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Insurance Certificate: Pacific Electrical Contractors (2)
ACC) 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 (A/C.No.Ext): 541-687-1117 (A/C,No):541-342-8280 Eugene OR 97440 ADDARESS: 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 INSURERC: Medford OR 97501 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:363529892 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. ILTR INSD SyyYD POLICY NUMBER POLICY EFF POLICY EXP LIMITS TYPE OF INSURANCE (MMIDDIYYYY) (MMIDD/YYYY) 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 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X 'i- 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/PARTN ER/EXECUTIV E OFFICER/MEMBEREXCLUDED? 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 I 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. Certificate Holder Includes:City of Ashland,Oregon, its elected officials,officers and employees. 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 East Main Street Ashland OR 97520 AUTHORIZED REPRESENTATIVE ©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. Low Of Earnings.S 500 & Medical Payments CONTRACTORS'COMMERCIAL GENERAL LIABILITY Medical Expense Limit$10000 BROADENED ENDORSEMENT 9. Property Damage To Borrowed Equipment • Each Occurrence Limit 510000 This endorsement modifies insurance provided under the following: Deductible Amount. 3 250 16.Voluntary Property Damage Coverage(Coverage a.i And Care.Custody Or Control LlablIry COMMERCIAL GENERAL LIABILITY COVERAGE PART Coverage(Coverage b.) Limits Of Insurance A. Endorsement-Table of Cenbnts: $1000 Eadu Occurrence COVeraoe' BMlnzge Pace: $5000 Agtegale ._........_..._._......................._..._...__..._..._..._..._.A Coverage b.55,000 Each Oowrrenoe untee omewise stated$ 1. Employee Benefit Liability Coven ge 2. Unintentional Fagure To Disclose Hazards._._...__._..._..._...__.__..._..._..._..._..._....._..._.l DWYCge Amount(Each OCwnence) 3. Damage To Premises Rented To You....................................._..........__..._.........._..._..._0 Coverage a$250 4. Supplementary Payments..-_..._........_..._.............................._..._....._..._..._.__..._.........._1g Coverage Ni$250 unless otherwise stated S • 5. Medical Coverage Payments.................._..._...__..._..._...__._..._...__............_..._..._...__........_..._...1I1 6. 140 Day Coverage For Needy Fended Or Amine.Organiatlms...._..._..._..._..._...__..19 COVERAGE PREMIUM BASIS RATE ADVANCE PREMIUM 7. Wavier Of Subrogadon.............._........_..._....._........_..._........__..._..._...,........._..._....._..._11 (a)Area (For Leib it Excess of (For Lanit in Excess of 8. Automatic Additional Insured-Specified Relabonshlps.........................................11 (b)Payroll $5,000) 55.0001 • Managers Or Lessors Of Premises; (e)Gross Sales • Lessor Of Leased Equipment; (d)Units • Vendors; tel Omer • State Or Governmental Agency Or Subdivision Or Political Subdivision-Permit{ b. Care. Custody Or Or Authorizabons Relating To Promises;and Control $ • Mortgagee,Assignee Or Receiver TOTAL ANNUAL PREMIUM $ 1 9. Properly Damage To Borrowed Equipment._._......................__............._........_....._...14 10.Employees As Insureds-Specified Health Can Services And Gaotl Samatlhn Services... .........._ .._....._._...._ .._. ....._.._....19 11.Broadened Notice Of Occurrence........._..._..._........__.__.__...................._..._..._..._....IS 12.Nonwened Aircraft ................................_._..._........_....._..._...._._...._...__.-_..._..._..ti 13.Bodilylolury Redefine ..............................._........_.............__...___..._..._..._..._....._.... 14.Expected Or Intended In Irrjuu ry Redefined........._..._..._....................._..._........_....._..._....IS 19 16.Former Employees As Insureds........................_..._.............-._..._..._...__..._..._..._........_..1f 16.Voluntary Property Damage Coverage And Care,Custody Or Control Wally Coverage..... ........_.........._..._........_.............__..._..._.._........_...__......._..._..._..._...__.1d 17.Broadened Contractual LlaMIlqr-WorkWINbt 47 Of Railroad Ptopetly...._..._......._....17 15.Alienated Premses....-...._..._..._..._...__..._..._............................................................17 S. Unfits Of Insurance: The Commercial General Liability Limits of Ines-shoe apply to the insurance provided by this endorse- ment except as provided below'. 1. Employee Benefit UatlltyCoveege Each Employee Limit 51 000,000 Aggregate Link 83000,000 Deductible Amount 5 1000 3. Damage To Premises Rented To You The lesser ot: • a. The Each Occurrence Le ntshaxn n the Declarations;or b. 5500.000 unless otherwise stated 5 4. Supplementary Payments a. Bat Boots $2500 II Includes copyrighted material of Insurance Includes copyrighted material of insurance GA 233 0917 SeMCes Office.Inc.,with its permission. Page 1 of 17 GA 233 0917 Services Office.Inc,with es permission. Page 2 of IT this endorsement ro d Insufficiency Of Funds (I) Taxes,Fines Or Penalties • C. Coverages p - 1 1 y 11 i 1. Employee Benefit Liability Coverage Damages arising out of an Taxes,fines or penalties.in- a. The following is added to Section I- d) mid not o have eetA any oblioltimss funds to eluding r them Internal Revenue Coverages: clam r asst on or meet ga any plan included in the Code Of any similar,tote or Employee Benefit Liability Cover- before date" f on- 'employee befell program". bpi lax, age eny date"of mk aomement lei inadequacy Of Parlor- gl Employment-Related Pea °. - (11 Insuring Agreement man of Invest- tees You wig be tAdvloe Given With Any liability ending out of (a) We will pay those sums that deemed to have Respect To Participation the insured becomes legally knowledge of a any: obligated to pay ea hmag- clam or "wit' Any dam!mead upon (1)Relueal to employ, es(reused by arty act error when any"author- of the Insured lazed represents- 1) meant to perfoorrmy;invest- or 12)T neton of employ- or omission any other t person Sr e": m m whose aces the d 2) Errors In protiOng Iry legally to which formation dos 1) Reports alt,or foation n pest per- (3)Coewion, demotion, applies We will any part,of me formaxe of Investment evaluation, gn- • new insurance meat deepens deie- eler the rigor and duty not oanrniealon t vehicles:or mason, harassment, any 'sfir seeking those or any other 3) Advice given to any humiliation, dscdmtre- damages However,we will insurer, person with respe to m n or other employ- have :o duty to defend II) Realms a that person' decision t-related practices. pertopete or not to par- ass or omissions or against any"suR'seeing written or vet- tape%in any plan in- damages to which this in- foal demand or (4)Consequential trinity 'trance does not apply.We claim for dam- ivied In vie"employee result of(1).(2)or may,at our dscretion in- ages baauee benefit program'. (3)above. ...gate an report an or the act e- 10 Workers' Compensation act, r e o and r r or a- Antl SNMar La WS WNs exclusion applies serge any claim or"suit that yon:and om heher the Insured may be may result But Any deim arising out of your held liable as an employer 1) The amount we all pay b) There is other failure to comply with the or in any other capacity are and for damages is limited applicable sur workersoy mpensalbnr any damages with or eheay described in Sexton rice employment tcmhpensaoon someone else who must pay as IN-Units Of Inuit- (2) Exclusions hnaaance, al security or damages because of the lo- anee,and T5s insurance does rot apply to disability benefits law or any jury. 2) Our erg t and duly a similar law. defend ends when w (a) Bodily Injury, Property 13) Supplementary Payments hale used up the appli- Damage Or Personal And (g)ERISA Section I-Coverages,Sup- , cable limit of insurance Advertising Injury Damages for which any in- plementary Payments-Coven- in the payment of ludo- 'badly injuy'. 'property swell is fade because of t- ages A And B also apply to this meets or s4tements ability imposed a educe- .c-erage. damage'or"personal and dry by the Employee Re- tirement other obligation advertising injury'. Income Sootily b- Who H An Insured ' op to pay sums or pertorm (b) Dishonest, Fraudulent, or As respects Employee Benefit Ua- I acts a services is covered Act of 1gamo d5 now unless explicitly provided for Criminal Or Malicious Act any rued, or by Airy Coverage.Sector 11-Who h under Supplementary Damages ansing out of any any similar lateral,maw or M Insured is replaced by me}olow- Payments. intenbenal, dishonest, lowllaws. irg. (b)The insurance apples to trauddent.ohne.]or ma€ h Available Benefits l l (i)%�tions tlesignated in the Dec- go) damages n if me act,er- onmrnntr error or omission,r Any claim for benefits to to b tins as: magem Only rd ngt by any insured, extent that audn benefits ar e e"adze less cola the n f willful or red- a (a)An use ar in ure n b yea ly wed'of o r"e diet- ice viokton of arty tame. ffort an win reanof to spouse ee ed Ic eut art- Mstort'of aear'bmployea etor dnd om t e abl c me I m ae sin%of hich laeM pragrsm';arW (c)t act To Psrfofm A Con- funds a trim fro other bk cudare t Miyne w of. 1 Ocws du to aN traot funds aarued other coF you are the able weer. rrcg P q lemble Insuran period.« DemogP� rgtoflmF (b)Nrpaltersare anmewea A 2) Occurred prior b 9e bad by any Fever. Your ymembers, your pari- 'Frst efecme dab°of Includes mgrig hted material of Insurance Indudas copyrighted material of Insurance GA 233 09 17 Services Office.Inc,with ts permission. Page 3 et 17 GA 233 0917 Services Office,Inc.,wth es permisson. Page 4 of 17 • • • • • ners and their spouses are zabon However coverage under (b)A series of related acts Cr- nflwbon of the action taxer also insueds but only with this prouSon. rors f regard- you shall promptly r respect to the cordut of less Of the amount of time bursa us for such part of the roe business. (a) Is afforded only until me that lapses besyeen such Deducble Amount as we A limited liaba�, 180th day other you acquire acts errors or ortussnns hare paid. • (e) ry company, or form the organ¢alon o you are committed instead.Your the end of the policy period, negligently comtted in the d. Additional Conditions members are also insureds. whichever a carter.and 'earn tenaton'of your'-enmploy- but only with respect to the ee benefit program As respects Employee Benefit Lia- condra of your Wetness (b) Does not appy to any wa, bully Coverage,Section IV-Com- managers are in- or or omisson that was However,the amount Pad under martial General Liability Condi- sccue de but only mth rasped committed before you ac this endorsement that not ex bons is amended as fo laws in their doses as your man- gu<ed or formed the orgaro- teed and mil be sugect to the • egos. zeeon. limas and rent Of benefits ns that apply (1) Item.2.bu es In The Event Of (d)Anorganzeton other than a c. Limits Of plan the payment iinl the'employee Occurrence.sepaced byn the eolkooi,.rg _ payee booted abiity pint mmpartly.you b i respects Employee Section Bill L Lie- benefit program.. 2. Duties In The Event M An teed.Your"axes- Of In Coverage.Section 111-Limits (a) DWUCdbia Amount Act,Error Suit Omission.Or are the aoffi officers"and directors Of Insurance is replaced by the fol- Claim Or Suk insureds.but only wNh Iwrina.uf (a) Our Oon ben f pay dam- a, t see m it that I rasped to their duties as (I) '^e Lh rots of Insirano shown in ages w bMalf o.me ten- You eunoefied as soon yow ante. amount damags as practicable officers or directors. Section B.Units Of Msu e only to the ante of an act. your stocgut errs are also 1.Employee Benem Llabflito - or the Deducda which s but rnly with re- Coverage and the ar regardless Amount stated in the Deda- may result ofent an dahm- spec°to their liability as the most we Will pay regardless aeons as applicable to To the extent possible, stockholders. of the number of Each Employee The limits fleece shoted include' P Yae. A twat insured. Insureds rte shall not be re- (e) your trustees are re also i (a) ducal by the amount of ths (1)coral me act error or,reds,but only mth respect (b)Claims made or suits" daduable. and Ow Do- tt mar dotes ae trustees. dougim. t when (b)The Deductible !mount ��.end it (2) Each of the following is also an (e) Persons or organhzMmns stated in the Occasions (2)The names nd insured- makrg Wims«bonging applies b all damages sus- addresses of any uits• rained by any one'employ- who may 0ra- (a) Each of your'employees' e including such"employ- er!oath who is or was authorized to (d)Acs errors or omissions.or ee s'dep.dents and erne- ages administer you'employee (a) Benefis included in your Scones.because of at acts. result of the Oct. benefit program'-, 'Employee benefit program". errors or omissions o wrath ere is omission. (b)Any persona organizations this insurance apples. B. If a maim is made or (2) The aggregate tartar shown m "sat'Is brought aganst or"employees-hating prop- Section B.Limits Of Insurance. (0) The terms of this nsunnce. a st.. temporary aumprbaeon I.Employee Benefit Llablllly. induding mdse whin respect any assure yaI rhw er to admrnnter your"employ- Coverage of this endorsement is to' (1)Immedately recor0 e benefit program'it yw the most we will PM'Pr<en'aary car m«t ter ad tile.but Dory untl your legal 1) 4 r right tla.duty die.b.matire Is sour legal ages beta ee of ace c ykgently min:Mead instead the ale re,v d- pi in the^adminstabon'of your seeing those darns} d (c) Vow legal representative if employee benefit program'-. es, d (2) Notify us on i you to Out only uch.That (3) Subject to me limit described in 2) your duties,and the du- as pradicable.su (2)above the Each Employee bes of any her in- You must see to it that representative will have all Unlit srnwn tr.Section B.Limits volved mooed m the written no- your rights and antes under Of Msu ace 1.o Employee we of the this Coverage Par[. Benefit Liability Coverage 1 event of an ad,tr or as or the claim is ble. (3)Any argerbabnn you newly a this pay for s the most we omission.or claim ere soon as pracbran e. • glue or form other than a par- wail pay for all damages s apply ire Of the Of the tip- e. You and any other in- <rshp.pint venture or limited rained by any one-employee plicebm of the Deductible ':oled insured must liability company,and over which including tlameons sustained°)' Amount. you mate ownership or rrslor- such ,employee s' dependents (1)Immedately send iry nterest. WI qualify a and tier efiaan es.as a resul ct Id)We may pay any pat or all us codes of i at the Deductible Amount to demands. notices Named Insured if no other smiler (a) An act.error or omssron.or effect settlement of any summonses or le- i insurance applies to that organ- claim or"suit'and re upon no- gal mPapers Includes copyrighted material of Insurance Include copyrighted materiel of Insurance GA 233 0917 SeMCes Office,Inc.,with its permission. Page 6 of 17 GA 223 091T Services Office Inc..with its permission. Page a of 17 • • ceved in - bon by equal snares any benefit included in c. Unemployment inst., son who the claim we will follow this meth- the 'employee benefit cal cony ance or'Surf'. oa also Under this an- program'. benefits markers' (2) roma. ea, .surer pensabo nand aisabeity raine e us to an- contributes ^equal H WeYee "atlminsealon" benefits.and bin records and Dorm until it does not include. Omar inbrmaeon: am .as goad as able Irma a. Handing payroll deduU d. Vecetion plans. Incud- (0)Cooperate who u f irsua applicable none of tiers or ing buy d sal pro- the loss remains. toner leave of ab- n the settlement e or the whichever canes first. b. The failure to effect« ce programs indud- of the <" clam o defense If any d the other in- maintain kmtsn of famty(rand dog leave- against r any the 'sun' wane des not permit or adequate of insuance tuition assistance dans. and conmburon by equal to uding but not limited transportation and (4)Assist us upon share.we wig contrib- health club subsidies () pon ow to unemployment insur- reque t in the ate- :e by limits Linder s once. weal security lorcemem f method,each insurers a. 'First elSarre date"means nglt agelnst any share Is based m the PenmtaDOnwanG disability me date upon which to person««grants- rasp of iv applicable benefits Sae first effected in liar which may lend of insurance to the s les or rsnterrvPted re- lend be liable to the in- total applicable knits of 2. Caferena plans" needs of nsurance cove.- ured because of insurance of all insur- plans authorized by applice- age- en act_ error or ens ra Ole law to allow'employees" (2) The fallowing definitions are to which to to pay run catan leted:n then a and te- thisnswanne may C, lee Cov erage _ Tds with pre-tax doles. placed by the folowrrhg. also apply, This insurance Mal not 1. 'Em byre"means a any beer for which 3. Employe benefit pro- p person d. No inured wit.except `Peer grams means program actively employed former)the recovery ed�errtletl to Y [that insureds con Provding some of all ore coast.vduntar assume a wry any following benefits to employed fo disabled,o rebr other tea b°ce in force payment. a us to the effective p rough,whether provided Eased worker includes e a oblganon,or incur a date previous ma Coverage through a"c atelena can'or 'leased werkef.'Employee' expense without Part therwiu. door not include a t<mpo- c t. Ida insurance 7worker. Additional Definitions Group (2) Item.S.Other Insurance s re- <' a. group accident or health 21.'n urtor means a evil proceed- placed by the following Ce As respects Employee Bennet Lia- nOe.Cenll.N g which money damag- blllty Coverage,Section V-Defini- and hoodoo plans and es because of an as error 5, Other Insurance tlons is amended as follows ledble apendng ao- nb which this n- nts provided that no If other valid and collectible one "Suit"Includes' re alleged. available to me 11) d following 4finitiam are one doer man an crhe 'SUt"Inck:des' a msurance surei for sa loss we cover added_ to may subembe underthis Coverage Part 1. "Administration"means. ao such benefits and a, An abitration proceed- under obligations are Ilmrted as tech benefits are made mg in which such clam- our a. Prowdrg inbnnatnn to generally avdiable to ages are claimed and to employees ncludng those"employees'who which the insured must a, Primary Insurance their dependents and syrefy the pa.^.s eliybil- submit or does submit Tnis insurance is prima- beneddanes whin re- iry requirements: who our consent- a consent- This sped to eigielety for or b, Prom when below sharing plans. b. Any other alternative spies.If this nsurance "employee employee savings dispute resolution pro- benefit programs"- is primary.our oblige- plans, employee story. carting II which such elected B. payee the n plans plans pen- damages are the in- subscription unlessaanynoltheomer payee benefit pro- ownership n plans nd stock and to which the is also prima- grams': oed that and pro- awed'rt or with our v Then r will share vded that no me other consent Or with all that other odder C. Hantlan9 cads in than an 'employee" e, An of a act ..e by the method de- mploton fewim the may subscribe to such appeal pro- scribed its B.below. "employee benefit pro- benefits and such bane- ceedng. grams'.« is are made generally b. Method Of Sharing avertable to ere-empby- d. Eledng,continuing or eesO who are o hg such If a n l of the other sur- termrn erg any "em- under the plan y c, once permits conm0u- pinyee's'paecPation in benefits: Includes copyrighted material of Insurance Includes copyrighted material of Insurance. GA 200 09 17 Se races Office.Inc.,with Is permission. Page 7 of 17 GA 200 09 17 Services Office.Inc.with ea permission. Page 8 of 17 2. Unintentional Failure To Disclose Hai- 2) Rust or other c - 2) Basements, you with permmon of ants n.decay,de- whether paved or the owner. hmrabon. hidden not or Seed.N-Commercial Gametal Ltabl- or latent detect or b. In the case of damage Ity Conditions,7.Representations la pen, gnaltY in 3) Doors,windows or by fire,explosion.Igm- amended by the addition of the blowing: property the ceuy other openngs ninon smoke Ya soot, a it to acme while rented b or Based on our dependence upon your rep- destroy 01rt damage or (e) Properly damage"caused eeentangns as to existing hazards,d un- by g suiting from water e. In the base of damage intentionally y you should fall to disclose all 3) Smo g_ flows_ that teals or fls from by water, rented such hazards at the inception date d your climbing,healing.sir condi- to and occupied by you. poky, fire we soil not reject coverage under 4) Mechanical break.- tionng.fire protection sys- this Coverage Part based solely on such down Inducing tea, or other equipment (2)The most we will pay is limited as 'gum. rupaxe or bursting caused by or resulting from described in Section B.Units Of Insurance 1 Damage To 3. Damage To Premises Rented To You u9al force centre- freezing,unless- Premises Rented To You of this a The last Paragraph of 2.Exclusions (g You did your best to endorsement. under Section I-Coverage A-Bod- sherd ordQex- building heat tnxlure:or 4. Suppeementary Payments lip In)ury And Property Damage LI- g 9 or 0111 d by the bays Perralon, Under Section I-Supplementary Pa ability replace y n9 (II)You trashes the equip- Pay- II)c.through q.do not apply el Nesting or mharge chant and shut off the meats-Coverages A And ed bon,to"property damage'by fire.explo- or r oeefwa`to water r supply a me heal a. Paragraph 2.Is replaced by the/aL lighting, smoke or soot to r clue of wash not maintained. Igt;r�. premise while rented to you o tem- to y`Insecctss (5)'Property damage"to Up to the limit shown in Section B. poenty occupied by you with perms- birds, rodents o Plurals heabn Limits Of Insurance.a.a.Bail Bonds son of the owner, for which the ` (9 ing g. air amount we cdi Is invited to the Omer animals',or cone/toning,fire protao- of this endorsement for cost or bail pay ban a other bonds rewired because of accidents YouLimit To Premises Rented T 7) Presence, growth, a pa systems, or nano law violations ansng out of You Limit as described in Section II proliferation. t `appli�tr me use of any vehicle to which the -Units Of Insurance. speed or my ac- et° Bodily Ilury Liardiy Coverage aP- b. The msvanoe prodded under Dec- ttvdy of fungus.us- (19 The interior of any pins We do not have m furnish these ■ lion I-Coverage A-Badly property In)ury rokiew b , and any building or spuctur or bonds And Property Damage Liability cep- mymtoxins. the budding orstrudure Is Paragraph 4.is replaced by the rot- ates to"property damage"arising out or c r lowing:sperm f water damage to premises that are byproducts pro- caused by o resulting loom carded to and occupied by you, m,�or released from rain,snov,sleet or All reasonable expenses incurred by whether driven by the insured at ov request er assist us (1)As respects Water Damage Le- by fungi. wind or not o in the investigation defense of the gal Liability,as provided in Para- 0 'Property dad caused claim or'Sur,including actual loss of graph 3.b.above: ()directly r indirectly by any c. Unit Of nngsupt0 the limrg shown inSec- The exclusions under Section I- of the blowing: With respect to the insurance afford- bon B.Limits Of Insurance,Vs Coverage A-Bodily NVurY And (I) Earthquake, volcanic ed in Paragraphs 3,s and 3,b,above, Loss Of Earrings of this enrorsement Properly Damage UaWily.2, eruption landslide the Damage To Premises Rented per day because of tine off from Excitations,other than I.War move- To You Limn d shown in the Dena- work • and the Nuclear Energy LIMN- any other saw rte or rations is amended as farms. 9Y 'rent: 6. Medical Payments iy Exclusion(Broad Form).are (1) Paragraph 6.or Section III- added and the blowing are (II)Water that backs up or Units Of Insurance is replaced The Medical Expense Limit or Any One • added' overtows or Is other- by the blowing: Person as stated in the Declarations Is This insvance does not apply wise discharged from a amended to the limit shown in Section B.sewer trap. 6. Subject to Paragraph 5. Units Of Insurance,S.Medical Pay- (0'Property damage' tuna,Pura,o related above. the Damage To meets of th endorsement equipment Premises Rented To You 6. 180 Day Cove for Newly Formed (I) Assumed in any con Lint is the most we will pay Y rag• Y tract or agreement or PIA Wafer viler the ground under Coverage A-Bodily Or Acquired Organizations (II)Caused by resulting surf porn son or misty And Property Dam- Section 11-Who is An Insured is () from an yf the fo1e u Oxa� ping age Liability for Mmages amended as follows. Y° gm' because of"property darn- ing: 1) Foundations walls. age"to any one premises'. Subparagraph a.of Paragraph 3.is re- 1) Wear and tear; floors or paved a. While rented 03 placed by the fdlowirg. surfaces r you temporarily ocapea by a. af- forded under this 180th da is ter lorded gmr grail the 180th day after Includes copyrghted material of lrssaance Includes copyrighted material of Insurance GA 233 0917 Semmes Office,inc„,with Its permission. Page 9 of 17 GA 233 09 17 Semmes Offcee,Inc.with is permission. Page to of 17 • . you acquire or form the organization use of that part of the pre m- vendor's business, subject or repair opera- or the end of the policy period. ises leased to you.subject to the foaming additional Sore.except such whichever is eager; to the blowing additional exdusons operations per- 7- Waiver Of Subrogation •odueons (I) The ire afforded Came d arthe en in Section IV-COmmmtld Genets Lhbl- 1155 insurance does not ap- eudor does not oinedion with me ply to .Plail try Conditions,9,Transfer Of Rights Of sale of the product, Recovery Against Others To Us is (I) Any'occurrence-which 1) 'Sadly injury' or 7) Productswhich.af- amended by the addition of the btiowirg. takes place after you 'property damage" tar dseibtNdn or We waive any raged of remrery we may cease to be a tenant in for which the v sale by you,have that premises dor is obligated to been labeled or re- nave against any person or oegan¢alion pay damages by labeled el used as agent whom you have agreed to waive (19 Structural alteatons, cease,of the as- container,part S a such right of recovery Ina written contract new constmcuar Or sumpton of liability ingredient of any or agreement because of payments we demolition operations in a contract or or thing or sub- make for injury or damage aisag Oct of performed by or on be- agreement This stance by or forme your ongoing d Mato contract or work' half of such additional exdusibn does not vendor.or tar agree insur apply to liability for men,with that parson or oganrzsbon and damages that the tiJ "Body maw?' a included in me'eroduRSCwnpbrod caper- (b) Lessor Of Leased Equip- _would attars hazard-.However our ngrls may went vendor mionrc of arising rpes damage" be carved Any person or organization the contract or sole egliigen or only gain; b the oNryOor damage for horn Mom lease t the vend for its • which we make payment under this Coy- you or s- erage Part The insured most do nothing equipment wl)o you and 2) Any express war- own those Iof pair our rights. 010 1 hoer e l or organize- n after a loss to impair hE.Al At cur re- nauthmzed - or tretap have agreed o d per Par- by yy, its anyone else o tesex the insured will tern "star'or craps- b r those rights to us am ne force seraph rat to f this e- by rose, ayona eke edam- , fi b sea en dorseant to provide new- as behalf.oero or • mote.rights. race.Such person(s)are insureds r- 3) Ira product change t rr n mar,this exclusion 8. Autoaticnships al insured-Specl- gadatiln(ss ds ml product de does no apply b; only with rasped to Fatal Sad Relationships sP vendor: by the a) The steep- ter'age"oinjury.. popery vendor: 1 sirs contained a. The having is added to Bastion II- damage" "personal dm and Who k An Insured Wt101$ f injury'cayey,in 4) Repackaging, - in Paragraphs 6) (1)Any persons)or organ'ipation(s) ark o in e Pat by your 1 cept wsol taor of (I),s ore) en- described in Paragraph 8,a.2 of of agap. operation packed os solely for dorseman o this endorsement(herMolte le- use of equipment leaved to the purpose m sir- b) Such inspect tamed to as additional Insured) you by such persorls)or on pectto., demos` whom you are required to add as ganiationlsl.A Versions station,testng, bons. aqust- aactional induced under this organzaans status as an the subsnn,ion of enis.test or additional insured under this pads under m Coverage Part by reason of a endorsement ands when atruWUns from the the marking as vendor has written obel p written so agree- then contract oraageement manufacturer, and to Der• with You b h leased then packaged agreed make or am t or :ttda equipment ends.However, the original - un r- (2) Only the toaming persons or or- this insurance does nM ap- tamer, may to make ggnizabons are additional in to -occurrence" An Ynwebmab in the usual cis under this enderseenent which takes place after the 6) such dione course of and insurance covers provided equipment lease empires. Inapt bus-mess, in to 9°Psovi or se rents, tests such adds oral herein reds k Fm- Vendors base the casneabn ilea as prodded here . Iel person to make has agrees with the distn- (a)Managers Or Lessors Of Any(referred to below as ven- to molts undertakes fees to of theor�d- Premises (fe I rdertakes to col vvim whom jou nave fee n me usual tads . •The manager or lessor of a agreed Per PaagriPh course of connection apply leased toy with &sill of sus endorsement se in n won rig appl t any does amt to provide insurance but on with die distribution apply to any Inured whom you have ageed per with respect to Paragraph&a.(t) f this en- N ep n- or k of the person or ogaczalion'. dorsement to provide incur- jury"or property damage' products, 1) From whom you ce but only with respect arisng out cif"your products' have axpared to liability whirls are distributed or sold 6) Denronseadas, n- such or ownership.anteing or m the regular course of the swllaton,servicing any Ingredient pert Includes copynghted atend of Insurance Includes copyrighted material of Insurance GA 233 0917 Services Office,Inc.,with ES permission. Page 1 1 of 17 GA 233 0917 Services Office,Inc.with es permission. Page 12 of 17 or comma enter- (e) Mortgagee. Assignee Or in Paragraph&a(1)of this en- on I-Coverage A-Bodily Injury mg into ace ompa- Receiver dorsement or And Property Damage Liability: suing r cons.qnq (2) applicable paragraphs(3)and(4)or this exclu- products. Any Thom orven geed (2 Available under e s cable apply to tools or equip- wImwham have a cos Declarations.of Insuance shown in me n do ned 2) eluded U,thin a enr Paragraph o pro)of this Dedaaffixhs. them loaned b y'oo.prodded they are citdd within the endorsement to only with re- not being on used to perform apenUOns 'products ce Oct only with r whichever Is less. at the one of loss completed opera- sped to their Lability a This endorsement shag not increase bons hazard'has mortgagee.assgnee.m res b. With rasped to me insuance pO:d- been excluded un- er and anang out of the S e appicade lal at of Insurance ed by this section of the endorse- der ths Coverage ownership maintwwce.or hrrvvn in ere Dec{sir aliens. ant.the following additional provl- Panwith reseed b of the premises by your c. Section IV-Commercial General sons apply. sad,products. However this insurance Liability Conditions is amended to li (1) The Limits of Insurance mown in does not apply to structural include the following (d) State Or Governmental ,� ma the Declarations are replaced by Agency Or Subdivision Or and demoWm operations Automatic Additional Insured Pro- die limes desgnand in Section Political Subdivision - performed by Or for that per- vision B. Limits Of Insurance, 9. Permits Or Authorizations son or organization Property Damage To Borrowed Relating To Premises This inwranee apples only if the Equipment of the endorsement (3) The insurance afforded to sick,- noddy injury'or property damage" with respect to coverage - Any state or governmental tonal insureds described in Par- or the'personal and adertis- ed by this endorsement These agency or wbdvraon or q,- egnph&AO)of this endorse- rig injury'offense rs committed. lin,.are induave of and not in lieczl sueclvision with when them.. aldaon to the Umits being re- you have agreed per Para- (1) During the policy period.and placed,The Limits of Insurance graph da.(t) of this en- (a) Only applies to the anent r a sham In Section B.Limits Of donernent to provide ins permitted by law.and (1)tome on rent to r of Of Insurance.9.Property D subject to then follow- aY mein or the-sear written or a endorsement Borrowed Equipment of phis mg addeanal pro (b)Will not be are in man that g�' " ndorsement fix the most we van you are required by written pemnt or wnden Paragraph insurance a0p,es ing the Witten contract written vigor).deserted Paragraph pay in.any one"orbatot e're- arm respect.the fogpacng agreemment written permit or B,a,(1). gardless of the number of haaards for which the state written authorcaton to pro- d. Section IV-Commercial General (a) Insureds. or governmental agency or vide for such adddonal in- Liability Condbons s amended as subdivrmon or Poetical sub- sired.and notes Ibl Claims made Or sumo Wilson hoe issued a permit brought or or authorization in comeo- (e) Does not apply to any per- Condition S. Other Insurance is lion On n nbol as you own. son. organizatron vendor. amended to Include Iel Persons R darns roil bnnpns rem or control and to whh on state governmental agency ma^9 or rgng this insurance applies. or subdvivon or political Primary And Noncontributory h- ',euite. subderirslaosn. a specifically suranee (2) Deductible Clause (1) exrehnce main.- named an other pr arrnbuc- weed under any other proti- This insurance is pnmary to and wa (a) Our obliges°,er pay dam a e advertising oval soon or endorsement not seek ccnebuee t from any other ages o.^.your behalf apples of n advemsing resigns added to or Coverage insurance available b an additional only to the amount or darn- awnings canopies.:al Part provided such other cared per Paragraph Ba(t)of this ages for each"o tar entrances Opal provision or endorsement endorsement provided that. which are o�tle holes.driveways man- cows the injury or damage (1) The adab�onal insured is a Oedudible�Ameunttsstated in holes marquees.haft for which this insurance ap Named Insured under such other SeCbn B.Linens Of hzur- way openings, side- plies. insurance and ante.9.Property Damage walk vault,street ban- To Borrowed Equipment or ners or decorations and 0. With respect to me insurance afford- (2)You have agreed in writing in a this endorsement The limas similar exposures;or to the addtonal ,mss ads de- authorization agreement Derma or of Insurance will not be re- sated Paragraph 8.a(1) this of this endorsement on desenbed in B.a 2 <Weed b the (Ig The construction,ere.- endorsement.the following is added 1 i v arr.unpn or bon or removal of eleva- to Section Ill-Limits Of hsurnce peen. ld be onararthis m- such deWCtble amount ,o or would not seer u,nitibtrton Rpm (b)Section IV-Commercial EOM a�most we reI prey on beoun of me other insurance available to General Liability Condl- (110 The ownership,mains- edctlonal insured,s the amount of In- any bons, 2, Duties In The n el- sea additional,,sued. Event Of Occurrence.Ot- a y note. eaaton severed by ms (1)Required by the written contact. 9. Property Damage To Borrowed Equip- tense,Claim Or Suit.ap- wrance. written ageemnent written permit merit plies to each daim or suit' or antlers aumor¢wmn descnbed irrespectwe of the amount. a. 2.).Damage g o adder:y n Exclusion See 1.).Damage To Property under See- Includes copyngPeed material of Insurance Includes copydgmed intend of Insurance GA 233 0917 Services Office.Inc.,weh its permission. Page 13 of 17 GA 233 0917 SeMOes OMee Inc,.with is Permission. Page 14 of 17 • (0) We may pay any pan or al 12 Nonovned Aircraft 16.Voluntary Property Damage Coverage (2)Exclusions of the dsMtleme amount TI--.follow, deed to Exclusion 2. a. Coverage D-Voluntary ro Trot insurance does not to claim saemaend. of cry Aircraft,Auto Or Watercraft inlet Sec- Damage Coverage ry �� 'pro dams that would be Seca m"suit d,upon en- Hon I-Coverage A-Bodily And ge excluded by Coven A-li pr action taken, ge Y.lacy Coverage Bodl- yau shall prompid mien- Property Damage Liability Section I-Coverages is amen4d to ly Injury And Propeity Damage ourse�:for such part or the This exduaon does not a ind�de me following Liability,2,Exclusions.export Pct D°'' for Dams To Property reen pad amount as has crate ya.do not pen provided that n air- (1) Insuring Agreement L ) (4), ) It teen pad by us nd holds a errant (a)We wail pay the cost to re Damage(To our(Prod Product)am 10,Employees As Insureds -Specified a. The poet'm comma coil o ph Care PSc effective d author issued by s duly 10 pace `property I.Danag<To Your WoM. Health Care Services And Samar- Dotes of a authority o the belted damage't°property ra od>- Ien Services Staha Of Amens or Canada deslg- ems a sang out Of otheme. (7) Definitions Paragraph 2.a.(1 yd)under Section II- neeng that person as commercial or incidental t°your bramnese For purposes of Voluntary Who Is An Insured does not apply ro aide transport plot `"�^ Property Damage Coverage a, employees'who provide era- b. The simian,n rented with a caned. 1) Damage is caused by der Section following-Definitions are resson health care services on your paid crew,and You' replaced by the bllaxing. behalf as a dud licensed nu 0. The a wart does not trarapod per- 2) Damage occurs while in in- emergency medical teclincian sox sans or cargo Cr a tliarge, your poseession. iB.'Occurrence"means an panmed,cinthejuhsdiceonwhere an Gtlem.including continuous or offense to which this 11,Bodily Injury Redefined At Your wntien request we repeated exposure to will nsurance appi es takes pace or gar make ink payment re- noel the same gal Section V-Definitions,G.-'godly injury' aaraese of whether you are substantially n1 NI condemns that B. Your'employees"m employed work- rs replaced by the following. at taut for the "Property result in"property damage'. sir man m emPbyea oar vol- unteer 4. -:Col means damage'. u means dodo,prso�ding first W d elu,y m bodily harm or 20.'Property damage' good sanarm. dunrg mein injury sickness. disease disability. If you.at our request re- physical usury to tangible work Hours far you suit be deemed o humiliation shock Right mental an- pace.or make any repairs property."Electronic data"S be acting.thin the scope of their loss or mental uryry.including care. to damaged property of not emey de property ge does and pee related by You or penormirg du- loss or servic or de.resulting ours the amount we will 'property damage"does no[ related to the conduct of your from any of these at any time. pay under Voluntary Prop- include disappearance.ab- busness. 14.Expected On Intended Injury Redefined arty Damage Coverage will street on or-Pert determined to rep per your apse- b, Care,Custody Or Control Liability ii,Broadened Notice Of Occurrence T'e last sentence a Exclusion 2,a.Ex- al con t° paro or repay Coverage Y iY Paragraph a.of Condition 2.Duties In peened Or Intended kyury under Sec- the damaged property ex- erage The Event Of Occunence, Offense. Pon I•Coverage A-Bodily Injury And ^udcng any groat or over `m purposes of the coverage prcvid- Claim Or Suit under Section IV-Corn- Property Damage Liability'.,replaced by ad. ed by Cam,Custody Or Control U- mvdal General Liability Condition,is the following- any payment we make un- ability Coverage in this endorsement replaced by the folOw,ng This explosion does not apply t0'bodily der Voluntary Property only a. You must see to a that we are notified purseor"peasmy dosage to rono D peCod�a"all not (1) Seomin I-Coverag A-Bodily as practicable or an"occur- pro per- won liability by by Injury And Property Damage as soon n offense which may result eons or property. p' You on Liability, 2. Exclusions, J. •rence"or a damn the extent possible no- 16.Former E As Insureds .fa Damage TO Property.Subpar,- snood include Employees It shell be your duty not our graphs(3),(O d(g)do not ap- The tethering•s added to Paragraph 2, duty,to defend any claim or ply to'property damage to the (1) How when and where the"0G' under Section II-P030 Is M Insured: 'Sur-to which this insurance property of others described curenee'or offense took place: thereon. Each d or the bNowmg is also a rip other 2 (2) The names and addresses of . n in- No other obigation or Pate- (2) R snail be your duty not our dory any injured persons and sun- .N to eay sums or Perform to defend army claim or'win to messes.and Any of your former"employees'dl- ads or services la covered. Mach this insurance applies. (3)The nature_and location of any rectors.or"executive otFCemsbemrsgk-mrtg (b(This .nsunnce applies to No other odigason or liability to injury or damage arena out of but no Irmded to reared.disabled or 'property damage only if pa sums or perform ads or sa- the'-oowre ice'or offense. vices is covered. those on leave of absence.their only Tds nmwemem apples only when for acts Mmthln the scope of weir eth- 1) T.'property damage" Tut Paragraph the"orsamence'or Offense is known pbymem by you or for duties,elated takes place in me ^('tha supersedes Wen"authorized representative', to the conduct of your W tines, erage territory'.and to the contrary. 9a 2) The'pproperty oared,' eak during me poicy (3)'Property damage' for which period. Care,Custody Or Control LW- bliny Coverage provdes xva- Includes copyrighted material of Insurance Includes copyrighted material of Insurance GA 233 0917 Services Office.Inc.,with its permission. Page 18 of 17 GA 233 0917 Services Office Inc,with as permission. Page 16 at 17 age shall be deemed to be 13) -'.e Voluntary Property Dam- caused by an ce'but age Coverage.Aggregate Um!: shall not serve to limit or restrict Of Insurance is me most we will the applicability of any exclusion pay for the of all d nagas for-property damage'under this under Voluntary Property Coverage at Damage Coverage. This bond e. Omits Of Insurance And Deduct!. a applies separately to each'2ow- bl a ss ge term'. For purposes of he coverage brood- (4) Deductible Close ed by Voluntary Property Damage (a) Our obbgaaon to pay dam- Coverage and Can,Custody Or ages on your behalf applies Control Liability Coverage,Seaton only to the amount of dons In-Umlts Of Insurance is amended ages for each"occurrence" to include the following which excess are of the Deductible Nno rent stated (1)The Limits of Insaranw shown in for the applicable coverage the Declarations are replaced by in the Schedule.The limns the limits desgnated in Section of Madan.will not be re n. Units Of Insurance, 16. duced by he application or Voluntary Property Damage such Deducohle Amount. Coverage And Care,Custody Or Control Liability Coverage, (b)Section IV-Commercial in this endorsement These limits General Liability Condi- are inclusive of and not in add- lions, 2. Duties In The Theo.the limits bang replaced. Event Of Ocearanoe,Of- umits or insurance shown in tense,Claim Or Suit.ap- the Schedule fu the most we will plies to each deim or'Suit' pay regardless of the mutter of inespectwe of the amount. (a) Insureds (o)We may pay any part or all or the Deducsble Amount to (b)Claims made or 'suit" effect settlement of any brought or claim or'surf'and,upon no- (c) Persons organizations no- tification at the action taken, • making chime a bringing, stall promptly raise- , .. . bursa us nor such part of the Deen paId Amount as has (2) (a)Subject to (3) below,the been paid by us Voluntary Property Dam- 17.Broadened Contractual Lladtty-Work hen a Limit Of Each rice is Vl11Mn 50'Of Ralkoad Property the most we will pay for he Sectlon V-Dtnnitlons,12.insured cor- mordamagesunderVel- dad"is amended as 511,05: unary Property Damage Coverage'. a Paragraph c.is replaced by the tol- (b)The Care,Custody Or Con- lowing: trol liability Coverage, it Any easement or license agree- Each Ocanence Limit O/ meet Insurance is the most we ail hi pay for the sum of damages b. Paragraph f.(1)is deletedinidenare- under Care, Custody Or y' Comrel Liability Coveaga 18.Mknated Premises because arising out of'property damage' Exclusion 2). Damage to Property,of f any one Paragraph(2)under Seaton I-Cover- age A-Bodily Injury And Property Damage Liability does not apply if the p anises are'your work'. Includes copyrighted material of Irsutance GA 233 0917 Serapes Office,Inc.,with as permission. 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: pad by in Paragraph Al...antar Para- graph A.t.b.above.whichever applies.is a 'toddy injury'.-property damage'or CONTRACTORS ADDITIONAL INSURED-AUTOMATIC STATUS replaced by the phrase arising out of "personal and advertising injury'ads- mg out of operations performed for WHEN REQUIRED IN WRITTEN CONTRACT,AGREEMENT, 3. With respect to the insurance afforded to the federal government,sta.ormu- the additional insureds described in Para- nicipaliry:or • PERMIT OR AUTHORIZATION graph A.1,.the following additional exclu- b. -Bean n damage" son applies'. included atttnin'property y-prdauc- This endorsement modifies insurance provided under he f lloang. This insurance does not apply m'bodily completed operations hazard.' Injury, property tlamage',Z personal C The insurance afforded to additional Insureds and advertising ihefai aesto rend rf my described in Paragraphs A.and e.: COMMERCIAL GENERAL LIABILITY COVERAGE PART rendering al.or the teal.to engineering any professional vices.including:engineering o 1. Only apples to the extent pennbtetl by surveying services.Including: law,and A. Additional Insured-Owners,Lessees Or (11 The Coverage sort to wed this Contractors When- equmatic Status For Other odes coverage is attached pro- a. The preparing,approving a fading, h to 2. Will not be broader than that tract.you Parties When R With Required In Written Contract or'property otygd fm g&in input' drawing a np repents.nts s, shop am required nt.we tentten mit orcwwren Or Agreement Witlh You or ithe damage"included field drawings,opinions.chg rde or dnae, ten agreement.woven permit or written within the 'products-completed field antlers.change orders or drav0 authorization to provide la such atldtan- 1. Section II-who Is M insured ,peranons hazard':and dregs and specdcatans.a 5 amended to include as an nddtiorol in- sured al insured:and h any person in on anicotion you (2) The written contract eiv stt u o pen b. or engii eeri inspector.architectural 1. Does not apply m any person,y organize- have agreed in writing in agreement rewires you to pro- or engineering atnvities. tips,state,governmental agency cr sub en[is add as an n.Such l in- vide additional insured covers even division or K ttenal subdivision specific the sub- agreement 9e This excluSiM applies en it the clams Pan y tared on this Coverage Part.Such per- included within the 'products- same as an additional insured far th son(5)w or anizatan s)is an additional completed ns hazard- against any insured dllegeunegligence a s Min the schedde or an e 9 ( operates other wrongdoing the supervision,hs. once en insured only with respect to liability for: for that person or organization. Mg.employment.training or monitoring of dorsement added to thus Coverage Pan. a. -Bodily injury,-property damage-on If the written contract or written others by that insured.if the'occurrence' D. Well 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 whok or in part,by the additional insured coverage included eny damage'. or the offense which A.and B.the following is added to Section 111 pedomhance of your ongoing opera- within the"products-completed opal- caused the"personal and advertising inju- -Limits Of Insurance'. tans by you or on your behalf,ceder awns hazard'fora specified length ny'.invoNed the rendering of.or the far- mat written contract or written of time for that person or organize- ure to render.any professional services. The most we well pay on behalf of the adtli- agreement.Ongoing operations does .the'bodily injury'a'property rural. ngineering or surveying services. banal insured is the amount of insurance: nor apply to bodily injury or'proper- damage-must occur pea to the ex- 4. This Paragraph A.does not apply to add,- 1. Required by the written contract,written ry damage'occurring after: drawn of that period of time in order clonal insureds described in Paragraph B. agreement,written permit or written a for this insurance to apply. thorization described in Paragraphs A. (1) All wad, including materials, B. Additional Insured-State Or Governmental and B.'.o pans or equipment furnished m If the written contract or written on Agency Or Subdivision Or Political Subdi- the proles er her thank service amhareal agreement,requires<ycerige for vision-Automatic Status When Required 2. Available under the applicable Lumens of maintenance or repairs)to be person or organization co era a add- In Written Permits Or Authorizations Insurance shown in the Declarations: performed by or on behalf of the banal insured endorsement ram 1. Section 0 -Who Is An Insured is whichever is less. additional Inwredlsl at the Iaa- number CG 20 10,without speofyirg amended to include as additional in- bon of the covered operations an edition date,this Paragraph b. steed any state or gover ental agency This endorsement shall Vol increase the appl,- has been completed:a does not apply to that person or or- r subdivision or political subdivision you cable Limits of Insurance shown in the Decla- That 'm f r wad'out d ganization. ha.agreed in writing in a contract. rations. 1 (� which the injury or damage an s- 2. If the written contract w written agree agreem nt.permit a authaizaiion to add E. Section IV-Commercial General Liability es has been put to its intended nt described in Paragraph 1 above s n additional insured on this Coverage Conditions is amended to add the following: i use by any person or organize- specifically requires you to provide addi- oa5.Such orate or governmental agency con other than another conlrac- Carol insured coverage to that person or subdivision re polecat 0th respect to an Automatic Additional Insured Provision op- tor or subcontractor engaged in organization: �ddti�sal insured only with respect to be- This insurance applies r the ago Pules an y Y inju- performing operations for a prim- performed by you or semen! ry or'property damage'occurs,or the-per- I as a part d he same a. Arising out of your ongoing opera- a l for which he state g tat Anal and advertising a offense is cam- . c pa pa pro- g injury-o red:and bans or adv out d work-:or agency or subdivision or pa nic&subdvi- "your sued,in memo.a connect,agree- mined: b. 'Bodily injury-or'property damage' b. By way or an edition at an ISO add- mart.permit or authorization. 1. During the policy period:and used.a whole or In part.by'your tonal insured endorsement that in- cased. performed under that written dudes arising out of your ongoing 2. With respect to the Insurance afforded to 2. Subsequent to your execution of the wnt- ontract or written agreement and in- operations or arising out of'your the additional insureds described in Para- ten contract Or written agreement,or the chided in the 'products-completed work": graph 8.1.,the hollowing additional exdu- issuance of a written permit or written au- operations hazard',but orgy if lions apply thorizabon,described in Paragraphs A. and B. Includes copyrighted material or Insurance Includes copyrighted material of Insurance GA 172 09 17 Services Office,Inc..with 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 applies.the following is 1. The adtdpnal insured is a Named In- added to Section IV•Commercial General sured under such other Insurance.and 1 Liability Conditions, S. Other Insurance, and supersedes any provision to the contrary 2. You have agreed in writing Ina contract, When Other Additional Insured Covers scribed in Paragraph authorization de- When graph A.or B.that this to.in- • Applies On M Excess Basis n would be prmary to any other in- • This Insurance is primary to new Insurance cured Ce available to the additional in available to the adeitanal insured described In Paragraphs A.and B.except: As used In this endorsement.wrap-up insur- ance Insurance provided by a con- 1. As otherwise provided in Section IV• sol means datediwrap-upl Insurance program Commercial General Liability Condi- tions.S.Other Insurance.b.Excess In- Primary And Noncontributory Insurance surance.or When Required By Written Contract, Agreement.Permit Or Authorization 2. Foe any other valid and collectible ins.- ance vailable to the adddlonal Insured as Except when map-up insurance applies to the an additional Insured by attachment of an claim or's on behalf of the additional in - endorsement nether Insurance policy sured.this insurance Is primary to and will not that Is written on an excess bass.In such seek contribution from any other insurance case.dos Insurance Is also excess available to the additional insured described in Paragraphs A.and B.provided that. G. The following Is added to Section IV-Com- mercial General Liability Conditions, 5. 1. The additional Inured is a Named In- Other Insurance,and supersedes any prove- sured under such other Insurance:and son to the contrary 2. You have agreed in writing Ina contract, Primary Insurance When Required By Writ- agreement.permit or authorization de- ten Contract.Agreement.Permit Or Au- scribed in Paragraph A w B.that this in- thorizatim would be prmary and would not seek Except when wrap-up insurance applies'to the ancenae stable to from any other Ins available to the adtlnonal insured claim or on behalf of the additional n• sured.this Insurance Is primary to any other her used In this endorsement.wrap-up insur- vallable to the additional insured means any Insurance provided by a con- descnbetl in Paragraphs A.and B.provided solidatedlwiap-upl Insurance program. that Includes copyrighted material of Insurance GA 472 09 17 Services Office,Inc..with its permission. Pagel of 3 • 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 ,;b is rata covered"auto" days after such date: CIfI CIPIUS E. Audio.Visual and Data Electronic Equip- b. Does not apply to'bodily BUSINESS AUTO XC+th ment 'property damage resultig ho or 'accident"that occurred before you SECTION III•PHYSICAL DAMAGE COV- ERAGE,C.Limit of Insurance is amended quired or formed the organization. ENDORSEMENT by adding the following. a. Does not apply to any newly acquired or formed organization that Is a joint a, the most we will pay fur all'loss'to au- venture r pannerst,..and Thos endorsement modifies Insurance provided Sc One renown, a d visual or esso i electronic equipment rcA this e M any used with M1s d. Does not apply to an ensured under equipment ac esWt of any one'acct any other automobile liability policy, BUSINESS AUTO COVERAGE FORM dim'is:he lesserr al: would be an Insured under such a The actual cash value of the dam- policy but for the termination of such a. policy or the exhaustion of s aged or stolen property as of the tome With polo- aged respect to the coverage provided by this endorsement,the provisions of the Coverage Form apply unless of the'accdent': cys limits of insurance. modified by tact endorsement. b. The cost of repaving or replacing the 3. Any of your'employees'while using a covered'auto'in your business Of your A Blanket Waiver of Subrogation This prove san does not apply unless me valid damaged or stolen property with oily personal affairs.provided you do not on mitten contract has been er property of like kind and quality or hire or borrow that'auto". SECTION IV-BUSINESS AUTO CONDI- c. 52.500. TIONS.A.Loss Conditions.5.Transfer of 1. Executed prior to the t causing G. Liability Coverage Extensions- Supple Rights of Recovery Against Others to Us Is -bodily injury'or'property damage..and Prowled the equipment.at the tome of the memory Payments-Higher Limits amended by the addition of the(Wlow,ng: 2, Is still in force at the time of the"accident" 'loss'Is: SECTION II• LIABILITY COVERAGE,A. We any right of recovery we may have sing-bodily Injury'or-property dam- a led on or upon the Coverage,2.Coverage Extensions,a.Sup- renty installed agamzat any person or organization because of age covered'auto'In a housing,opening plementsry Payments Is amended by payments we make for bodily Injury' or or other location that 5 not normally 'property damage'arising out of the operation D. Employee Hired Auto 1. Replacing the$2,000 Limit of Insurance used by the'auto'manufacturer for for bail bonds with 56.000 in(2):and of a covered'auto'when you have assumed 1. Changes in Liability Coverage the Installatan of such equipment. liability for such bodily injury'or'property 2. Replacing the 5250 Limit of Insurance for damage'under an'Insured contract'.pro,. The followng Is added to the Section II- b. Removable from a permanently in reasonable expenses with 5500 in(a). ed the'bodily injury'or"property damage oc- Liability Coverage, A Coverage, 1. stalled housing unit as described in coresubsequent to Me execution or ire-in- Who is an Insured: Paragraph 2.a.above,w H. Amended Fellow Employee Exclusion d contras. An-employee of yours Is • ured- 0. An Integral pan of such equipment. SECTION II-LIABILITY COVERAGE.B.Ea- B. Noncontributory Insurance while operating an-auto'hired or rented F. Who is an Insured-Amended elusions,S Fellow Employee is modified as under a contract w agreement on that follows: SECTION IV-BUSINESS AUTO CONDI- "employees'name,with your permission, SECTION II-LIABILITY COVERAGE,A Exclusion S.fellow Em TIONS,B.General Conditions,5.Other In- while performing duties related to the Coven Employee is dekted. surance c.is replaced by the following. conduct of your business. by adding the following: Insured is amended I. Mired Auto-Physical Damage c. R Regardless of the provisions of Par- 2. Changes in General Conditions The folomng are"insureds- it hired"autos"are covered'autos'for Llabilty agraph a. above. th, Coverage Form's Lability Covers 1. Any subsidiary which is a legally Coverage.then Comprehensive and Collision ty ge Is primary SECTION IV-BUSINESS AUTO CON- y su y w gay incoryo- Physical Damage Coverages as provided un- and we will not seek contnbudon DITIONS, B. General Conditions, 5. rated entity of which you own a financial der SECTION III • PHYSICAL DAMAGE from any other insurance for any lea- Other Insurance is amended by replay- merest of more than 50%of the voting COVERAGE of this Coverage Part are ex- b4ity assumed under y an 'Insured ing Paragraph 5.b.with the follow,ng; stock on the effective date of this cover- tended to autos'you hire,subject to the foe onUmct'stthat requires liability to be b. For Hired Auto Ph Damage age form. lowing. ac ed primary noncontnbuto- Physical ge y basis. Coverage the following are deemed However,the insurance afforded by this to be covered-autos'you own'. provision does not apply to any subsidiary . The most we will pay for'loss'to ash C. Additional Insured by Contract 'in y vale or o'Is 0 e air or ree ace which- (1) that Is an sured-under any other ao value or cost to re (1)My covered'auto'you lease. omobite liability policy,or would be a pair or replace,which- SECTION II-LIABILITY COVERAGE,A. hire.rent or bona,and n !ver is the least.minus a deductible Coverage.I.Who is an Insured Is amended cared'under such pricy but for fermi to nclude as an insured any person or wpm- (2) My covered 'auto' hired or nanon of such policy or the exhaustion of 2. The deductible will be equal to the largest aton 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- a contract in that individual-em- quire for that coverage,or 51,000.whichever is forded this polic ployee's'name,with your per- formed My organization that Is newly acquired or less y Ion.while performing tlu[ies formed by you and over which you main- This provision is limited to the scope of the related to the conduct of your tarn majority ownership. The insurance 3. Hired Auto-Physical Damage coverage valid mitten cpnna0 business. provided by this provision: is excess over any other collecnNe insur- ance. Includes copyrighted material of ISO Includes copyrighted material of ISO AA 251 01 16 Properties,One with its permission. Page 1 of 4 AA 2813 01 16 Properties.Inc..wish its permisson. Page 2 of 4 4. Subject to the above limit,deductible,and K. Transportation Expanse-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 COO- purposes of this Loan or Lease Gap SECTION IV-BUSINESS AUTO CONDI- cable to any covered-auto-you own in- ERAGE,A.Coverage,4.Coverage Exten- Coverage: TIONS,B.General Conditions,2.Conceal- sured under this policy. txes Is amended by replacing 520 per day meet. Misrepresentation or Fraud is weh 450 per day,and 5600 maximum with "Total amended loss-means a-loss'in which the menn ded by adding the following. Coverage includes loss of used that hired au- 51.500 maximum in Extension a.Transpor- cost of repairs plus the salvage value ex- However,0 unintentionally tail to disdase to,provided it results from an'accident-M tabor Expanses. needs the actual cash value. you unintentiona y which you are legally liable and as a result of any hazards existing on the effective date of which a monetary loss is sustained by the L. Airbag Coverage N. Glass Repair-Waiver of Deductible this Coverage Form,we will not deny cover- leasi m rental concern.The most we will age under this Coverage Form because of leasing°n re SECTION III-PHYSICAL DAMAGE COY- SECTION III-PHYSICAL is d DAMAGE COY- such failure. pay for any me-accident'is 53,000. ERAGE,B.Exclusions,3.a.is amended by ERAGE,D.Deductible is amended by adding If a limp for Hired Auto-Physical Damage is adding the following: the following: Q. Mental Anguish Resulting from Bodily Inju- shown in the Schedule.then that Imit replan However. the mechanical and electrical No deductible applies to glass damage if the ry and is not added to.the 550.000 limit indi- breakdown portion of this exclusion does not glass repaired in anner acceptable to us SECTION V-DEFINITIONS.C."Bodily inju- cated above. apply to the accidental discharge of an airbag. rather than replaced m ry is deleted in its entirely and replaced by • J. Rental Reimbursement This coverage for airbags is excess o r any the following: 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 amende0 by adding the following: M. Loan or Lease Gap Coverage SECTION IV•BUSINESS AUTO CONDI- disease sustain by a person,including men- 1. SECTION III - PHYSICAL DAMAGE TIONS,A.Loss Conditions.2.Duties in the tat anguish and death m such by the name • 1. We will pay for rental reimbursement ex- person that results horn n bodily injury, anuses"incurred by you for the rental covered COVERAGE,C.Limit of Insurance is aver a Accident ag the im,Suit or Loss,a.is sickness or disangu."Bodily or injury'does not an-ENO"because of Ms in addition di a covered tleleted in its untruly and replaced a by the amended by adding the following: include mental anguish or sickness that does not a auto'.Payment a aabo,to the Idlowirg.but only for private passenger cci- result from bodily injury.sickness m disease. otherwise ha adpeamount of each cot- type"autos'with an original ban or lease. den condition applies only when Me'a Ppfic and only in the event of a total loss'to dent"or bpi is known to: R. Coverage for Certain Operations in Con- enage you have on a covered-auto'.No such a to 'auto": eecbxe with Railroads deductible applies to this coverage. private passenger type"a 1. You,if you are an individual; 2. We will pay only for those expenses in- a. The most we will pay for loss'in any 2. A partner,if you an a parMerzhip. With respect to the use of a covered"auto'in curved during the policy period beginning one-accident'is the greater of: a operations for or affecting a railroad: 24 hours after the'loss'and ending,re- 3. An executive officer or insurance manag- games of the pokcys expiration.with (1) The amount due under Ito terms er,if you area corporation;a 1. Section V V.Definitions,H."Insured con- .• Me lesser of the following number of of the lease or loan to which tract',1.e.is amended reread. • ^9^ your covered private passenger 4. A member or manager,if you are a let. days. type"auto"is subject,but will not died liability company. c. An easement or license agreement: a. The number of days reasonably re- include: 2. Section V-Definitions,H."Insured con- quired to repair the covered"auto".If Ial Overdue lease or loan pay- tract'.2.a.is deleted. loss"is caused by theft,this number menus: of days is added to the number of days it takes to locate the covered Ibl Financial penalties imposed 'auto'and return it to you:or under the lease due to high excessive b. 30 days. abnorrmal wearand tear; or 3. Our payment is limned to the lesser of the ic) Security deposes not re- following amounts: funded by the lessor: a. Necessary and actual expenses in- (d)Costs for extended warran- cored;or ties.Credit Life Insurance. b. 550 per day. Health,Accident or Disabil- ity Insurance purchased I 4. This coverage does not apply while there with the ban or lease;and e spare os available to (a) Ca over balances from you for your operations prevus loans or leases,or 5. We will pay under this coverage only that amount of rental ental reimur bsement ex- (21 Actual cash value of the stolen pit sits which is not already provided for or damaged property. under SECTION III•PHYSICAL DAM. b. An adjustment for depreciation and AGE COVERAGE, A Coverage, a. physical condition will be made in de- Coverage Extensions. terming actual cash value at the time of loss'. Includes copyrighted material of ISO Includes copyrighted material of ISO AA 266 01 16 Properties.Inc..with its pemtisdon. Page 3 014 AA 266 01 16 Properties.Inc.,with its permission. Paget of.t • •