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Insurance Certificate: Pacific Electrical Contractors
AC�® DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 6/25/2019 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 ' Ward Insurance Agency Inc. PHONE Kim Schnetzky FAX PO Box 10167 IA/c,No,Ext): 541-687-1117 (A/c,No):541-342-8280 Eugene OR 97440 ADDRESS: kim @wardinsurance.net INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Cincinnati Casualty 28665 INSURED PACIELE-01 INSURER B:CNA Surety Pacific Electrical Contractors Inc 920 S. Grape Street INSURER C Medford OR 97501 INSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER:1623013719 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y EPP 0488739 7/1/2019 7/1/2020 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $500,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X JECT- LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: Limited Pollution $1,000,000 A AUTOMOBILE LIABILITY Y Y EPP 0488739 7/1/2019 7/1/2020 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) A X UMBRELLA LIAB X OCCUR Y Y EPP 0488739 7/1/2019 7/1/2020 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE _$5,000,000 DED X RETENTION$D $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRI ETOR/PARTNE R/EXEC UTIV E OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Installation Floater EPP 0488739 7/1/2019 7/1/2020 Limit:$500,000 Ded:$1,000 B Professional Liability CE02088371577 7/1/2019 7/1/2020 Limit:$2,000,000 Ded:$10,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder and all entities required by written contract are included as additional insureds on a primary and non-contributory basis with waiver of subrogation as respects to the general liability including completed operations and auto liability, including waiver of subrogation as required by written contract per attached endorsements. Umbrella follows form over General Liability,Auto Liability and Employers Liability.Subject to policy limits,terms,conditions and exclusions. Re:Ashland Booster Pump Station Integration CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ashland 20 E Main Street Ashland OR 97520 AUTHORIZED REPRESENTATIVE I � ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. b. Loss Of Earnings.E 500 6. Medical Payments CONTRACTORS'COMMERCIAL GENERAL LIABILITY Metrical Expense Unlit$19000 BROADENED ENDORSEMENT in Property Damage To Borrowed Equipment Each Occurrence Lent 510.000 T..,enorsement modifies msore,^'e provided under he folkMino Deductible Am... 0 250 18.Voluntary Property Damage Coverage(Coverage al And Care,Custody Or Control Liability COMMERCIAL GENERAL LIABILITY COVERAGE PART Coverage(Coverage b.) Limits Of Insurance in Endorsement-Table of Contents: Coverage a. $1.000 Each Occurrence Coveg me: 99111115 on Page; 550013 Aggregate 1. Employee Benefit llablli Cove - _,____,__ 3 Coverage b.$5,000 Eadh Oenmtsnoe unless ohwnate sated$ yraga.a.de...._..._..._...__..._..._..._..._..._._ .._....... • 3. Unintentional Failure RenedToaoazanls....__._..._..._........._.._..._..._..._....................9 Deductible MwuntlEach Occurrence) 3. Damage To Premises Payments.Rested To You..........................................................._..._.__.9 Coverage i$250 d. Supplementary Payments...................................._..._.................__..._..._..._..._.................10 Coverage b.$250 unless otnervase stated'a I5. Medical Payments.................._..............._............_........_.........._..._.__........_......._.......10 6. 160 Day Coverage For Newly Formed Or Acgalfed Organlallats............._. ..__..10 COVERAGE PREMIUM BASIS RATE ADVANCE PREMIUM ._..._. ' 7. Waiver Of Subrogation...................._..._....._........_.._........__..._..._.._........_...__..._..._11 (a)Area For Limes n Excess of (For Lain et Excess of 8, Automatic Additional Insured-Speen.Relationships:...._.....................__..._..._.......it (A)Palloll $5000) $5,0001 • Managers Or Lessors Of Premises; (e)Gross Saks ' • Lessor Of Leased Equipment; Oh.1 Other Vendors; • State Or Governmental Agency Or Subdivision Or Political Subdivision-Permits A. Care. Caaody Or • Or Authorieadons Relating To Premises;and Coral 3 • Mortgagee,Assignee Or Receiver TOTAL ANNUAL PREMIUM E S. Property Damage To Borrowed Equipment..__..._._...._..._...__................_...._.........-..,14 10.Employees As Insureds-Specified Health Care Services And Geed Samaritan Services ....._..._..._...__.__..._.__...................................__..._..._..._..._..._..._....16 11.Broadened Nonce Ofooaur ane9...._.._..._..._..._................._........_..__._..._..._..._....11I ' 12. n_ _.._ onowned Aircraft ....................._ Bodily ..._.__.._..._........__..._............_..__..._..._..._..16 13.Bodily Injurynetl_................_..._...__..._..._...__...........__..._..._...__....._.........__..ii 14.Expected Or Intended Injury Redefined...._....._................_..._........_......._..._....._..._....16 16.Former Employees As Insureds........._..._............._....._......__..._..._...__..._..._..._............16 16.Voluntary Property Damage Coverage Mid Cafe,Ctlstotly Of*MUM UM111y ' Coverage.............._..._..._....._............._.._........__........_..._..._..-_...__..._..._..._..._..._...__.10 17.Broadened Contractual Liability-Work.MINI447 Of Railroad Peepal$r.-..-..._..._.._....17 18.Alienated Promises........._..._............................................._..._..._..._..._..._........._......17 B. Undo Of insurance: The Commercial General Liability Urns of Insurance apply to he insurance provided by his endorse- ment,except as provided below. 1. Employee Benefit Uablllty Coverage Each Employee Limit$1000,000 Aggregate Linnet 13.000,000 Deductible Amount $ 1,000 3. Damage To Praises Rented To You The lesser of a. Thal Each Ocxurence Lint Moen in he Ds4raeons:or b. $500,000 unless otherwise stated$ 4. Supplementary Payments a. Ball Bonds 02500 Includes copyrighted IneteriS of Insurance Includes copyrighted material of Insurance GA 233 0117 Sereces Office.Inc..with es permission. Page 10117 GA 233 0617 Services Office..Inc.,with a pemesson. Page 20117 C. Coverages this endorsement pro- (d)Insufficiency Of Funds (I) Taxes,Fines Or Penalties 1. Employee Benefit Liability Coverage Wed. Damages arising out of an Taxes fines or penalties.in un- a. The folloring is added to Section I- d) knowledge not nave insufficiency geSonsdunder des the hlydernelp Revenue Coverages. claim or sut'on Or any Plan included in Code or any similar state or th Employee Benefit Liability Cover- before e'hist el- employee benefit program'. local arc fective date"of this MI* (e)Inadequacy YOf Perler- V) Em In � rAelatedPra- eno nemen (1)Insuring Agreement malt 01 invest- tices You will be mentlAdvice Given 00th (a) We win pay those turns that deemed to have Respect To Participation Any liability ansing out of Imoveedge of a any' b issued becomes ay as lagagy Any daim based rpm. employ, obligated h pay as dame¢ bite "suit' (1)Refuse)°e es ceased by any act error when any"author. 1) Failure of any invest- or the insured ized represents- a to perform (2)Termination of employ- r of any other person for tive'. mend or whose acts the Maimed is 2) Errors in providing in- legally liable.to which tins I) Reports al,or formation on past per- (3)Coercion. reassign- have Wa will any part,of the Nnnence of investment alurtion gn- Solo me right and duty to ad, a error to u r hides,or me0M,n decreed dote- omission the insured against s a haressment any Other 3) Advice given to and humgiatbn. discnmere- any ages.Howe h eser.we will insurer person with respect to ton or other employ- have no duty to defend that peso decision to nt-related prac0ua against any" N'seeking 11) written parbdpate or not to par- ads or omissions or to which his in- btu demand or tidpeon in any plan in- damages (4)Consequential gabley ce aloes no!apply.we ceded in he•'employee w dam for darn. bore fit a result or(1)(2)or may, our dactetion n- epee because program" (3)above. veaP.any report of an of he act - (1) Workers' Compensation art,error or omission and ter or oink- And Simlar Laws Wins exclusion applies settle any daim or"suit that eon,and whether the insured may be may result But Any daim wising out of your herd gable as an employe 1) The amount we will pay b) There paatee w inter ma date comply with o by to in y any°dice septo and share for damages is Muted anooeec workers'compensalbn,uri- damages wih or repay as deselbed in Seed. employment compensation someone else who must pay III-Units Of!near- (2) Exclusions insurance,soc al security or damages because of he in- anee aid Thrye vhsuance does not apply to disability benefits law or any jury. ' 2) Our right and duly to (a) Bodily Injury, Property sender law. (3)Supplementary Payments have u ends when a Oa Or Personal And have used up he apple- Damage (0)ERISA Section I-Coverages,Sup- cede limit of insurance Advertising IMury Damages for which any in- elementary Payments•Cover- In the payment of Fudg- 'Sogh sued is table because of i- ages A And B also apply to this N Lora✓'. 'rwl eel meets or settlements ability imposed on a Mud- Coverage. eamage' i ury','personal and No other odigatm or Mil- dverta"g"�'' h��mement Ica b. Wile Is An Insured my to pay sums or perform (b)Dishonest, Fraudulent, Act of 1074. as or As respects Employee Benefit Ua- acts or sendces is covered Criminal Or Malicious ACt hereeter amended,or by ployee ■ unless eWgcltly provided for similar federal.state or bitty Coverage.Section ho Is under Supplementary Damages amine out of any local laws An Insured s replao:d pl,11th-,Wt cldv.- Payments intenno al, di«mest, "g meudul !error or al- (h)Available Benefits (1) If you are designated in the Dec- b This insurance applies to laretons as ()damages y it theeact, d ms tfedeby ray nsured. Any claim for benefits to the e negligent- including the wI$'ul or redo- extent that such benefits era (a) An indvidual,you and you 1 ly committed at is "admit- less wanton or any statute. wearable, welt reasonable spouse are named*but on- nitration"of year"employee effort and cooperation of he ly with respect s the om- benettprogram',and (c) Failure To Perform A Con- !sued,horn the applicable dud of a business of which mk other coo You are the sole owner.1) Occurs during the polio/ letible wisdom:. period,or Damages ensng out of hest (b)A petnershp or joint ven- t Ottvred te he a of performance of con tire. you are an insured 1 Mon tract by any haurer. Your ban, you part- 'first ffedlve date" r Includes copyrighted material or Insurance Includes copyrighted material of Insurance GA 2330117 Serdces Office.Inc.,with as permission. Page 3 0117 0A2330517 Serces Office,Inc.with is permission. Page 40117 and their spouses are Cabo,However.coverage under (b)A series of related ads er. nnca n of the aceon tartan also insureds but only with this provision Fors reined to the conduct of less of me amount ofgOmde you shall us for such pan of the business. (a) Is afforded only uMl the your business. that hxAmount at Iapss beaveen such Ded Amount as we 18Cth day arta.you acquire (e) A limited liability company or form the organeaaoh.O acts errors or omissions M1a.e paid. you are ved. Your the end of Me policy Denort negligently committed ; d. Additional Conditions members are also insureds whichever is earl.,and -administration'of your"employ bon only with respect to the tee benefit program". As respects Employee Benefit Lie. conduct of your business. (0) Does not apply to any act, Willy Coverage,Section IV-Com- sour managers are um nor or omission that w Howevr,the amount paid under merGal General Liability Condl- sueds.bnaonly with resped conrmted before you ac- this endorsement slap not ea bons is amended as follows to then pluses as your man- qukeel or formed the organ coed and will a r super[to the agars_ talon, lands and Iesb idions that apply (1) Item 2.Duties In The Event Of to the payment or benefits in any Occurrence,Offense,Claim Or (el)An ofgani.ton other than a e. units Of Insurance plplan included m the"employee Suit is'enlaced by the following. partnership pmt venbhre or As respects Employee Benefit Lla- benefit program'' 2. Duties In The Event Of An limited Irec sty company,you Wlity Caosrage.Seddon III-Limits Act Error Or Omission,Or are ved.Your'axew- Of Insurance;s repla:.by the fok (4) Deductible Amount Claim Or Suit ae an oftcers'and directors lowing (a) Our°Phaeton to pay dam- InsoPetls.but only with ages on behalf f the in a. You must see rod that reaped to their duties as (1) T.Lents of Insurance shown in sided applies only to the we are n noshed e cl an act your dioers or mredors. Becton B Units Of Insurance of damages in ex- as prat four stoclTddes are also 1.Employee Benefit liability tees roof the Deduable error or om;ssan which insureds,but only vnth re Coverage and the rules beta,CO Amount stated in Inc Deda- may reshot in a claim. spect to their liability as the most we will pay regardless applicable to To the extent possible, rations a stockholders. of the number of Earth Employee.The limits .ace shodd include' (e) A oust you are ;raved (a) Insureds of insurance shall not be re- (1)What the act error Your trustees are also n- doted by the amount of this sv<GS but only vmh respect (0)claims made or sure ths.able. and omso to Mar duties as trustees. brought co when co- (b)The Deductible Amount ed.and it (2) Each of the following is also an (e) Persons or organizations sated in the DecleratOre (2)The non and ' rnsured malting darns or bringing applies to al damages sus- P5 ..suits.. tarred by any one employ- one who may any (a) Each of your'employees' including such'.employ- ter who y suf. a who is or was authorized to (d)Ace errors or omissions;or sets'dependents and bene- re mil the sad. administer your"employee (a) Benefits inducted in your boanes because of all acts. benefit program", 'Fmpbyee benefit program errors ieh anon Or omission. (0)Any pavans prganizabore (2)The Aggregate Luna[shown in this nsxarweaapples, b. If a damn is made or hen () ggre9 'shaft is brought agansi or"employee,' ng prop- Secen Er.Limits Of Insurance, (e) The terms of this insuance ter administer authorization 1.Employee Bats fit Liability including those with respect any nsured,you must. ro benefit program'employ- Coverage or this endorsanent is to' (1)knmedateh'rem:: die.but only nbl your you gal the most we'eon Pay for ail]am- 1) Our right and duty tc the of-s d the representative Is appdnbtl, ages.oause of acts errors or defend the rued claim d tebe and negligently committed against any inwits" the date re._v d or n the ndmin0Vation'of your d (0) Your legal representative if employee benefit program.. eeesrg max tlarnaq- m you die tel only wren re- s ad (2) Notify us as (3) Subled b the limit described in as praciicade.so pad to duties as such.That 2) Pourdams.and Medu- (2)above the Eat,Employe repres°mame will have ell Unlit shown in Section B.Limits boa of any dhin in- You must w n it that your rights and dukes undr Ot Insurance, 1, Employee anent din a t. in the h e of the c wdnen at this Coverage Part. vent of an act art or hoe of n claim ado.' Benefit isomer[ Coverage of or Gain;o as soon a:pracemde. (3)Any orgarl_ation you newly ac- this FntlorsrneII is the most we omreawh, pure or firm.dher than a part- wig pay for all damages sus- army in ape five of me ap- e. You and any other in- ner...pint Venture or hosted tarried try arty on employee' pliaadne of the Delidble yoked insured must liability company,and over which mdudng damages susanned by Amount. you mantas ownership or major- and such 'employee's'dependents deeerIe t (dl+2e may pay any pan or all (1)Imma peSN°fsera us dY melees w11 qualify as a a a rasa of the Deductible Amount to demands. notices. Named Insured if no other similar (a)An act anon or omssnn or effect seldernent of any or le- inwran«Votes d that organ- damn or'that'and upon no- gal mpapers re Induct.copyrighted material of Insurance Includes copyrighted material of Insurance GA 233 0117 Se races Office.Inc..with es permission. Page 6 of 17 GA 233 09 17 Servces Office In..with is permsson. Page 6 of 17 caved in corner- ion by equal snares any benefit included(n c Unemployment sur- Non with the claim we will follow this meth- the employee benefit _ dal xcvity or'Surf'. od also.Under this ap- program'. nefitss workers con, (2)Authorize us to ob- cprOadr each insurer However "adminrsbaaon' pensation and disability din records and cures anti rteQa does not ndude. benefits and other information' pad its applicable limit d. Vaaeon plans induci- ng Cooperate with u of insurance w none of a. horedlrng payroll aeduc- ng buy and.11 pro- in the Investigator, the lass main d grams, leave of ab- xttkrn ors the whichever comes srst.s Or The rail..to effect Of programs.inaud- claim or defy maintain any msuranx irg m lurid ost leave agdansl the" 'r' If roe Otis not other u i adequad li hits of dmty,and dui leave cur permit weag of insure te Wieon am°dnce plans, (4) Asst us slarees we 54 conMb- including one brit rid limited health dub subsidies and () upon our lye fines under this to unemployment Insur- request In the e, by ante s (orcemeni method,each insurers social 'minty d. 'first effeclrve date'means y stare is based sr the benefits.workers'corn- me date Upon fi d mver- right agansi any penseaon and disability Person or wgani- ratio of its applicable Uenahts age was firs effected in zatin which may Inns of insurance to the series Of u rhoe ei- be liable to the in total applicable limits of 2. Cafeteria plan newts°}insurance covei- sured because of insurance of all Insur- plans aahoreed by appka6 age. an 90. error or rs a file law to allow"smployees' Pay o (2) The following defimaons are de- mis�nsran«which e. to Coverage benefits with pre-tau dollars. hated in their anorery and re- c. apply This insurance shall not placed by the ro mean. any for 3. Employe benefit pro 8. 'Employee"means a prsn d. No insured will,except cover grams' Program at that insureds own the insured is entitled to providing some of all of the actively memployed employed formerly cost.voluntarily make a rcce'very under any following benefits to "em- sn«ono d n lean of ed- othr irmurance in fora s disabled, retried. payment. assume y through,wnemer Provided ploy." a obligation, previous to the efiecWa 'Em Includes bl eon,o incur any date of thls Covers otherwise a"cffietera plan"or 'leased worker'.'Employee' withoutf our Part oMetwix. does not include a"tempo- consent.e Additional Definitions a. Group life insurer,. rary worker'. (2) Item 5.Otter Insurnee is re- °' group accident or health 21,"Suit'means aovilproceed- placed by the folwaing. As respects Employee Benefit Lia- insurance dental.vision bility Coverage,Section V-betel- and rhearing plays and ins be use o n money t err°o- 5. Other-Insurance dons is amended as folows flexible spendng - beaux f ct r w om¢son ewhidr this in- counts If other valid and colectide ..or provided tha[arno surance aPPY s re alleged. (1) The Iolbsvirg deanitons are ne ther than an crbr malade ro the added ployee" subset,. -Sue includes' cared tor se loss wcover rmbe • to such benefits and a. An arbitradon proceed.this Coverage Part 1. "Administrator,means. such benefits are made ing in which such darn-;ur m igatr s are limr:ed as a, Prodding rnformaton to general) avalable to ages are claimed and to employ.i', inchdng those"employees'wino which the insured most a. Primary Insurance their dependents and satisfy the plans eligibll- sibrnn or does submit This insurance Is W.vna- benefioanes with re- ity requirement; with our consent'. sped to etigislnryy for or ry except when e,belay b. Prom sharing plans. b. usp ether alrcmaao- applies.If this insurance scope t °'wOy°G employee savngs dnpuae resolution pro- s primary. our oblige- programs plans employee stock .reeding n which such tons are not erected b. Interpreting the netship plans rem damages ate claimed unless any of the other ployee benefit pro- von plans and stock and to which the in- n also prima- grams simsmpaon plans pro- scared submits with our Insurance'w will awe wiled that to one other consent Or w;m all that other inwr- c, Handling cards in man an "employe°" once by the method de- don records the may sbsmbe to such c. An appeal of a civil pro- cbed n b,below. employee benefit pro- berwfits and such bane- ceadng. gams",or fie are made generally b. Method Of Sharing d. Efleanng.continuing o valade to al"empwv- R Al of the other Insur- rc ring any - and who n eh such an-e permits condbu- ployee',Patlapaton In benefi the plan for such nerrefie'. Includes copyrighted material of Insurance Includes copyrghfed material of Insurance • GA 23309 17 5ereves Office.no with Is permission. Page 7/417 DA 233 09 17 Services Office Inc.,wen its penasson. Page 8 of 17 • • m __ 2. Unintentional Failure To Disclose Haz- 2) Rust or other ca- 2) Basements, you with permission of aids rosion.decay,de- whether paved or the owner Section IV-Commercial General U.hI- o nlatent hidden not w b. In the erase of danege ity Islam dated o 3) Doors windows or by fire,explosion,light- amended ndedbyU d ion of tlons is env quality in 1 r amended by the addition of the Mowing property that taus_ other epenngs mug, smoke o soot, Based on our dependence es it to dams while rented b you:or Beetle upon your if rep- 9e or (el by or ire damage"caned r tionah as to should dig hazards,t un- Smog;itself, that or alts or from water C by the erne of damned Scott hazards you tie inc fail in dtte ofy all 3 Smog; plat binge or flows from to water,while rented you. such we will the inception date of your 1 g' boring,fi heating.teerr cons- to and occupied by you. policy,Coe wel err rbase scaly coverage under 4) Mechanical o.tr luting tonne,or fire other quo sys this Coverage Part based sdey on such down. tents,or other equipment, (2)The most we oil pay's limited as failure. rupture or bursting caned by or resulting from described in Section B.Limits 3. Damage To Premises Rented To You caused by centhf- teezing,unless: Of Insurance,ies d,Damage To e Premises Rented TO You of this a. the last Par of 2,Exclusions (I) main did you best to endorsmem. under Section IaCoverage A-Bed- S) Selling. or ex- ing heat the shrinking o - bolding or structure;or 4. Supplementary Payments B y Injury And Property Damage L4 pension. under Seddon I-Supplementary Pay- 6)▪ is replaced by the following: BB You drained the equip- 6) Nesting or infest. ment and shut off the marts-Coverages A And B: Exdusp s c through q do not apply tion, or discharge water supply f the heat a s to"property damage'by fire,expo- or release*waste was not maintained. Paragraph 2. replaced by the foF • lighting, smoke or soot to rodurts or lowing: premise while rented to you or term tons by insects (d)'Property damage to. Up to the amt shown in Sedan B. Porardy occupied by you with yarns- birds, rodents (I) Plurroirg, heating, air Limits Of Insurance,4A.Bail Bonds son of the owner, for which the of er animals;or or only ,fire oleo- of this equired tbent for cost of bat amount we wit is limited to the c Doing pr bonds required oecausa of acddenof pay Presence, growth, Son systems,or other or taAC law violations arising out of Damage To Premises Rented To 7) ng You Limit as described in Section 111 spread any equipment or appliaw the use of any vehicle to which the Limitsainsurance. spread or any ac- e' Bodily Iryury Liability Coverage ap- b. The insurance provided under Sec- tivity of fungus.In- (1)The interior of any plies.We do not have b furnish these don I-Coverage A-Bodily Injury mildew. and or t bulking or sbuwre,or bonds any to personal rshu tin And Property Damage 'amine ap- spot isc the balding or structure. B. Paragraph d,is replaced by the fa- plies 'broperty damage'amine out spores, scents or caused bymor resulting wing' f water dame to premises that are both rented to and occupied by you. dupmtl rrreleased from ran.ther driven by tv the insured t our�evueat to assist (1)As respects Water Damage Le- by fungi.r wind or not in the investigation or defense of the gal Liability,as provided in Para- b 'Pr dams caused c cbim or"suit',inducing actual loss of directly or indirectly by any Limit Of Insurance graph].b,above: ()sir oPertY srec earnings up to the limit shown in Sec- The exclusions under Section 1- of the falowing: WNb respect to the insurance afford- ton B.Limits Of Insurance,4.b.ed Coverage Bodily injury And 1B Earthquake, volcanic thelnDamage To3P 3.b.above. Loss Of pa dayEbem�se of of time off from Property 9e Liability, eruption, landslide TO You Limit as shown In the Dada- work Exclusions,other than L War any other earth move- rationsis amended as Wows. and the Nuclear Energy L)ab1- mart, G Medical Payments By Exclusion(Broad Form),are (1)Paragraph 6.of Seddon 111- deleted and the blowing are (II)Water that bade up or Units Of Mauranoe is replaced The Medical Expanse Limit of Any One add.. overflows or is other- by lire Mowing' Person as stated in the Declarations Is se discharged from a amended to the limit shown in Section B. This Insurance does not apply to: sewer, drain. sanp, 8. Subject to Paragraph S. Limits Of Insurance,S Medical Pay- (a)'Property damage': sump pump or related above the Damage To mends of this endorsement equipment Premises Rented To You g. 190 Day Coverage Fee Need Funned p) Asumed in any con- Limit is the most we will pay Y era9 y tract or agreement or pig Water hander the ground under Coverage A-Bodily Or Acquired Omanlaatlons surface treeing on,or Injury And Property Dam- Section it-Who is An Msurod is 01)Caused by or resuming loving or seeping age Liability for damages amended as follows. from any of the folio. throug' bemuse of"'property dem- Ing. 1) Foundations,walls. to any one premises: Subparagraph a.of Paragraph 3.is ne- t) Wear and tea, floors or paved a. While rented to yoµor placed by the fdlowing. surfaces. temporarily ocapted by a. Insurance under this prove af- forded only unit the 180th day is mdudes copyrighted material of Insurance Indudes copyrighted material of Insurance GA 233 0917 Senaces Office,Inc.,with its permission. Page 9 of 17 GA 233 0917 Services Office,Inc,with is permission. Page 10 of 17 you acquire or form the organization use of that part of the pram- vendor's business subiect or repair opera- or the end of the policy period. ices leased to you.subject to the following additional bons.except such whichever is eerier to the following additional exclusions. operations per- exclusions formed at the vah- 7- Waiver Of Subrogation (I) The insurance afforded don premnas in Section IV-Commercial General Lla09- This insurance does not ap- the vendor does not de of the with the • Icy Conditions,9,Transfer Of Rights Q ply to apply sale of the prodsd', Reoovery Against Others To Us is (I) Any-occurrence which i) 'mocily injury' or 7) Products which,ef- amended by the addition of the bbwirg: takes place after you 'property damage" ter nslnbuson or We wave any right of recovery we may that Pr macs,tenant or dor is iotli obligated to bee by lieu,hoe pay damages ¢ �eled or uses re- have ist who you have a to wane (II) Structural alterations reason of the a caaalner,part or any such right of recovery in a written contract new construdtm or umplon of liability ingredient of or agreement because of payments we demdinon operation- in a contract or oher thing or sub- make for'nary or damage arising out of performed by or on be- agreement This stance by or for the your ongoing operations or'your work' hat of such additional • exclusion does not vendor or done under a wmkn contract or agree- insured. apply to liability for ant with that person or organizaban and b Lesser Of Leased Equip- damages that the 8) 'Bodily injury' a included in rd".However,our meted oiler- (b) 9 P vendor would have 'property damage'the aeons hazard".However,e r rights may in the absence of ni ng out of the only be waived Dnor to then'occvnence" Any person or'you lease Lie contact or sole negligence of gang n to the Injury or damage for eq whom r you lease agrem Y. the vendor for i whlh we make payment under this Coy- equpment when you and own acts or om s I erage Part The insured roue do nor me- such persons)or agen a- 21 Any express war- sic or Mdse not after a loss to impair our rights.At our re- totes)have agreed per Par- nanny unauthorized its nemployees or quest.the insured will bring"suit'or trans seraph 8.0(1)of this en- by you; anyone else acting ter those rights to us and help us enforce anon. int to ns 'de ins J c h sic r n its behalf.How- those rights. once.Such person(s)or or- 3) chemical hangs in ever,this exclusion & Automatic Additional Insured-Spec- ganizetlan(s) are insureds the product made does not apply to gad Relationships only with respect to liability i el y b Y the a) The excep- for'Sadly injury'.'property v rka; tors contained d a. The following is added to Section 11- damage or"personal and Who Is An Insured' advertising injuN'caned,in 4) Repackaging, ex- in Paragraphs whole or in Y your c t when (0)(I) 4)or ) • n( (1)Any person(s)or organizatos) maintenance.Pat operation or P solely for en- described in Paragraph&a(2)of use of equipment leased to the purpose of in- dorsement,or this endorsement(hereinafter re- you by such person(s)or or- spedaon, demon- b Such famed to as required to add as organzations star�s as the subunder n of manta,tests or an additional Insured under this edgtonai insured under this parts under in- sera as Coverage Part byre n of a endorsent ends when saucuofs from e to vendor has • written contract, wrendorsement ly agree- their contract or agreement manufacturer, and agreed to mom,written permit or written with you for such leased then repackaged in make or nor- authorizaton. equipment ends.However, the original con- malt' under- (2)Only the following persons or or- this insurance does not ap- farrier takes to make panzatles are additional In- ply to any "'occurrence" 6) Any failure to make in the usual aureds under Ibis endorsement. whir takes place after the sutlh irsr,edidns, course of and assurance coverage provided equipment lease expires. eciustnents tests business, in to such aosldnd l insureds is Iron (e)Vendors servicing as the carnation ited as provided herein: vendor has agreed with the s sale person or organization to make or nonnao butt or on o sale (a) Managers Or Lessors CH (referred to below as v ly undertakes to of the prod- Premises dor)with whom you have make in the usual tads' The manager or lessor of a agreed per Paragraph course of bush- (II)This insurance does not premises leased to you with &a.(t)of this endorsement ness,in connection apply to any Insured whom you have agreed per to provide insurance.but on- with tthe d'stnbution with respect to'bodily person or organization: Paragraph&a(i) f this on- N spec ty n- or k of the I dorsment to provide mean- ens or'b openly damage" products: 1) From whom you der but anmynwith respect rang out of'your products" have acquired to liability g out of the which we distributed or sold e) Demonstration,as such products, edient ownership,maintenance or in the regular course of the atallayon,servicing any ingredient pal Includes copynghted material of Insurance Includes copyrighted material of Insurance GA 233 0917 Seruces Office.Inc.,with Its permission. Page 11 of 17 GA 233 0917 Services Office,Inc,with is permission. Page t2 of 17 or coNarter.enter_ (e) Receiver Assignee Or rn Paragraph t 8a.t c!this en on r Coverage A-g () Ion I rage Bodily Injury Mg go, anpa- Reviver ncrsemenc.or And property Damage Uability: sung or containing cis r s products, Any person or have agreed (2)LwalS of under the appecable Paragraphs do no(ap and(4)of this e equip- 2) whom you ha.(1 agrees Limits at Insvana v:wm in me n do net tope to o ids of ey are 2) When lwi ny n err rsementho.Boyd ins Declarsions slop being used you,poniedthey ors ebded s. the snanrcambut to proeae re-_ whichever is less not being used to perform operations 'proauas ce.but only wnm re- at the time of loss completed opera- sped to their nabipty re This endorsement shale not Increase bore hazard'has mortgagee.assignee,«re- b. ell rashes to the insurance dovd- the n in th D limes of Insurance ed thin sedlon of me endorse- been s Cone ten- er A a tint out of the haven In the Dedaratiorrs. mein the following additional prod- Par min respect b use of the undid, Partwim respect b use of ttie premises by you. c. Seotlen N-Commercial General ants dopy: such product. However, this insurance Uabllay Conditions is amended to (1)The Limits of Insurance shown in does not apply 0 structural indude the following. (d)State Or Govemmental alterations,new construction me Declarations are replaced by Agency Or Subdivision Or Automatic Addlbonal Insured Pro- the Iimlts designated in Section Poetical Subdivision and led by operations pee Permits Or Authorizations performed by odor that per- vlslon Pe Units M Insurance,Beo e, Pquip�Danf err To Borrowed Relating To Premises sus or organization. This-moray applies only if me on Equipment of this rage endorsement Any state or governments (3)The insureds afforded in addl. occurs. t e or property damage- with respect o s coverage These bdvison or dove insureds described in Par- otters,or tlx'pes off and admits- ell by this enouce of and The. agency or litl I subdivision win suit ch agroph tail)of this endorse- imp Injury'offenses committee. limits are inclusive of and not in you have need per Para- merit (1)During the policy period,and addition y the its of Insurance re- graph ta(1) of the en- (a)Only s to me extent shown in Limits B.Insurance dcrsenent to () ly med b I shown e.Section.Pro e.Umks g e palace incur- permitted by law-,and (2) Subsequent to your execution of the write,contras or written Insurance,d Property Damage subject to the follow- To Borrowed Equipment of this rig addtional pre (b)Will not be broader man that a them of the issuance ca endorsement Ax i st we will This insrean applies only tee written centred.written zaton denoted in Paragraph pay in any one"occurren ce re with respect to the following agreement wrllten permit or 8.a.(1).8.a.(1). gardles of the number on hazards for which the state written aulhorroaton to pro- re Section N-Commercial General (a) Insureds: or governmental agency or vide for such addi0ond in- Liability Conditions is amended as suedes.,or politics sub- sired.aid ro It.)Claims made or 'suits" f°go"a didsn has issued a permit brought:or or authorization in cameo- la) Does nor apply to enyPer- Condition 5. Other Insurance is (e) Persons or organizations ion with premises you awn, son, organdapm, a amended to undude: rent or control and to which sure governmental agency making claims or bringing this nwranc subdvision or polit.1 Primary And Noncontributory n- 'huiu eatplies subdNlzon. speeffoary nuance (2) Deductible Clause (I) The ece ie.nee,mainte- named an additional - This insurance is to and veep repair,mnsWa sued ter any other pr a n- seek mrrsibuson m any other (a) aguesobligation nea behalf applies of erection«removal. add or, w endorsement on your lea of gs contr signs. added o. than cover insurance treatable to an additional Coverage ages to me ampum or darn- awnings.ancesies.ail Part on or nd r other Iendorrdseme endorsement Paragraph thug )of this ages for each ess of e tar entran:as. veal provision endorsement provided which are of the holes,driveways man- covers the injury or damage (1)The eddponal insured is a Deductible Amount stated in hole,marquees.hoist for Mph this insurance all- Section B.Limits Of rosin- away openings, side- plies. Named nce Insured under such other e.9.Property Damage walk vaults.street bat- Inv rice. or derorano o and hi With respect to me insurance afford- ^ and To endowed rat The hinds smilar exposures, ell to the adM'chalsinsureds de- (2)coutracai agreed in writing in or this insurance will The a n sorbed In Paragraph Ball)Of thb de agreement, Permit or ll by •.will not to be re (p)The construction.ereo- endorsement,the following is added au Ins a or deserted Ie e.aR) such d the aamount of bon or removal of eleva- to section III-Limits Of insurance of this endorsement that this in- sucli deduode amount surance would be primary and tcrs or The most we writ pay on behalf of the would t seek contribution from o It.) etlonl lability Cond (Ill)The ownership,main.- additional insured is the anouht of n- any other insurance net nonce or use of any el- surence, the addaonal Insveda� tons,a2. Duties M The erebrs corer.by this Event Of Omurrence,Of- Insurance (I)Required by the written contract, S. Property Damage To Borrowed Equip- tense,Claim Or Suit,ap- written agreement written permit ment plies to each claim or"suit' «written aNnoredeon described a. The folbevin g is to added Exclusion inespedNe of the amount, 2.).Damage To Property under Sac- includes copyrighted material of Insurance Includes copyrighted material of Insurance GA 233 0917 Services Office,Inc.,with its permission. Page 13 e117 GA 233 3317 Services Office,Inc..with is permission. Pape 1l of 17 (o)We mar Pay any pert or di 12. Barron red Aircraft 16.Voluntary Property Damage Coverage (2)Exclusions of the deducible amount to The following added to Exclusion 2. a. Coverage D-Voluntary Property This Insurance does not apply to claim settlement or'and f any Aircraft Auto Or Watercraft under Sec- Da Coverage dams darn or'Stet'and upon no- mega 9e "propdrty damage that would be clot I•Coverage A-Liability- pyury And Section I-Coven rod b excluded b potation of the mpon taken, And A-mage you chap promote rein- Property Damage Liability include the bpawing.�is amen ly b)injury Antl P party Damage terse us for such part of the iris exclusion does not apply o an an g Liability,2.Exclusions.except dedudwe amount as has craft you do not own.provided that n (1) Insuring Agreement for J,Damage To Property.pa- been hard by us, We will the coat to re- Damage s(3),(4),(5)and(6).k, a.10.Employees As Insureds -SpeclAed The pilot n command holds a e au (a) pair or pay ge To Your Product,and Health Care Services And Good Samar ceacsve cennt or issued by a duly Demo to pace y of wh- iter I.Damage To Your Work. Hea Potatoes fastened authority of me Unite0 ge' property of ] Definitions States of America or Canada.des.- art g out of operations (J Paragraph 2,11)(d)under Section it- padr that as a commercial or l to your basins. =« purposes of Voluntary Who Is An Insured does not apply to: earl.e When transport plot Property Damage Coverage 1) Damage is cased M one the following definitions un- der Your ns hasl ees'care services provide pro- b. The aircraft is rented with a trained, der Seed.V-Definitions are feseon as kh care services m paid pew:and you or behalf deterred umxur a replaced by the following: emergency medical teMMraan or The or tan flora not charge. tie- 2) Damage onion while'. 1t"Occurrence'means in- paramedic In the;unsdiceon where at ce 9c br a dx,ge. Yov po.emion. ciders,including cenpnuous or offense to which this 13.Bodily Injury Redefined At your written request,we or repeated exposure to insurance applies takes place:or ga male this payment re- substantially the.mer gen- Section V•Definitions,4."Bode injury' cordless of whether you are oral hateful conditions that • b. Your"employees'or'Ydunteer work- is replaced by the flowing: at faux for the "property result in'properly damage% e '.other than an employed or ante«doctor.providing first aid 0. 'Rode.jury'means bodily harm or damage. 20.'Property damage"means good ours for services during em mar injury,admesc, disease.en abbe, If you.at our request re- phyael injury to tangible humiliation.shock,fright mental an- be a.g rose wig be tleartwd to ,including tote,or male toy repairs not Wi.rile props data"Id off lotin.it by y ult petite i oldie loss f s ins r th r care, to, s.the damaged pint we of t tangida age doe and yes related to you or performing de from an services f thee at any&ore.resulting °mars,the amount we will Include y damage"aces not related o the amd.nd of yoke Y of Y pay under voluntary Prop- Include dsapo.rana,ab- buvnesa 14.Expected Or Intended Injury Redefined Bey Damage Coverage will soamm or theft 11,Broadened Notice Of Crewmen al cost to redaceyorr repair ai b. Care,Custody Or Control Liability The last t In off o'Exclusion under Sec- replace Paragraph of Condition 2.Duties n peeled Or Inkgtled injury tend«Sec- the damaged property,ex- Coverage gray a. gin I-Covert A-Bodl !irony And eluding any profit or The Event Of under gaotoe, -Offense, 9e Y e ry over- For purposes u the coverage O000l Li- medal Or Suit utter gaetlan IV-Com- Property Damage UabI1Ny is replaced by read. ed by Care,Custody Or Control U- merdal General Liability Conditions is the'Moen Any payment we make ui- ability Coverage in this endorsement replaced by the flowing. This exclusion does not apply to'bodily der Voluntary Property only. a. You must see to it that we are note. irony'or"property damage"resulting from Damage Coverage stall not (1)Scold I-Coverage A-Bodily • as practiable of an"occur- the use of reasonable force to protect per- be mtenpreted as an add.- Injury And Property Damage rence re soon «property. sron of liability by you or by an orxn.wnich mayrewk °9^s u Liability, 2. Exclusions, J. in a claim.To the extent possible.no- it Former Employees As Insureds n' Damage To Property,Subpara- bce should include- It shall be your duty.not our graphs(1),(4)and(5)do not all 1 Mow,when and where tt+e"to- The oliow�ng is added to Paragraph 2, duty,to defend any claim or ply o'property damage'to the () How,w, or and where the"c under Section ll-Who Is An Insured: 'Suit'to which this insurance pprrooperrty of others desaibed (3)The names and addresses d 2 Each of the blowing o also an Inc applies. • cured' No emir obligation or tube- (2) It shall be your duty,of our duty, any arse persons and sun- ihi to pay sums or perform to defend any gain or wit'm •• d Any of your former"employees':di- ads or services 4 covered. which this insurance applies. rectors,a managers, members, part- (3)The nature and location of any "executive insurance applies No other o or dtion.or liability to trfiirY damage arising out of wtiva otred.di hiring b This i to 9 H but not (coo to retired.e,blur a or 'properly damage"oNy it Pay sums 0e perform ado«sa- dhe'occurrence or dfense. those en leave of absence,but only vices is covered. This requirement applies only when or ace widen the scope of their env 1) The"property damage" 7rys Pat Bibs the"occurrence'or offense is known payment by you or for duties related takes place n the"coy- graph(2)sups m an"authoreed representative". to the conduct of your artiness. erage temtory.and any provision in the Coverage Panto the contrary. 2) The property damage" the policy (3)'Property damage" for whop period. Care,Custody Or Control Lia- bility Coverage provides cover- Includes cepyrgmed material of Insurance Includes copyrighted matena of Insurance GA 233 0917 Services Office,Inc,with Cs permission. Page 16 of 17 GA 233 0917 Services Mae.Inc.with its pemnsssion. Page 16 of 17 age shall be deemed to be (3)The Voluntary Property Dam- sea by an occurrence but age Coverage,Aggregate Limit shall not serve to limit or restrict Of Insurance is the most we will the applicabilty of any exclusion pay for the sum of all damages for'property damage under this under Voluntary Property Coverage Part. Damage Coverage. This limit Limits Of Insurance And Deducti- wage terapplies separately to each"cov- d. bles m'. For purposes of the coverage provid- (4) Dsduetlble Clause ed by Voluntary Property Damage (a)Our oblgaton to pay dam- Coverage and Care.Custody Or ages on your behalf applies Control Liability Coverage,section only to the amount of dam- n]-Limits Of Insurance is amended ages for each••oc0lrrence' to indud<the following: which are ss of the Deductible Amount stated (1)theme Limits of a en replaced by inn a ceek coverage by of the Schedule.will The limits Be Limits designated Onu in Section o/Insurance application rid be le V. Litaiy r Insurance, ge sucad ey the unf, or Voluntary Property Damage such Deductible Amount. Coverage Control And Care,Custody In Co oral meet Coverage, (6)Genera IV- Cwtdi- are Inclusive lusive of, nt not tin Iambs General Liability es Conde re It.the limits oi,being g Ip addi-. Event 2. ccurr o The ton:O,the limbs rang replaced. Event Of Claim Or S Occurrence.ap- the Limits Insurance sheen in tense,Claim Oi morn.ap- the regardless Schedule f the most we all alias a each deem iC' pay regal of the nurnber of iRespedrve of the amount. (a) Insureds. (5)We may pay any part or all b Claims made or 'Slats" of the Deductible Amount to ()Clau l Or effect settlement of any claim or'Star'and upon no- lo) Persons or organizations tifintion of the action taken, making claims or bringng you shall promptly reim- burse us for such part the Deductible Amount has (2)(a)Subject to (3) below.the been paid by us Voluntary Properly Dam- 17.Broadened Contractual UabfBty'Work age ranee Limit Of Each Insurance. Within SO'Of Railroad Property Lima will pay ce ie the most we wit pay for the Section V-Denninans,l2.'insured I n- m of damages under Vol- trod'is amended as follows sum Property Damage Coveage, a Paragraph c.Is replaced by the fol- (b)The Cam,Custody Or Con- burring. trol Liability Coverage, o. Any easement or license agree- Each Ouurrence Limit Of merit Insurance is the most we will pay for the am of damage b. Paragraph t,(1)is deleted in its entire- under Care, Custody Or ty Control Uablbly Coveeaga It.Allenated Premises because of all'property damage" Exclusion 2). Damage to Property, arising out of any ore,.ocar Paragraph(2)under Section 1-Cover- age A-Bodily Injury And Property Damage Uability does not epdY if the premises are'your work". Includes copyrighted materiel of Insurance GA 233 0917 SeMces OIFoe,Inc.,with Its pernussion, Page 17 of 17 THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. then the phrase caused,in whole or in This insurance does not apply to: part by in Paragraph A1.a.and/or Para- graph A.1.b.above,whichever applies,is a. 'Bodily injury-.I advertising e y damage or CONTRACTORS ADDITIONAL INSURED-AUTOMATIC STATUS eplacedby the phrase arising oorof. grout of and daror WHEN REQUIRED IN WRITTEN CONTRACT,AGREEMENT, 3. With respect to the insurance afforded to the federal government.stateormu- the additional insureds described in Para- nicipaliry:or PERMIT OR AUTHORIZATION gaphAt,thefollowingadditionalexclu- b. 'coolie damage'applies: y injury-or'property ge' included within the 'products- TMs endorsement modifies insurance provided under the following: This insurance does not apply to'bodly completed operations hazard- injury','property damage-or'personal C. The insurance afforded to additional insureds and advertising Injury-arising out of the described in Paragraphs A.and B.: COMMERCIAL GENERAL LIABIUTY COVERAGE PART rendering of or the failure to render,any grap professional architectural.engineering or 1. Only applies to the extent permitted by surveying services,including: law and A. Additional Insured-Owners,Lessees Or (1) The Coverage Part to which this Contractors-Automatic Status For Other endorsement Is attached pro- a. The preparing,approving or failing to 2. Will not be broader than that which you Parties When Required In Written Contract vides coverage for'bodily injury- prepare or approve, maps, shop are required by the written contract,writ- Or Agreement With You or'property damage'included drawings,opinions,reports.surveys, ten agreement,written permit or written within the 'products-completed field orders.change orders or draw- authorization to provide for such edition- I. Section II -Who Is An Insured is operations hazard':and ings and specifications:or al insured:and amended to incle as an addition.in- ured any or organization you (2) The written contractor written b. Supervisory,inspection.architectural 3. Does not apply to any person, or sub- agreement agreed in writing in contras agreement requires you to pro- or engineering adieties. Lion,state,governmental agency or sub agree ent t°add as an additional t in- vide additional insured coverage This exclusion applies even it the claims division or political subdivision specifically sured on this Coverage Part.Such per- included within the -products named as an additional insured for the _ against oeg insured allege peg or son(s)or only with respect to an additional completed operations oor anon. other wrongdoing the or supervision.hitf same project in the schedule of an . en- insured only with respM ro liability fm: for that person or organization. ing.employment,tdtraining or monitoring of tlorsement added to this Coverage Part. a. 'Bodily injury,'property damage or If the written contract or written others by that insured,if the'occurrence' D, With respect to the insurance afforded to the 'personal and advertising injury' agreement requires you to provide which caused the"bodily injury-or'prop- additional insureds described in Paragraphs caused.in whole or in part,by the additional insured coverage included coy damage, or the offense which A and B.,the following is added to Sectlen III performance of your ongoing opera- within the'products-completed oper- caused the'personal and advertising inju- -Limits Of Insurance: bons by you or on your behalf,under anions hazard-for a specified length nit Involved the rendering of,or the fail- mat written contract or written of time for that person or organize- Lire t0 render,any professional archtec- The most we will pay on behalf or the addi- agreement Ongoing operations does riot,the'bodily injury'or'property tural,engineering or surveying services. donee insured is the amount of insurance: not apply to bodily inpay"or'proper- damage'must occur poor to the ex- 0, This Paragraph A.does not apply to addi- 1. Requred by the written contract,written ry damage-occurring after: piration of that period of time in order Donal insureds described In Paragraph B. agreement written permit or mitten au- Ill All work, including materials. Ion this insurance to apply. thoriatron described in Paragraphs A. parts or equipment in If the written contract or written B. Agency Insured i State Or oovcal Sub al ands.,or nection with such work,on agreement requires you to provide Agency Or Subdivision Or Political Required the ct(other than service additional insured cove fora In Wri•Automatic Status When Requiretl 2. Available under Me applicable Limits of maintenance or repairs)to be person organization per SO addL In Written Permits Or Authorizations Insurance shown in the Declarations: performed by won behalf of the tonal ured 1 endorsement form 1. Section II - Who Is An Insured is whichever is less. additional insured(s)at the lora- number CG 20 10,without specifying amended to indude as an additional in- This endorsement shall not increase the appli- has of the covered operations an edition date,this Paragraph b. sured any state or governmental agency cable Limits m Int sra shall not shown is th D ppli- has been completed:or does not apply to that person or or or subdivision or political subdivision you cable ganzation. have agreed in writing in a contract. (2) That portion of your work-Out d agreement permit or authorization to add which the injury or damage aril- 2. If the written contract or written agree- as gree anti errinsured on this Coverage E. Section IV-Commercial General Liability es has been put to its intended mein described in Paragraph 1.above Part.Such state or governmental agency Conditions is amended to add the following. use by any person or organize- specifically requires you to provide addi- subdivision or political subdivision is an Automatic Additional Insured Provision non other than another contrac- tonal insured coverage to that pers on or addto m nal insured only with respect op- tor or subcontractor engaged in organization: erations performed by you or on your be- This insurance apples only if the"bodily Iryu- perfmming operations for a pnn- half for which the state or governmental ry or'property damage-occurs,or the'per- I as a part of the same a. Arising out of your ongoing opera- govemmen so and advertising injury'offense is cam- c pa pa Pro- opera- tions m arising out of your work':or agency m subdivision m political subdivi- miffed: ject:and sued.In writing.a contract,agree- b. -Bodily injury-or'property damage' b. By way of an edition of an ISO addi- mem Spermit or authorization. 1. During kite policy period:and [ional insured endorsement that in used.t whole m in part.bye en dudes arising out o7 your ongoing 2. Wth respect to the insurance afforded to 2. Subsequent to your execution of the writ- work't ffon rte under that ten operations or arising at o/ your the additional insureds described in Para- ten contract or written agreement,or the ontract or written agreement and in- graph 8.1.,the following additional exclu- dudes in the "products-completed work': ston issuance of a written permit r written au- operations hazard-,but only if:p s apply: and B.ion.described in Paragraphs A and B. Includes copyrighted material of Insurance Includes copyrighted material of Insurance GA 472 09 17 Services Office,Inc.,vdth its permission. Page 1 of 3 GA 472 09 17 Services Office,Inc,with its permission. Page 2 of 3 F. Except when G.below apples.the following is 1. The addtional insured is a Named In- added to Section IV-Commercial General stared under such other insurance;and Liability Conditions.5.Other Insurance. 2. you have agreed in unit and supersedes any provision to Me contrary: gre ing in a contract, agreement.permit or authorization de- When Other Additional Insured Coverage scribed in Paragraph A.or B.that this in- Applies On M Excess Basis surance would be primary to any other in- This insurance is primary to other insurance end available to the additional in- This to the additional insured described in in- surance Paragraphs A.and B.except: As used in this endorsement.wrap-up insur- ance As otherwise provided in Section IV- nce means any insurance provided by a con- Commercial General Liability Codi solidated wrap-taut insurance program. tions.5.Other Insurance.b.Excess In- Primary Md Noncontributory Insurance seranCe.Or When Required By Written Contract, 2. For any other valid and collectible insv- Agreement Permit Or Authorization ance available to the additional insured as Except when wrap-up insurance applies to the an additional insured by attachment of an claim or"stir on behalf of the additional in- endorsement to another insurance policy sured.this insurance is primary to and will not that is written on an excess basis.In such seek conuibuson from any other insurance case,this insurance is also excess. available to the additional insured described in G. The flowing is added to Section IV-Com- Paragraphs A.and B.provided that: mercial General Liability Conditions, 5. 1. The additional insured is a Named In- Other Insurance.and supersedes any provi- Bred under such other insurance;and sion to the contrary: 2. You have agreed in writing in a contract, Primary Insurance When Required By Writ- agreement.permit or authorization Be- im Contract Agreement Permit Or Au- scnbed in Paragraph A.or B.that this in- thorization swan.woidd be primary and would not Ex e t when wrap-up insurance seek contribution from any other ins c p pup in a applies to the vailable to the additional insureds claim or'start-on behalf of the additional in- anc a in- sured.this insurance is primary to any other As used in this endorsement.wrap-up insr- insurance s available to the additional insured an.means any insurance provided by a con- described in Paragraphs A.and B.provided solidated lap-up)insurance program. that. Includes copyrighted material of Insurance GA 472 09 17 Services Office.Inc.,with its permission. Page 3 of l THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. However.any'auto-that is leased, a. Is effective on the date of acquisition hired,rented or borrowed with a driver or formation,and is afforded for 180 CinciPlus i rs not a covered' o' aut . days after such date; E. Audio,Visual and Data Electronic Equip- b. Does not apply to'bodily injury or BUSINESS AUTO XC+ meet "property damage resulting from an SECTION 111-PHYSICAL DAMAGE COV- aident"that occurred before you (EXPANDED COVERAGE PLUS) ERAGE,C.Limit of Insurance is amended acquired or formed he organization; ENDORSEMENT by adding the following: c. Does not apply to any newly acquired 6. The most we will pay for all'loss'to au- or formed Organization that s a joint dio.visual or data electronic equipment venture or partnership;and This endorsement modifies insurance provided by the following: ewith t n end any accessories of used with this d. any Does other not apply to sired under . BUSINESS AUTO COVERAGE FORM dent's the lesser of:il[of any one'acci- any d be anniinsured under such a The actual cash value of the dam- policy but for the termination of such a. a ell or stolen of the time policy or the exhaustion of such poli- With respect to the coverage provided by this endorsement.the provisions of the Coverage Forth apply unless off the'accident': as° cys limits of insurance. modified by this endorsement. b. The cost of repairing or replacing the 3' covered f your'auto''employees'our b-business using r A. Blanket Waiver of Subrogation This provision does not a less the valid damaged or stolen property with oth- o'm your business or your apply unless property of like kind and quality:or Personal affairs,provided you tlo not own, SECTION IV-BUSINESS AUTO CONDI- written contract has been: hire or borrow that"auto". TIONS,A.Loss Conditions,5.Transfer of 1. Executed c. 52,500. prior to the accident causing G. Liability Coverage Extensions- Supple- Rights of Recovery Against Others to Us is 'bodily injury or'property damage':and Provided the equipment at the time of the menGry Payments-Higher Limits amended by the addition of the following: 'loss'is: We waive an ht of recovery have 2. Is still in force at the time of the-accident' SECTION II•LIABILITY COVERAGE,A. y rig ry we may causing-boldly injury-or-property clam- a. Permanently installed in or upon the Coverage,2.Coverage Extensions,a.Sup- against any person or Organization because of age'. ox, Iementx Payments is amended b: covered"tine in a that is not opening 1 ry Yme y payments we make ae fur 'bodily injury"era or or other location that is not normally 'property damage'arising out of the Operation D. Employee Hired Auto used by the'auto'manufacturer for 1 for bail Replacing with 56,000 in of Insurance of a covered-auto'when you have assumed 1, Changes in Liability Coverage the installation of such equpment; (U'and liability for such'bodily injury'or Property 2. Replacing the 5250 limit of Insurance for damage"under an'insured contract-,provid- The following is added to the Section II- b. Removable from a permanently in- reas onable expenses with 5500 in(q, end the'bodily injury'or'property damage-oc- Liability Coverage, A. Coverage, 1. stalled housing unit as described in curs subsequent to the execution or the'in Who is an Insured: Paragraph 2.a.above:or H. Amended Fellow Employee Exclusion surd contract'. B. Noncontributory Insurance An hile p ployee'of yours is an'insured" c. An integral part of such equipment. SECTION II-LIABILITY COVERAGE,B.Ex- ry Aerating an'auto'hired or rented F. Who is an Insured-Amended 1 lions,5.Fellow Employee Is modified as SECTION IV-BUSINESS AUTO CONDI- under a contract or agreement in that follows: 'employee's'name,with your permission. SECTION 0-LIABILITY COVERAGE,A ployee is TIONS,B.General Conditions,5.Other Iry while performing duties related to the Covers 1.Who is an Insured is amended Excluson 5.Fellow Em deleted. surance c.is replaced by the following: conduct of your business. by adding following:Ya 9 ^g I. Hired AUto-PhysiW Damage c. Regardless of the provisions of Pa2. Changes in General Conditions The following are insureds': If hired-autos'are covered-autos'for Liability agraph above. this Coverage n9 ar Form's Liability Coverage is primary SECTION IV-BUSINESS AUTO CON- 1. My subsidiary which is a legally ncorpo- Coverage,Men Comprehensive and Collision and we will not seek contribution DITIONS, B. General Conditions, 5. rated entity of which you own a financial d r SE Damage Coverages as DAMAGE taE from any other insurance for any lie- Other Insurance is amended by replan- interest of more than 50%of the voting der ERAGON III - PHYSICAL DAMAGE assumed under an 'insured ing Paragraph S.b.wnh the following: stock on the effective date of this cover- COVERAGE to this Coverage it b Part are ex- batty requires liability to be tended to'autos'you hire,subject to the fol- umed on a primary nonconbibuto- b. For Hired Auto Physical Damage age ' lowing: ry basis. Coverage the following are deemed However.the insurance afforded by this 1. The most we will for'loss'to to be covered-autos-you own: provision does not apply to any subsidiary pay any C. Additional Insured by Contract that is an'insured'under any other au- hired'fro'is 550.000 repair or the actual cash (1)Any covered"auto'you lease. omn0ile liability policy.or would be an value or cost to repair or replace which- SECTION II-LIABILITY COVERAGE,A. hire,rent or borrow;and y P° y ever the least,minus a deductible. Coverage,I.Who is an Insured is amended cared'under such policy but for rterm4 to include as an insured any person or organ- (2) Any covered 'auto- hired or nation of such policy or the exhaustion of 2. The deductible will be equal to the largest zation with which you have agreed in a valid rented by your'employee'under such policy's limits of insurance. deductible applicable to any owned'auto' written contract to provide insurance as is af- r contract in that individual'em- 2. for that coverage.or 41,000.whichever is forded by this pubcy. ployee's'name,with your per- formed My organization y and that is newt'acquired or less. n,while performing tivties formed by you and over which you main- This es enon is limited t°the scope of Me related to the conduct Of your sun majority ownership.The insurance 1. Hired Auto-Physical Damage coverage valid written contract. badness. provided by this provision. s over any other collectible insr- Includes copyrighted material of ISO Includes copyrighted material of ISO AA 288 01 16 Properties,Inc.,with its pOmisdon. Page 1 of 6 Au 288 01 16 Properties.Inc.,with its permission. Page 2 of 4 4. Subject to the above Irmit deductible,and N. Transportation Expense-Higher Limits 2. SECTION V-DEFINITIONS is amended P. Unintentional Failure to Disclose Hazards excess provisions we will provide cover- by adding the following.but only for the age equal to the broadest coverage appli SECTION III-PHYSICAL DAMAGE COV- purposes of this Loan or Lease Gap SECTION IV•BUSINESS AUTO CONDI- rable to any covered'auto'you own in- ERAGE,A.Coverage,4.Coverage Eaten- Coverage: TIONS,B.General Conditions,2.Conceal- sured under this policy. sions iz amended by replacing 520 pm day a went, Misrepresentation or Fraud is with$50 per day,and$600 maximum with 'Total loss'means a'loss'in which the amended by adding the following: Coverage includes loss of use of that hired au- 51.500 maximum in Extension a.Trenspor cost of repairs plus the salvage value ex- However,if you unintentionally fail to disclose to,provided it results from an'accident"for Expenses. ceetls the actual cash value. which you are legally Gable and as a result of any hazards existing on the date of which a monetary loss is sustained by the L. Airbag Coverage N. Glass Repair-Waiver of Deductible this not deny Coverage Form.we will not deny cover- t leasing or rental concern.The most we will SECTION III•PHYSICAL DAMAGE COV- SECTION 01-PHYSICAL DAMAGE COO- age under this Coverage Form because of pay for any orhe'accident is 57,000. ERAGE.B.Exclusions,3.a.is amended by ERAGE.D.Deductible is amended by adding such failure. II a limn for Hired Auto-Physical Damage is adding the following: the following: Q. Mental Anguish Resulting from Bodily Inju- shown in the Schedule.then that limit replac- However, the mechanical and electrical No deductible applies to glass damage if the ry s,and is not added to.the 550,000 limit indi- breakdown portion of this exclusion does not glass is repaired in a manner acceptable to us SECTION V-DEFINITIONS,C."Bodily inju- cated above. apply to the accidental discharge of an airbag. rather than replaced. ry'is deleted in its entirety and replaced by This coverage for airbags is excess over any the following: J. Rental Reimbursement other collectible insurance or warranty. O. Duties in the Event of an Accident,Claim, SECTION III - PHYSICAL DAMAGE is Suit or Loss-Amended 'Bodily injury'means bodily injury,sickness or amended by adding the toaoee g' M. Loan or Lease Gap Coverage SECTION IV-BUSINESS AUTO CONDI- disease sustained by a person.including men- ' tat anguish and death sustained by the same 1. We will pay for rental reimbursement ex- 1. SECTION III - PHYSICAL DAMAGE TIONS,A.Loss Conditions,2.Duties in the person that results from such bodily injury, penes incurred by you for the rental of COVERAGE,C.Limit of Insurance is Event of Accident Claim,Suit or Loss,a.Is sickness or disease.-Bodily injury'does not an'auto'because of a loss'to a covered deleted M its entirety and replaced by the amended by adding the following: include mental anguish or death that does not 'auto'.Paym t applies in addition to the fotlowing,but only for private passenger Thiz condition applies only when the'aco- result from bodily injury.sickness or disease. otherwise applicable amount of each coil type-autos'with an original loan a tease. PW cz and only in the event of a'total loss'to dent'or loss'is known to: R. Coverage for Certain Operations in Con- deductible applies to this coverage. No such type ut': you are nection with Railroads wage you have on a covered'auto'. a private passenger ype'a 1. You,d an individual: 2. We will pay only for those expenses in- a. The most we wilt pay for loss'in any 2. A partner.if you area partnership: With respect to the use of a covered-auto-in curled during the policy period beginning one-accident"is the greater of operations for or affecting a railroad: 20 hours after the-loss'and ending,e- It) The amo nt due under the terms 1. m executive officer or insurance m ama¢ 1 Section V-Definitions,H.'Insured con- gardless of the policys expiration,with of the lea r ban to which if You are a corporation;a tract",1.c.is amended to read: the lesser of the following number of your covered private passenger 4. A member or manager,if you area lim- days: type"auto"s subject.bun will not led liability company. c. An easement or license agreement, a. The number of days reasonably re- include:0 2. Section V-Definitions,H.'Insured con- lay Overdue lease a ban pay- tract'.2.a.is deleted. -loss'is caused by theft this number menu; of days is added to Me number of I days it takes to locate the covered (b) Financial penalties imposed 'auto"and return n to you:or under the lease due to high mileage.excessive N. 30 days. abnormal wear and tear: r 3. Our payment is limited to the lesser of the (0) Security deposits not re- following amounts: funded by the lessor, a. Necessary arid actual expenses in- (d) Costs for extended warran- curred;or ties,Credit Life Insurance. b. $50 per day. Health.Accident or Disabll- dy Insurance purchased a. This coverage does not apply while them with the loan or lease:and e spare or reserve'autos'available to Carry-over balances from you M your operations. la) previous loans or leases,or 5. We will pay fader this coverage only that ant of your rental reimbursement ex- (2) Actual cash value of the stolen penes which is not already provided for or damaged popery. under SECTION III-PHYSICAL DAM- b. An adjustment for depreciation and AGE COVERAGE. A. Coverage, 4. physical condition will be made in de- Coverage Extensions. tennining actual cash value at the time of loss'. Includes copyrighted material of ISO Includes copyrighted material 01150 AA 26601 16 Properties.Inc..with its permission. Page 3 of t AA 2613 01 16 Properties.Inc..with its permission. Page J of l • •