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HomeMy WebLinkAboutInsurance Certificate: HMI Oregon Dealership, Inc. I HMIOREG-01 VRUSSELL ACORO CERTIFICATE OF LIABILITY INSURANCE 1 DATE(MM/DD/YYYY) 06/0112018 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). CONTACT Victoria Russell PRODUCER NAME: Biggs Insurance Services PHONE 360) 828-3793 FAX PO Box 189 (A/C, No, Ext): ( INC, No): Vancouver, WA 98666 ADORIESS:victoria.russell@biggsinsurance.com INSURERS AFFORDING COVERAGE NAIC0 INSURER A: American Fire & Casual Company 24066 INSURED INSURER B: Ohio Casual Insurance Company 24074 HMI Oregon Dealership, Inc. INSURER C: Ohio Security Insurance Company 24082 dba: Workplace Resource of OR 825 NE Multnomah St. Ste 270 INSURER D:Travelers Casual & Sure Company 31194 Portland, OR 97232 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 TH E TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WUD (MMIDDYYYYI (MM/DDrYTYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE F X] BKA55589489 0610112018 06/01/2019 DAMAGE TO RENTED 1,000,000 X X PREMISES Ea occunence $ MED EXP An one person) $ 15'000 PERSONALS ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2'000'000 POLICY E] Ppion F-] LOC PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY OMBINEDtSINGLE LIMIT $ 110001000 X ANY AUTO BAA55589489 0610112018 06/01/2019 BODILY INJURY Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Peraccidenl $ X HIRED X NON-OWNED PeOacciZt AMAGE $ AUTOS ONLY AUTOS ONLY B X UMBRELLALIAB X OCCUR EACH OCCURRENCE S 5'000'000 EXCESS LIAB CLAIMS-MADE US055589489 06/01/2018 06/01/2019 AGGREGATE $ 5'000'000 DEO X RETENTION$ 10,000 $ C WORKERS COMPENSATION X PSTATUTE EORH AND EMPLOYERS' LIABILITY V XWS55589489 06/01/2018 06/0112019 1,000,000 OFFICERIME,MBER EXCLUDED?ECUTIVE ❑ N/A E.L. EACH ACCIDENT $ (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1'000'000 DE SCRIPTIONOFOPERATIONSbelow EL.DISEASE - 1,000,000 POLICY LIMIT $ D Crime 106083592 0410112017 0410112020 ERISA 50,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required) City of Ashland, Oregon, and its elected officials, officers and employees. Additional Insured status is determined by policy forms and conditions as interests may appear. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty ACCORDANCE WITH THE POLICY PROVISIONS. 90 N. Mountain Avenue Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD i 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 - EL.EVAIToR.S 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 OR PERMIT 3 PRMAARY AND NON-CONTRIBUTORY- ADDITiONAL_ INSURED EXTi NSION 6 ADDITIONAL INSUREDS - EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" 65::::. . WHO IS AN INSURED - INCIDENTAL MEDICAL. ERRORSIMAL.PRACTICE AND WHO IS AN INSURED FELLOW EMPLOYEE EXTENS€€ 1Y - MANAGEMENT EMPLOYEES S 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 S WAIVER OF TRANSFER OF RIGHT'S OF REC€ VERV AGAINST OTHERS TO US - R WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU y.~. q~ C~3 i ~ f' 4.1i~E:: a~i f~liitftl: 7?S;a?1Ct7Psrr CG 88 10 04 13 Includes Uo,y.'y0gi ed r-nitefial c- ~fiuli%'$7Sf;9 ~l£.C~'4f.:8$ 04;,;ce., Inc,,with s;S Zf'rmi?s5ion. Page I of 8 With reF,paec r to coverage afforded by tl [3 undorsurnent, thu I3rt1Yi 1:'1"iS Ur tl:~ poik;y apply unless modtif ed by the endorsement. A. NON-OVtNED AIRCRAFT Under Paragraph 2. Exclusions of Section I - Coverage A e 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 aired, chartered cr !oaned with a trained paid crew; 3. The pilot in command holds a currently -affective certificate, issued by the duly constituted authority of the United States of America or Canada, designating her or hiri a commercial or airline pilot; and 4, It is not being used 1,0 carry persons or property for a charge. However, elee ilr:ur~sl,:_~of uid d by this provision does not apply if there is a;reilable to the inaured other valid and collectible insurance, whether primary, excess (other than insurance written to apply specifically in excess of his policy), conting=ent or on any other teams, that would also apply to the loss covered under thES provision. 8, NON-OWNED WATERCRAFT Under Paragraph 2. Exclusions of Section I - Coverage A ^ Bodily bier y Arid Property Damage Liability, SUhparagraph (2) of exclasir.rr 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 52 feet long; and (b) Not being used to carry persons or property for a charge. C, € ROPER'TY DAMAGE LIABILITY o EL VATOR$ 't. :.ender Paragraph 2, Exclusaorss of Seetlon I , Coverage A " Bodily Irx, m-y And Propet-ty Damage Liabil- ity, Subparagra- phs (3), (4) and (6) of exclusion Damage To Property do not apply if such "property dar a- ge" results from the use of elevators. For the purpose of this provision, elevators do not include vchic;e lift. `chic-l-, lift, 3re liftu or hoists used ;n lutornobile eer%;i::E Or r~5pair operations. s. The following is added to Section IV ° Commercial General Liability Canditions, Condition 4. Other Insurance, Paragraph 13, 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 DANIAGE TO PROPERTY RENTED TO YOU (Tenant's Property Darnage) If Damage To Premises Rented To You is not otherwise excluded from this Coverage fart: 1. Under Paragraph. 2. Exclusions of Section I - Cavorage A - Bodily Injury and Fivaparty Damage I iabift! ra. l l;e fourth front-: the last paragraph of exclusion i. Darnaga Try Property is repiaced by the follow- Paragraphs (1), (3) and (4) of this es:clusion do riot apply to "property damage" (other than damage ;v #ira, Iigl?thing, e;~plosi gin, srr;~ke, or l~:aKage f; i71 ill alltarnatle fire protection sy:sI(, rrilte, Vii) Promises rented to you fora period ref? or fewer ennsprwilvQ days; or (ii) Come nits that's'ou rent or lease as part of a premises rental or lease, 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 !car fewer consecutive days. A, separate limit of insurance applies to this coverage as described in Section III - Limits of Insurance. 20? 3 LiLarcv MuKua! lrea:~ra:::e CG 88 1 04 1 mcltudcs rogyrighted material of lnsur3rice Sere ices nffic* ;ne., with its permiss or7. Page 2 of 8 b. The last paraq?•at.h of lshsection 2. Fmcl siong is rraplaned by the follovvingr Eyclusions c, through n. do not apply to damage by tire, lightning, explosion, smoke or leakage fr= t'n Autorfintic fire protection systems to prerrnises while rented to you or tem.-porarily occupied by you fvith Permission of the ev ner. A separate limit. of iri-surarice app:kes i,: Daertdw-_ Tc ?t~trtise5 Rented To You as described in Section III - Limits Of Insurance., 2. Paragraph 6, unde t Section 111 - Limits Of Insurance is replaced lay the foilo=avincg: 6. Subject to Paragraph 5. above, the Darrnage 'To Premiss Rented To You Limit is the most vie will pays under Coverage A for damages because of "property darnage" to: a_ Any ona- prerniise: (1) While rented to you; or (2) While rented to you or ternpararily occupied by ynu with permission of the owner for darnage by 'tire, 1ightrdn-, F'Kplosiun, st-t tl t! iii l_'dkdS .u fr nit dut.?rnaflu p iotectif+rl sys.. terns: or b. Clonterits that you rent or prase, as part of a parernises renta or lease agreement. 3, fes regard coverage provided by tFis provision D. EXTENDED DAMAGE TO PROPERTY RENTFD TO YOU (Tenant's Propefly€ Damage) Paragraph -at. of Definitions is repl$ced with thy; followingg g.a. A contrnc:t for a loace of prerrtiset;. Hovvove-r, that portion of the contract ?car a leasc of prEytYif es that ndemnifir's any pe snn or organization for damage by fire, lightning, explosion, smoke, or le3stl; ge frorn zutorriatic fire protection systems to premises n' hHe, rented to you or £ernporarily oc0k3p;itA by YOU 104ith the permission of the owner, or for das aqe to Contents :s sucf; premises that are included ir, vour premises rental or lease agreernent, is not a.,a "irk i;trE3r~ t ra rktta~iir> E. MEDICAL PAYMENTS EXTENSION if Coverage C Medical Payments is not otherwise excluded, the Medical Payments provided by this policy are amended as follows, Under Pear gmp"lh 1. Insuring AgrPpmp. t rst action I - Coverage C - Medical Paymt-mts, SUbparagraptl (b) of Paragraph a. is replaced by the following,, (b) The expense,, are incurred and report-t; . d vvith`n three years C7o-~f? ra;.FCii7i the a i;idle nt, ' and ~ s E. EXTENSION F SUPPLEMENTARY PAYMENTS > COVE-RAGES A AND B 1. Under Supplementary € ayments -Coverages A and B, Patagrapi: 1A), is replaced by take follot,,,dnq: b. Up ta, ;x3,000 for coo of bail bonds required because of accidents or traffic law violitions out of the u sr, of any vefkicle to which the Bodily Injury Liability Covei-E:ge applies, We do not have to furnish these bonds. 2. ;5aragrapta l,d. is rsptaev'~d by 3tke~ foplovvirlg: d. All reasonable expenses incurred by he insured at ouir request to assist us ir. the investigation or defense of th-, ; lair(.: or kit ludit?l a4Audl Wbb ul aiiilkl:i ups v.~ $5001 o day Uf--cause ur off from ix;arly. G. ADDITIONAL INSUREDS - BY CONTRACT, AGREEMENT OR PERMIT 1. Paragraph 2. under Section it - Who Is An Insured is amended to include as an insured any p erso.n or orctani.:a:tior: horr. you have agreed to add as an addil:i4r3.a, l It rtsk;i'ed in a v+7ritlen (contract, written a^reement tar per-mit. Such person or organization: is an additional insured but only, with rt:3spect to ilability fnr "bodily injury" "property dar.^age" or "personal and advertising injury" caused in v.hole or in part by: a. Your ac?c or Corms ttlnc, or the alt tf or cnrni:ssionk Of thoc-_ acting on your. behalf, in the pertorr-nance of your i3n going cap=orations for the additional insured that are the subject of the :written contract or written agreement provided that the "bodily injury" or "property darnage" o",urs, or ,he "per- sonal and advertEs3rEt it jury"' is coo ritfed, subsequent to the sie nin^ laf StEt'k written contract or vvr?tten 3cree✓rrlent , or U 2013 Uberty NlutuBl tr.surar= CG 88 10 04 13 Ir_litdes ccovrici,t_G ma:eria::)f kt15w: ace `~e;rvk,~es Ot ice, iric.. with its pennissiort. Page 3 of 8 b. Prerr:isms or facilities rented by you or used by you; or c. The maintenance, operation, or use by you of equiprnennt rented or leased to you by such person or organization; or J. Operations pe-r cirrned by you or on your behalf for which the state or po ical subdivision has €szued a Permit subject to the following addit ona€ pro, is€onts: (1) This insurance :rot apply to "bodily injury", "property damage", or "persona- and ad- vr,rtisin,g injury" arising out of the operations performed for the state or political subdivision; (2) This insurance does -iot apply to "bodily injury" or "property damage" incff,uded .%,,ithirn the "corn€>leted operations hazard", (3) insurance applies to premises you own, rent, or control but only with respect to the following hazards: (a) The exi t-omce, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies.. cellar entrances, coal holes, driveways, manholes, marquees, hoist wway openings, sidewa'k vaults, street banner's, i7 F' decorations and ir'rtii23r 1, pia surer; o (b) The construction, erection, or removal of elevators; or (c) The awnei-;;hip, rnainter:anc:e, of use of any eleuatur s covered by this insufance. However: 1. The ins22rcrty= aflordcd to •0uc t additional ir,cure:, only cps;€ien to the extent permitted by law;,and 2. If cove-rage provided to the additiurti3f insured is required by a contract or agreement, the insur- ance Otorded to SUCil additional insured will not be broader than that which you are required by the contract or ucgreern nt o provide for such adIditional insured. With respect to Paragraph 't.a. above, a person's or s,r~~sr3;rr; or}`s Status as an additional ins ,Ured under this endorse-meat ergs when: (1) All . ork., including materials, pars or equiprnent furnished in connection -with such work, on the project (other thari service, n"iaintenan e or repairs) to € e performed Z)y or on Est`€'alf (if the ,iddit:011 ,r €a~~~;re?, lc~ St then i scaition of the cauered c1peratiorc3 ha-U b3 ,en icorfiple:-s.--d, or (2) That porilon of "°your work" out of V,,hich the injury or damage arises has been put to €te intended use by any ,;person or organi at.on other than another contractor or sub.-;ntractor engaCCe d in pell'rming apera'r.ionse for a Principal as a pal t ttr the Same project. With respect to Paragraph I.b. above, a persoWs or organization's status as an additional insured sunder ti is endorser-nernt: ends when their ,",r:itten contfact or writ en agreernent Vvltli you for such premises or fari€ifls,-s s~nck- v kith respe_.ts to Paragraph .o. above, this insurance does not apply to any "ac curie-ce" vvh€c h takes place after the equipment, rental or (ease agreement has expired or you have returned sucli equip-vent to the lessor. The insurance provided by this endorsernent applies only if the written contract or written agreement is ig-pned prior to the "bodily injury " or "Pr€ pe:ti%d:rrnage", 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 b. of Condition Duties In the Event Of Occurrence, Offet e, Claim Or quit undor Soction €V - Commercial General Liability Condi- tions. e~y p~ 2013 Lit art~r Muiu~i In~ur27nca CG 88 10 04 13 Cgpyr:cnhtr f1 _2rar;v- Servirm; 0`C .e, it"C', Wfitri It} ~T€?rfF9i§ i4?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 does not apply to, a. "Bodily injury" or 'property darnage" 3--ising frarn Vie sale ?negligence of the ?dd:ti€ nal insured. "Bodily injury" or "property damage" that occurs prior to you commencing operations at the location where; such "bodily injury" or "property damage" occurs. c, "Bodily injury" "property damage" or "personal and advertising injury" arising out of t"e rerder- ing of, or the failure to render. any professional architectural, engineering or surveying services, inciudinr; (1) The preparing, approving, or failing to prepare; or approve, rnaps, shop drawings, opinions, reports, surveys, field orders, chance orders or drawings and specifications; or (2) Supervisory, inspection, crichitec:tural or engineering activities. This exclusion applies: even if the claims against any insured allege negligence or other wrongdoing in the superv.slon, hiring, employment; training or mori:'torine of others by that insured, if the "occur- rence" which caused the "bodily injury" or "property damage", or the offense which caused this "personal and advertising injury", involved the rendering ol, or the failure to render, any professional architectural, engineering or survi'yincg services. d. "Bodily injury" or "property damage" occurring after: ('t) All work, including materials, parts or equipment furnished in connection with such work, on the project (Other than service, rnnaintenan-ce or repairs) to be performed by or art behalf of the additional insured(s) at the location of the covered operations has been € ornpleted; or (2) That portion of "your taio&" out or sminir-h tl-,a !n1ury y or darns9a arises has been put to its Intended use by any person or organization other than another contractor or subcontractor' engaged in performing operations for a principal as a part of the same protect. P. Any person or organization specitically designated as an additional insured for ongoing operations by a separate ADDITIONAL. INSURED -OWNERS, LESSEES OR CONTRACTORS endorsernent is- sued by us and made a part of this policy. 3, I ith respect to the insurance afforded to these additional insureds, the foilowincg is added to Section III - Limits Of Insurance- If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional lnsrlree Is the amount of Insurance: a. Required by the contractor agreement; or b. Available under this applicable Limits of Insurance shown in the Declarations; Whichever is less. This endorsement shall not increase the applicable Limits of Ins€tranre shown in the Declarations. H. PRIMARY AND NON-C{3NTRIBUTURY ADDITIONAL INSURED EXTENSION This provision applies to any person or organization who qualifies as an additional insured under any form or endorsement sander 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 art additional insured's policy has an Other Insurance provision: making its policy excess, and you Houk ogrecd in u written, contract ar written ogroan-iant to provide the ocditional insured covcrago on a primary and noncontributory basis, this policy: shall be primary and we will not seek contribution from the additional , ir:sut ;s policy for derr:a._ es we corer. ed., ~3 ~y 20:3 ~ SS;s;r!u Mt:!4;3i ~+tyt~:.S:,t:t' t..G 88 10 04 13 :'st;i_itfPS CC ;1)Ett',~lr%?tf S 1Gf8t'iei G li'.St:•`~?2Gi' sf rv;0es IN";e, vJi'slt S:'S J`kES IISS:Ofi, Page 5 of 8 b. The following is added to Paragraph b. Excess Insurance- When a vlrritten contract or written agreement, other then a premises lease, facilities rental contract or agreement, an erquipment rental or tease contract or agreernent, or permit issued by a state or political ut"Jidision et%`deen, Qu and an addiV nai insured does not r~ust€ i ErY;iEru£i= to, Isti ~i£inla£y or primary and nort-cont6but;ory, this insurance is excess over any other insurance for which thte addi- tional insured is designated as a Nanned insured. Regardlece of the ;.vrittan agreement between you and qtr: additional ir~vaJrad; this insurance is excess over any other 6rtsr;rance vAethter primary, excess, contingent or or, any other basis for which the additional insured has been added as an additions' insured on other policies. L ADDITIONAL INSUREDS - EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" This provision applies to any person or organization who qualifies as an additional insured under any form or endors+:me nt under this policy 1. -he following is added to Condit'-on 2. Duties In The Event Of Occurrence., Offense, Claim or Suit; An addif onfil ir::'uri:d under this €:ridortement will ia3 ;:Oori 8s pra(?ti "bl4: a. Give written notice of an "occurrence" or an offense that re-lay resuilt in a claim or "shift" strider this insurance to us; b Tendar the defense and indemnity of arty Claim or "suit." to ;311 inswers Whom also have insurance available to the additional insured; and c, Agree to make ava€lable any other insurance utiriEi€:tt the additional insured hat; fuf a loss ,rvu cnf„r strider this ("overage Part. c€. We have no duty to defend or indemnify art additional insured under this endorsement until wv recviLe vviiac-,n nvtivW u a "t ruit" try chu additivoal in,5ared. 2. "fie limits of insurance appli ab€e to the additional insured ;ire those specified in a written contract or vvr£ittert agreernent or the limits of insurance as stater,' In the Del; ar,atioris of this policy and defined in Ser;ti€ n ill - Urni•ts of Insurance of this policy, v illic;liever are less. These hnifts are inclusive of and not in addition, to thie limits of insurance. available cinder this policy. J. WI-10 IS AN iNSt RED - INCIDENTAL MEDICAL ERRORS ! &IIALPRACT€CE W€••€O IS AN lNSt RED - FELLOW EMPLOYEE EXTENSION - MANAGEMENT EMPLOYEES Paragraph 2.ai.(I)of Section If -Who Is An Insured is replaced vvith the following: (11 "Bodily injury" or "personal and advertising irijury (a) TO You, to your € artner's or Members (if you are e partriership wr fiaint `denture), to your members (if you are a limited €isibility company), to :a co-."tarrap1oyve" ` hilp in the coarse of his or heremploy- ment or performing duties related to the conduct of your i:tusiness, or to your other "volunteer wrc~reers" chile performing duties related to the conduct of your business; (b) To the spouse, child, parent, brother or s;ster of that i "er pi(3•}':^-e" or "vol.-int-'.er worker" as o consequence of Paragraph (1) (a) above; (c) For which thero is any obligation to share damages with or repay son-teone else who must pay dar;tage;s L-ecause of Vie injury de;serib,_-d in Pala(jraphs {a) or (b) ab- v,~; or (d) Arising out of his or fie: providing or filling to provide profess ~ional health, care services. However, if you are riot in the business of providing prefessionat health care services or providing profes- sEoriat health care personnel to others, or if coverage for providing .1professional health rare ser- vices Is nett otherwise excluded by separate endorsernent, this provision 'Paragraphs (d)} Nixes not app€y: Paragraphs (a) and (b) above do not apply to "bodiiy injury" of "personal and advertising in ury" caused by an '•ernployeo" who is acting in a supervisory capacity for y€ti.l, Sup-ervisory capacity as used herein means the `'employee's" job responsibilities assigned by you, includes the dirfirt supervision of other "employ- ees" of yours. Ha-vvever, none of these "er` ployees" are ?nsuro`ds for "bodily inmy" or "personal and ' 2013 Lihert^y Mutual insurnnep CG 88 10 04 13 in: Lades ccpyrighled m3lerial of lr: orari•--e Servi.-_> :office, Inc.. "mith its PersrJis i_uJ. Page 6 of a advartislrncg injury" arising out of their wi€ItuI conduct, whiel: is c,efined as the purposeful or wl;€Iful intent to cav3CF "bodily injury" or "personal and advertising injury", or caused in whole or in part :3y theii iraoxica- tion by iiquor or controlled substances. The coverage provided by provision J. is excess over any other valid and collectable insurance available to your "employee". K. NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES Paragraph 3_ of Section 11 -Who 1s An Insurod ies replaced by this fol;ovvinq: 3. Any organization you newly acquire or farm and aver Which you maintain ownership or majority interest, vvill qualify as a Named Insured if there is no other sirni€ar insurance available to that nrgerriaation. Hn vever : a. overage under this provision is afforded only ;rntil the expiration of the policy period in which the entity was acquired or farmed by you; b. Coverage A doe:; not apply to "i3G+Hily injury" or "propart{ damage" that occurred bef! tre you acquired or lormr:ed the organization; arad c. Coverage B does not apply to "personal and advertising in dry" ,arising out of an offense coal-nitted bafc~rv you t:r quircd or formed the orgenization, d Records and descriptions of operations must be miaintained by the first Narned Insured. No per' so n or orgmizfatinn is an insured wi h respect to the conduct any ci:rrent or pD i st partnership, joint. venture or .irrnivad liability company that is not shown as a Narned tr:tr;ror~ ire the Declarations or qualifies as an insured under this provision. L. FAILURE `J'0 € ISCLClSr. HAZARDS AND PRIOR OCC }}1=t1;ENCES Under Section IV - Commarcial General LiabilftV Conditions;, the following is added to Condition 6. Repre- sentations. Your failure to disclose all hazards or prior "occurrences" existing as oftt:e infeption date of the policy shall no't}r} kidiCe; the coverage afforded by This policy provided such fail„re to disi;3osp all hazards 0, pri-or "at curry}cs.s" is not int~?ntlon2l. M. KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT Undor Section I`tf - CnrnmcrcW Gf-aeral Usbility Canditions, the forlciwing :;,,tdde:d k; Condition 2. 01stee s In The Event of Occurrence, Offense, Claim Or Suit- Knowledge r v of an "orcwrr~ence" offense, claim or "suit" by an agent, servant or "einip•1C2YPie" of rainy insured shall not in. itself constitute knowledcle of the insured unless an insured listed under Paragraph I. of SSection Il - Who Is An Insured or a person who has been designated fay t:hern to recuive reports of occurrences".. offenses, s_la- imis or "suit" shall have recelsed ,siuc~ i notice frown the alter t, servant or N. LIBERALIZATION CLAUSE if we revise this Cor-rnmercial Ge:;era€ Uabil€ty Extension Endorsement to provider mote. coven'-:19e without ,additional premium charge, your policy will automatically provide the coverage as of the day ttie revision is effective in your state. OBOMLY INJURY REDEFINED Under Section V - Definitions, Definition 3. is replaced by the follot.rJing: 3. "Bodily injury" means physical injury, sickness or disease sustained by a person, This ' includes sec sluc..... mental anquiErh, mental in ury, shock, fright or death that results frown such physical iT;ury, sick- ness or disease. r~ 2Ui? ibcry i.4t2:uni in:.tFe+~nae y~ ry ,,r,,G 88 I ~y q3 0.w q:y ll 04 ~fiC`s+t(:'a`$ v4~~jJfr;j ~}4~ F?sis;{;., sir ;Fz r ;S :r s_ :,h <'P':} d-C`. a~ ~ I of CS P, EXTENDED PROPERTY DAMAGE Exclusion a. of COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY is replaced by the following. a. Expected Or Intended Injury "Bodily injury" or "property damage" expected or interided from the standpoint of the insured. This exclusion does not apply to "bodily injury" or "property damage" resuiting from the use of reasonable farce to protect persons or property. 0. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US - WHEN REQUIRED IN A CONTRACTOR. AGREEMENT WITH YOU Under Section IV - Commercial General Liability Conditions, the following is added to Condition & Trans- fer Of Rights Of Recovery Against Others To Us- We weive any right: of recovery we may have against a person or organization because of payments we make for injury or damage arising out. of your ongoing operations or "your vverk," dorm under a contract with that person cr organization and in,clude[f in the "prod ucts•completed operations hazard°' provided- 1. You and that person or organization have agreed in writing in a contract or agreemient 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. I ti i ~ LibCr"y p+~UfUCi in3Ul'7 nOC ICG 88 10 04 13 ~:U:ft:3 ear,v: ightvd rfiaka:rt;sf Ir?31if8~t?e sprJict:: f.ttifsf;, iftr,,, v its rSnnr,statLefe. prigs 3 of 8 dt;•