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HomeMy WebLinkAboutInsurance Certificate: Good Company, LLC AC<::)J?L> ® DATE tMM/DD YYYY) CERTIFICATE OF LIABILITY INSURANCE 02/0212018 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 Nadya Alaml NAME: WardlnsuranceAgency PHONE (541)687-1117 FAx (5411342-8280 ' C' No. 1 AID. No : PO Box 10167 E-MAIL nadya@wardlnsurance net ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC N Eugene OR 97440 INSURER A: Sentinel Insurance Co 11000 INSURED INSURER BACE Fire Underwriters Ins Co . Good Company LI C INSURER C : DBA Good Company INSURER D: 65 Centennial LOOP #B INSURER E Eugene OR 97401 INSURER F : COVERAGES CERTIFICATE NUMBER: 18/19 GL. Auto. EO REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPEC- TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL -HE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS IN SR TYPE OF INSURANCE I WVD POLICY NUMBER MMIDDIYYYY MMLDDlYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 2.000.000 CLAIMS-MADE 7 OC__UR PREMISES IEaoccurrence 5 1.000.000 MED EXP (Any ene perscri 5 10,000 A Y 52SBAF03251 02/28/2018 02/28/2019 PERSONAL&ADVINJURY s 2000,000 GEhL:..G,?E 34'E LP'_ES PER GENERAL AGGREGATE S 4,000.000 PRODUCTS"COMPIOP AGG S 4,000.000 Z~Co -CL,C. FX] 7-'- F7 LOG OTHER 5 AUTOMOBILE LIABILITY COMBINEDSINGLE LIMIT S 2,000,000 E a aca dent 41"y AUTp BODILY INJURY IPerpersbn 5 A A'NED SCHEDULED 52SBAF03251 02/28/2018 02128/2019 90D'LY IN.URY IPer acc dens 5 -TOS ONLY AUTOS ~nRED NON-CANED PRO PERTY DAMAGE S X A,,TCS ON'_, X AUTOS ONLY Per acatlenei 5 X UMBRELLA LIAR X OCCUR EACH OCCURRENCE S 1,000,000 A EXCESS LIAB CLAIMS-MACE 52SBAF03251 02/28/2018 02/28/2019 dGGREGATE 5 1.000.000 7ED X RETENTION 5 10.000 S WORKERS COMPENSATION PER CTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER 4NY PROPRIETCR/PAR-NER/EXECUTIVE ❑ NIA EL EACH ACCIDENT 5 OFFICERMtEM BER EXCLJDED (Mandatory in NH) = DISEASE EA EMPLOYEE S f ves describe under 7ESCRIPT ON OF OPERATIONS beiow E L DISEASE - POLICY LIMIT s EACH CLAIM 52 000 000 PROFESSIONAL LIABILITY B $2500 DED PER CLAIM EONORF111767812-002 02/10/2018 02/1012019 AGGREGATE $2 000 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re Contract. Operational, Community, and Electnc Utility GHG Inventory the city of Ashland, Oregon and its elected officials. officers and employees are included as additional insured as respects to General Liability where required by written contract per attached SS0008 Subject to policy limits terms conditions and exclusions 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 Administration & Conservation ACCORDANCE WITH THE POLICY PROVISIONS. 20 East Main Street AUTHORIZED REPRESENTATIVE Ashland OR 97520 rJ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD (mind C anlpany LLC BUSINESS LIABILITY COVERAGE FORM BUSINESS LIABILITY COVERAGE FORM Polio) .52SHAH13251 (bf Rented to. In the care, custody a b. Coverage under this provision does rol Onbact. women agreement or because ef a (a) Any fai- to such control of. or over which physcal apply to pemlat issued by a state or pOhbcal inspections. adjustment a tests or control is being exercised for any (1) -BOOIy injury or 'property damage" sub6vrsion, that Such Person or organca[on servbing as the vendor has purpose by you . any of your that occurred or be added as 8n additional IOSUIed on ybUr agreed IO make or normally 'employees". "volunteer workers" sin whey, provided the injury or damage occurs uraertakes o make in the usuai g injury" any partner or member fit you are 12) "Personal and atlvem subsequent to me execution of the contract or muse of business. in connMlcn a partnership of joint venture). a ansng out of an offense committed agreement. or the ssuance of the permit. wsa Me distribution or sale of the any member hi you are a imhed before you acquired or formed the A person or organization s an additional products' liability company). organization insured under this provision only for that (f) Demonstration installation b. Real Estate Manager a. Operator 01 Mobile EquipmaM period of time required try the contract. semi or repair operations Any person (other than your "employee' or Win respect to'mable equlpmenf' regsered in agreement or permit except such operetions performed the YE "y0lunteer worker; or any Organization you name under any motes Yehlce registration, However, . such carton or orgnaatiOn a an a connection nh with 71e we le of pree of ;^e while acting as your Tea estate rrenager. taw. any person Is en insured whole driving such additional inured under ]he provision it each product. e. Temporary Custodians Of Your equipment along a pubic highway with your person or organization is included as an Prop" par.-.. Any other person or age-horn additional insured by an endorsement issued (9) Products which after disnbubor responsible for the conduct of such person 6 by us and made a part of this Coverage Part. a sale by you have been labele- Any person or organuation having proper also an insured but only with respect to liability ne uding all persons of organizations added or relabeled o used as a binporary cirsbdy of your property if you a6ing out of the operation of the equipment and as additional insureds under the Specific container, part Or ingredient of any die, but Only ony if na other insurance of any kind 6 available additional insured coverage grants in Section other Ming or substance by e- for (1) Vi to respect ro el iiy aisxg out of the b Met person or organization for Me lability F. - Optional Adddonai Insured Coverages. the vendor, or ma menan ce or use of that propeM. add However. rw person or organzaton rs an Irsueed a Vendors (h) "Bodily npury- or 'propem (2) Unol your legal representative has with respect to damage- ansing out of the sole . . 'Bodily Injury' to a co 'emDbyee' of the Any Dersonisl or agani aoolsj fostered to negligence of Me vendor for ins been appointed a bB d. Legal Rapmea etwe M You Die person driving the equipment or below an, ve' o or rl' pbut rdpeRony Only dawamrage mapect arising o own acts omissions or those of adly injury' its employ yees or anyone else Your legal represenative it you die, but b. 'Property damage' o property Owned by, Out of -your products" ~ are dsinbuted acting on ins behalf However, this only with respect to duties as such. That rented to, in the charge of or occupied by m sold in the regular coisse of the vendors representative will nave an your rights anc you or the employer of any person who 6 business and Only if this Coverage Par; excluswn does not apply o. duties under this insurance an insured under the provision. bnvides coverage for -bodily injury' a (if The sxc rpbore contained in Subparagraphs (d) or (f) or e. Unnamed Subaldfary 5. Operator of Nonownatl Watercraft 'property damage" included within Vie Any subsidiary and Subsidiary thereof. of With respect to watercraft you do not own that "prpductstartplGkd op"ov a hazard' (N) teSuch sts o oors asdpl t-tor yours which is a legally incorporated enbty is less than 51 feet long and is not being used (1f The insurance afforded to the vendor senniong the -0 of which you own a financial interest of M carry persons Ion a charge, any person is an is subject to the to lowing additional ran, agreed to make or =no t, move than 50% Of the voting stock on the imaed while operating such watercraft with exclusions: mJSe es to make in Me rry- effecave date of this Coverage Part your permission Any other Person or This insurance does not apply to connection with the ofisd i aganlzabon responsible for the conduct of a The nary noe afforded herein tar any 'Bodily injury' or 'property Or we of ttae products such poison s arse an Insured. but only with damage - for which Me vendor is ee subs a na nor nmedor shown in do does e not of a apply to ly to respect to liability arising Wt of the operation obligated ed to pay damages by 12) This insurance does not apply to an, insured with injury Dr damage a with roepeel to which of the watercraft. and only if no sh reason of the assumption of insured person a organization hcx+, insured ured under g this insurance is also an an insurance of any kind is a+ailabe to that el Imperil, wrxm you have acquired sucri products in a c ontract or agreement r IGliry. or The exctusion does not apply to any Wei into, -grectiern pal into, h a ^^n insured under another Dd N cal or would De parson cr aganlzalion tar this ia P-~j accompanying an nsured under such poley but for its However. no person or organization is an liability for damages coat the coolun ng such probo- lermnation or upon the exhaustion of its inured with respect to vendor would have in the absence linos of Insurance. A. 'Bodily injury' to a m-'employee of Me of the contract or agreement b. Lsason Of Equipment 3. Newly Acquired Or Formed Organization person operating the watercraft. or (b) Any express warranty 11) Any person or organ:;rnc,n i Any oryannzaton you newly acquire a form b. "Property damage" in property Owned by, unauthorized by You: wham you lease ecuarrwr. all, "N with respect let their Iludity fa Wdiiy other than a partnership. jam venture or rented :o. in Me charge of or occupied by (c) Any physical or chemical charge injury" Ilebiliy Company, and over which you you or the enopioyer of any peon- who is in the product made intentionally 'Pepersonal and 'Property advertising y' maintain manual mterfel of more than 50% of ,r. Insured under Me orpv sion by the vendor. 'Personal i njur Caused, in wnele or in part, by Your the voting stock, .0 quality as a Named S. Additional Insureds When Required By fell Repack ng except when maintenance operation c s of Insured H there is no other similar insurance Written Contract Written Agreement Or unpacked solely for the purpose of equipment based to y.il. Sy such available to Mat organzabon However Peron inspection, delrgfl6talbn, being person or Orgli-t n a. Coverage under this provision is afforded The perscnisi or aganizaooos'I dennfied in or the substitution of parts under only Until the ISOM day after you acquire Paragraphs a. lhlough I. below a addachal nsauchans from the rraWfaCturen or farm the corganizat an or Me and of the Insureds wrier you have agreed in a written and than repackaged in the policy period, whichever s earlier and oiginal contamei Form SS 00 OB Oa 05 Page 11 of 24 Page 12 of 24 Form SS 00 08 01 05 BUSINESS LIABILITY COVERAGE FORM BUSINESS LIABILITY COVERAGE FORM (2) Win respect to the insurance afforded e. Permits Issued By State Or Political fa) The preparing. approving. or This General Aggregate Imil does nor to these additional insureds. this Subdivisions faiiure ro prepare or approve, apply to -property damage' to premises insurance does not apply to any (1) Any Sate or cortical subdivision, but o scSi shop drawings, opinions. while rented lo you Or temporarily 'occurrence" which takes place after only ,in respect to operations reports. surveys, field order. Occupied by you wM permission of the you cease to lease that equipment performed by you or on your behalf for change orders. designs a owner ansing out of lire lightning or c. Lanpn Of Land Or Promises which the state Or political subdivision drawings and specifications, or exoiosion (1) Any person or organization from has issued a Permit. (b) Supervisory. Inspection. 3. Each Occurrent. Limit wndm you lease land or premises, but (2) With respect to the insurance afforded amhrkclurel Or anflmaeri Subject To 2.a. Or 2.1, above, whichever Only with respect to liability ansing out to these additional insureds, the acG,idre. applies, the most we will pay for the sum of 311 Of the ownership maintenance or use insurance does not apply to. The limits of insurance that apply o additional damages because of all "bociity injury" of that pat of me land or premises (a) 'Bodily injury', 'properly damage' insureds are described in Section 0. - Limit, 'property damage" and medical expenses leased to you. or -personal and advertising Of Insurance . ansng Wt of any one, "occurraace' Is the (2) With respect to the insurance afforded injury' ansing out of operations How the insurance applies when other Liability and Medical Expenses Limit shown in lo Hake addbonal ideufed3. this performed tar Me sale or an ce -s available to an additional insured Me Oectarabons insurance does not apply to municipality. or is described in the Other Insurance Condition The most we will pay for and medical expenses (a) Any "ocWnence which takes (b) "Bodily injury- or popery damage" in Section E. - Liability And Medical Expenses because of -bodily injury" sustained by a,y place after you cease to Issue that included whin In, 'produce- General Conditions one person rs the Medical Expenses Limn land or be a tenant in that competed oPanasons hazard'. No person or organization is an insured with shown in the Declarations. premises on I. Airy Omar Parry respect to the corauc; of any current or past a. Personal And Advarliirsg Injury Limit (b) Structural eHeralions. new 11f Any offer WSW or organization who partnership to nt venture or limited liability Subject to 2.b. above, the most we will pay I conctructon or demolition - company Tat IS no; shc'rtn as a Named Insured in the sum of all damages because of a. operations is not an insured under Paragraphs a. Me Declaratidrs oiler perbrnietl DY Or on through a above- but only with -personal and advertising injury ' ausainred pal behalf of such person m respect to IUi for "bodily injury' D. LIABILITY AND MEDICAL EXPENSES any one person a organoanon a the Peannal organization and AdvemSing Inl,ry Limit shown in t^c "properly damage- or -persona arc LIMITS OF INSURANCE Decaratmrs d. Architects, Engiriaera Or Surveyor advertising injury" caused in whole or 1. The Most We Will Pay (11 Any architect arginser. a surveyor, but n pan. by your acts a omswons on The Limits of lnsu ranee shown in Me 5. Damage To Premises Rented To You Limit only with hapea lo liability la 'baby me acts or omissions of Morse acting The Damage 70 Premises Rented TO Ycu nlury 'property damage' or 'Persdnal on your behalf. Oectaraions and the roues below fix the most Limit is me most we will pay under Business and advertising injury' caused. in wMe (a) In the performanice of your we will pay regardless of the number of Liabedy Coverage for damages because 11 or in pat by your acts or amsspns or ongoing operations: a. Insureds, 'property damage" o any one parades, while the acts or omissions of those acting pin (b) In connection with your premises Is. Claims made or suds' brought, or mined o you. or in the case of damage by fire. your behalt owned by Or rented to you. or c. Persons or organ-bons making claims or lightning or explosion while rented o you or Ill) In connection with your premises. (c) In connection with "your work" and bringing "suns" temporarily occupied by you with permission of or inducted within the 'products. 2. Aggregate Limits Me owner. (b) In the performance of your completed operators hazard-, but The most we will pay for in the case of damage by fire, lightning or Ongoing operations performed by onlyit a explosion the Damage to Premises Rented To Damages because of bodily injury' and You Limit applies to all damage proximately 11) The written contract or written -property damage' included in the mused by lie same event. whether such (2) Wlth respect to the insurance afforded agreement requires you to 'products<pmpleted operations hazard' is d any combination from fire, lightning or GxpIOSIOn to these additional insureds he provide such coverage to the Products-Compkletl Operations or any of these kA ov ing additional exclusion applies: such additional insured. and Aggregate Limit shown in the This insurance does not apply o (N) The Coverage Part provides Dedlimicn5 6. How Limb Apply TO Additional Inauntls 'bodily injury', "property damage- or coverage for "bodily injury a 0. Damages because of all other 'poorly The most we will pay on behalf of a person or 'personal and advertising injury "property damage' included injury-. "property damage" or "personal organization who is an additional insured ansing out of Me rendering of or the within the "products- and advertising injury- including medical undo the Coverage Pad is the lesser of failure to reader any professional completed operebon5 hazard" . expenses Is Hie Genera Aggregate Limit a. The limits of Insurance speafied in 3 services by or for you, including. (2) With respect to the nsufance afforded shown in the Declarations whden contract written agreement or (a) The preparing. approving. Or b these additional insureds, the The General Aggregate Limn apples perry issued by a state or pollncal allude to prepare Or approve insurance does not apply to separately to each of your 'bonbons subdivision or maps. shop drawings. opinions. "Bodily injury "property damage or Owned by or rented to you It. The Limits of Insurance shown in the reports. surveys. field orders "personal and advertising injury' "Location means premises involving the Declarations. change orders. designs or ansing Wt of the modeling of. Or the same or connecting lots or premises Such amount shall be a part of and not in drawings and specifications or failure to render any professional whose connection is Interrupted only by a addition, to the Lmits of Irsumance shown n (b) Supervsory, inspection architectural . mgineeling or surveymg street roadway, or night-of-way of a Me Dix:arations and described in this Sari-, architectural or engineering services. mctudng radroad actlvnies Form SS 00 08 04 05 Page 13 01 24 Page 14 of 24 Form SS 00 08 04 05 BUSINESS LIABILITY COVERAGE FORM BUSINESS LIABILITY COVERAGE FORM 161 When You Are Added As An Vvher In s -ra- s -ess Over other F. OPTIONAL ADDITIONAL INSURED a. Additional Insured - Grantor Of Franchise Additional Insured To Other Insurance w III pay only our share of COVERAGES WHO IS AN INSURED under Section C. is Insurance Me amount eof Me loss, d any. that II listed or shown as appllcabie In 1ne De_laralions amended to include as an )additional insured frill is Omer InaU'anCe dYBdade to exceeds the sum of the peson(s1 of organization S) Shc- In the yob covering liability for damages (1) The total amount that all on cal Irm nud Coverages ofoverages s Me fivicifinng also o apply apply Optional Whenany y ofththenaim Declaratgns as an Additonal Insured - anslnq out of the premrses or insurance would pay forme loss in the Optional Additional g ns apply Grantor Of Franchise, but only with respect to operations. or products and completac absence of this insurer- and Pa d,tgal Insured Inwredc VvhCovetsen R their hapkry as Paragraph 6. (AdhRequired 9rantoi of hancNSe to yon operations, for which you have been 12) The total of all deductible and seh by Written Contract. Written Agreement or Pencil) 4. Additional Insured - Lessor Of Leased ad bled as an addrtioral msumd by that insured amounts under all that Ohar of Section C., Who Is An Inwred, does not apply Equipment ~n-..ranee or nsurance. b Me person or organizaton shown in the a. WHO IS AN INSURED under Section C. is (71 When You Add Others As An We wit share the remaining joss. 8 any. with Declarations. These coverages are subject to the amended to include as an addrtional Additional Insured To This any other neurone tat is not described in terms and conditions applicable to Business insured the persons) or organaatch(s) Insurance this Excess Insuance Provmon and was rot Lubrllty Coverage in this policy. except as shown in the Declarations as an Additional That is other nsurarxe available to an bought speofrcally to apply n excess Of the provided below Insured - Lessor of Leased Equipment addmonal insured Limits of Insurance shown in the 1. Additional Insured - Designated Person Or but only with respect to liability for 'bodily However the following pfoveupins Declarations of this Coverage Part Organization injury. -prop" damage' or 'personal apply to Dave, Insluance avadahis to e. Method Of Sharing WHO IS AN INSURED order Section C. Ia and advermng injury' caused, in whole or in pan, by your maintenance, operation or on of oigan¢aixm no b an If all the other insurance permits amended b include as an addrbpnal insured, n!l1r.rail insured under this Coverage corInbuhon My equal shares, we will follow the person(s) or orgamzation(sl shown in the use of equipment leased to you by such ~a^ this :method also Under this approach. Declarations, but only with respect o laoikry perennial or organaatorlsl Dal Primary Insuraace When each insurer conthoules equal amounts for -bodily injury'. -property damage' or b. 1Mth respect to the insurance afforded to Required By Contract until it has pad its applicable limit d -personal and advertising m)ury' castrated. in these emotional nsurads his insurance Tors insurance is primary if you insurance or none Of the loss romans, whole or in pan. by your acts or ombsio^s a does not apply to any "occurrence" which have agreed in a wni err conhact whichever COmaa first tie acts or cmis510ns of those acting on your takes Place after yo, :ease to lease that written agreerhem or permit hat K any of he other nsurarvre does not permit behalf eoulpment contribution by equal snares we wit a. In the performance of your ongoing 5. Additional Insured - Ownere Or Other the insurance be primary If other, s also primary w will mnshoule by limits Urger M method. each operations or Interests From Whom Land Has Been share rain ali Mal nher Insurance usurers Share b based on are ratio or its b. In connection with your premises own" Leased by the mil described in c. appA'Icable limit of issuance to the total by or rented to you. a. WHO IS AN INSURED ender S-- C. Is below applicable limits ofmsuraxa Dail insurers 2. Additional Insured - Managers Or Lesson amended to nclude as an additional (D) Primary And NonContnDutory 8. Transfer Of Rights Of Recovery Against Of Premises insured the person(s) car ager-tion(sl To Omer Insurance When Others To Us shown in Me DedamOons as an Additional Required By Contract WHO IS AN INSURED under Section C. is Insured - Owners Or Other Interests From a. Transfer Of Right. Of Recovery a amended to include as an additional insured WTan Land Has Been Leased, but only If yo, have agreed in if w,rlien IT die insured has n rata to recover ad a time persorys) or 0 n¢ason151 shown rri me contract. written agreement or t of g with respell habllry aming out at the par any payment including Declaraions t as an Additional Insured owhershp. mau intenanceor oru use se of that pen permit that the Insuarce rs Sunlit Mentary payments we have Moe Dersgnated Person Or Organization, but only of the land leaned to you and shown in the primary and non-contrqu Im with unit. his Coverage Pan no. rights tine with respect to IaMdy arigirg out Of to Decialaso 5 the additional insureds twin hansfarred to us The rh-.d -at do O.vrershp namissi cruse Ofavasid n0l insurance, this insurance m noh Ing after loss to Impair them At our the pem+9es mead to you and shown n Me Is, Whh respect to this insurance afforded b primary and we will not seek regUCSr the insured will bring still or Declensions these addtiionel Insureds, the following . " a0di"ral excllsions8 contribution from toot other transfer mdse ngn6 to us and help us IS. Wh respect to he insurance afforded to POy insurance. enforce them The condition does rd them additional insureds, the following This insurance does not apply to Paragraphs Is) and (bl do not apply to apply to Medical Expenses Coverage additional exclusions apply (1) Any 'occurrence' [hat lakes place Amer Inwance to which the additional b. Waiver Of Rights Of Recovery (Waiver This Insurance does not apply to altar you cease to lease hat land: or insured has been added as an Of Subrogation) (2) Structural afterrabons. he. additional insured 111 Any 'occurrence" t which takes pace const-on o, demofhon operations If the insured has waived any rights of after you ream to b be e a a tenant in Ina) Whey this insurance is excess we will recovery against acy person or premises: or perforrivrd ny a on behalf of such have no duly under this Coverage Pan to organ¢abnn for all or part of any payment Parson or organization defend the insured against arry 'suef'dan l2) Structural aftaraaons nee Y including Supplemerttary Payments, we e. Additional insured - State Or Political other mwrer has a duty to defend the have made under his Coverage Pan, we performed or behalf of such uto fa Subdivision - Permits sured against that "aud" It no other also waive drat right provided the insured person by or f on m behaN O er defends. we will undertake to do waived Cher nights of recovery against pem+o^ or Organization e. WHO I AN INSURED Se C. b n but we will lea emitted 1^ the neumeds such person or organization in a contract. amende ed to include a as s an ado, tional sip its against all those othv insurers agreement or parmt that was executed Insured me sale pnbt suddrvrsgn sliown in ma Dedam raeons as s an Aedlia,m Door fD the injury or damage Form SS 00080405 Page 17 of 24 Page 18 .174 Form SS 00080405 BUSINESS LIABILITY COVERAGE FORM BUSINESS LIABILITY COVERAGE FORM Insured - Sate Or Poi-I SuDprv SlOn a) Any fee- to make a.h Ths insurance ones no: apply to structure: The limits of insurance Mal apply to adesgnai Permits, but only with respect to nspectona adaistrhents. lens or elterebons. new consu.M., and demoiition insureds are described in Section O. - Limits Of operations Performed by you or on your se viorg as the -W has agreed ofemochs performed by or her that person or Insurance behalf for which the state or political to make or rgrnusy underlakos to organization How this insuance applies when other insurorkx subdivision has issued a permit make n he usual course of 9. Additional Insured - Owners. Lessees Or is available b an additional Insured is described in 6 With respect to the insurance afforded to b.,shal in canrecoon with Me Contractors - Scheduled Person Or the Other Insurance Condition in Sector, E. - dam additional insureds the 101IM g dstrrbuton a sale of the Pool Organization Llahby Aid N1da¢aI E%penses Cereal addrbohal exclusion apply (f) Derinrsirenon, inclisill a. WHO IS AN INSURED under Section C.IS Lad^lon=- Thlalnsurancedoesnotapply to servicing a repair operations. amended to include as an additional G. LIABILITY AND MEDICAL EXPENSES 111 'BdditY Oil 'property damage' or axcept such operations performed assured the pereon!s) or ot9anc ationsl DEFINITIONS at the vendol premises ir' shown n the Declarations as sn Adhtonal 'personal and sovemsng injury" connection with the sale of the Insured - Owner. Lessees Or Contractors. 1. Advenrsement'- means the widespread pubic arising out W operations performed fa product die-houon of information on m Me state or munoipaill or but only with respect to liability for -bodily r ages Mat 121 'Bodily Injury' or "property damage' (g) Products which alter dmasbutjon rjury-. Property damage' or 'personal has the purpose of Inducing the sale of goods. Included in the "product-completed or sale by you have been labeled and adveasing olpi ..Sao rn whoa a products or serVCes through or relabeled or used as a m oar; by your alts or omissions or the a. (11 Radio, Operations hazard container part or ingredient of any acts or omissions of those acting on your 12) Telr 7. Additional Insured - Vendors Dover thing or substance by a fix oehed. 171 8diboamboa. a. WHO IS AN INSURED under Section C. m the vendoror (1) In the performance of your ongoing amended toinclWe as an additional (h)'Bohy injury" or "popery operations for the aaddrbonal l41 Maganhe. Insured the persoMSi or agan¢aton(si damage- arming out of the We rnsumd(s). or (5) Newspaper i referred to below as verdor) shown in the negligence of the vendor for its 121 I 'year vol b. The Internet, but only that pen or a web Decerelons as an Additional Insured - own am or anmmgns or troth M performedmotl for that eddltxxrel insurer? sole !oat m about goods Products a performed for t o ends. but only with respect to `bodily its employees or anyone else services for me purposes of inducing the or 'Property ' damage' arming ou t of acting on its behalf However his and included within the 'Products- but eye of goods, products on services. or rury" your products- which are distributed a exclusion does not apply to completed operators hazard'. but solo in her regular course of the vendors only R this Coverage ge Penn provides c. Any publication toil r9 given dclrrbution nusness antl ooh If Inds Coverage Pan Il The exceptons axmtalrved n coverage for bodily jury' a dapread pudic pr s. 5 coverage for "bodily injury" or Subbaragraphs (it) or (R'. or "property damage" Included within the However.'advermement" does not include ,ides -prcperry damage' included within the (N) Sudl mslxctions, hazard' camPleted opeaoons a. The design printed material. adpnnetion productscpmpleted oneraao its hazard" adjustments, lasts or servicing Hazard' a images contained n. on or upon the D. The insurance affa0ed m the vends b as make the vendor has agreed to b. With respect to the Insurance afforded to packaging or nor Melly undenekes these additional insureds. orb insurance proQu~ or labeling of any goods or subject to the following additional exduspfm: to make n the usual course of does not apply to "bodily injury 'popery w or (1) T^.s ~~surencedoesnotal to business in connection with damage- or "personal an adverbsng among atnIn^^9 Persons through croua,gn through s coeonmpuar between network (a) 'Bodily rtjury' or "property time distribution or sale of the Ijury" ansing out of Me rendering of. or damage for which the vendor is products the faiure to render, any professional 2. Adverting Klee" means any idea for an oN gated to on damages by (2) This insurance does not apply to any architectural engressng or surveying 'adveraseme t" ieasa of tha assumption of insured parson or organization from services including 7. "Asbestos hazard" rearm a exposure or Iiahl'y in a conhact or agres-rd whom you have acquired such (1) The preparing. appr"ng, or failure to threat of exposure to the actual or alleged This exclusion doe8 hot apply to products, or any ingredient pan Or prepare or approve, mi shop properties of asbestos and mokdes the mere liability for damages that the container. entering Int. drawings. opnions, rePon.. surveys, presence of asbestos in any form. e ,don would have m the absence acc-tai rug w containing such field orders. change others. desgns or 4. -Auto' means a and (rotor vehicle trader or o' the contract or agreement products. dawings and specifications. or semi-taller designed for Vavel on public (b) Any express warranty 8. Additional Insured -Controlling Interest (2) Supervisory inspection. architectural Made. including any attached machinery a unauthorized by you. WHO IS AN INSURED under Section C. Is or angineenrg active- equipment But "auto" does hot include jr) physical or chemical change amended to nciude as an additional nsuac 10. Additional Insured - Co-Owner Of Insured "na le equipment' ne product made Intentionally the person(s) or organization(s) shown in the Promises 5. Bodiy injury means physical. by the vends, Declarations as an Additional Insured - WHO IS AN INSURED under Section C. is e- Injury (d) Repackaging unless repacked Conhosrng Interest but orgy with respect to amended to include as an additional insured Its. Sckness, or .clay for the, p q-. of Inspection, their lablkty, all out of the person(s) or Organ¢atons) shown in he c. Disease r3l,mo mtration. twang a the a. Their financial control of you, or Deoaratom as an Additional Insured - Co- suowtull of pans under b. Premises they own. maintain on control Owner Of Insured Premises. but only with sustained by a person and, if arming out of the "'I Ums Hwn the nmanulachlam whde you !ease or occupy them drambe9. respect 11 their IaWNh as co-0Wner of ilia above, rtenai anguM or death at any lime aria men repackaged Iin Me cri premium shown in the Declarations. 6. 'Coverage territory- means: Form SS 00 D8 04 05 Page 19 of 24 Page 20 of 24 Form SS 00 08 04 05 I