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HomeMy WebLinkAboutInsurance Certificate: Workplace Resource of OR HMIOR-1 OP ID: CW CERTIFICATE OF LIABILITY INSURANCE (MM/DD/YYYY) [79/1512015 ~i THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NCONTACT AME: Richard Biggs _ Biggs Insurance Services PHONE FAX P.O. Box 189 (A/c. No ExU: 360-695-3301 (A/C, No): 360-696-2232 916 Main Street E-MAIL Vancouver, WA 98666 ADDRESS: Rich.Biggs@Biggsinsurance.com _ Richard Biggs INSURER(S) AFFORDING COVERAGE NAI_C # _ INSURER A: American Fire and Casualty Co 24066 INSURED HMI Oregon Dealership, Inc. INSURER B: Ohio Casualty Insurance Co 24074 dba: Workplace Resource of OR INSURER C:Ohio Security Insurance Co 24082 700 NE Multnomah, Ste 100 Portland, OR 97232 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - - INSR ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE ' INSD'. WVD POLICY NUMBER MMIDD/YYYY MM/DDIYYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR X X BKA55589489 06/01/2015 06/01/2016 PREMSESLEaolccurence) $ - 1,000,000 15,000 MED EXP (Any one person) _ $ PERSONAL & ADV INJURY $ 1,000,000 - GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO- LOC _PRODUCTS - COMP/OP AGG_ $ 2,000,0 JECT OTHER. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident) _ A X ANY AUTO BAA55589489 06/01/2015 06/01/2016 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE - $ X HIRED AUTOS X AUTOS Per accident) X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 B EXCESS LIAB CLAIMS-MADE US055589489 06/01/2015 06/01/2016 AGGREGATE $ 5,000,000 DED X RETENTION $ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y / N STATUTE ER C ANY PROPRIETOR/PARTNER/EXECUTIVE j !XWS55589489 06/01/2014 06/01/2015 E.L. EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? 'N/A. - (Mandatory in NH) E.L; DISEASE - EA EMPLOYEE $ _ 500,000 If yes, describe under 500 000 DESCRIPTION OF OPERATIONS below E.L DISEASE - POLICY LIMIT $ A Auto Hired BAA55589489 06/0112015 06/01/2016 100 500 Physical Damage Comp Collision DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Ashland, Oregon, and its elected officials, officers and employees are primary and non-contributory additional insured with Waiver of Subrogation per CG8810 attached CERTIFICATE HOLDER CANCELLATION CITY086 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. 90 N. Mountain Avenue Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CG 88 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY EXTENSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART INDEX SUBJECT PAGE NON-OWNED AIRCRAFT 2 NON-OWNED WATERCRAFT 2 PROPERTY DAMAGE LIABILITY - ELEVATORS 2 EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) 2 MEDICAL PAYMENTS EXTENSION 3 EXTENSION OF SUPPLEMENTARY PAYMENTS - COVERAGES A AND R 3 ADDITIONAL INSUREDS - BY CONTRACT, AGREEMENT 09 PERMIT 3 PRIMARY AND NON-CCsNTRIAUT€ RY- ADDITIONAL INSURED EXTENSION 6 ADDITIONAL INSUREDS - EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" 6 WHO IS AN INSURED - INCIDENTAL MEDICAL ERRORSIMALPRACTICE AND WHO IS AN INSURED - FELLOW EMPLOYEE EXTENSION - MANAGEMENT EMPLOYEES 6 NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES 7 FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES 7 KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT 7 LIBERALIZATION CLAUSE 7 BODILY INJURY REDEFINED 7 EXTENDED PROPERTY DAMAGE a WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US - a WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU Cat t'.~t~s L~47 t;'s~r` ~~Uaf~C ~i5.atjr~Pfi~E CG 8810 04 13 Ircfz~~s cc.,pv0ghted rnaessial if Insu a:nce Servire, fif ce., Inc., w;th ks perm; i;sivn. Page 1 of 8 With respect to r overage afforded Uy t:hIs endorsement, thy; prvvisjlons of the policy apply unless modifled by the endorsement. A. UPON-t'3WNE€'3 AIRCRAFT Under Paragraph 2. Exclusions of Section I - Coverage A a Bodily Injury And Property Damage Liability, exclusion g. Aircraft, Auto Or Watercraft does not apply to an. aircraft provided: I . It is not owned by any insured; 2. It is hired, chartered or loaned with a trained pain crew; 3. The pilot in command holds a currently effective certificate, issued by the duly constituted authority of the United States of America or Canada, designating her or him a commercial or airline pilot; and 4. It is not being used to carry persons or property for a charge. However.. thv insura ncu afivided by this provision does not apply if there is available to the inaured other valid and collectible insurance, whether 'primary, excess (other than insurance written to apply specifically in excess of this policy), contingent or on any other basis, that would also apply to the loss covered under this pro-vlslon, H. NON-OWNED WATERCRAFT Inch-r Paragraph 2. Exclusions of Section I - Coverage A > Bodily Irilury And Property Damage Liability, Subparagraph (2) of exclusion g. Aircraft, Auto Or Watercraft Is replaced by the following'. 'This exclusion does not apply to, (2) A watercraft you do not own that is, (a) Less than E2 feet long; and (b) Not being used to carry parsons or property for a charge. C, PROPERTY DAMAGE LIABILITY - ELEVATORS 1. Under Paragraph 2. Exclusions of Section I - Coverage A a Bodily Injue-y And P€opui-ty Damage Liabil- ity, Subparagraphs (3), (4) and (6) of exclusion j. Damage To Property do not apply if such "property damage" results from the use of elevators. For the purpose of this provision, elevators do riot include vchic`o lifw.Vehicle lifts arc lifts or hoists used in autornobile service or mpair nperationj 2. The following is added to Section IV - Commercial General Liability Conditions, Condition: 4. Other Insurance, Paragraph b. Excess Insurance: The insurance afforded by this provision of this endorsement is excess over any property insurance, whether primary, excess, contingent or on any other basis, D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU JTe na nt`s Property Damage) If Damage To Premixes Rented To You is not otherwise excluded from this Coverage Part: 1. Under Paragraph 2. Exclusions of Section I - Coverage A6. - Beadily Injury and Property Damage Liability- a. The -fourth frpm the last paragraph of exclusion j. Damage To Property is replaced by the follow- ing: Paragraphs (1), (3) and (4) of this exclusion deg riot apply to "property damage" (other than damage by fire, lightning, explosion, smoke, or leakage from an automatic fire protection systern) to: (i) PrGmises rented to you for a period of 7 or fewer consecutive days; or (il) Contents that you rent or lease as part of a premises rental or lesse agreement for a period of more than 7 days. Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" to contents of premises rented to you for a period of 7 or fewer consecutive days. A separate limit of insurance applies to this coverage as described in Section III - Limits of Insurance. 2413 Liberty Mutual Ins:iran= CG 88 10 04 13 In&-des copvriglrted material of Insurance Services Of ce, inc,, with Its perrnissicn. Page 2 of 8 b. The last paragraph of subsection 2. Fyclmisinns is rapla,+ Peal by t€ @ following: Eyclusions c, through n. do not apply to damage by tire, lightning, explosion, smoke or leakage from ai:tornAtic fire protection systems to premises while rented to you or tem.porar€ly occupied by Pr~rrr'ssars you with ne;rmission of the oLrner. A separate lin-ilt, of insurance applies to Drsirraae To Rested To You as described in Section III - Limits Of Insurance, 2. Paragraph 6, under Section III -Limits Of Insurance is replaced by the following- 6. Subject to Paragraph 5. above, the Damage To Premises Rented To You Limit is the most we will pay ;.ruder Coverage A for da €r ages because of "property damage" to: a_ Any onc- prern ise: (1) While recited to you; or (2) While rented to you or temporarily occupied by you with permission of the owner for darnage by fire, lightning, rxplosivn, sr;rc.~fe~- ui lt:dkdi ;e ft urn au:or€ nth; p,;ute,,3;un sys- terns; or b. :,ontents that you resit or lease as part of a premises rental or lease agreement. 3. As regards coverage provided by ;his provision D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) - Paragraph 9.5. of Definitions is replaced with the follotrring: g.a. A contract for a leave of pramis; is, However, that portion of the contract for a lease of promises that indemnifier, any person or organization for damage by fire, lightning, explosion, srnoke, or leakage frorn automatic fire protection systems to premises while rented to you or ternpora€ily occupied by you with the permission of the owner, or ;or damage to contents of such Premise's that are included in your premises rental or Iease agreernent., is not an "insured contri t", E. MEDICAL. PAYMENTS EXTENSION if Coverage C Medical Payments is € of otherwise excluded, the Medical Payments provided by this policy are amended as follovvs: Under Paragraph 1. I€ qurin g Agra3P,9'R ont of Socti'on I - Coverage C - Medical Payments, Subparagraph (b) of Paragraph a. is replaced by the following., (b) The expenses are incurred and reported within three years of tbrP, date of the accident; and F. EXTENSION OF SUPPLEMENTARY PAYMENTS - COVERAGES A AND B 1. Under Supplementary Payments -Coverages A and. R, Paragraph 1,b is replaced by the following: b. Up to $3,080 for cost of tail bonds required because of accidents or traffic laws violations arising out of the use of any vehicle to which the Bodily Injury LiabHity CoverGge applies. We do not have to furnish these bonds. 2. Pa rag re ph 1.d. is rep€aced by the following: d. Ali reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the or "suit itr<<lraclir?~ aAudl loss of dl-iii ys up to $500 a day because of "kne off fro m %vork. G. ADDITIONAL INSUREDS -BY CONTRACT, AGREEMENT OR PERMIT 1. Paragraph 2. Lander Section ll - Who Is An Insured is amended to include as an insured any person or organization whom you have agreed to add as are additional insured in a writle<n contract, wtitteri agreement w perrnit. Such person or organization is an additional insured but only with respect to €iability for "bodily injury" "property damage-" or "personal and advertising injury" caused in whole or in part by: a. Your acts or oroicsions, or the acts ar orni:ssiono of thorc acting on your behnl?, in the Performance of your on going operations for the additional insured that are the subject of the written contract or written a9feernent provided that the "bodily injury" or "property darnage" occurs, or he "per- .sonal and advertising injury" is committed. subsequent to the signing o such written contract or written agreement; or 0 2013 Liberty Mmi3ai ir.svu-mcc CEO 88 10 04 13 iv:_iudes ccovriglnt_d materia: of insurance Services otfice, ;sc.. With its 3enr:;SSiom Page: 3 of 8 b. Preinises or facilities rented by you or used by you; or c. The maintenance, operation or use by you of equi prfient rented or leased to you by such parson or organization; Or 4, Operations performed by you or on your behalf for which the state or poiltical subdivision has issued a parr-lit subjectto the following addltiona€ proYislonw: (11 This insurance does not apply to "bodily injury", "property dermage", or "personal and ad- vertising inJury" arising out of the operations pefforrned for the state or political subdivision;. (2) This insurance does not apply to "bodily injury" or "propefty damage" included within the "completed operations hazard", {3) Insurance applies to premises you own, rent, or control but only with respect to the following hazards; (a} The existence; maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, street banners, or del-wztlons and similar eypo- sures; or (b) The construction, erection, or removal of elevators; or (r) 'T'he czwneiship, maintenance, or use or any elevaturs cove ied by this insurance. However: 1, The i nuurance, afforded to such additional lnoured only applion to the extent permitted bylaw; end 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 a€ ditionai insured. With respect to Paragraph I.a. above, a person's or organization's status as an additional insured under this endorsement ends when: (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 thO addit!rm,71 in-,urp_ (O at the Ir:,.ation of the covered opPratiorri; has been completed; or ;2) That portion of "your work" out of which the €rfjury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in perforroing operations far 3 principal as a pact of the sarrie projud. With respect to Paragraph I.b. above, a person's or organiza ion's states as an additional insured ender this endorsernent ends when their viritten contract or written agreement with you for such premises or facilities rltc~s. y,'"Jith respects to Paragraph I.e. above, this insurance does not apply to any "occurrence" which takes place after the equipment rental or lease agreement has expired or you have returned. such equipment to the lessor. The insurance provided by this endorsement applies only if the writien contract or written agreement is signed prior to the "bodily injure" or "property damage We have no duty to defend an additional insured under this endorsement until we receive written notice of a "suit" by the additional insured as required in Paragraph Ia. of Condition 2. Duties In the Event Of Occurrence, Offense, Claim Or Bait Undor sect;cin IV - Corr meircial General Liability Condi- tions. CG p~ ~ 2©13 i.i~arix ~ugt~ki lnaura~ce CG 88 90 0413 Enciadas copyr:g.hted maie,W of 1--surancq sprv`cas offlt`$, Inn" i i?h 4S ~?~'}r:91~'~ESa?t, Page 4 of 8 2. With respect to the insurance provided by this endorsement, the following are added to Paragraph 2. Exclusions under Section I - Coverage A - Bodily Injury And Property Damage Liability: This insurance doer not apply to: ail. "Bodily injury" or "property dcrnage" arising frorn the sole negligence of the additional insured. b, "Bodily injury" or -property damage" that occur; prior to you commencing operations at the location where such "bodily injury" or "property damage" occurs. c: "Bodily injury„ "property darri,3gs_" or "personal and advertising injury" arising out of the rerder- ing of, or the failure to render, any professional architectural, engineering or surveying services, including- (t) The preparing, approving, or failing to prepare or approve, reaps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (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, .Siring, employment, training or monitoring of others by that insured, if the "occur- rence" which caused the "headily injury" or "property darnage", 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. "Bodily injury" or "property ciarnage" 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 of on behalf of the additional insured(s) at the location of the covered operations has been completed; or (2) That portion: of "your vjork" Gift of Which tbp injury or darnage. arises has bean put to its intended use by any person or organization other than another contractor or subcontractor engaged it perlorrning operations for a principal as a part of the same proiect, e. Any person or organization specifically designated as an additional insured for ongoing operations by a separate ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS endorsement is- sued by us and made a part of this policy. 3. With respect to the insurance afforded to these additiona! 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 vhe additional Insured Is the amount of Insurance: a. ?required by the contractor agreement; or b. Available under the applicable Limits Cif Insurance shown in the Declarations; whichever is lass. This endorsement shall not increase the applicable Limits of Insurance shown in the Declaratiors. H. PRll`+tlARY AND NON-CONTRIBUTORY ADDITIONAL INSURED EXTENSION This provision applies to any person or organization who qualifies as an additional insured under any farce or endorsement under this policy. Condition 4. Other Insurance of SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS is amend- ed as follows- a. The following is added to Paragraph a. Primary Insurance: If an additional insured's policy has an Other Insurance provision making its policy excess, and you have argrccd in c written contract car written agreement to provide the additional inGurod coverage nn a primary and noncontributory basis, this policy shall be primary and we will not seek contribution from the additional insured's policy for damages we cover. 3rtyt::~~t;xCG 88 10 04 13 pti;tiit{°S CC;}1`f!~~f2wif r a?2i:8i fs ~i;SGf~?tGB.se 1iC°s ofliue. lf:t:, i,ifl, 1's oannissiof,, Page 5 of 8 b. Thefof!owing is added to Paragraph b. Excess Insurance- When a written contract or written agreement, other than a premises tease, facilities rental contract or agreemerit, an equipment ranta€ or lease contract or agreement, or permit issued by a state or political subdivision between you and an additional insured does not require this insurance to be primary or primar, and nor -contnbutory, this insurance is excess over any other insurance for which the addi- tional insured is designated as Nerned insured. Regardless- of the ;written agreement between you and ar. aarlitional insured, this insurance is excess over any rattier insurance whether primary, excess, contingent or on any other (basis for wfilch the additional insured has been added as an addit oral insured on other policies. I. ADDITIONAL INSUREDS - EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" This provision applies to any persons or organization who qualifies as an additional insured under any form or rand[orsi. mpnt under this policy_ 1. The fallowing is added to Condition 2. Duties In The Event Of Ot;currence, Offense, Claim or Snit; An odditional in:Rurird vridtrthais anr~tzrs rnerst ~~rllE as arson ea pr•ac,tivableo a, Give written notice of an "occurrence" or an offense that may result in a clairn or "suit" under this insurance to us; b. Tender the defense and indemnity of any claim or "suit" to all insurers whom also have insurance available to the additional insured; and c. Agree to make avallabla any either insurance which the additional insured hay for a iuss Vlyt cover under this coverage Fart. d. We have no duty to defend or indoirinify an additional insured under this endorsement until we receive V.r, tter, nutic;e & a "buite by the addid"mal hnt~uftd, 2. The linriits of insuranc;g appli ;ably to the additional insured are those specified in a written contract or wTitteri agreernenit or the lirnks of insurance as stater; in the Dedarations of this policy and defined in Section III - Limits of Insurance of this policy, whichever are less. These limits are inclusive of acrd not in addition, to the limits of insurance available under this policy. J. WHO IS AN !N URED - INCIDENTAL MEDICAL ERRORS I MALPRACTICE WHO IS AN INSURED - FELLOW EMPLOYEE EXTENSION - MANAGEMENT EMPLOYEES Paragraph 2.a.(1) of Section If -Who Is An Insured is replaced with the following. (f) 0 Bod<iy injury" or" personal and advertising injury (a) To you, to your partners or members (if you are a partnership car joint venture), to your members (if you are a limited liability cornpany), to a co-"orripiayea" while icy the course of his or her en-sploy- ment or performing duties related to the conduct of your busir-'ess, or to your other "volunteer workers" while performing duties related to ,he conduct of your business; (b) To €f-rs spouse, chi;Id, parent, brother or sister of that co-"em ptayee" or "vonuntccr worier r~r" as a consequence of Paragraph (1) (a) above; (cj For wh;ch there is any obligation to share damages with or repay someone else who artist pay darr.ayes because of the injury descrikr d 41. Paragraphs (t) (a) or (b') above; ur (d) Arising out of his sir lie.- providing or filling to provide professional health care services. However, if you are not in the business of providing professional health care services or providing profes- sional health care personnel to. others, or if coverage for providing professional t:ealth care ser- vices is not otherwise excluded by separate enrdorsernent, this fzrovision (paragraph (d)i ;foes not apply. Paragraphs (a) and (b) above do nisi apply to "bodily in ury" or "personal and advertising in(ury" caused by an 7'employee" who is acting in a supervisory capacity for you. Supervisory capacity as used herein means the "employee's" job responsibilities assigned by you, includes the direct supervision of other "employ- ees" of yours. However, none of these "ernp!oyees" are insureds for "bodily injury" or "personal and 2f~i_4 t.zh9rY"} R~SiitEllii il1SIJP'3rIC9 CG 88 10 04 13 Includes copyrighted rnaterial of insurance services Office, Inc., with Its perr-nission. Page 6 of a advertising injury" arising out of their vvillful coed ct, whiCh is defined as the purposeful or vvi€lful intent to cavae "bodily injury" or "Personal and advertising injury", or caused in whale or in hart by their cratuxic-a- tion by liquor or controlled substances. The coverage provided by provision J. is excess over any other valid and coliectable insurance available to Your "employee". K. NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES Paranraph 3. of Section 11- Who Is An Ingarred is replaced by the foliovAng- 3. Any organization you newly acquire or form and over vvtdch you maintain ownership or rnajority interest, will qualify as a Narned Insured if there is no other similar insurance available w that nrgPniaa?ann.::r.nuev r a. Coverage under this provision is afforded only until the expiration of the policy period in which the entil.y was acquired or formed by you; ge A does not amply to "bodily injury" or "property damage" that scQurred be`Qse you Ccavnrn acquired or, formed the organization; surd c, Coverage B does not apply to "personal and advertising injury" arlsing out of an offense com-pitted before you s cquircd or formed the orgenizatiom d. Records and descriptions of operations must be maintained by the first Named Insured. No person or organization is an insured wi h respect to the conduct of any current or past partne.rshit , j pint. venture or 11rnited liability company that is not shown as a Narned Inswc-d in the Declarations or gua':ifies as an insured under this provision. L. FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES Under Section IV - Commercial General Liability Conditions, the following is added to Condition 6. Repre- sentations. g our failure to disclose all hazards or prior "occurrences" existing as of the inception date of the policy shall not. prejudice; the coverage afforded by this policy provided such fallute to disc;l€;se all hazards or prior "nccurrenct:s" is not intentional. M. KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT Under Section IV - Comm rcixar General Liability Condrtisans; the following :s ,~,dde;d to Condition 2. Dutiusi In The Event of Occurrence, Offense, Claim Or Snit: Know edge of an "mcc rren e", offense, clairs or "suit" by an agart, servant or "employee" of any in,,ured shall not in itself coos:stitute knowledge of ^,he insured unless an insured listed kinder Pwagraph 1. of Section II - Who Is An Insured or a person who has been designated by thern to receive rePorts of occurrences", offer-ses, claims or "suits" shall have receited such notice from than :rgerit, servant or "ttmplcyett", N. LIBERALIZATION CLAUSE if we revise this Commercial General Liabiiitv Extension Endorsement to pr=cMde satire coverage without additional pretniun, charge, your policy will automatically provide the coverage as of the day the revision is effective in your state. 0, BOD1LY INJURY REDEFINED ;Under Section 11- Definitions, Definition 3. is replaced by ,he following: 3. "Bodily injury" means physical injury, sickness or disease sustained by a person. This includes mental .anguish, mental inxury, :shock, fright or death that results from such physical injury, sirk- ness or disease. ~e ~ 2Qi~ ~ibcr-y i.4e<?uai insi,=9=ire yy CG 88 10 04 13 aricWdk s w-pyrig',T p' aFfis:?r""Y?:3 f;* faSSEd?4m."e ifiFY:ccs Offit;e, iFit' vi:; h its PLE - ismfi. Page 7 of 8 P. EXTENDED PROPERTY DAMAGE Exclusion a. of COVERAGE A. BODILY INJURE AND PROPERTY DAMAGE LIABILITY is replaced by the a. Expected Or Intended Injury "Bodily injury" or "property.darnage" expected or intended from; the standpoint of the insured, This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. Q. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US - WHEN REQUIRED IN A CONTRACTOR. AGREEMENT WITH YOU Under Section €V - Commercial General Liability Conditions, the following is added to Condition S. Trans- fer Of Rights Of Recovery Against Others To Ens: We wive any right of recovery we may have against a pei son or organization because of payments we make for injury or damage arising out. of your ongoing operations or "your work" dome under a contract with that person or organization and included in the "products-completed operations hazard" : provided - 1. You and that person or organization have agree: it) writing in a contract or agreement that you waive such rights against that person or organization; and 2. The injury or damage occurs subsequent to the execution of the written contractor written agree- ment. :nce ~j}y p y 2011 tibcrty Mut~lai inouri CG 88 10 04 13 o 31`. l:f$ 11 t' .s rJ 00i;' inc.. ;~171 rn c Page 8 of vy Iia:S P 83