advertising injury caused in whole or in part by your maintenance operation or use of equipment leased to you by such persons or organizations. However the insurance afforded to such additional insured 1. Only applies to the extent permitted by law and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. This endorsement modifies insurance provided under the following A person s or organization s status as an additional insured under this endorsement ends when their contract or agreement with you for such leased equipment ends.. With respect to the insurance afforded to these additional insureds this insurance does not apply to any occurrence which takes place after the equipment lease expires.. With respect to the insurance afforded to these additional insureds the following is added to Section III Limits Of Insurance The most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement you have entered into with the additional insured or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 34 04 13 Insurance Services Office Inc. 2012 Page 1 of 1 | 2 |
POLICY NUMBER GLO 5821847 01 POLICY NUMBER GLO 5821847 01 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Or Organizations Name Of Additional Insured Persons Location And Description Of Completed Operations STP NUCLEAR OPERATING COMPANY LOS ANGELES WORLD AIRPORTS RISK MANAGEMENT PO BOX 92216 LOS ANGELES CA 90009 Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury or property damage caused in whole or in part by your work at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the products completed operations hazard. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following is added to Section III Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 37 04 13 Insurance Services Office Inc. 2012 Page 1 of 1 | 0 |
POLICY NUMBER GLO 5817029 01 POLICY NUMBER GLO 5817029 01 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations Location And Description Of Completed Operations ANY PERSON OR ORGANIZATION TO WHOM OR TO WHICH YOU ARE REQUIRED TO PROVIDE ADDITIONAL INSURED STATUS IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT EXECUTED PRIOR TO THE LOSS EXCEPT WHERE SUCH CONTRACT OR AGREEMENT IS PROHIBITED BY THE LAW ANY LOCATION WHERE YOU HAVE AGREED THROUGH WRITTEN CONTRACT AGREEMENT OR PERMIT EXECUTED PRIOR TO THE LOSS TO PROVIDE ADDITIONAL INSURED COVERAGE FOR COMPLETED OPERATIONS. Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury or property damage caused in whole or in part by your work at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the products completed operations hazard. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 04 13 Insurance Services Office Inc. 2012 Page 1 of 2 Wolters Kluwer Financial Services Uniform Forms | 0 |
B. With respect to the insurance afforded to these additional insureds the following is added to Section Ill Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 ISO Properties Inc. 2004 CG 20 37 07 04 Oo | 1 |
COMMERCIAL GENERAL LIABILITY CG 21 47 12 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EMPLOYMENT RELATED PRACTICES EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily In jury And Property Damage Li ity This insurance does not apply to Bodily injury to 1 A person arising out of any a Refusal to employ that person b Termination of that person s employment or c Employment related practices policies acts or omissions such as coercion demotion evaluation reassignment discipline defa mation harassment humiliation discrimina tion or malicious prosecution directed at that person or 2 The spouse child parent brother or sister of that person as a consequence of bodily injury to that person at whom any of the employment related practices described in Paragraphs a b or c above is directed. This exclusion applies 1 Whether the injury causing event described in Paragraphs a b or c above occurs before employment during employment or after em ployment of that person 2 Whether the insured may be liable as an em ployer or in any other capacity and 3 To any obligation to share damages with or repay someone else who must pay damages because of the injury. B. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage B Personal And Advertising Injury Liability This insurance does not apply to Personal and advertising injury to 1 A person arising out of any a Refusal to employ that person b Termination of that person s employment or c Employment related practices policies acts or omissions such as coercion demotion evaluation reassignment discipline defa mation harassment humiliation discrimina tion or malicious prosecution directed at that person or 2 The spouse child parent brother or sister of that person as a consequence of personal and advertising injury to that person at whom any of the employment related practices described in Paragraphs a b or c above is directed. This exclusion applies 1 Whether the injury causing event described in Paragraphs a b or c above occurs before employment during employment or after em ployment of that person 2 Whether the insured may be liable as an em ployer or in any other capacity and 3 To any obligation to share damages with or repay someone else who must pay damages because of the injury. CG 21 47 1207 ISO Properties Inc. 2006 Page 1 of 1 oOo | 2 |
COMMERCIAL GENERAL LIABILITY CG 22 24 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION INSPECTION APPRAISAL AND SURVEY COMPANIES This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability and Paragraph 2. Exclusions of Section Coverage B Personal And Advertising Injury Liability This insurance does not apply to bodily injury property damage or personal and advertising injury for which the insured may be held liable because of the rendering of or failure to render professional services in the performance of any claim investigation adjustment engineering inspection appraisal survey or audit services. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others by that insured if the occurrence which caused the bodily injury or property damage or the offense which caused the personal and advertising injury involved the rendering of or failure to render professional services in the performance of any claim investigation adjustment engineering inspection appraisal survey or audit services. Insurance Services Office Inc. 2012 CG 22 24 04 13 Page 1 of 1 | 2 |
COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION PROPERTY ENTRUSTED This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Operations Security and Patrol Agencies Warehouse cold individual storage lockers Warehouses miniwarehouses As respects the operations shown in the Schedule this insurance does not apply to property damage to prop erty of others 1. Entrusted to you for safekeeping or 2. On premises owned by or rented to you. CG 22 29 11 85 Copyright Insurance Services Office Inc. 1984 Page 1 of 1 | 2 |
COMMERCIAL GENERAL LIABILITY CG 22 43 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION ENGINEERS ARCHITECTS OR SURVEYORS PROFESSIONAL LIABILITY This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage bility and Paragraph 2. Exclusions of Section Coverage B Personal And Advertising Injury Liability This insurance does not apply to bodily injury property damage or personal and advertising injury arising out of the rendering of or failure to render any professional services by you or any engineer architect or surveyor who is either employed by you or performing work on your behalf in such capacity. Professional services include 1. The preparing approving or failing to prepare or approve maps shop drawings opinions reports surveys field orders change orders or drawings and specifications and 2. Supervisory inspection architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others by that insured if the occurrence which caused the bodily injury or property damage or the offense which caused the personal and advertising injury involved the rendering of or failure to render any professional services by you or any engineer architect or surveyor whois either employed by you or performing work on your behalf in such capacity. CG 22 43 0413 Insurance Services Office Inc. 2012 Page 1 of 1 | 2 |
POLICY NUMBER POLICY NUMBER COMMERCIAL GENERAL LIABILITY CG 20 10 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization CITY OF NEW YORK DEPARTMENT OF ENVIRONMENTAL If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. A. Section Il Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule but only with respect to liability arising out of your ongoing operations performed for that insured. B. With respect to the insurance afforded to these additional insureds the following exclusion is added 2. Exclusions This insurance does not apply to bodily in jury or property damage occurring after 1 All work including materials parts or equipment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional in sureds at the site of the covered operations has been completed or That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcon 2 TY OF NEW YORK DEPARTMENT OF ENVIRONMENTAL 1 All work including materials parts or equipment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional in sureds at the site of the covered operations has been completed or 2 That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcon tractor engaged in performing op erations for a principal as a part of the same project. CG 20 10 1001 ISO Properties Inc. 2000 Page 1 of 1 | 0 |
POLICY NUMBER POLICY NUMBER COMMERCIAL GENERAL LIABILITY CG 20 10 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization EVERGREEN ENERGY INC. If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. A. Section Il Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule but only with respect to liability arising out of your ongoing operations performed for that insured. B. With respect to the insurance afforded to these additional insureds the following exclusion is added 2. Exclusions This insurance does not apply to bodily in jury or property damage occurring after 1 All work including materials parts or equipment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional in sureds at the site of the covered operations has been completed or That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcon 2 ERGREEN ENERGY INC. 1 All work including materials parts or equipment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional in sureds at the site of the covered operations has been completed or 2 That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcon tractor engaged in performing op erations for a principal as a part of the same project. CG 20 10 1001 ISO Properties Inc. 2000 Page 1 of 1 | 0 |
POLICY NUMBER POLICY NUMBER COMMERCIAL GENERAL LIABILITY CG 20 10 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization ARMSTRONG DEVELOPMENT PROPERTIES INC. If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. A. Section Il Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule but only with respect to liability arising out of your ongoing operations performed for that insured. B. With respect to the insurance afforded to these additional insureds the following exclusion is added 2. Exclusions This insurance does not apply to bodily in jury or property damage occurring after 1 All work including materials parts or equipment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional in sureds at the site of the covered operations has been completed or That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcon 2 3MSTRONG DEVELOPMENT PROPERTIES INC. 1 All work including materials parts or equipment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional in sureds at the site of the covered operations has been completed or 2 That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcon tractor engaged in performing op erations for a principal as a part of the same project. CG 20 10 1001 ISO Properties Inc. 2000 Page 1 of 1 | 0 |
POLICY NUMBER POLICY NUMBER COMMERCIAL GENERAL LIABILITY CG 20 10 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization CHESAPEAKE APPALACHIA LLC AND ANY PRESENT OR FUTURE SUBSIDIARIES OR AFFILIATES If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. A. Section Il Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule but only with respect to liability arising out of your ongoing operations performed for that insured. B. With respect to the insurance afforded to these additional insureds the following exclusion is added 2. Exclusions This insurance does not apply to bodily in jury or property damage occurring after 1 All work including materials parts or equipment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional in sureds at the site of the covered operations has been completed or That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcon 2 1ESAPEAKE APPALACHIA LLC AND ANY PRESENT OR FUTURE SUBSIDIARIES OR AFFILIATES 1 All work including materials parts or equipment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional in sureds at the site of the covered operations has been completed or 2 That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcon tractor engaged in performing op erations for a principal as a part of the same project. CG 20 10 1001 ISO Properties Inc. 2000 Page 1 of 1 | 0 |
POLICY NUMBER POLICY NUMBER COMMERCIAL GENERAL LIABILITY CG 20 10 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization COLUMBIA SQUARE PARTNERS LLC If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. A. Section Il Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule but only with respect to liability arising out of your ongoing operations performed for that insured. B. With respect to the insurance afforded to these additional insureds the following exclusion is added 2. Exclusions This insurance does not apply to bodily in jury or property damage occurring after 1 All work including materials parts or equipment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional in sureds at the site of the covered operations has been completed or That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcon 2 DLUMBIA SQUARE PARTNERS LLC 1 All work including materials parts or equipment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional in sureds at the site of the covered operations has been completed or 2 That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcon tractor engaged in performing op erations for a principal as a part of the same project. CG 20 10 1001 ISO Properties Inc. 2000 Page 1 of 1 | 0 |
POLICY NUMBER POLICY NUMBER COMMERCIAL GENERAL LIABILITY CG 20 10 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization AK STEEL CORPORATION If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. A. Section Il Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule but only with respect to liability arising out of your ongoing operations performed for that insured. B. With respect to the insurance afforded to these additional insureds the following exclusion is added 2. Exclusions This insurance does not apply to bodily in jury or property damage occurring after 1 All work including materials parts or equipment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional in sureds at the site of the covered operations has been completed or That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcon 2 STEEL CORPORATION 1 All work including materials parts or equipment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional in sureds at the site of the covered operations has been completed or 2 That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcon tractor engaged in performing op erations for a principal as a part of the same project. CG 20 10 1001 ISO Properties Inc. 2000 Page 1 of 1 | 0 |
POLICY NUMBER POLICY NUMBER COMMERCIAL GENERAL LIABILITY CG 20 10 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization VOLUNTEERS CITY OF WILLITS ITS ELECTED OR APPOINTED OFFICIALS OFFICERS EMPLOYEES AGENTS If no entry appears above information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement. A. Section Il Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule but only with respect to liability arising out of your ongoing operations performed for that insured. B. With respect to the insurance afforded to these additional insureds the following exclusion is added 2. Exclusions This insurance does not apply to bodily in jury or property damage occurring after 1 All work including materials parts or equipment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional in sureds at the site of the covered operations has been completed or That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcon 2 3 ITS ELECTED OR APPOINTED OFFICIALS OFFICERS EMPLOYEES AGENTS 1 All work including materials parts or equipment furnished in connection with such work on the project other than service mainte nance or repairs to be performed by or on behalf of the additional in sureds at the site of the covered operations has been completed or 2 That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcon tractor engaged in performing op erations for a principal as a part of the same project. CG 20 10 1001 ISO Properties Inc. 2000 Page 1 of 1 | 0 |
ZURICH Fungi Bacteria Exclusion Disclosure Notice This insurance does not apply to or provides limited coverage as respects fungi or bacteriae You should refer to the specific fungi or bacteria endorsements indicated below for determination of specific terms and conditions as respects exclusion of any fungi or bacteria exposures that you may have. The following fungi or bacteria endorsements that are checked x apply in the indicated areas of the coverage territory ISO FORM CG 00 01 Fungi or Bacteria Exclusion Endorsement U GL1171 A CW Fungus Exclusion Endorsement U GL1063 A CW or Limited Fungus Exclusion Endorsement U GL1046 A CW Fungi or Bacteria Exclusion ISO form CG 2167 All states in the coverage territory except Applicable in the following states Applicable in the following states Georgia Limited Fungi or Bacteria Coverage GA Small Businesses CG 32 01 Other Applic Applicable in the following states Applicable only to risks with less than 25 employees or annual revenues less than 2.5 million. U GL1195 B CW 604 Page 1 of 1 | 2 |
ZURICH Advisory notice to policyholders regarding the U.S. Treasury Department s Office of Foreign Assets Control OFAC regulations No coverage is provided by this policyholder notice nor can it be construed to replace any provisions of your policy. You should read your policy and review your declarations page for complete information on the coverages you are provided. This notice provides information concerning possible impact on your insurance coverage due to directives issued by the U.S. Treasury Department s Office of Foreign Assets Control OFAC. Please read this Notice carefully. OFAC administers and enforces sanctions policy based on Presidential declarations of national emergency. OFAC has identified and listed numerous Foreign agents Front organizations Terrorists Terrorist organizations and Narcotics traffickers as Specially Designated Nationals and Blocked Persons. This list can be located on the United States Treasury s web site httpwww.treasury.govaboutorganizationalstructureofficesPages OfficeofForeignAssetsControl.aspx. In accordance with OFAC regulations if it is determined that you or any other insured or any person or entity claiming the benefits of this insurance has violated U.S. sanctions law or is a Specially Designated National and Blocked Person as identified by OFAC this insurance will be considered a blocked or frozen contract and all provisions of this insurance are immediately subject to OFAC restrictions. When an insurance policy is considered to be such a blocked or frozen contract no payments or premium refunds may be made without authorization from OFAC. Other limitations on premiums and payments also apply. Includes copyrighted material of Insurance Services Office Inc. with its permission. U GU1041 A 311 Page 1 of 1 | 2 |
ZURICH Additional Insured Automatic Owners Lessees Or Contractors Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. GLO483992205 07012017 07012018 07012017 37385000 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured AG Plaza at Enclave LLC. Address including ZIP Code 1254 Enclave Parkway Houston TX 77077 This endorsement modifies insurance provided under the Commercial General Liability Coverage Part A. Section If 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. ions or ions 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 applie 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. | 0 |
C. The following is added to Paragraph 2. Duties In The Event Of Occurrence Offens General Liability Conditions Claim Or Suit of Section IV Commercial The additional insured must see to it that 1. We are notified as soon as practicable of an occurrence or offense that may result in a claim 2. We receive written notice of a claim or suit as soon as practicable and 3. A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non contributory. D. For the purposes of the coverage provided by this endorsement 1. The following is added to the Other Insurance Condition of Section IV Commercial General Liability Conditions Primary and Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that a. The additional insured is a Named Insured under such other insurance and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV Commercial General Liability Conditions This insurance is excess over Any of the other insurance whether primary excess contingent or on any other basis available to an additional insured in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same occurrence offense claim or suit. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non contributory basis. E. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds and which endorsement applies specifically to that identified additional insured. F. With respect to the insurance afforded to the additional insureds under this endorsement the following is added to Section III Limits Of Insurance The most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the written contract or written agreement referenced in Paragraph A. of this endorsement or 2. Available under the applicable Limits of 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. | 1 |
ZURICH Additional Insured Owners Lessees Or Contractors Scheduled Person Or Organization Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End Producer No. Add. Prem Return Prem. GLO 4839922 05 07012017 07012018 37385000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured AG PLAZA AT ENCLAVE LLC. Address including ZIP Code 1254 ENCLAVE PARKWAY HOUSTON TX 77077 2564 This endorsement modifies insurance provided under the Commercial General Liability Coverage Part SCHEDULE Name Of Additional Insured Persons Or Organizations Location And Description Of Covered Operations FORETHOUGHT FINANCIAL GROUP. ADDITIONAL NAMED INSURED ONLY WITH 3200 SOUTHWEST FWY HOUSTON TX RESPECT TO LIABILITY ARISING OUT 77027 OF THE NAMED INSURED. A. Section Il Who Is An Insured is amended to include as an additional insured the person or organization shown in the Schedule above whom you are required to add as an additional insured on this policy under a written contract or written agreement. Such person or organization is an additional insured only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by 1. Your acts or omissions or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations or your work as included in the products completed operations hazard which is the subject of the written contract or written agreement at the Location designated and described in the Schedule above. However the insurance afforded to such additional insured 1. Only applies to the extent permitted by law and 2. Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following additional exclusion applies This insurance does not apply to U GL1177 F CW 0413 Page 1 of 2 Includes copyrighted material of Insurance Services Office Inc. with its permission. | 0 |
Bodily injury property damage or personal and advertising injury arising out of the rendering or failure to render any professional architectural engineering or surveying services including a. The preparing approving or failing to prepare or approve maps shop drawings opinions reports surveys field orders change orders or drawings and specifications or b. Supervisory inspection architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring employment training or monitoring of others by that insured if the occurrence which caused the bodily injury or property damage or the offense which caused the personal and advertising injury involved the rendering of or the failure to render any professional architectural engineering or surveying services. C. The following is added to Paragraph 2. Duties In The Event Of Occurrence Offense Claim Or Suit of Section IV Commercial General Liability Conditions The additional insured must see to it that 1. Weare notified as soon as practicable of an occurrence or offense that may result in a claim 2. We receive written notice of a claim or suit as soon as practicable and 3. A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non contributory. D. For the purpose of the coverage provided by this endorsement 1. The following is added to the Other Insurance Condition of Section IV Commercial General Liability Conditions Primary and Noncontributory insurance This Insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that a. The additional insured is a Named Insured under such other insurance and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV Commercial General Liability Conditions This insurance is excess over Any of the other insurance whether primary excess contingent or on any other basis available to an additional insured in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same occurrence offense claim or suit. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non contributory basis. E. With respect to the insurance afforded to the additional insureds under this endorsement the following is added to Section Ill Limits Of Insurance The most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement referenced in Paragraph A. of this endorsement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms and conditions of this policy remain unchanged. U GL1177 F CW 0413 Page 2 of 2 Includes copyrighted material of Insurance Services Office Inc. with its permission. | 1 |
Asbestos Exclusion Endorsement Policy No. Eff. Date of Pol. Exp. Date of Pol Eff. Date of End Producer Add Prem Return Prem. GLO 4839922 05 07012017 07012018 37385000 s INCL s THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part The following exclusion is added to paragraph 2. Exclusions of Section I Coverage A Bodily Injury And Property Damage Liability and Coverage B Personal And Advertising Injury Liability 2. Exclusions This insurance does not apply to Asbestos A. Bodily injury property damage or personal and advertising injury arising out of or which would not have occurred in whole or in part but for the actual alleged or threatened discharge dispersal release leakage leaching friability flaking escape or presence of asbestos regardless of whether any other cause event material or product contributed concurrently or in any sequence to the injury or damage or B. Any sums that any insured or other entity must pay repay or reimburse because of any 1. Request demand order statutory or regulatory requirement direction or determination that any insured or others test for investigate monitor clean up remove study contain treat encapsulate control or take any other action re garding asbestos or 2. Claim or suit for damages arising out of or relating in any way to any request demand order statutory or regula tory requirement direction or determination that any insured or others test for investigate monitor clean up re move study contain treat encapsulate control or take any other action regarding asbestos or C. Any other loss cost or expense arising out of or relating in any way to asbestos. U GL1178 A CW 0703 Page lof 1 Includes copyrighted material of Insurance Services Office Inc. with its permission. | 2 |
7 ZURICH Welding Health Hazard Exclusion Policy No. Eff. Date of Pol. Exp. Date of Pol Eff. Date of End Producer Add Prem Return Prem. GLO 4839922 05 07012017 07012018 37385000 s INCL s THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the Commercial General Liability Coverage Part Owners and Contractors Protective Liability Coverage FormCoverage For Operations of Designated Contractor Products Completed Operations Liability Coverage Part Railroad Protective Liability Coverage Form The following additional exclusion is added to 2. Exclusions of Section I. Coverages 2. Exclusions This insurance does not apply to Welding Health Hazard Bodily injury caused directly or indirectly by the actual alleged or threatened inhalation ingestion absorption or ex posure to harmful fumes or gases caused by welding materials and equipment used in connection with the process of welding or fusing together of any metals or other materials. For the purposes of this exclusion the following definition applies Welding materials and equipment means 1 Welding machinery or other welding process equipment 2 Welding rods 3 Electrodes or 4 Any consumable products including but not limited to wires fluxes coatings or cleaning agents. Includes copyrighted material of Insurance Services Office Inc. with its permission. U GL1205 B CW 108 Page of | 2 |
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 adver to the actual alleged or threatened ising injury arising out of resulting from caused by or related a Exposure to or existence of lead paint containing lead or any other material product or substance containing lead or b Manufacture distribution sale resale re branding installation repair removal encapsulation abatement 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. 2 Any sums that any insured or other entity must pay repay or reimburse because of any a Request demand order or statutory or regulatory requirement that any insured or others test for sample monitor clean up remove abate cover contain treat mitigate or neutralize lead paint containing lead or any other mate rial product or substance containing lead or in any way respond to or s the effects of lead in any form or b Claim or suit for damages relating to testing for sampling monitoring cleaning up removing abating covering containing treating mitigating or neutralizing lead paint containing lead or any other material product or 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 of | 2 |
ZURICH Self Insured Retention Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. GLO4839922 05 07012017 07012018 07012017 37385000 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Additional Return Premium This endorsement modifies insurance provided under the Commercial General Liability Coverage Part Employee Benefits Liability Coverage Part Liquor Liability Coverage Part Stop Gap Employers Liability Coverage Part Under the provisions of this endorsement you are responsible for payment of all or part of defense costs in addition to Self Insured Retention SIR Amounts. SCHEDULE SELF INSURED RETENTION AMOUNTS You may select only one choice of Option 1 2 3 or 4 below. In addition Option 5 may or may not be selected. 0 Option 1 7492 Per Incident You Pay Defense Costs Within SIR Option 2 3746 Per Incident EBL Damage to rented building Option 3 Per Incident All Incidents Other Than Products Completed Operations You a Mpton Pay Defense Costs Within SIR Per Incident Products Completed Operations Incidents Only You Pay Defense Costs Within SIR If only one amount is shown that same amount also applies as respects the Option 3 Self Insured Retention Amount not shown. Option 4 Per Incident All Incidents Other Than Products Completed Operations You a Mpton Pay All Defense Costs Per Incident Products Completed Operations Incidents Only You Pay All Defense Costs If only one amount is shown that same amount also applies as respects the Option 4 Self Insured Retention Amount not shown. If no Self Insured Retention Amounts is shown above for Option 1 2 3 or 4 Option 1 Per Incident You Pay Defense Costs Within SIR for an amount of 1000000 is deemed to be selected. U GL1449 A CW 0410 Page 1 of 8 Includes copyrighted material of Insurance Services Office Inc. with its permission. | 2 |
COMMERCIAL GENERAL LIABILITY CG 2037 07 04 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 SCHEDULE Name Of Additional Insured Persons Or Organizations Location And Description Of Completed Opera tions Any owner lessee or contractor for whom you are performing operations when you and such owner lessee or contractor have agreed in writing in a contract or agreement that such owner lessee or contractor should be added as an additional insured on your policy. As required by written contract. Information required to complete this Schedule if not shown above will be shown in the 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. s required by written contract. sured on your policy. CG 203707 04 ISO Properties Inc. 2004 Page 1 of 1 m | 0 |
POLICY NUMBER USL00146519 POLICY NUMBER USL00146519 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization of recovery. Any person or organization with whom you have agreed in writing in a contract or agreement to waive your right Information required to complete this Schedule if not shown above will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV Conditions We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or your work done under a contract with that person or organization and included in the products completed operations hazard. This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 Insurance Services Office Inc. 2008 Page 1 of 1 m | 2 |
Allianz Policy Number USL00146519 Effective Date January 01 2019 NAMED INSURED ENDORSEMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART The Named Insured as shown on the Declarations is completed to read as follows Jafra Cosmetics International Inc. USA CDRJ Asia Pacific Inc. USA All other terms and conditions remain unchanged. AGR IL M0O1 11 03 Page 1 of 1 | 2 |
Allianz Global Risks Policy Number USL00146519 Effective Date January 01 2019 SILICA OR SILICA RELATED DUST EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART This policy is amended as follows 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 Silica Or Silica Related Dust a. Bodily injury arising in whole or in part out of the actual alleged threatened or suspected inhalation of or ingestion of silica or silica related dust. b. Property damage arising in whole or in part out of the actual alleged threatened or suspected contact with exposure to existence of or presence of silica or silica related dust. c. Any loss cost or expense arising in whole or in part out of the abating testing for monitoring cleaning up removing containing treating detoxifying neutralizing remediating or disposing of or in any way responding to or assessing the effects of silica or silica related dust by any insured or by any other person or entity. B. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage B Personal And Advertising Injury Liability 2. Exclusions This insurance does not apply to ilica Or Silica Related Dust a. Personal and advertising injury arising in whole or in part out of the actual alleged threatened or suspected inhalation of ingestion of contact with exposure to existence of or presence of silica or silica related dust. b. Any loss cost or expense arising in whole or in part out of the abating testing for monitoring cleaning up removing containing treating detoxifying neutralizing remediating or disposing of or in any way responding to or assessing the effects of silica or silica related dust by any insured or by any other person or entity. C. The following definitions are added to the Definitions Section 1. Silica means silicon dioxide occurring in crystalline amorphous and impure forms silica particles silica dust or silica compounds. 2. Silica related dust means a mixture or combination of silica and other dust or particles. This exclusion does not apply to products containing less than 6 silica. All other terms and conditions remain unchanged. AGR IL M0O1 11 03 Page 1 of 1 | 2 |
Allianz Global Risks Policy Number USL00146519 Effective Date January 01 2019 Amendment This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM This policy is amended as follows With respect to coverage under this policy It is agreed that the following individual Anthony Delima is deemed an Executive Officer while serving in the capacity of Interim CIO. All other terms and conditions remain unchanged. AGR IL M0O1 11 03 Page 1 of 1 | 2 |
Allianz Allianz Global Risks US Insurance Company Policy Number USL00146519 Effective Date January 01 2019 Allianz Global Risks US Insurance Company Privacy and Security Statement Protecting you and your family from loss is important to Allianz Global Risks US Insurance Company AGRUS. Just as important to us is protecting your privacy and personal information. Our pledge to pro tect your privacy is reflected in our Privacy and Security Statement which outlines our principles for col lecting using and protecting your personal information. Our Privacy and Security Statement applies to all of the companies within the AGRUS family of compa nies that issue insurance policies. In most cases these companies use the same processing systems and employees to maintain your insurance coverage. The law allows us to share personal information among our insurance companies. The law does not allow customers to prevent these disclosures. A list of our companies can be found at the end of this notice. AGRUS does not sell your personal information to anyone. We do not share your personal information with anyone for their own marketing purposes. For this reason no opt in or authorization is required. We also do not share your personal information with any of our affiliated companies outside of the AGRUS family of in surance companies. Personal Information about You AGRUS collects AGRUS collects personal information about you so that we can process the insurance transactions you request. We limit the amount of personal information collected to what we feel is needed to maintain your account. We may collect your personal information from the following sources. From you either directly or through your agent. This may include information on your insurance application or other forms you may complete.. From others through the process of handling a claim. This may include information from med ical or accident reports.. From your relationship with us. Such as the number of years you have been a customer or the types of insurance products you purchased.. From a consumer reporting agency. Such as a credit or motor vehicle report. The information in these reports may be kept by the consumer reporting agency and shared with others. If you visit one of our websites we may use cookies small text files sent from our site to your hard drive. These cookies help us to recognize repeat visitors and allow easy access to and use of the site. We do not use cookies to gather personal information. The cookies only enable you to use our website more easily. Personal Information about You AGRUS Shares AGRUS does not share personal information about current or former customers to anyone except as allowed by law. Allowed by law means that we may share your personal information such as your name address and policy information as follows. To consumer reporting agencies to obtain a credit report or motor vehicle report. These re ports are used to determine eligibility for coverage or to process your requested transactions.. To your insurance agent so that they can perform services for you.. To medical professionals in order to process your claim.. To a state Department of Insurance in order to examine our records or business practices. AGRL IL 8CAT1 12 07 Page 10f2 | 2 |
POLICY NUMBER COMMERCIAL GENERAL LIABILITY CG 20 1007 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations Locations Of Covered Operations Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by 1. Your acts or omissions or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insureds at the locations desig nated above. B. With respect to the insurance afforded to these additional insureds the following additional exclu sions apply This insurance does not apply to bodily injury or property damage occurring after 1. All work including materials parts or equip ment furnished in connection with such work on the project other than service maintenance or repairs to be performed by or on behalf of the additional insureds at the location of the covered operations has been completed or 2. That portion of your work out of which the injury or damage arises has been put to its in tended use by any person or organization other than another contractor or subcontractor en gaged in performing operations for a principal as a part of the same project. POLICY NUMBER THIS ENDOF Page 10of 1 o ISO Properties Inc. 2004 CG 20 10 07 04 | 0 |
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POLICY NUMBER POLICY NUMBER COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 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 SCHEDULE Name Of Additional Insured Persons L Or Organizations Location And Description Of Completed Opera tions 1 Information required to complete this Schedule if not shown above will be shown in the Declarations. Section If 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. CG 20 3707 04 IS0 Properties Inc. 2004 Page1of1 | 0 |
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COMMERCIAL GENERAL LIABILITY CG 21060514 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION ACCESS OR DISCLOSURE OF CONFIDENTIAL OR PERSONAL INFORMATION AND DATA RELATED LIABILITY WITH LIMITED BODILY INJURY EXCEPTION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Exclusion 2.p. of Section Coverage A As used in this exclusion electronic data Bodily Injury And Property Damage Liability is means information facts or programs replaced by the following stored as or on created or used on or 2. Exclusions transmitted to or from computer software o including systems and applications This insurance does not apply to software hard or floppy disks CD ROMs p. Access Or Disclosure Of Confidential Or Personal Information And Data related Liability Damages arising out of 1 Any access to or disclosure of any person s or organization s confidential or personal information including patents trade secrets processing methods customer lists financial information credit card information health information or any other type of nonpublic information or The loss of loss of use of damage to corruption of inability to access or inability to manipulate electronic data. This exclusion applies even if damages are claimed for notification costs credit monitoring expenses forensic expenses public relations expenses or any other loss cost or expense incurred by you or others arising out of that which is described in Paragraph 1 or 2 above. However unless Paragraph 1 above applies this exclusion does not apply to damages because of bodily injury. 2 tapes drives cells data processing devices or any other media which are used with electronically controlled equipment. B. The following is added to Paragraph 2. Exclusions of Section Coverage B Personal And Advertising Injury Liability 2. Exclusions This insurance does not apply to Access Or Disclosure Of Confidential Or Personal Information Personal and advertising injury arising out of any access to or disclosure of any person s or organization s confidential or personal information including patents trade secrets processing methods customer lists financial information credit card information health information or any other type of nonpublic information. This exclusion applies even if damages are claimed for notification costs credit monitoring expenses forensic expenses public relations expenses or any other loss cost or expense incurred by you or others arising out of any access to or disclosure of any person s or organization s confidential or personal information. CG 21060514 Insurance Services Office Inc. 2013 Page 1 of 1 | 2 |
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COMMERCIAL GENERAL LIABILITY CG 21471207 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EMPLOYMENT RELATED PRACTICES EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily 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 demo tion evaluation reassignment discipline defamation harassment humiliation dis crimination or malicious prosecution di rected at that person or 2 The spouse child parent brother or sister of that person as a consequence of bodily injury to that person at whom any of the employment related practices described in Paragraphs a b or c above is directed. This exclusion applies 1 Whether the injury causing event described in Paragraphs a b or c above occurs before employment during employment or after em ployment of that person 2 Whether the insured may be liable as an em ployer or in any other capacity and 3 To any obligation to share damages with or repay someone else who must pay damages because of the injury. B. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage B Per sonal 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 demo tion evaluation reassignment discipline defamation harassment humiliation dis crimination or malicious prosecution di rected at that person or 2 The spouse child parent brother or sister of that person as a consequence of personal and advertising injury to that person at whom any of the employment related practices described in Paragraphs a b or c above is directed. This exclusion applies 1 Whether the injury causing event described in Paragraphs a b or c above occurs before employment during employment or after em ployment of that person 2 Whether the insured may be liable as an em ployer or in any other capacity and 3 To any obligation to share damages with or repay someone else who must pay damages because of the injury. CG 21471207 IS0 Properties Inc. 2006 Page 1 of 1 o | 2 |
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COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION CONTRACT OR AGREEMENT INCLUDING COMPLETED OPERATIONS PRIMARY AND NONCONTRIBUTORY COMMERCIAL GENERAL LIABILITY COVERAGE FORM. Section Il Who Is An Insured is amended to include as an additional insured 1. 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 and 2. Any other person or organization you are required to add as an additional insured under the contract or agreement described in Paragraph 1. above. Such persons or organizations 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 a. Your acts or omissions or b. The acts or omissions of those acting on your behalf in the performance of a. your ongoing operations for the additional insured or b. Your work for the additional insured and included in the products completed operations hazard. However the insurance afforded to such additional insured described above a. Only applies to the extent permitted by law and b. Wil not be broader than that which you are required by the contract or agreement to provide for such additional insured.. With respect to the insurance afforded to these additional insureds the following additional exclusion applies This insurance does not apply to bodily injury property damage and personal and advertising injury arising out of the rendering of or the failure to render any professional architectural engineering or surveying services including a. The preparing approving or failing to prepare or approve maps shop drawings opinions reports This endorsement modifies the insurance provided under the following 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 the 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.. With respect to the insurance afforded to these additional insureds the following is added to Section lll 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 described in Paragraph A.1. 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.. The foliowing is added to the Other Insurance Condition and supersedes any provision to the contrary Primary and Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that 1 The additional insured is a Named Insured under such other insurance and 2 You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured.. All other terms and conditions of this policy remain unchanged. Includes copyrighted material of ISO Properties Inc. with its permission. CGT174310 13 Page 10f 1 | 0 |
COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY AMENDMENT This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM The COMMERCIAL GENERAL LIABILITY COVERAGE FORM is amended to include the following clarifications and extensions of coverage. The provisions of the coverage part apply unless modified by endorsement. A. NEWLY FORMED OR ACQUIRED E. FIRE LIGHTNING OR EXPLOSION DAMAGE ORGANIZATIONS 1. In paragraph 3.a. of Section Il Who is an Insured 90th Day is changed to 180th day. 2. This provision does not apply if newly formed or acquired organizations coverage is excluded either by the provisions of the Coverage Form or by endorsements. B. SUBSIDIARIES AS INSUREDS Section Il Who Is An Insured is amended by adding the following 14 Any legally incorporated subsidiary in which you own more than 50 of the voting stock on the effective date of this policy. However insured does not include any subsidiary that is an insured under any other general liability policy or would have been an insured under such a policy but for termination of that policy or the exhaustion of that policy s limits of liability.. SUPPLEMENTARY PAYMENTS Supplementary Payments Coverages A and B Paragraphs 1.b. and 1.d. are replaced by the following 1.b. Up to 3000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. 1.d. 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 350 a day because of time off from work.. MEDICAL PAYMENTS If Section Coverage C Medical Payments Coverage is not otherwise excluded from this Coverage Form The requirement in the Insuring Agreement of Coverage C. that expenses must be incurred and reported to us within one year of the accident date is changed to three years. The word fire is changed to fire lightning or explosion wherever it appears in the Coverage Form. This amended wording does not apply to hostile fire. Under Section Coverage A the last paragraph after the exclusions is replaced by the following Exclusions c. through n. do not apply to damage by fire lightning explosion smoke or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to this coverage as described in Section Hll Limits of Insurance. NON OWNED WATERCRAFT Paragraph g.2 of Section Coverage A Exclusions is changed to read 2 A watercraft you do not own that is a Less than 51 feet long and b Not being used to carry persons or property for a charge. PROPERTY DAMAGE ELEVATORS With respect to Section Coverage A Exclusions paragraphs j.3 j.4 j.6 and k. do not apply to the use of elevators. The insurance afforded by this provision is excess over any valid and collectible property insurance including any deductible available to the insured and the Other Insurance Condition is changed accordingly.. MENTAL ANGUISH Section V Definition 3. is replaced by the following Bodily injury means bodily injury sickness or disease sustained by a person including mental anguish or death resulting from bodily injury sickness or disease. e Page 10f2 Includes copyrighted material of 1SO Properties Inc. with its permission. CG71911 13 | 2 |
DUTIES IN THE EVENT OF OCCURRENCE OFFENSE CLAIM OR SUIT Section IV Commercial General Liability Condition paragraph 2. is amended by the following provision 1. The requirement in Condition 2.a. that you must see to it that we are notified as soon as practicable of an occurrence or an offense which may result in a claim applies only when the occurrence or offense is known to a. You if you are an individual or a limited liability company A partner if you are a partnership c. A manager if you are a limited liability company d. An executive officer or insurance manag er if you are a corporation or e. Atrustee if you are a trust. 2. The requirement in Condition 2.b. that you must see to it that we receive notice of a claim or suit as soon as practicable will not be considered breached unless the breach occurs after such claim or suit is known to a. You if you are an individual or a limited liability company b. A partner if you are a partnership c. A manager if you are a limited liability company d. An executive officer or insurance manag er if you are a corporation or e. Atrustee if you are a trust. J. UNINTENTIONAL FAILURE TO DISCLOSE EXPOSURES Section IV Commercial General Liability Condition paragraph 6. is amended to add the following provision If you unintentionally fail to disclose any exposures existing at the inception date of your policy we will not deny coverage under this Coverage Part solely because of such failure to disclose. However this provision does not affect our right to collect additional premium or exercise our right of cancellation or non renewal. This provision does not apply to any known injury or damage which is excluded under any other provision of this policy. K. LIBERALIZATION If we revise this endorsement to provide greater coverage without additional premium charge we will automatically provide the additional coverage to all endorsement holders as of the day the revision is effective in your state. CGT1911 13 Includes copyrighted material of ISO Properties Inc. with its permission. Page 2 0f 2 | 2 |
COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LIMITED POLLUTION COVERAGE WORK SITES This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM With respect SCHEDULE Each Poliution Incident Limit Pollution Liability Aggregate Limit Property Damage Deductible 100000 100000 1000 Each pollution incident to coverage provided by this endorsement the provisions of the Coverage Form apply unless modified by this endorsement. A. Section COVERAGES is amended to include the following LIMITED POLLUTION COVERAGE WORK SITES 1. Insuring Agreement a. CG727610 08 We will pay those sums that the insured becomes legally obligated to pay as damages because of bodily injury or property damage or clean up costs because of environmental damage to which this insurance applies. We will have the right and duty to defend the insured against any suit seeking those damages. However we will have no duty to defend the insured against any suit seeking those damages for bodily injury property damage or clean up costs because of environmental damage to which this insurance does not apply. We may at our discretion investigate any pollution incident and settle any claim or suit that may result. But 1 The amount we will pay for damages and clean up costs is limited as described in SECTION C LIMITS OF INSURANCE of this endorsement 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. No other obligation or liability to pay sums or perform acts or services is covered unless explicitly provided for under SECTION B SUPPLEMENTARY PAYMENTS of this endorsement. This insurance applies to bodily injury property damage or clean up costs because of environmental damage but only if the bodily injury property damage or environmental damage is caused by a pollution incident 2 Includes copyrighted material of ISO Properties Inc. with its permission. 1 at or from a work site within the coverage territory 2 which first commences during the policy period 3 which ceases within 72 hours after it commences and 4 is reported to us within 30 days of its commencement. This reporting provision is in addition to the notification requirements set out in Section IV CONDITIONS. Damages because of bodily injury include damages claimed by any person or organization for care loss of services or death resulting at any time from the bodily injury. 2. Exclusions The insurance provided by this endorsement does not apply to Bodily injury property damage or environmental damage expected or intended from the standpoint of the insured. Bodily injury property damage or environmental damage for which the insured is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the insured would have in the absence of the contract or agreement. Property damage or damage at or from 1 awaste facility 2 property or premises you own rent or occupy 3 premises you sell give away or abandon if the property damage arises out of any part of those environmental premises 4 property loaned to you or 5 personal property in your care custody or control. Page 1of 3 Page 1 of 3 | 2 |
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POLICY NUMBER GL 4056109 POLICY NUMBER GL 4056109 COMMERCIAL GENERAL LIABILITY CG 20370413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations Location And Description Of Completed Operations As required by written contract or agreement when such written contract or agreement is executed prior to an occurrence offense or loss to which this endorsement applies but only for the limits agreed to in such contract or the Limits of Liability provided by this policy whichever is less. Any individually scheduled additional insureds shall not be construed to override nor negate this blanket additional insured. A1l your owned or leased locations or premises Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury or property damage caused in whole or in part by your work at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the products completed operations hazard. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following is added to Section Il Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. emises idividually scheduled additional 1sureds shall not be construed to rerride nor negate this blanket iditional insured. CG 20370413 Insurance Services Office Inc. 2012 Page 1 of 1 | 0 |
POLICY NUMBER GL 4056109 POLICY NUMBER GL 4056109 COMMERCIAL GENERAL LIABILITY CG20100413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Name Of Additional Insured Persons Or Organizations Locations Of Covered Operations As required by written contract or agreement when such written contract or agreement is executed prior to an occurrence offense or loss to which this endorsement applies but only for the limits agreed to in such contract or the Limits of Liability provided by this policy whichever is less. Any individually scheduled additional insureds shall not be construed to override nor negate this blanket additional insured. ALl your owned or leased locations or premises Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by 1. Your acts or omissions or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insureds at the locations designated above. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following additional exclusions apply This insurance does not apply to bodily injury or property damage occurring after 1. Al work including materials parts or equipment furnished in connection with such work on the project other than service maintenance or repairs to be performed by or on behalf of the additional insureds at the location of the covered operations has been completed or 2. That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG20100413 Insurance Services Office Inc. 2012 Page 1 of 2 | 0 |
C. With respect to the insurance afforded to these additional insureds the following is added to Section lll Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 Insurance Services Office Inc. 2012 CG20100413 | 1 |
POLICY NUMBER GL 4056109 POLICY NUMBER GL 4056109 COMMERCIAL GENERAL LIABILITY CG20150413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED VENDORS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations Vendor Your Products As required by written contract or agreement when such written contract or agreement is executed prior to an occurrence offense or loss to which this endorsement applies but only for the limits agreed to in such contract or the Limits of Liability provided by this policy whichever is less. Any individually scheduled additional insureds shall not be construed to override nor negate this blanket additional insured. A1l your Products Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured any persons or organizations referred to throughout this endorsement as vendor shown in the Schedule but only with respect to bodily injury or property damage arising out of your products shown in the Schedule which are distributed or sold in the regular course of the vendor s business. However 1. The insurance afforded to such vendor only applies to the extent permitted by law and 2. If coverage provided to the vendor is required by a contract or agreement the insurance afforded to such vendor will not be broader than that which you are required by the contract or agreement to provide for such vendor. B. With respect to the insurance afforded to these vendors the following additional exclusions apply 1. The insurance afforded the vendor does not apply to a. Bodily injury or property damage for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement b. Any express warranty unauthorized by you c. Any physical or chemical change in the product made intentionally by the vendor d. Repackaging except when unpacked solely for the purpose of inspection demonstration testing or the substitution of parts under instructions from the manufacturer and then repackaged in the original container CG20150413 Insurance Services Office Inc. 2012 Page 1 of 2 | 2 |
. Bodily Any failure to make such inspections adjustments tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business in connection with the distribution or sale of the products Demonstration installation servicing or repair operations except such operations performed at the vendor s premises in connection with the sale of the product. Products which after distribution or sale by you have been labeled or relabeled or used as a container part or ingredient of any other thing or substance by or for the vendor or injury or property damage arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. However this exclusion does not apply to 1 The exceptions contained paragraphs d. or f. or in Sub 2 Such inspections adjustments tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business in connection with the distribution or sale of the products. 2. This insurance does not apply to any insured person or organization from whom you have acquired such products or any ingredient part or container entering into accompanying or containing such products. C. With respect to the insurance afforded to these vendors the following is added to Section Il Limits Of Insurance If coverage provided to the vendor is required by a contract or agreement the most we will pay on behalf of the vendor is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 Insurance Services Office Inc. 2012 CG 20150413 | 2 |
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ALIENATED PREMISES This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE FORM CHANGE The following is deleted in its entirety SECTION COVERAGE COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY 2. Exclusions j.2 for COMMERCIAL GENERAL LIABILITY COVERAGE FORM or SECTION COVERAGE COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY 2. Exclusions g.2 for PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE FORM This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By SNGL 028 1111 Safety National Casualty Corporation Page 1 of 1 | 2 |
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDED DEFINITION OF BODILY INJURY This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE FORM LIQUOR LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM RAILROAD PROTECTIVE LIABILITY COVERAGE FORM POLLUTION LIABILITY COVERAGE FORM CHANGE Under SECTION V DEFINITIONS and SECTION VI DEFINITIONS for POLLUTION LIABILITY COVERAGE FORM the definition of Bodily injury is amended to include the following Bodily injury shall also mean mental anguish shock humiliation or emotional distress sustained by a person in conjunction with a covered occurrence or offense when accompanied by physical injury sickness or disease. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. The information below is required only when this endorsement is issued subsequent to preparation of the policy. Endorsement Effective 01012019 Policy No. GL 4056109 Endorsement No. Named Insured FIRST DATA CORPORATION Premium Included Insurance Company Safety National Casualty Corporation Countersigned By SNGL 004 1111 Safety National Casualty Corporation Page 1 of 1 | 2 |
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 Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section Il Who Is An Insured is amended to include as an additional insured the persons or organizations shown in the Schedule but only with respect to liability for bodily injury property damage or personal and advertising injury caused in whole or in part by 1. Your acts or omissions or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insureds at the locations designated above. However 1. The insurance afforded to such additional insured only applies to the extent permitted by law and 2. If coverage provided to the additional insured is required by a contract or agreement the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds the following additional exclusions apply This insurance does not apply to bodily injury or property damage occurring after 1. Al work including materials parts or equipment furnished in connection with such work on the project other than service maintenance or repairs to be performed by or on behalf of the additional insureds at the location of the covered operations has been completed or 2. That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20100413 Insurance Services Office Inc. 2012 Page 1 of 2 | 0 |
C. With respect to the insurance afforded to these additional insureds the following is added to Section lll Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 Insurance Services Office Inc. 2012 CG201004 13 | 1 |
POLICY NUMBER POLICY NUMBER COMMERCIAL GENERAL LIABILITY CG 20370413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Organizations Location And Description Of Completed Operations 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 lll Limits Of Insurance If coverage provided to the additional insured is required by a contract or agreement the most we will pay on behalf of the additional insured is the amount of insurance 1. Required by the contract or agreement or 2. Available under the applicable Limits of Insurance shown in the Declarations whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20370413 Insurance Services Office Inc. 2012 Page 1 of 1 | 0 |
COMMERCIAL GENERAL LIABILITY CG 2106 0514 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION ACCESS OR DISCLOSURE OF CONFIDENTIAL OR PERSONAL INFORMATION AND DATA RELATED LIABILITY WITH LIMITED BODILY INJURY EXCEPTION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Exclusion 2.p. of Section Coverage A As used in this exclusion electronic data Bodily Injury And Property Damage Liability is replaced by the following 2. Exclusions This insurance does not apply to p. Access Or Disclosure Of Confidential Or Personal Information And Data related Liability Damages arising out of 1 Any access to or disclosure of any person s or organization s confidential or personal information including patents trade secrets processing methods customer lists financial information credit card information health information or any other type of nonpublic information or The loss of loss of use of damage to corruption of inability to access or inability to manipulate electronic data. This exclusion applies even if damages are claimed for notification costs credit monitoring expenses forensic expenses public relations expenses or any other loss cost or expense incurred by you or others arising out of that which is described in Paragraph 1 or 2 above. However unless Paragraph 1 above applies this exclusion does not apply to damages because of bodily injury. means information facts or programs stored as or on created or used on or transmitted to or from computer software including systems and applications software hard or floppy disks CD ROMs tapes drives cells data processing devices or any other media which are used with electronically controlled equipment. B. The following is added to Paragraph 2. Exclusions of Section Coverage B Personal And Advertising Injury Liability 2. Exclusions This insurance does not apply to Access Or Disclosure Of Confidential Or Personal Information Personal and advertising injury arising out of any access to or disclosure of any person s or organization s confidential or personal information including patents trade secrets processing methods customer lists financial information credit card information health information or any other type of nonpublic information. This exclusion applies even if damages are claimed for notification costs credit monitoring expenses forensic expenses public relations expenses or any other loss cost or expense incurred by you or others arising out of any access to or disclosure of any person s or organization s confidential or personal information As used in this exclusion electronic data means information facts or programs stored as or on created or used on or transmitted to or from computer software including systems and applications software hard or floppy disks CD ROMs tapes drives cells data processing devices or any other media which are used with electronically controlled equipment. B. The following is added to Paragraph 2. Exclusions of Section Coverage B Personal And Advertising Injury Liability 2. Exclusions This insurance does not apply to Access Or Disclosure Of Confidential Or Personal Information Personal and advertising injury arising out of any access to or disclosure of any person s or organization s confidential or personal information including patents trade secrets processing methods customer lists financial information credit card information health information or any other type of nonpublic information. This exclusion applies even if damages are claimed for notification costs credit monitoring expenses forensic expenses public relations expenses or any other loss cost or expense incurred by you or others arising out of any access to or disclosure of any person s or organization s confidential or personal information. CG 21060514 Insurance Services Office Inc. 2013 Page 1 of 1 | 2 |
COMMERCIAL GENERAL LIABILITY CG 21471207 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EMPLOYMENT RELATED PRACTICES EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage A Bodily Injury And Property Damage Liability This insurance does not apply to Bodily injury to 1 A person arising out of any a Refusal to employ that person b Termination of that person s employment or c Employment related practices policies acts or omissions such as coercion demo tion evaluation reassignment discipline defamation harassment humiliation dis crimination or malicious prosecution di rected at that person or 2 The spouse child parent brother or sister of that person as a consequence of bodily injury to that person at whom any of the employment related practices described in Paragraphs a b or c above is directed. This exclusion applies 1 Whether the injury causing event described in Paragraphs a b or c above occurs before employment during employment or after em ployment of that person Whether the insured may be liable as an em ployer or in any other capacity and 3 To any obligation to share damages with or repay someone else who must pay damages because of the injury. 2 B. The following exclusion is added to Paragraph 2. Exclusions of Section Coverage B Per sonal 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 demo tion evaluation reassignment discipline defamation harassment humiliation dis crimination or malicious prosecution di rected at that person or 2 The spouse child parent brother or sister of that person as a consequence of personal and advertising injury to that person at whom any of the employment related practices described in Paragraphs a b or c above is directed. This exclusion applies 1 Whether the injury causing event described in Paragraphs a b or c above occurs before employment during employment or after em ployment of that person Whether the insured may be liable as an em ployer or in any other capacity and 3 To any obligation to share damages with or repay someone else who must pay damages because of the injury. 2 CG 21471207 ISO Properties Inc. 2006 Page 1 of 1 a | 2 |
COMMERCIAL GENERAL LIABILITY CG 21671204 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FUNGI OR BACTERIA EXCLUSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following exclusion is added to Paragraph 2. 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 threat ened inhalation of ingestion of contact with exposure to existence of or presence of any fungi or bacteria on or within a building or structure including its contents regardless of whether any other cause event material or product contributed con currently or in any sequence to such injury or damage. b. Any loss cost or expenses arising out of the abating testing for monitoring cleaning up removing containing treating detoxify ing neutralizing remediating or disposing of or in any way responding to or assess ing the effects of fungi or bacteria by any insured or by any other person or entity. This exclusion does not apply to any fungi or bacteria that are are on or are contained in a good or product intended for bodily consump tion. 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 Fungi Or Bacteria a. Personal and advertising injury which would not have taken place in whole or in part but for the actual alleged or threat ened inhalation of ingestion of contact with exposure to existence of or presence of any fungi or bacteria on or within a building or structure including its contents regardless of whether any other cause event material or product contributed con currently or in any sequence to such injury. b. Any loss cost or expense arising out of the abating testing for monitoring cleaning up removing containing treating detoxifying neutralizing remediating or disposing of or in any way responding to or assessing the effects of fungi or bacteria by any in sured or by any other person or entity. C. The following definition is added to the Definitions Section Fungi means any type or form of fungus includ ing mold or mildew and any mycotoxins spores scents or byproducts produced or released by fungi. CG 21671204 ISO Properties Inc. 2003 Page 1 of 1 a | 2 |
COMMERCIAL GENERAL LIABILITY CG 21700115 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 A. If aggregate insured losses attributable to terrorist acts certified under the federal Terrorism Risk Insurance Act exceed 100 billion in a calendar year and we have met our insurer deductible under the Terrorism Risk Insurance Act we shall not be liable for the payment of any portion of the amount of such losses that exceeds 100 billion and in such case insured losses up to that amount are subject to pro rata allocation in accordance with procedures established by the Secretary of the Treasury. Certified act of terrorism means an act that is certified by the Secretary of the Treasury in accordance with the provisions of the federal Terrorism Risk Insurance Act to be an act of terrorism pursuant to such Act. The criteria contained in the Terrorism Risk Insurance Act for a certified act of terrorism include the following 1. The act resulted in insured losses in excess of 5 million in the aggregate attributable to all types of insurance subject to the Terrorism Risk Insurance Act and 2. The act is a violent act or an act that is dangerous to human life property or infrastructure and is committed by an individual or individuals as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. B. The terms and limitations of any terrorism exclusion or the inapplicability or omission of a terrorism exclusion do not serve to create coverage for injury or damage that is otherwise excluded under this Coverage Part. 2. The act is a violent act or an act that is dangerous to human life property or infrastructure and is committed by an individual or individuals as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. B. The terms and limitations of any terrorism exclusion or the inapplicability or omission of a terrorism exclusion do not serve to create coverage for injury or damage that is otherwise excluded under this Coverage Part. CG 21700115 Insurance Services Office Inc. 2015 Page 1 of 1 | 2 |
COMMERCIAL GENERAL LIABILITY CG 21760115 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION OF PUNITIVE DAMAGES RELATED TO A CERTIFIED ACT 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 A. The following exclusion is added This insurance does not apply to TERRORISM PUNITIVE DAMAGES Damages arising directly or indirectly out of a certified act of terrorism that are awarded as punitive damages. B. The following definition is added Certified act of terrorism means an act that is certified by the Secretary of the Treasury in accordance with the provisions of the federal Terrorism Risk Insurance Act to be an act of terrorism pursuant to such Act. The criteria contained in the Terrorism Risk Insurance Act for a certified act of terrorism include the following 1. The act resulted in insured losses in excess of 5 million in the aggregate attributable to all types of insurance subject to the Terrorism Risk Insurance Act and 2. The act is a violent act or an act that is dangerous to human life property or infrastructure and is committed by an individual or individuals as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion.. The terms and limitations of any terrorism exclusion or the inapplicability or omission of a terrorism exclusion do not serve to create coverage for injury or damage that is otherwise excluded under this Coverage Part. 2. The act is a violent act or an act that is dangerous to human life property or infrastructure and is committed by an individual or individuals as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. C. The terms and limitations of any terrorism exclusion or the inapplicability or omission of a terrorism exclusion do not serve to create coverage for injury or damage that is otherwise excluded under this Coverage Part. CG 21760115 Insurance Services Office Inc. 2015 Page 1 of 1 | 2 |
COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS LESSEES OR CONTRACTORS AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION CONTRACT OR AGREEMENT INCLUDING COMPLETED OPERATIONS PRIMARY AND NONCONTRIBUTORY COMMERCIAL GENERAL LIABILITY COVERAGE FORM Section Il Who Is An Insured is amended to include as an additional insured 1. 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 and 2. Any other person or organization you are required to add as an additional insured under the contract or agreement described in Paragraph 1. above. Such persons or organizations 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 a. Your acts or omissions or b. The acts or omissions of those acting on your behalf in the performance of a. your ongoing operations for the additional insured or b. Your work for the additional insured and included in the products completed operations hazard. However the insurance afforded to such additional insured described above a. Only applies to the extent permitted by law and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured.. With respect to the insurance afforded to these additional insureds the exclusion applies This insurance does not apply to bodily injury property damage and personal and advertising injury arising out of the rendering of or the failure to render any professional architectural engineering or surveying services including a. The preparing approving or failing to prepare or approve maps shop drawings opinions reports following additional E. This endorsement modifies the insurance provided under the following surveys field orders change orders or drawings and specifications or b. Supervisory inspection 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 the 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. With respect to the insurance afforded to these additional insureds the following is added to Section lll 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 described in Paragraph A.1. 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. The following is added to the Other Insurance Condition and supersedes any provision to the contrary Primary and Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that 1 The additional insured is a Named Insured under such other insurance and 2 You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. All other terms and conditions of this policy remain unchanged. architectural or agreement CG7174.310 13 Includes copyrighted material of ISO Properties Inc. with its permission. Page 10f 1 | 0 |
COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. GENERAL LIABILITY ESSENTIAL EXTENSION This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM The COMMERCIAL GENERAL LIABILITY COVERAGE FORM is amended to include the following clarifications and extensions of coverage. The provisions of the coverage part apply unless modified by endorsement. A. EXPECTED OR INTENDED INJURY Any payment we make for damages because of Section Coverage A Exclusion a. is amended as follows a. Bodily injury or property damage expected or intended from the standpoint of an insured. This exclusion does not apply to bodily injury or property damage resulting from the use of reasonable force to protect persons or property. NON OWNED WATERCRAFT Section Coverage A Exclusion g.2 is amended as follows 2 A watercraft you do not own that is a Less than 51 feet long and b Not being used to carry persons or property for a charge EXTENDED PROPERTY DAMAGE COVERAGE Section Coverage A Exclusions j.3 and 4 is amended to add the following Paragraphs 3 and 4 of this exclusion do not apply to tools or equipment loaned to you provided they are not being used to perform operations at the time of loss. SCHEDULE Limits Of Insurance Deductible 2500 Each Occurrence 250 Per Claim 5000 Annual Aggregate a. The each occurrence limit listed above is the most we will pay for all damages because of property damage to property in the care custody and control of or property loaned to an insured as the result of any one occurrence regardless of the number of 1 insureds 2 claims made or suits brought 3 persons or organizations making claims or bringing suits. The aggregate limit listed above is the most we will pay for all damages because of property damage to property in the care custody and control of or property loaned to an insured during the policy period. property damage to property in the care custody and control of or property loaned to an insured will apply against the General Aggregate Limit shown in the declarations. b. Our obligation to pay damages on your behalf applies only to the amount of damages in excess of the deductible amount listed above. We may pay any part or all of the deductible amount listed above. We may pay any part or all of the deductible amount to effect settlement of any claim or suit and upon notification by us you will promptly reimburse us for that part of the deductible we paid. c. If two or more coverages apply under one occurrence only the highest per claim deductible applicable to these coverages will apply. d. Insurance provided by this provision is excess over any other insurance whether primary excess contingent or any other basis. Since insurance provided by this endorsement is excess we will have no duty to defend any claim or suit to which insurance provided by this endorsement applies if any other insurer has a duty to defend such a claim or suit. If no other insurer defends we will undertake to do so but we will be entitled to the insured s rights against all those other insurers. PROPERTY DAMAGE ELEVATORS Section Coverage A Exclusions paragraphs j3 j4 j.6 and k. do not apply to the use of elevators. The insurance afforded by this provision is excess over any valid and collectible property insurance including any deductible available to the insured and Section IV Commercial General Liability Conditions paragraph 4. Other Insurance is changed accordingly. FIRE LIGHTNING OR EXPLOSION DAMAGE Except where it is used in the term hostile fire the word fire includes fire lightning or explosion wherever it appears in the Coverage Form. Under Section Coverage A the last paragraph after the exclusions is replaced with the following CGT1918 14 Includes copyrighted material of ISO Properties Inc. with its permission. Page 10f3 | 2 |
Exclusions c. through n. do not apply to damage by fire smoke or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to this coverage as described in Section Il Limits of Insurance. MEDICAL PAYMENTS If Section Coverage C. Medical Payments Coverage is not otherwise excluded from this Coverage Form The requirement in the Insuring Agreement of Coverage C. that expenses must be incurred and reported to us within one year of the accident date is changed to three years.. SUPPLEMENTARY PAYMENTS Supplementary Payments Coverages A and B Paragraphs 1.b. and 1.d. are replaced by the following 1.b. Up to 3000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. 1.d. 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 350 a day because of time off from work.. SUBSIDIARIES AS INSUREDS Section Il Who Is An Insured is amended to add the following 1.f. Any legally incorporated subsidiary in which you own more than 50 of the voting stock on the effective date of this policy. However insured does not include any subsidiary that is an insured under any other general liability policy or would have been an insured under such a policy but for termination of that policy or the exhaustion of that policy s limits of liability. HEALTH CARE SERVICE PROFESSIONALS AS INSUREDS INCIDENTAL MALPRACTICE Section Il Who is an Insured paragraph 2.a. 1 d is amended as follows This provision does not apply to Nurses Emergency Medical Technicians or Paramedics who provide professional health care services on your behalf. However this exception does not apply if you are in the business or occupation of providing any such professional services. NEWLY FORMED OR ACQUIRED ORGANIZATIONS Section Il Who Is An Insured paragraph 3.a. is replaced by the following 3.a. Coverage under this provision is afforded until the end of the policy period. do not apply to damage by om automatic fire protection while rented to you or you with permission of the of insurance applies to this in Section Il Limits of ge C. Medical Payments rwise excluded from this e Insuring Agreement of nses must be incurred and e year of the accident date s. YMENTS nts Coverages A and B 1.d. are replaced by the ost of bail bonds required ts or traffic law violations of any vehicle to which the Coverage applies. We do 1ese bonds. ses incurred by the insured at t us in the investigation or or suit including actual loss 50 a day because of time off UREDS Insured is amended to add ated subsidiary in which you of the voting stock on the s policy. However insured any subsidiary that is an ther general liability policy 1 an insured under such a wation of that policy or the olicy s limits of liability. CE PROFESSIONALS AS AL MALPRACTICE Insured paragraph 2.a. 1 S pply to Nurses Emergency Paramedics who provide services on your behalf. does not apply if you are in tion of providing any such QUIRED ORGANIZATIONS Insured paragraph 3.a. is s provision is afforded until y period. Includes copyrighted material of ISO Properties Inc. with its permission. This provision does not apply if newly formed or acquired organizations coverage is excluded either by the provisions of the Coverage Form or by endorsements. K. DAMAGE TO PREMISES RENTED TO YOU Section Ill Limits of Insurance paragraph 6. is replaced by the following Subject to 5.a. above the Damage To Premises Rented To You Limit or 300000 whichever is higher is the most we will pay under Coverage A for damages because of property damage to any one premises while rented to you or in the case of damage by fire smoke or leakage from automatic protection systems while rented to you or temporarily occupied by you with permission of the owner. L. DUTIES IN THE EVENT OF OCCURRENCE OFFENSE CLAIM OR SUIT Section IV Commercial General Liability Condition paragraph 2. is amended to add the following e. The requirement in Condition 2.a. that you must see to it that we are notified as soon as practicable of an occurrence or an offense which may result in a claim applies only when the occurrence or offense is known to 1 You if you are an individual or a limited liability company 2 A partner if you are a partnership 3 A member or manager if you are a limited liability company 4 An executive officer or insurance manager if you are a corporation or 5 Atrustee if you are a trust. f. The requirement in Condition 2.b. that you must see to it that we receive notice of a claim or suit as soon as practicable will not be considered breached unless the breach occurs after such claim or suit is known to 1 You if you are an individual or a limited liability company 2 A partner if you are a partnership 3 A member or manager if you are a limited liability company 4 An executive officer or insurance manager if you are a corporation or 5 Atrustee if you are a trust. M. UNINTENTIONAL FAILURE TO DISCLOSE EXPOSURES Section IV Commercial General Liability Conditions paragraph 6. Representations is amended to add the following If you unintentionally fail to disclose any exposures existing at the inception date of your policy we will not deny coverage under the Coverage Form solely because of such failure to disclose. However this provision does not affect our right to collect additional premium or exercise our right of cancellation or non renewal. Page 2 0f 3 CG71918 14 Page 2 0f 3 | 2 |
This provision does not apply to any known injury or damage which is excluded under any other provision of this policy. MENTAL ANGUISH Section V Definition 3. is replaced by the following Bodily injury means bodily injury sickness or disease sustained by a person including mental anguish or death resulting from bodily injury sickness or disease. LIBERALIZATION If we revise this endorsement to provide greater coverage without additional premium charge we will automatically provide the additional coverage to all endorsement holders as of the day the revision is effective in your state. CGT1918 14 Includes copyrighted material of ISO Properties Inc. with its permission. Page 3 0f 3 | 2 |
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 10f 1 | 0 |
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS EXTENDED PROPERTY DAMAGE COVERAGE This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART The COMMERCIAL GENERAL LIABILITY COVERAGE PART is amended to include the following extension of cov erage. The provisions of the Coverage Part apply unless modified by this endorsement. SCHEDULE LIMITS OF INSURANCE DEDUCTIBLE 5000 EACH OCCURRENCE 250 EACH CLAIM 25000 ANNUAL AGGREGATE INSURING AGREEMENT We will pay those sums that an insured becomes legally obligated to pay as damages because of property dam age to real or personal property of others while the property is in the insured s care custody or control or over which the insured is for any reason exercising physical control. EXCLUSIONS a. Coverage A Section I Exclusions j3 and j5 are deleted in their entireties. b. Coverage A Section Exclusion j4 is deleted and replaced with the following 1 Personal property in the care custody and control of an insured which is held for servicing repair stor age or sale at premises owned rented operated or used by the insured. LIMITS OF INSURANCE a. The each occurrence limit listed above is the most we will pay for all damages because of property damage to real and personal property in the care custody and control of an insured as the result of any one occur rence regardless of the number of 1 insureds 2 claims made or suits brought 3 persons or organizations making claims or bringing suits. b. The aggregate limit listed above is the most we will pay for all damages because of property damage to real or personal property in your care custody and control during the policy period. c. Any payments we make for damages because of property damage to real or personal property in your care custody or control will apply against the General Aggregate Limit shown in the declarations. DEDUCTIBLE Our obligation to pay damages on your behalf applies only to the amount of damages in excess of the deductible amount listed above. We may pay any part or all of the deductible amount to effect settlement of any claim or suit and upon notification by us you will promptly reimburse us for that part of the deductible we paid. OTHER INSURANCE Insurance provided by this endorsement is excess over any other insurance whether primary excess contingent or any other basis. Since insurance provided by this endorsement applies if any other insurer has a duty to defend such a claim or suit. If no other insurer defends we will undertake to do so but we will be entitled to the in sured s rights against all those other insurers. DEDUCTIBLE 250 EACH CLAIM Form CG7253 Ed. 12 96 | 2 |
COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LIMITED POLLUTION COVERAGE WORK SITES This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM With respect to SCHEDULE Each Pollution Incident Limit Pollution Liability Aggregate Limit Property Damage Deductible 100000 100000 1000 Each pollution incident coverage provided by this endorsement the provisions of the Coverage Form apply unless modified by this endorsement. A. Section COVERAGES is amended to include the following LIMITED POLLUTION COVERAGE SITES WORK 1. Insuring Agreement CG727610 08 We will pay those sums that the insured becomes legally obligated to pay as damages because of bodily injury or property damage or clean up costs because of environmental damage to which this insurance applies. We will have the right and duty to defend the insured against any suit seeking those damages. However we will have no duty to defend the insured against any suit seeking those damages for bodily injury property damage or clean up costs because of environmental damage to which this insurance does not apply. We may at our discretion investigate any pollution incident and settle any claim or suit that may result. But 1 The amount we will pay for damages and clean up costs is limited as described in SECTION C LIMITS OF INSURANCE of this endorsement 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. No other obligation or liability to pay sums or perform acts or services is covered unless explicitly provided for under SECTION B SUPPLEMENTARY PAYMENTS of this endorsement. This insurance applies to bodily injury property damage or clean up costs because of environmental damage but only if the bodily injury property damage or environmental damage is caused by a pollution incident 2 Includes copyrighted material of ISO Properties Inc. with its permission. 1 at or from a work site within the coverage territory 2 which first commences during the policy period 3 which ceases within 72 hours after it commences and 4 is reported to us within 30 days of its commencement. This reporting provision is in addition to the notification requirements set out in Section IV CONDITIONS. Damages because of bodily injury include damages claimed by any person or organization for care loss of services or death resulting at any time from the bodily injury. 2. Exclusions The insurance provided by this endorsement does not apply to Bodily injury property damage or environmental damage expected or intended from the standpoint of the insured. Bodily injury property damage or environmental damage for which the insured is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the insured would have in the absence of the contract or agreement. Property damage or damage at or from 1 awaste facility 2 property or premises you own rent or environmental occupy 3 premises you sell give away or abandon if the property damage arises out of any part of those premises 4 property loaned to you or 5 personal property in your care custody or control. Page 10f3 Page 10f3 | 2 |
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