Loading...
HomeMy WebLinkAboutInsurance Certificate: Spring Air Inc DATE (MM/DD/YYYY) ® CERTIFICATE OF LIABILITY INSURANCE 09/15/2016 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 have ADDITIONAL INSURED provisions or 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 CONTACT NAME: Pamela J Breazeale Hart Insurance Agency - Medford PHONE FAX PO Box 1240 A/C No Ext : (541) 779-4232 A/C No): E-MAIL ADDRESS: Grants Pass OR 97528 INSURERS AFFORDING COVERAGE NAIC # INSURER A:SAIF Corporation 36196 INSURED (541) 899-3155 INSURER B : Cincinnati Insurance Companies 10677 Spring Air Inc INSURER C : 810 N 5th Street INSURERD: Jacksonville OR 97530 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: Cert ID 1161 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 LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS B COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 DAMAGE TO CLAIMS-MADE ~ OCCUR Y Y ECP 0160324 09/22/2016 09/22/2019 PREMSES(Eaolccurrrence $ 11000,000 MED EXP (Any one person) $ 10 , 000 PERSONAL & ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO- [X] LOC PRODUCTS - COMP/OP AGG $ 2,000,000 JECT OTHER: Empl Benefits Liab $ 11000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident 1,000,000 B X ANY AUTO SBA 0160324 09/22/2016 09/22/2017 BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident B X UMBRELLA LIAB X OCCUR ECP 0160324 09/22/2016 09/22/2019 EACH OCCURRENCE $ 11000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 11000,000 DED RETENTION $ $ A AND EMPSLOYYERSERS'' LIABILITY SAY/N 939696 07/01/2016 07/01/2017 STATUTE OERH AND EMP ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L. DISEASE- EA EMPLOYEE $ 1,000,000 If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holders are included as additional insured per written contract per form # GCP204 (05/11) attached Waiver of Subrogation applies per form CGP204 (05/11) and Coverage is Primary & Non-Contributory CERTIFICATE HOLDER CANCELLATION 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. 20 E Main Street AUTHORIZED REPRESENTATIVE Ashland OR 97520 IJ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CinciPATM CONTRACTORS' COMMERCIAL GENERAL LIABILITY BROADENED ENDORSEMENT - OREGON This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A, Endorsement - Table of Contents: Coverages Begins on Page: 1. Employee Benefit Liability Coverage 2 2. Unintentional Failure to Disclose Hazards 8 3. Medical Payments 8 4. Voluntary Property Damage (Coverage a.) and Care, Custody or Control Liability Coverage (Coverage b.) 8 5. 180 Day Coverage for Newly Formed or Acquired Organizations 9 6. Waiver of Subrogation 9 7. Automatic Additional Insured - Specified Relationships: 9 • Managers or Lessors of Premises; • Lessor of Leased Equipment; • Vendors; • State or Political Subdivisions - Permits Relating to Premises; • State or Political Subdivisions - Permits; and • Contractors' Operations 8. Broadened Contractual Liability - Work Within 50' of Railroad Property 14 9. Property Damage to Borrowed Equipment 14 10. Employees as insureds - Specified Health Care Services: 15 • Nurses; • Emergency Medical Technicians; and • Paramedics 11. Broadened Notice of Occurrence 15 B. Limits of insurance: The Commercial General Liability Limits of Insurance apply to the insurance provided by this endorsement, except as provided below: 1. Employee Benefit Liability Coverage Each Employee Limit: $ 1,000,000 Aggregate Limit: $ 3,000,000 Deductible: $ 1,000 3. Medical Payments Medical Expense Limit: $ 10,000 Includes copyrighted material of Insurance GCP 204 OR 05 11 Services Office, Inc., with its permission. Page 1 of 15 4. Voluntary Property Damage (Coverage a.) and Care, Custody or Control Liability Coverage (Coverage b.) Limits of Insurance (Each Occurrence) Coverage a. $1.000 Coverage b. $5.000 unless otherwise stated $ Deductibles (Each Occurrence) Coverage a. $250 Coverage b. $250 unless otherwise stated $ COVERAGE PREMIUM BASIS RATE ADVANCE PREMIUM (a) Area (For Limits in Excess of (For Limits in Excess of (b) Payroll $5.000) $5.000) (c) Gross Sales (d) Units e Other b. Care. Custody $ or Control TOTAL ANNUAL PREMIUM $ 9. Property Damage to Borrowed Equipment Each Occurrence Limit: $ 10,000 Deductible: $ 250 C. Coverages: TION III - LIMITS OF INSURANCE; and 1. Employee Benefit Liability Coverage a. The following is added to SECTION I 2) Our right and duty to 9 defend ends when we - COVERAGES: Employee Benefit have used up the appli- Liability Coverage. cable limit of insurance (1) Insuring Agreement in the payment of judgments or settle- (a) We will pay those sums that ments. the insured becomes legally obligated to pay as dam- No other obligation or liabil-- ages caused by any act, er- ity to pay sums or perform ror or omission of the in- acts or services is covered sured, or of any other per-- unless explicitly provided for son for whose acts the in- under Supplementary Pay- sured is legally liable, to ments. which this insurance ap- (b) This insurance applies to plies. We will have the right damages only if the act, Br- and duty to defend the in- ror or omission, is negli- sured against any "suit" gently committed in the seeking those damages. "administration" of your However, we will have no "employee benefit program": duty to defend against any and "suit" seeking damages to which this insurance does 1) Occurs during the pol- not apply. We may, at our icy period, or discretion, investigate any report of an act, error or 2} Occurred prior to the "first effective date" of omission and settle any claim or "suit" that may re- this endorsement pro- sult. But: vided: 1} The amount we will pay a) You did not have for damages is limited knowledge of a as described in SEC- claim or "suit" on or before the "first includes copyrighted material of insurance GCP 204 OR 05 11 Services Office, Inc., with its permission. Page 2 of 15 effective date" of (e) Inadequacy of Perform- this endorsement. ance of Investment / Ad- vice Given With Respect You will be to Participation deemed to have knowledge of a Any daim based upon: claim or "suit" 1) Failure of any invest- when any "author- ment to perform; ized representa- tive": 2) Errors in providing in- i) Reports ail, or formation on past per- any part, of the formance of investment vehicles; or act, error or omission to us 3) Advice given to any or any other person with respect to insurer; that person's decision ii) Receives a to participate or not to written or ver- participate in any plan bal demand or included in the "em- claim for dam- ployee benefit pro- ages because gram". of the act, error {f) Workers' Compensation or omission; and Similar Laws and Any claim arising out of your b) There is no other failure to comply with the applicable insur- mandatory provisions of any ance. workers' compensation, un- (2) Exclusions employment compensation insurance, social security or This insurance does not apply to. disability benefits law or any similar law. (a) Bodily Injury, Property ERI5A Damage or Personal and (g) Advertising Injury Damages for which any in- "Bodily injury', "property sured is liable because of li- damage" or "personal and ability imposed on a fiduci- advertising injury". ary by the Employee Re- (b) Dishonest, Fraudulent, tirement Income Security Act of 1474, as now or Criminal or Malicious Act hereafter amended, or by Damages arising out of any any similar federal, state or intentional, dishonest, local laws. fraudulent, criminal or mali- (h) Available Benefits cious act, error or omission, committed by any insured, Any claim for benefits to the including the willful or reck- extent that such benefits are less violation of any statute. available, with reasonable effort and cooperation of the (c) Failure to Perform a Con- insured, from the applicable tract funds accrued or other col- Damages arising out of fail- lectible insurance. ure of performance of con- (i) Taxes, Fines or Penalties tract by any insurer. Taxes, fines or penalties, (d) Insufficiency of Funds including those imposed Damages arising out of an under the internal Revenue insufficiency of funds to Code or any similar state or meet any obligations under local law. any plan included in the "employee benefit program". Includes copyrighted material of Insurance GCP 204 OR 0511 Services Office, Inc., with its permission. Page 3 of 15 Q) Employment-Related conduct of your business, Practices Your managers are insur- Any liability arising out of eds, but only with respect to any: their duties as your manag- ers. (1) Refusal to employ, (d) An organization other than a (2) Termination of em- partnership, joint venture or ployment. limited liability company, you are an insured. Your "ex- (3) Coercion, demotion. ecutive officers" and direc- evaluation, reassign- tors are insureds, but only ment, discipline, defa- with respect to their duties mation, harassment, as your officers or directors. humiliation, discrimina- Your stockholders are also tion or other employ- insureds, but only with ce- ment-related practices, spect to their liability as acts or omissions, or stockholders. (4) Consequential liability (e) A trust, you are an insured. as a result of (1), (2) or Your trustees are also in- (3) above. sureds, but only with respect This exclusion applies to their duties as trustees. whether the insured may be (2) Each of the following is also an held liable as an employer insured: or in any other capacity and to any obligation to share (a) Each of your "employees" damages with or repay who is or was authorized to someone else who must administer your "employee pay damages because of benefit program". the injury. (b) Any persons, organizations (3) Supplementary Payments or "employees" having proper temporary authoriza- SECTION I - COVERAGES, tion to administer your "em- SUPPLEMENTARY PAY- ployee benefit program" if MENTS - COVERAGES A AND you die, but only until your B also apply to this Coverage. legal representative is ap- b. Who is an Insured pointed. As respects Employee Benefit Liabil- (c) Your legal representative if ity Coverage, SECTION It - WHO IS you die, but only with re- AN INSURED is deleted in its entirety spect to duties as such. and replaced by the following: That representative will have all your rights and du- (1) If you are designated in the Dec- ties under this Coverage larations as: Part. (a) An individual, you and your (3) Any organization you newly ac- spouse are insureds, but quire or form, other than a part- only with respect to the con- nership, joint venture or limited duct of a business of which liability company, and over which you are the sole owner. you maintain ownership or ma- jority interest, will qualify as a (b) A partnership or joint ven- Named Insured if no other simi- ture, you are an insured. lar insurance applies to that or- Your members, your part- ganizabon. However, coverage ners, and their spouses are under this provision: also insureds but only with respect to the conduct of (a) Is afforded only until the your business. 180th day after you acquire or form the organization or (c) A limited liability company, the end of the policy period, you are an insured. Your whichever is earlier: and members are also insureds, but only with respect to the Includes copyrighted material of Insurance GCP 204 OR 05 11 Services Office, Inc., with its permission. Page 4 of 1S (b) Does not apply to any act, However, the amount paid under error or omission that was this endorsement shall not ex- committed before you ac- ceed, and will be subject to the quired or formed the organi- limits and restrictions that apply zation. to the payment of benefits in any plan included in the "employee c. Limits of insurance benefit program". As respects Employee Benefit Liabil- (4) Deductible Amount ity Coverage, SECTION III - LIMITS OF INSURANCE is deleted in its en- (a) Our obligation to pay dam- tirety and replaced by the following: ages on behalf of the in- (1) The Limits of Insurance shown in sured applies only to the amount of damages in ex- Section B. Limits of Insurance, cess of the deductible 1. Employee Benefit Liability amount stated in the Decla- Coverage and the rules below rations as applicable to fix the most we will pay regard- Each Employee. The limits less of the number of of insurance shall not be re- (a) duced by the amount of this deductible. (b) Claims made or "suits" (b) The deductible amount brought; stated in the Declarations (c) Persons or organizations applies to all damages sus- making claims or bringing tained by any one "em- "suits": ployee", including such "em- ployee (d) Acts, errors or omissions; or beneficiaries, because of all (e) Benefits included in your acts, errors or omissions to "employee benefit program". which this insurance ap- plies. (2) The Aggregate Limit shown in (c) The terms of this insurance, Section B. Limits of Insurance, including those with respect 1. Employee Benefit Liability to: Coverage of this endorsement is the most we will pay for all dam- 1) Our right and duty to ages because of acts, errors or defend the insured omissions negligently committed against any "suits" in the "administration" of your seeking those dam- "employee benefit program". ages; and (3) Subject to the limit described in 2) Your duties, and the (2) above, the Each Employee duties of any other in- Limit shown in Section B. Limits volved insured, in the of Insurance, 1. Employee event of an act, error or Benefit Liability Coverage of omission, or claim, this endorsement is the most we will pay for all damages sus- apply irrespective of the ap- tained by any one "employee", plication of the deductible including damages sustained by amount. such "employee's" dependents (d) We may pay any part or all and beneficiaries, as a result of of the deductible amount to (a) An act, error or omission; or effect settlement of any claim or "suit" and, upon b) A series of related acts, er- no- tification of the action taken, Tors or omissions, regard- you shall promptly reim- less of the amount of time burse us for such part of the that lapses between such deductible amount as we acts, errors or omissions, have paid. negligently committed in the d. Additional Conditions "administration" of your "em- ployee benefit program". As respects Employee Benefit Li- ability Coverage, SECTION IV - Includes copyrighted material of Insurance GCP 204 OR 05 11 Services Office. Inc., with its permission. Page 5 of 15 COMMERCIAL GENERAL LIABIL- (2) Item S. Other Insurance is de- ITY CONDITIONS is amended as fol- leted in its entirety and replaced lows: by the following: (1) Item 2. Duties in the Event of 5. Other Insurance Occurrence, Offense, Claim or Suit is deleted in its entirety and if other valid and collectible replaced by the following: insurance is available to the insured for a loss we cover 2. Duties in the Event of an Act, Error or under this Coverage Part, Omission, or Claim or Suit our obligations are limited a. You must see to it that we are notified as follows: as soon as practicable of an act, er- a. Primary Insurance ror or omission which may result in a claim. To the extent possible, notice This insurance is pri- should include: mary except when c. below applies. If this in- (1) What the act, error or omission surance is primary, our was and when it occurred: and obligations are not af- (2) The names and addresses of fected unless any of the anyone who may suffer dam- other insurance is also ages as a result of the act, error primary. Then, we will or omission. share with all that other insurance by the b. If a claim is made or "suit" is brought method described in b. against any insured, you must: below. (1) Immediately record the specifics b. Method of Sharing of the claim or "suit" and the date If all of the other insur- received, and ance permits contribu- (2) Notify us as soon as practicable. tion by equal shares, we will follow this You must see to it that we receive method also. Under this written notice of the claim or "suit" as approach each insurer soon as practicable. contributes equal c. You and any other involved insured amounts until it has must: paid its applicable limit of insurance or none of (1) Immediately send us copies of the loss remains, whi- any demands, notices, sum- chever comes first. monses or legal papers received If any of the other in- in connection with the claim or surance does not per- suit , mit contribution by (2) Authorize us to obtain records equal shares, we will and other information: contribute by limits. Under this method, (3) Cooperate with us in the investi- each insurer's share is gation or settlement of the claim based on the ratio of its or defense against the "suit"; and applicable limit of in- (4) Assist us, upon our request, in surance to the total ap- the enforcement of any right plicable limits of insur- ainst an ance of all insurers. ag any person or organiza- tion which may be liable to the c. No Coverage insured because of an act, error or omission to which this insur- This insurance shall not ance may also apply. cover any foss for which the insured is en- d. No insured will, except at that in- titled to recovery under sured's own cost, voluntarily make a any other insurance in payment, assume any obligation, or force previous to the ef- incur any expense without our con- fective date of this sent. Coverage Part. Includes copyrighted material of insurance GCP 204 OR 05 11 Services Office, Inc., with its permission. Page 6 of 15 e. Additional Definitions a. Group life insurance; group accident or As respects Employee Benefit Li- health insurance; den- ability Coverage, SECTION V - tal, vision and hearing DEFINITIONS is amended as fol- plans; and flexible lows: spending accounts; provided that no one (1) The following definitions are other than an "em- added: ployee" may subscribe 1. "Administration" means: to such benefits and such benefits are made a. Providing information to generally available to "employees", including those "employees" who their dependents and satisfy the plan's eligi- beneficiaries. with re- bility requirements; spect to eligibility for or scope of "employee b. Profit sharing plans, benefit programs"; employee savings plans, employee stock b. Interpreting the "em- ownership plans, pen- ployee benefit pro- sion plans and stock grams"; subscription plans, pro- c. Handling records in vided that no one other connection with the than an employee" "employee benefit pro- may subscribe to such benefits and such grams"; or benefits are made Ben- d. Effecting, continuing or erally available to all terminating any "em- "employees" who are ployee's" participation eligible under the plan in any benefit included for such benefits; in the "employee bene- c. Unemployment insur- fit program". ante, social security However, "administration" benefits, workers' com- does not include: pensation and disability benefits. and a. Handling payroll deduc- tions; or d. Vacation plans, includ- ing buy and sell pro- b. The failure to effect or grams; leave of ab- maintain any insurance sence programs, in- or adequate limits of cluding military, mater- coverage of insurance, nity, family, and civil including but not limited leave; tuition assistance to unemployment in- plans; transportation surance, social security and health club subsi- benefits, workers' com- dies. pensation and disability benefits. 4. "First effective date" means the date upon which cover- t. "Cafeteria plans" means age was first effected in a plan authorized by applica- series of uninterrupted re- ble law to allow "employees" newals of insurance cover- to elect to pay for certain age. benefits with pre-tax dollars. (2) The following definitions are de- 3. "Employee benefit pro- leted in their entirety and re- grams" means a program placed by the following: providing some or all of the following benefits to "em- 21. "Suit" means a civil pro- ployees", whether provided ceeding in which money through a "cafeteria plan" or damages because of an act, otherwise: error or omission to which this insurance applies are alleged. "Suit" includes: Includes copyrighted material of Insurance GCP 204 OR 05 11 Services Office, Inc., with its permission. Page 7 of 15 a. An arbitration proceed- With your consent, we will make ing in which such dam- these payments regardless of fault. ages are claimed and to which the insured b. Care, Custody or Control Liability must submit or does Coverage submit with our con- SECTION I - COVERAGES, COV- sent: ERAGE A. BODILY INJURY AND b. Any other alternative PROPERTY DAMAGE LIABILITY, 2. dispute resolution pro- Exclusions, j. Damage to Property, ceeding in which such Subparagraphs (3), (4) and (5) do not damages are claimed apply to "property damage" to the and to which the in- property of others described therein. sured submits with our With respect to the insurance provided by consent: or this section of the endorsement, the fol- c. An appeal of a civil pro- lowing additional provisions apply: ceeding. a. The Limits of insurance shown in the 8. "Employee" means a person Declarations are replaced by the lim- actively employed, formerly its designated in Section B. Limits of employed, on leave of ab- Insurance, 4. Voluntary Property sence or disabled, or re- Damage and Care, Custody or tired. "Employee" includes a Control Liability Coverage of this "leased worker". "Employee" endorsement with respect to cover- does not include a "tempo- age provided by this endorsement rary worker". These limits are inclusive of and not in addition to the limits being re- 2. Unintentional Failure to Disclose Haz- placed. The Limits of Insurance ards shown in Section B. Limits of Insur- SECTION IV - COMMERCIAL GENERAL ance, 4. Voluntary Property Dam- LIABILITY CONDITIONS, 7. Represen- age and Care. Custody or Control Cations is hereby amended by the addi- Liability Coverage of this endorse- tion of the following: meat fix the most we will pay in any one "occurrence" regardless of the Based on our dependence upon your rep- number of resentations as to existing hazards, if un- (1) Insureds; intentionally you should fail to disclose all such hazards at the inception date of your (2) Claims made or "suits" brought; policy, we will not reject coverage under or this Coverage Part based solely on such failure. (3) Persons or organizations making claims or bringing "suits". 3. Medical Payments b. Deductible Clause The Medico! Expense Limit of Any One Person as stated in the Declarations is Our obligation to pay damages amended to the limit shown in Section B. on your behalf applies only to the Limits of insurance, 3. Medical Pay- amount of damages for each meats of this endorsement. "occurrence" which are in excess of the deductible amount stated 4. Voluntary Property Damage and Care, in Section B. Limits of Insur- Custody or Control Liability Coverage ance, 4. Voluntary Property a. Voluntary Property Damage Cov- Damage and Care, Custody or erage Control Liability Coverage of this endorsement. The limits of We will pay for "property damage" to insurance will not be reduced by property of others arising out of op- the application of such deducti- erations incidental to the insured's ble amount. business when: (2) Condition 2, Duties in the Event (1) Damage is caused by the in- of Occurrence, Offense, Claim sured; or or Suit, applies to each claim or "suit" irrespective of the amount. (2) Damage occurs while in the in- sured's possession. (3) We may pay any part or all of the deductible amount to effect set- Includes copyrighted material of Insurance GCP 204 OR 05 11 Services Office, Inc., with its permission. Page 8 of 1S tlement of any claim or "suit" additional insured has been and, upon notification of the ac- issued, tion taken, you shall promptly re- is an insured, provided: imburse us for such part of the deductible amount as has been (a) The written or oral contract paid by us. or agreement is: 5. 180 Day Coverage for Newly Formed or 1) Currently in effect or Acquired Organizations becomes effective dur- SECTION 11 - WHO IS AN INSURED is ing the policy period. and amended as follows: 2) Executed prior to an Subparagraph a. of Paragraph 4. is here- "occurrence" or offense by deleted and replaced by the following: to which this insurance a. Insurance under this provision is af- would apply; and forded only until the 180th day after (b) They are not specifically you acquire or form the organization named as an additional in- or the end of the policy period, sured under any other pro- whichever is earlier; vision of, or endorsement 6. Waiver of Subrogation added to, this Coverage Part. SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, 9. Transfer of (2) 00y the following persons or or- Rights of Recovery Against Others to ganizations are additional insur- Us is hereby amended by the addition of eds under this endorsement, and the following: insurance coverage provided to such additional insureds is lim- We waive any right of recovery we may ited as provided herein: have because of payments we make for injury or damage arising out of your ongo- (a) The manager or lessor of a ing operations or your work" done under premises leased to you with a written contract requiring such waiver whom you have agreed per with that person or organization and in- Paragraph 7.a.(1) above to cluded in the "products-completed opera- provide insurance, but only tions hazard". However, our rights may with respect to liability aris- only be waived prior to the "occurrence" ing out of the ownership, giving rise to the injury or damage for maintenance or use of that which we make payment under this Cov- part of a premises leased to erage Part. The insured must do nothing you, subject to the following after a loss to impair our rights. At our re- additional exclusions: quest, the insured will bring "suit" or trans- This insurance does not ap- fer those rights to us and help us enforce ply to. those rights. 7. Automatic Additional insured - Speci- 1) Any "occurrence" which fied Relationships takes place after you cease to be a tenant in a. The following is hereby added to that premises, SECTION 11- WHO IS AN INSURED: 2) Structural alterations, (1) Any person or organization de- new construction or scribed in Paragraph 7.a.(2) be- demolition operations low (hereinafter referred to as performed by or on be- additional insured) whom you are half of such additional required to add as an additional insured. insured under this Coverage Part (b) Any person or organization by reason of from which you lease (a) A written contract or agree- equipment with whom you ment; or have agreed per Paragraph 7.a.(1) above to provide in- (b) An oral agreement or con- surance. Such person(s) or tract where a certificate of organization(s) are insureds, insurance showing that per- but only to the extent that son or organization as an the liability or "bodily injury", includes copyrighted material of Insurance GCP 204 OR 05 11 Services Office, Inc., with its permission. Page 9 of 15 "property damage" or "per- parts under in- sonal and advertising injury" structions from the is caused by your negli- manufacturer, and gence, acts, or omissions in then repackaged the maintenance, operation in the original con- or use of equipment leased tainer; to you by such person(s) or organization(s). However, e} Any failure to this insurance does not ap- make such inspec- ply to any "occurrence" tions, adjustments, which takes place after the tests or servicing equipment lease expires. as the vendor has agreed to make or (c) Any person or organization normally under- (ref rred to below as ven- takes to make in dor) with whom you have the usual course of agreed per Paragraph business, in con- 7.a.(1) above to provide in- nection with the surance, but only with re- distribution or sale spect to "bodily injury" or of the products; "property damage" arising out of 'your products" which f} Demonstration, m- are distributed or sold in the stallation, servicing regular course of the ven- or repair opera- dor's business, subject to tions, except such the following additional ex- operations per- ciusions: formed at the ven- dor's premises in 1) The insurance afforded connection with the vendor does not the sale of the apply to: product; a) "Bodily injury" or g) Products which, "property damage" after distribution or for which the ven- sale by you, have dor is obligated to been labeled or re- pay damages by labeled or used as reason of the as- a container, part or sumption of liability ingredient of any in a contract or other thing or sub- agreement This stance by or for exclusion does not the vendor; or apply to liability for damages that the h) "Bodily Injury" or vendor would have "property damage" in the absence of arising out of the the contract or negligence, acts or agreement; omissions of the vendor, its em- b) Any express war- ployees or anyone ranty unauthorized else acting on its by you; behalf. c) Any physical or 2) This insurance does not chemical change apply to any insured in the product person or organization: made intentionally by the vendor; a) From whom you have acquired d) Repackaging, ex- such products, or cept when un- any ingredient, packed solely for part or container, the purpose of in- entering into, ac- spection, demon- companying or stration, testing, or containing such the substitution of products; or includes copyrighted material of Insurance GCP 204 OR 05 11 Services Office, inc., with its permission. Page 10 of 15 b) When liability in- "personal and advertis- cluded within the ing injury" arising out of "products- operations performed completed opera- for the state or political tions hazard" has subdivision. been excluded un- (f) For -'your work" performed der this Coverage Part with respell in Oregon, any person or to such products. organization with which you have agreed per Paragraph (d) Any state or political subdi- 7.a.(1) above to provide in- vision with which you have surance, but only to the ex- agreed per Paragraph tent that the liability is 7.a.(1) above to provide in- caused by "your work" per- surance, subject to the fol- formed for that additional in- lowing additional provision: sured and only to the extent that such liability is caused This insurance applies only by your negligence or the with respect to the following negligence of those acting hazards for which the state on your behalf. A person or or political subdivision has organization's status as an issued a permit in connec- insured under this provision tion with premises you own, of this endorsement contin- rent or control and to which ues for only the period of this insurance applies: time required by the written 1) The existence, mainte- contract or agreement, but nance, repair, construc- in no event beyond the expi- tion, erection, or re- ration date of this Coverage moval of advertising Part if there is no written signs, awnings, cano- contract or agreement, or if pies, cellar entrances, no period of time is required coal holes, driveways by the written contract or agreement, a person or or- manholes, marquees, hoist away openings, ganization s status as an in- sidewalk vaults, street sured under this endorse- banners, or decorations ment ends when your op- and similar exposures; erations for that insured are or completed. 2) The construction, erec- (g) For 'Wur work" performed tion, or removal of ele- in the "coverage territory" vators; or but not in Oregon, any per- son or organization with 3) The ownership, main- which you have agreed per tenance, or use of any Paragraph 7.a.(1) above to elevators covered by provide insurance, but only this insurance. with respect to liability aris- ing out of "your work" per- (e) Any state or political subdi- formed for that additional in- vision with which you have sured by you or on your be- agreed per Paragraph half. A person or organiza- 7.a.(1) above to provide in- tion's status as an insured surance, subject to the fol- under this provision of this lowing provisions: endorsement continues for 1) This insurance applies only the period of time re- only with respect to op- quired by the written con- erations performed by tract or agreement, but in no you or on your behalf event beyond the expiration for which the state or date of this Coverage Part. political subdivision has If there is no written contract issued a permit. or agreement, or if no period of time is required by the 2) This insurance does not written contract or agree- apply to "bodily injury", ment, a person or organiza- "property damage" or tion's status as an insured Includes copyrighted material of insurance GCP 204 OR 05 1'1 Services Office, Inc., with its permission. Page 11 of 15 under this endorsement field orders, ends when your operations change orders, or for that insured are com- drawings and pleted. specifications: and (3) Any insurance provided to an b) Supervisory, or in- additional insured designated spection activities under Paragraph 7.a.(2): performed as part (a) Subparagraphs (e), {f) and of any related ar- chkectural or engi- (g) do not apply to bodily in- neering activities. jury' or "property damage" included within the "prod- 3) Professional services acts-completed operations do not include services hazard": within construction - (b) Subparagraphs (a), (b), (d), means, methods, sequences tech- (e), (e),(f) and {g} do not apply procedures employed to "bodily injury", property by you in connection damage" or "personal and with construction work advertising injury" arising you perform. out of the sole negligence or willful misconduct of the ad- (d) Subparagraphs (f) and (g) ditional insured or its "em- do not apply to "bodily in- ployees": or jury" or "property damage" (c) Subparagraphs (f) and (g) arising out of 'Wur work" for do not apply to "bodily in- which a consolidated (wrap- jury', "property damage" or up) insurance program has been provided by the prime "personal and advertising in- contractor /project manager jury arising out of or owner of the construction 1) The rendering of, or project in which you are in- failure to render, any volved. professional services b. Only with regard to insurance pro- by you or on your be- vided to an additional insured desig- half. but only with re- nated under Paragraph 7.a.(2) Sub- spect to either or both and SEC- of the following opera- paragraphs (f? {g) above, SEC- tions: TION Ill - LIMITS OF INSURANCE is amended to include: a) Providing engi- The limits applicable to the additional neering, architec- insured are those specified in the tural, or surveying written contract or agreement or in services, to others: the Declarations of this Coverage and Part, whichever are less. If no limits b) Providing, or hiring are specified in the written contract or independent pro- agreement, or if there is no written fessionals to pro- contract or agreement, the limits ap- vide, engineering, plicable to the additional insured are architectural or those specified in the Declarations of surveying services this Coverage Part. The limits of in- in connection with surance are inclusive of and not in construction work addition to the limits of insurance you perform. shown in the Declarations, 2) Subject to Paragraph 3) c. SECTION IV - COMMERCIAL GEN- below, professional ser- ERAL LIABILITY CONDITIONS is vices include: hereby amended as follows: a) Preparing. approv- (1) Condition S. Other insurance is ing or failing to amended to include: prepare or ap- prove maps, shop (a) Where required by a written contract or agreement, this drawing, opinions, insurance is primary and I or reports. surveys, noncontributory as respects Includes copyrighted material of Insurance GCP 204 OR 45 11 Services Office. Inc., with its permission. Page 12 of 15 any other insurance policy (3) Include coverage issued to the additional in- for "your work"; sured, and such other in- and where the lim- surance policy shall be ex- its or coverage cess and / or noncontribut- provided to the ing, whichever applies, with additional insured this insurance. is more restrictive (b) Any insurance provided by than was specially this endorsement shall be required in that primary to other insurance written contract or available to the additional agreement, the insured except: terms of Para- graphs 7.a.(3)(a) 1) As otherwise provided or 7.b. above, or in SECTION IV - COM- any combination MERCIAL GENERAL thereof, shall be LIABILITY CONDII- interpreted as TIONS, 5. Other In- providing the limits surance, b. Excess or coverage re- insurance; or quired by the 2) For any other valid and terms of the writ- collectible insurance ten contract or available to the addi- agreement, but tional insured as an ad- only to the extent ditional insured by at- that such limits or tachment of an en- coverage is in- dorsement to another cluded within the insurance policy that is terms of the Cov- written on an excess erage Part to basis. In such case, the which this en- coverage provided un- dorsement is at- der this endorsement tached. shall also be excess. b. With respect to addi- (2) Condition 11. Conformance to tional insureds de- Specific Written Contract or scribed in Paragraph Agreement is hereby added: 7.a.(2)(f) above only: 11. Conformance to Specific If a written contract or Written Contract or agreement between Agreement you and the additional insured specifies that a. With respect to addi- coverage for the addi- tional insureds de- tional insured: scribed in Paragraph (1) Be provided by the 7.a.(2)(f) above only. Insurance Ser- If a written contract or vices Office addi- agreement between tional insured form you and the additional number CG 20 10 insured specifies that or CG 20 37 coverage for the addi- (where edition tional insured: specified); or (1) Be provided by the (2) Include coverage Insurance Ser- for completed op- vices Office addi- erations. or tional insured form (3) Include coverage number CG 32 611, for'your work"; CG 32 62 or CG 32 63: or and where the limits or (2) Include coverage coverage provided to for completed op- the additional insured is erations: or more restrictive than includes copyrighted material of Insurance GCP 204 OR 0511 Services Office, Inc., with its permission. Page 13 of 15 was specifically re- B. Limits of Insurance, 9. of quired in that written this endorsement with respect to contract or agreement, coverage provided by this en- the terms of Para- dorsement. These limits are in- graphs 7.a.(3)(a), elusive of and not in addition to 7.a.(3)(b) or 7.b. above, the limits being replaced. The or any combination Limits of insurance shown in thereof, shall be inter- Section B. Limits of Insurance, preted as providing the 9. of this endorsement fix the limits or coverage re- most we will pay in any one "oc- quired by the terms of currence" regardless of the the written contract or number of agreement, but only to the extent that such !im- (a) Insureds; its or coverage is in- (b) Claims made or "suits" eluded within the terms brought; or of the Coverage Part to which this endorsement (c) Persons or organizations is attached. If, however, making claims or bringing the written contract or "suits". agreement specifies the Insurance Services (2) Deductible Clause Office additional in- sured form number CG (a) Our obligation to pay dam- 20 10 but does not ages on your behalf applies specify which edition, or only to the amount of dam- specify an edition that ages for each "occurrence" does not exist, Para- which are in excess of the graphs 7.a.(3)(a) and Deductible amount stated in 7.a.(3}{b) of this en- Section B. Limits of Insur- dorsement shall not ante. 9. of this endorse- apply and Paragraph ment. The limits of insur- 9.b. of this endorse- ante will not be reduced by shall a the application of such De- meat pply' duct.ible amount. 8. Broadened Contractual Liability - Work (b) Condition 2. Duties in the Within 50' of Railroad Property Event of Occurrence, Of- It is hereby agreed that Paragraph f.(1) of fense, Claim or Suit, ap- Definition 12. "Insured contract" (SEC- plies to each claim or "suit" TION V - DEFINITIONS) is deleted. irrespective of the amount 9. Property Damage to Borrowed Equip- (c) We may pay any part or all ment of the deductible amount to effect settlement of any a. The following is hereby added to Ex- claim or "suit" and, upon no- clusion j. Damage to Property of tification of the action taken. Paragraph 2., Exclusions of SEC- you shall promptly reim- TION I - COVERAGES. COVERAGE burse us for such part of the A. BODILY INJURY AND PROP- deductible amount as has ERTY DAMAGE LIABILITY: been paid by us. Paragraphs (3) and (4) of this exclu- 10. Employees as Insureds - Specified sion do not apply to tools or equip- Health Care Services ment loaned to you, provided they are not being used to perform operations It is hereby agreed that Paragraph at the time of loss. 2.a.(1)(d) of SECTION 11 - WHO IS AN INSURED, does not apply to your "em- b. With respect to the insurance pro- ployees" who provide professional health vided by this section of the endorse- care services on your behalf as duly li- ment, the following additional provi- censed: sions apply. a. Nurses; (1) The Limits of insurance shown in the Declarations are replaced by b. Emergency Medical Technicians; or the limits designated in Section c. Paramedics, Includes copyrighted material of insurance GCP 204 OR 05 11 Services Office, Inc., with its permission. Page 14 of 15 in the jurisdiction where an "occurrence" in a claim. To the extent possible, po- or offense to which this insurance applies tice should include: takes place. (1) How, when and where the "oc- 11. Broadened Notice of Occurrence currence" or offense took place: Paragraph a. of Condition 2. Duties in (2) The names and addresses of the Event of Occurrence, Offense, any injured persons and wit- Claim or Suit (SECTION IV - COMMER- nesses: and CIAL GENERAL LIABILITY CONDI- (3) The nature and location of any TIONS) is hereby deleted and replaced by injury or damage arising out of the following: the "occurrence" or offense. a. You must see to it that we are notified This requirement applies only when as soon as practicable of an "occur- the "occurrence" or offense is known rence" or an offense which may result to an "authorized representative". Includes copyrighted material of Insurance GCP 204 OR 05 11 Services Office. Inc., with its permission. Page 15 of 15