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HomeMy WebLinkAboutInsurance Certificate: Good Company LLC • L D® ADATE(MM/DD/YYYY) V CERTIFICATE OF LIABILITY INSURANCE 1/31/2022 . I THIS CERTIFICATE IS ISSUED ASA 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 NAMEACT Nadya Alami ' Ward Insurance Agency Inc. .PHONE FAX PO Box 10167' (A/C.No.Extl:541-687-1117 (A/C,No):541-342-8280 Eugene OR 97440 . • , ADDRESS: nadya@wardinsurance.net INSURER(S)AFFORDINGCOVERAGE - NAIC# INSURER A:Sentinel Ins Company Ltd. 1 11000 INSURED - GOODCOM-01 _ INSURER B:Ace Fire Underwriters Insuranc • Good Company LLC INSURER C DBA:Good Company 65 Centennial Loop#B INSURER D: Eugene OR 97401 ' INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:337115882 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE ,JySD WVD - POLICY NUMBER (MM/DD/YYYY)((MM/DD/YYYY) • LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 52SBAF03251 2/28/2022 2/28/2023 EACH OCCURRENCE $2,000,000 CLAIMS-MADE .X OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $1,000,000 • MED EXP(Any one person) $10,000 _ i ' • PERSONAL&ADV INJURY $2,000,000 . GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 . POLICY X EC LOC - PRODUCTS-COMP/OP AGG $4,000,000 OTHER: $ A AUTOMOBILE LIABILITY V- Y 52SBAF03251 2/28/2022 '2/28/2023 COMBINED SINGLE LIMIT $2,000,000 (Eaaccident) ANY AUTO BODILY INJURY(Per person) $2,000,000 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 LIAR X OCCUR 52SBAF03251 2/28/2022 2/28/2023 EACH OCCURRENCE $1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000 DED X RETENTION$$1 n nnn $ WORKERS COMPENSATION PER 0TH- 'AND EMPLOYERS'LIABILITY Y/N STATUTE ER • ANYPROPRIETOR/PARTNER/EXECUTIVE 1-7N IA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under ' - —DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Professional Liability Y I ' EONORF111767812-006 2/10/2022 2/10/2023 ' Each Claim $2,000,000 , Aggregate $2,000,000 . Each Claim Ded. $2,500 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 general liability including completed operations and auto liability as required by written contract per attached endorsements. Umbrella follows form and is excess over general liability,auto liability and employers liability. Certificate holder and all entities required by written contract are included as additional insureds as respects to professional liability pursuant to contract. Subject to policy limits,terms,conditions and exclusions. Re:Contract: Operational,Community,and Electric Utility GHG Inventory Certificate Holder Includes: The City of Ashland,Oregon,,and its elected officials,officers and employees CERTIFICATE HOLDER - - CANCELLATION . I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland Administration&Conservation ACCORDANCE WITH THE POLICY PROVISIONS. Adam Hanks,Management Analyst . 20 East MainStreet AUTHORIZED REPRESENTATIVE Ashland OR.97520 USA e{ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25'(2016/03) The ACORD name and logo are registered marks of ACORD ,Irv, . 3 • U, : SO. rttt Good Company LLC BUSINESS LIABILITY COVERAGE,FORM Policy#52SBAFO3251 (b) Rented to, in the care, custody.or b. Coverage under this provision does not control of, or over which physical apply to: control,is being exercised for any '(1) "Bodily injury" or "property damage" purpose by you, any of your that occurred; or "employees", "volunteer workers", (2) "Personal and advertising injury" any partner or member (if you are a partnership or joint venture), or arising out of an,offense committed any member (if you are a limited before you acquired or formed the liability company). organization. b. Real Estate Manager 4. Operator Of Mobile Equipment Any person (other than your"employee"or With respect to "mobile equipment" registered in "volunteer worker"), or any organization your name under any motor vehicle registration while acting as your real estate manager. law, any person is an insured while driving such c. Temporary Custodians Of Your equipment along a public 'highway with your Property permission. Any other person or organization responsible for the conduct of such person is' Any person or organization having proper 'also an insured, butonly with respect to liability temporary custody of your_property if you _ arising-out'of the operation--of the-equipment,and die, but only: only if no other insurance of any kind is available (1) With,respect to liability arising out of the to that person or organization for this liability. maintenance or use of that property;and However, no person or organization is an insured (2) Until your' legal representative has with respect to: been appointed. a. "Bodily injury" to a co-"employee" of the d. Legal Representative If You Die person driving the equipment; or Your legal representative if you die, but b. "Property damage" to property owned by, only with respect to duties as such. That rented to, in the charge of or occupied by representative will have all your rights and you or the employer of any person who is duties under this insurance. an insured under this provision. e. Unnamed Subsidiary 5. Operator of Nonowned Watercraft Any subsidiary and subsidiary thereof, of With respect to watercraft you do not own that yours which is a legally incorporated entity is less than 51 feet long and is not being used of which you own a financial interest of to carry persons for a charge, any person is an more than 50% of the voting stock on the insured while operating such watercraft with effective date of this Coverage Part. your permission. Any other person or The insurance afforded herein for any organization responsible for the conduct of subsidiary not shown in the Declarations such person is also an insured, but only with as a named insured does not apply to respect to liability arising out of the operation injury or.damage-with respect to which an of the watercraft, and only if no other insured under this insurance is also an ,insurance of any kind is available to that insured under another policy or would be person or organization for this liability. an insured under such policy but. for its However, no person or organization is an termination or upon the exhaustion of its insured with respect to: limits,of insurance. a. "Bodily injury" to a co-"employee" of the 3. Newly Acquired Or Formed Organization person operating the watercraft; or Any organization you newly acquire or form, `b• "Property damage" to property owned by, other than a partnership, joint venture or rented to, in the charge of or occupied by limited liability company, and over which you . you or the employer of any person\who is maintain financial interest of more than 50% of an insured under this provision. the, voting stock, will qualify as a Named 6.. Additional, Insureds When Required By Insured if there is no other similar insurance Written• Contract, Written Agreement Or available to that organization. However: Permit a. Coverage under this provision is afforded The person(s) or organization(s) identified in only until the 180th day after you,acquire Paragraphs a. through.f. below are additional or form the organization or the end of the insureds when you have agreed, in a written policy period,whichever is earlier; and Fo ) SSoOO 08 04 05 - . acyl .o►. Page 11 of 24 BJ,JSINESS LIABILITY COVERAGE FORM . ' contract, written agreement or because of a (e) Any failure to make such permit issued by a . state or political inspections, adjustments, tests or subdivision, that such person or organization servicing as the vendor has be added as an additional insured on your . agreed to make or normally policy, provided the injury or damage occurs . . . .undertakes to make in the usual subsequent to the execution of the contract or . . - course,of business, in connection ' agreement, or the issuance of the permit. . with the distribution or sale of the A"-'person or organization is an additional products; insured under this provision only for that (f) .Demonstration, installation, I period of 'time. required by thecontract, servicing orrepair operations, agreement or permits except such operations performed However, no such person or organization is an at the vendor's premises in connection with the sale of the additional insured under this provision if such product; person or organization is included as an . additional insured by an endorsement issued •, (g) Products which, after distribution by us and made a part of this Coverage Part, or sale by you,.have been labeled including all 'persons or organizations added or relabeled or used as a • - '--as--additional :insureds: under the specific - • 'container, part or ingredient of any additional insured coverage grants in Section other thing or substance by or for F.—Optional Additional Insured Coverages. the vendor;or a. Vendors (h) "Bodily injury" or "property • damage" arising out of the sole Any person(s)or organization(s) (referred to - negligence of the vendor for its below as vendor), but only with respect to own acts or omissions or those of "bodily injury" or "property damage" arising out of "your products" which are distributed its employees or anyone else acting on its behalf. However,this or sold in the regular course of the vendor's . business•and only if•this Coverage Part exclusion does not apply to: :provides coverage .for '"bodily injury" or - (i) _The exceptions contained in "property damage" included within the Subparagraphs(d)or(f); or "products-completed operations hazard". (ii) Such inspections, adjustments, • (1) 'The insurance afforded to the vendor ' tests or servicing as the vendor is subject to the following additional has agreed to make or normally exclusions: undertakes to make in the usual course of business, in This insurance does not apply to: b connection with the distribution (a) "Bodily injury" or "property or sale of the products. I damage" for which the vendor is (2) This insurance does not apply to any obligated to pay damages by' ' insured person or organization from reason of the assumption of whom you have acquired such products, liability in a contract or agreement. or any ingredient, part or container, This exclusion does not apply to entering into, accompanying or liability for damages that the containing such products. vendor would have in the absence . • of the contract or agreement; b. Lessors Of Equipment (b) Any express warranty (1) Any person or organization from unauthorized by you; whom you lease equipment; but only with respect to their liability for "bodily (c) Any physical or chemical change injury", "property damage" or . in the product made intentionally "personal. 'and advertising injury" by the vendor; caused, in whole 'or in part, by your ' - • - • • (d) Repackaging;- except when ' ' .' maintenance, ' operation or use of • ' 'unpacked'solely'for the purpose of ' equipment leased`to you by such inspection, demonstration, testing, • ' person•or organizationt or the substitution of parts under • instructions from the manufacturer, ' and then repackaged in the , original container; i Sage_62 of 24 - . 1 1-..t, ' .0... - Form SS 00 08 04 05 t,rc BUSINESS LIABILITY COVERAGE:FORM • (2) With respect to the insurance afforded e. Permits Issued By State Or Political to these additional insureds, this Subdivisions insurance does not apply to any (1) Any state or political subdivision, but "occurrence" which takes place after only with respect to operations you cease to lease that equipment. performed by you or on your behalf for c. Lessors Of Land Or Premises which the state or political subdivision (1) Any person or organization from has issued a permit. whom you lease land or premises, but (2) With respect to the insurance afforded only with respect to liability arising out to these additional insureds, this of the ownership, maintenance or use insurance does not apply to: of that part of the land or premises (a) "Bodily injury", "property damage" leased to you. or "personal and advertising (2) With respect to the insurance afforded injury" arising out of operations to these additional insureds, this performed for the state or insurance does not apply to: municipality; or (a) Any "occurrence" which takes (b) 'Bodily injury" or"property damage" place after you cease to lease that included within the "products- land or be a tenant in that completed operations hazard". • premises;or f. Any Other Party (b) Structural alterations, new (1) Any other person or organization who construction or demolition isnot an insured under Paragraphs a. operations performed by or on through e. above, but only with behalf of such person or respect to liability for "bodily injury", organization. "property damage" or "personal and d. Architects, Engineers Or Surveyors advertising injury" caused, in whole or (1) Any architect, engineer, or surveyor, but in part, by your acts or omissions or only with respect to liability for "bodily the acts or omissions of those acting injury", "property damage" or "personal on your behalf: and advertising injury" caused, in whole (a) In the performance of your or in part, by your acts or omissions or ongoing operations; the acts or omissions of those acting on (b) In connection with your premises your behalf: owned by or rented to you; or • (a) In connection with your premises; (c) In connection with "your work" and or included within the "products- (b) In the performance of your completed operations hazard", but ongoing operations performed by only if you or on your behalf. (i) The written contract or written (2) With,iespect,to the insurance afforded agreement requires you to to these additional insureds, the provide such coverage to following additional exclusion applies: such additional insured; and This insurance does not apply to (ii) This Coverage Part provides "bodily injury", "property damage" or coverage for "bodily injury" or "personal and advertising injury" "property damage" included arising out of the rendering of or the within the "products- failure •to render any professional completed operations hazard". services by or for you, including: (2) With respect to the insurance afforded (a) The • preparing, approving, orto these additional insureds, this failure to prepare or approve, insurance does not apply to: . . maps,, shop ..drawings, opinions, • Bodily injury", "property damage" or reports, . .surveys, field orders, .. "personal •and advertising injury" change orders, designs or arising out of the rendering of, or the drawings and specifications;or failure to render, any professional (b) Supervisory, inspection, architectural, engineering or surveying architectural or engineering services, including: activities. Eorm SEAM 08 04 05 ,-o,tr . Page 13 of 24 •- BUSINESS LIABILITY COVERAGE FORM (a) The preparing, approving, or This General •Aggregate limit does not failure to prepare. or approve, apply to "property damage" to premises maps, shop drawings, opinions, while rented to you or temporarily reports, 'surveys, field orders, ' . occupied by..you.:with permission of the change, orders, ' designs or, . :.owner,: arising .outof fire, lightning or drawings and specifications; or explosion. (b) 'Supervisory., inspection, 3. Each Occurrence Limit _ . .architectural or engineering . . ...Subject to.,. 2.a. or: 2.b above, whichever activities. applies, the most we will pay for the sum of all The limits.of-insurance that apply to additional damages. because of all "bodily injury", insureds are described in Section D. — Limits "property "damage" and medical expenses Of Insurance. arising out of any one "occurrence" is the How this insurance applies when other Liability and Medical Expenses Limit shown in insurance is available to an additional insured the Declarations. is described in the Other, Insurance Condition The most we will pay for all medical expenses in Section E.—Liability And Medical Expenses because of "bodily injury" sustained by any General Conditions. , one person is the Medical Expenses Limit No person or organization is an insured with shown'in the Declarations. .respect to the conduct of any current or past ' 4. Personal And Advertising Injury Limit partnership, joint venture or limited liability Subject to 2.b. above, the most we will pay for company that is not shown as a Named Insured in the sum of all damages because of all the Declarations. "personal and advertising injury" sustained by D. LIABILITY AND MEDICAL EXPENSES any one person or organization is the Personal LIMITS OF INSURANCE and Advertising. Injury Limit shown in the Declarations. 1. The Most We Will Pay ' 5. Damage To Premises Rented To You Limit The Limits . of Insurance shown in the The Damage To; Premises Rented To You " Declarations and the rules below fix the most we will pay regardless of the number of: 'Limit is the most we will pay under Business Liability Coverage for damages because of a. Insureds; . ) "property,damage" to any one premises, while b. Claims made or"suits" brought; or rented to you, or in the case of damage by fire, c. Persons or organizations making claims or lightning or explosion, while rented to you or bringing "suits". temporarily occupied by you with permission of 2. Aggregate Limits the owner. The most we will pay for In the case of damage by fire, lightning or explosion, the Damage to Premises Rented To a. Damages because of "bodily injury" and You Limit,applies to all damage proximately "property damage" included in• the caused by the same. event, whether such "products-completed operations hazard" is damage results from fire, lightning or explosion the ' Products-Completed Operations or any combination of these. Aggregate Limit shown in the . Declarations. 6. How Limits Apply To Additional Insureds b. Damages because of all other "bodily The most we will pay on behalf of a person or injury", "property damage" or "personal organization who is an additional insured and advertising injury", including medical under this Coverage Part is the lesser of: expenses, 'is the General Aggregate Limit a. The 'limits of insurance specified in a shown.inthe.Declarations. written' contract, 'written agreement or This General "-Aggregate Limit applies . . • permit . issued ;by , a state or political .separately -to *'each of your "locations" = subdivision; or. owned by or rented to you. . b. .The Limits 'of, Insurance shown in the • ''-"Loc :' ation" mean's'premises involving the ' ' _ "Declarations same or connecting, lots, or premises Such amount shall 'be a part of and not in whose connection 'is interrupted only by a addition to the Limits of Insurance shown in street, roadway or right-of-way of a the Declarations and described in this Section. railroad. -4-Page-41.4 of 24 "�. .. �. Form SS 00 08 04 05 '-r. BUSINESS LIABILITY COVERAGE,FORM (6) When You Are Added As An When this insurance is excess over other Additional Insured To Other insurance, we will pay only our share of Insurance the amount of the loss, if any, that That is other insurance available to exceeds the sum of: you covering liability for damages (1) The total amount that all such other arising out of the premises or insurance would pay for the loss in the operations, or products'and completed absence of this insurance; and operations, for which you have been (2) The total of all deductible.and self- added as an additional insured by that insured amounts under all that other insurance; or insurance. (7) When You. Add Others As An Additional Insured To This We will share the remaining loss, if any,with any other insurance that is not described in Insurance this Excess Insurance provision and was not That is other insurance available to an bought specifically to apply in excess of the additional insured. Limits of Insurance shown in the However, the following provisions Declarations of this Coverage Part. apply to: other insurance available to c.. Method Of Sharing any person or organization who is an • If all the other insurance permits additional insured under this Coverage contribution by equal shares,we will follow Part: this method also. Under this approach, (a) Primary Insurance When each insurer contributes equal amounts Required By Contract until it has paid its applicable limit of This insurance is primary if you insurance-or none hof the loss remains, 1 have agreed in a written contract, whichever comes first. written agreement or permit that If any ofthe other insurance does not permit this insurance be primary. If other contribution by equal shares, we will 'insurance is also primary, me will contribute by limits. Under this method,each share with all that other insurance insurer's share is based on the ratio of its by the method described in C. applicable limit of insurance to the total below. applicable limits of insurance of all insurers. (b) Primary And Non-Contributory 8. Transfer Of Rights Of Recovery Against To Other Insurance When Others To Us Required By Contract a. Transfer Of Rights Of Recovery If you have agreed in a written If the insured has rights to recover all or contract, written agreement or part of any payment, including permit that this insurance is Supplementary Payments, we have made primary and non-contributory with under this Coverage Part, those rights are the additional . insured's own transferred tous. The insured must do insurance, this insurance is nothing after loss to impair them. At our primary and we will not seek request, the insured will bring "suit" or contribution from that other transfer those rights to us and help us insurance. enforce them. This condition does not Paragraphs (a) and (b) do not apply to apply to Medical Expenses Coverage. other insurance to which the additional b. Waiver Of Rights Of Recovery (Waiver insured has been added as an Of Subrogation) additional insured. If the insured has waived any rights of • When this insurance is excess, we will recovery againstany person or have no duty under-this Coverage Part to organization for all or part of any payment, defend the:insured against any"suit" if any including Supplementary Payments, we other insurer' has a •duty to defend the have made under this Coverage Part, we insured against that "suit". If no other ' also waive that right, provided the insured ' insurer defends, we will undertake to do waived their rights of recovery against so, but we will be entitled to the insured's such person or organization in a contract, rights against all those other insurers. agreement or permit that was executed prior to the injury or damage. .,, ahe>rm,SS-.00 08 04 05 sir,: . . Page 17 of.24 BUSINESS LIABILITY COVERAGE FORM • F. OPTIONAL ADDITIONAL INSURED 3. Additional Insured -Grantor Of Franchise COVERAGES WHO IS AN INSURED under Section C. is amended to include as anadditional insured If listed or shown.as applicable in the Declarations, the person(s) or organization(s) shown in the one or more of the following Optional Additional Insured Coverages also apply. 'When any of these Declarations as an. Additional Insured - Optional Additional Insured Coverages apply, • Grantor Of Franchise,:but only with respect to Paragraph 6. (Additional Insureds When Required their liability as grantor of franchise to you. •by Written Contract, Written Agreement or Permit) • 4. Additional Insured • . :Lessor Of Leased of Section C., Who Is An Insured, does not apply Equipment - to the person or organization shown in the a. WHO IS AN INSURED under Section C. is Declarations., These coverages are subject to the • amended to include as an additional terms and conditions applicable to Business, insured the person(s) or organization(s) Liability Coverage I in this policy, except as shown in the.Declarations as an Additional provided below: Insured — Lessor of Leased Equipment, 1. Additional Insured - Designated Person Or ,l but only with respect to liability for "bodily Organization injury"; "property damage" or "personal WHO IS•AN INSURED under Section C. is andadvertising injury" caused, in whole or amended to include as an additional insured in part, by your maintenance, operation or the person(s).or organization(s) shown in the use of equipment leased to you by such Declarations, but only with respect to liability person(s)or organization(s). for "bodily injury", "property damage" or b. With respect to the insurance afforded to "personal and advertising injury" caused, in these additional insureds, this insurance whole or in part, by your acts or omissions or does not apply to any "occurrence" which the acts or omissions of those acting on your takes place after you cease to lease that behalf: equipment. ' a. In the performance of your ongoing 5. Additional c Insured - Owners Or Other operations; or Interests From Whom Land Has Been b. In connection with your premises owned Leased. - by or rented to you. • a. WHO IS AN INSURED under Section C. is 2. Additional Insured - Managers Or Lessors amended to include as an additional Of Premises ' insured the person(s) or organization(s) shown in the Declarations as an Additional • a. WHO.,IS AN INSURED under Section C. is Insured—Owners Or Other Interests From amended to include as an additional insured Whom Land Has Been Leased, but only the person(s)or organization(s)shown in the with respect to liability arising out of the Declarations as an Additional Insured - ownership, maintenance or use of that part Designated Person Or Organization;but only of the land leased to you and shown in the with respect to liability arising out of the Declarations. . ownership,maintenance or use of that part of the premises leased to you and shown in the b: With respect to the insurance afforded to Declarations. these additional insureds, the following additional exclusions apply: b. With respect to the insurance afforded to these additional insureds, the following This insurance does not apply to: additional exclusions apply: (1) Any "occurrence" that takes place This insurance does not apply to: after you cease to lease that land; or (1) Any "occurrence" which takes place (2) Structural alterations, new after you cease to be a tenant in that construction or demolition operations premises; or performed by or on behalf of such • - • • • person or organization. • • (2) ,Structural" 'alterations, new construction or'demolition operations ,'6• . "Additional, Insured• State Or Political Subdivision''—Permits • ' ' • ' ' performed by or' on behalf of such • .., person or organization. . ,a.. WHO IS AN INSURED under Section C. is amended to include, as an additional insured the state or political subdivision shown in the Declarations as an Additional AN: Page 18 of 24 :, v ., :us: Form SS OD 08 04A1,15 BUSINESS LIABILITY COVERAGE,FORM Insured — State Or Political Subdivision - (e) Any failure to make such Permits, but only with respect to inspections, adjustments, tests or operations performed by you or on your servicing as the vendor has agreed behalf.. for which the state or political to make or normally undertakes to subdivision has issued a permit. make in the usual course . of b. With respect to the insurance afforded to business, in connection with the these additional insureds, the following distribution or sale of the products; additional exclusions apply: (f) Demonstration, installation, This insurance does not apply to: servicing or repair operations, except such operations performed "property"Bodily injury", damage or at the vendor's premises in "personal and advertising injury" connection` with the sale of the arising out of operations performed for product; the state or municipality; or (2) "Bodily injury" or "property damage" (g) Products which, after distribution or sale by you, have been labeled included in the "product-completed or relabeled or used as a operations" hazard. container, part or ingredient of any 7. Additional Insured—Vendors . otherthing or substance by or for a. WHO IS AN INSURED under Section C.is the vendor; or amended to include as an additional (h) "Bodily injury" or "property insured the person(s) or organization(s) damage" arising out of the sole (referred to below as vendor)shown in the negligence of the'vendor for its Declarations as an Additional Insured - own acts or omissions or those of Vendor, but only with respect to "bodily its employees or anyone else injury" or "property damage" arising out of acting on its behalf. However, this "your products" which are distributed or exclusion does not apply to: sold in the regular course of the vendor's (i) The exceptions contained in business and only if this Coverage Part provides coverage for "bodily injury" or Subparagraphs(d)or(f); or "property damage" included within the (ii) Such inspections, "products-completedoperations hazard". adjustments, tests or servicing as the vendor has agreed to b. The insurance afforded to the vendor is make or normally undertakes subject to the following additional exclusions: to make in the usual course of (1) This insurance does not apply to: business, in connection with (a) "Bodily injury" or "property the distribution or sale of the damage" for which the vendor is products. obligated to pay damages by (2) This insurance does not apply to any reason. of the assumption of insured person.,or organization from liability in a contract or agreement. whom ' you .have acquired such This exclusion does not apply to products, or any ingredient, part or 'liability for damages that the container, entering into, vendor would have in the absence accompanying or containing such of the contract or agreement; products. (b) Any express warranty 8. Additional Insured—Controlling Interest unauthorized by'you; WHO IS AN INSURED under Section C. is (c) Any physical or chemical change amended to include as'an additional insured in the'product,made intentionally the person(s) or organization(s) shown in the by the vendor; Declarations as an Additional Insured — (d) Repackaging, unless unpacked Controlling Interest, but only with respect to solely for the purpose of inspection, their.liability arising out of: demonstration, • testing, or the • ' ' a. ''Their financial control of you; or substitution of parts under b. Premises they own, maintain or control instructions from the manufacturer, while you lease or occupy these premises. and then repackaged in the original container; t Form SS 00 08 04 05 :�-u,, .: � Page 19 of 24 , ►,u BUSINESS LIABILITY COVERAGE FORM' ; / • •This insurance does not apply to structural The limits of insurance 'that apply to additional alterations, new construction and demolition insureds are described in Section D. — Limits Of operations performed by or for that person or Insurance. ...," , organization. How this insurance applies when other insurance •.9. Additional Insured:— Owners, Lessees Or' is available'to en additional insured is described in . Contractors' Scheduled. - Person Or ' • , the" Other. Insurance Condition: in. Section E. — / Organization . Liability - .And Medical ,,,Expenses General ` , ' a. WHO-IS AN INSURED under Section C. is Conditions. , .. , • y,.., , amended; to .include 'as an additional G. LIABILITY AND MEDICAL EXPENSES insured the person(s) ,or organization(s) DEFINITIONS . . shown in the Declarations as an Additional Insured —Owner, Lessees-'Or Contractors, . 1. "Advertisement" means the widespread public • but only with respect to liability for "bodily • dissemination of information or images that injury", "property damage" or "personal' has,the purpose of inducing the sale of goods, and advertising injury" caused, in whole or, products or services through: in part, by your acts or omissions.or the a. (1) Radio; ' acts or omissions of those acting on your - "(2) Television:, , behalf:._? • 13)' `'Billboard; • (1) In the performance of your ongoing (4) Magazine; , operations' for the , additional insured(s); or (5)_ Newspaper; _ . (2) In connection , with "your work" b.; The-Internet, 'but only that part of a web performed for that additional insuredsite that is about' goods, products or ' and included within the "products- a " , _ services for the purposes of inducing the completed operations hazard", but sale of goods, products'or services; or only if this Coverage 'Part provides _ , C. Any 'other. " publication that is given • . coverage . for "bodily injury"' or •. ' ' " . widespread public distribution. "property damage"included within the ' However, "advertisement"does not include: products-completed operations .- "hazard". a. The design, printed material, information • " ` • or images containedin, on or upon the `, b. With respect to the insurance afforded to packaging or labeling 'of any goods or these additional insureds, this insurance ' products; or does not apply to "bodily injury", "property . damage" or "personal an advertising b. An" interactive conversation between or injury" arising out of the rendering of, or among persons through a computer network. the failure to render, any professional 2. "Advertising idea" means any idea for an architectural, engineering or surveying "advertisement". I services, including: 3. "Asbestos hazard" means an .exposure or, - (1)." The preparing, approving, or failure to a threat, of exposure :to the.actual or alleged prepare or approve, maps, shop properties of asbestos and includes the mere `drawings, opinions, reports, surveys, presence of asbestos in any form. field orders, change orders, designs or" 4. "Auto" means a land motor vehicle, trailer or drawings and specifications; or ' semi-trailer designed for travel on public (2), Supervisory, inspection, architectural roads, including any attached machinery or or engineering activities. equipment. But "auto" does not include '10. Additional Insured — Co-Owner Of Insured . • "mobile equipment \ ' ..Premises • ' - • 5. "Bodily.injury"means physical: WHO' IS'AN INSURED"'under Section C. is a. Injury; \ ' a•mended'to include'.as'en'.additional insured • ' •: •' -13; 'Sickness;or . t the person(s) or Organization(s)'shown in the c. Disease Declarations 'as an:Additional Insured — Co- ' ` • • . : . Owner Of Insured Premises, .but only with ' ' ." ..sustained by.a person and, if arising out of the • respect to their liability as.co-owner of the. , . . . ( above, mental anguish or death at any time. premises shown in the Declarations. 6. "Coverage territory"'means: l tau l ' Page 20 of 24. , ,Autu :.►4u. Form SS.0 t..8 04425 • Good Company LLC` Policy#52SBAF03251 • • THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT - AGGREGATE LIMITS (PER PROJECT) This endorsement modifies insurance provided under the following: BUSINESS LIABILITY COVERAGE FORM A. Section D. LIABILITY AND MEDICAL EXPENSES 4. If the applicable "project" has been abandoned, LIMITS OF INSURANCE is amended as follows: delayed, or abandoned and then restarted, or if 1. The General Aggregate Limit under Section D. • the authorized contracting parties deviate from LIABILITY AND MEDICAL' EXPENSES LIMIT \ ' plans, blueprints, designs, specifications or OF INSURANCE,applies separately to each of timetables, the "project" will still be deemed to your"projects". be the same"project". 2. The limits shown in the Declarations for Liability 5. The provisions of Section D. LIABILITY AND and Medical Expenses, Damage To Premises MEDICAL EXPENSES, LIMIT OF INSURANCE Rented To You and Medical Expenses continue not otherwise modified by this endorsement to apply. 1 - shall continue to apply as stipulated. 3. When coverage for liability arising out of the B. Additional Definitions "products-completed operations . hazard" is The following definition is added to Section G. provided, any payments for damages 'because 'LIABILITY AND MEDICAL EXPENSES of "bodily injury" or "property damage" included DEFINITIONS: • in the "products-completed operations hazard" ' 1. "Project" means "your work" at location(s) away will reduce the Products-Completed Operations from premises owned or rented to you. Aggregate Limit, and not reduce the General Aggregate Limit. • • • Form SS 04 33 04 05 Page 1 of 1 1' © 2005,The,,klartfc fd ,."; , Good Company LLC ' V Policy#52SBAFO325.1 t ' / . THIS ENDORSEMENT CHANGES'THE'POLICY.. PLEASE READ IT CAREFULLY; . HIRED.AUTO AND .NON-OWNED-AUTO This endorsement modifies insurance provided under the following: BUSINESS LIABILITY COVERAGE FORM This coverage is subject to all provisions in the, moved from the place where they are BUSINESS LIABILITY COVERAGE FORM not ; accepted.by the "insured"for movement into ' .expressly modified herein: , ,or onto the covered "auto"; or ' . - c. After the "pollutants" or any property in A. Amended Coverage: . which the "pollutants" are contained are moved from the covered "auto" to the place Coverage is extended to "bodily . injury" )and re t "property damage" arising out of the use of a "hired or abandoned are by finally ythedelivered, disposed of or e"insured". auto"and "non-owned auto". ( > B. Paragraph B. EXCLUSIONS is amended as Paragraph a. above does not apply to fuels, _ lubricants, fluids, exhaust gases or other follows: - similar "pollutants" that are needed for or 1. Exclusion g. Aircraft, Auto or Watercraft'doesresult from the normal electrical,'hydraulic not apply to a "hiredauto" or a' "non-owned . or mechanical. functioningof the covered • . auto". , . '"auto"orits parts, if: , . , 2. Exclusion' e. 'Employers Liability does not ' (1) The "pollutants" escape, seep, migrate, apply to "bodily injury" to,domestic "employees" or are, discharged or released directly not entitled to workers' compensation benefits from an "auto" part designed by its or to liability assumed by the "insured" under an , . manufacturer to hold, store, receive, or "insured contract". dispose of such "pollutants";and 3. Exclusion f. Pollution is replaced by the (2) The "bodily injury" and "property following: ' damage" does not arise out of the "Bodily injury" or "property damage" arising out - • operation of any equipment listed in of the actual, alleged or threatened discharge, paragraphs 15.b. and - 15.c. of the dispersal, seepage, - migration, release or definition of"mobile equipment". escape of"pollutants": Paragraphs b. and c. above do not apply to a.' That are, or that are contained in any "accidents" that occur away from premises property that is: owned by or rented to an "insured" with respect ,to "pollutants" not in or upon a (1) Being transported or towed by, handled, covered "auto"if: or handled for movement into, onto or from, the covered "auto"; (1) The "pollutants" or any property in which the "pollutants" are contained are (2) Otherwise in the course of transit by or upset,' overturned or damaged as a on behalf of the"insured"; or result of the maintenance or use of a (3) Being stored, disposed of, treated or covered "auto";and processed in or :upon the covered , "auto". b. Before the "pollutants" or any property inJ ' ( which the "pollutants" are contained are Form SS 04 38 09 09 - r Page 1 of 3 © 2009,The Hartford (Includes Copyrighted male/Val ofJ,SO Properties, Inc.,with its permission) _ : ' Jetta ' :,1.,, ,I . (2) The discharge, dispersal, seepage, company)for an "auto"owned by him or her migration, release or escape of the or a member of his or her household. "pollutants" is caused directlylby such d. Anyone liable for the conduct of an "insured" upset, overturn or damage as a result of described above but only to the extent of that the maintenance or use of a covered i liability. "auto". D. With respect to the operation of a "hired auto" and 4. With respect to this coverage, the following ' "non-owned ' auto", the following ' .additional additional exclusions apply: conditions apply: a. Fellow employee 1. OTHER INSURANCE Coverage does not apply to "bodily injury"to a. Except for any liability assumed under an any fellow "employee" of the ' "insured" "insured contract"the insurance provided by arising out of the operation of an "auto" this ,Coverage Form is excess over any owned by the "insured" in the course of the other collectible insurance. fellow"employee's"employment. b. Care, custody or control However, if your business is the' selling, servicing, repairing, parking or storage of Coverage does not apply to "property "autos", the ,insurance provided by this damage" involving property owned or - - endorsement is primary when covered transported by the "insured" or in the "bodily injury" or "property damage" arises "insured's"care, custody or control. out of the operation of a customer's "auto" C. With respect to "hired auto" and "non-owned auto" by you or your"employee". coverage, Paragraph C. WHO IS AN INSURED is gib. When this Coverage Form and any other deleted and replaced by the following: Coverage Form or .policy covers on the The following are"insureds": same• basis, either excess or primary, we will pay only our share. Our share is the a. You. - proportion that the Limit of Insurance of our b. Your "employee" while using with your Coverage Form bears to the total of the permission: limits of all the Coverage Forms and policies (1) An "auto"you hire or borrow; or covering on the same basis. ' (2) An "auto" you don't own, hire or borrow in 2. TWO OR MORE COVERAGE FORMS OR your business or personal affairs; or n POLICIES ISSUED BY US (3) An "auto" hired or rented by your If the Coverage Form and any other Coverage, "employee" on your behalf and at your Form or policy issued to you by us or any direction. , company affiliated with us apply to the same c. Anyone else while using a "hired auto" or "non- "accident", the aggregate maximum Limit of Insurance under all the Coverage Forms or owned auto"with your permission except: policies shall not exceed the highest applicable (1) The owner or anyone else from whom you ' Limit of Insurance underany one Coverage hire or borrow an "auto". Form or policy. This condition does not apply to (2) Someone using an auto while he or she is any Coverage Form or policy issued by us or an working in a business of selling, servicing, ' affiliated company specifically to apply as repairing, parking or storing "autos" unless excess insurance over this Coverage Form. that business is yours. E. The following definitions are added: (3) Anyone - other than your "employees ", G. LIABILITY AND MEDICAL EXPENSES partners (if you are a partnership), members DEFINITIONS: (if you are a limited liability company), or a 1. "Hired auto" means any "auto" you lease, lessee or borrower or / any of their hire, rent or borrow. This does not include "employees", while moving property'to or borrow from an "auto". from any of your"employeesase, hire, ", your ent rpartners (4) A partner (if you are a partnership), or a (if you are a partnership), members (if you member (if you are a limited liability 'are a limited liability company), , .,ys Page 2 of.3 �Y,. ., Form SS 04 38 09.,¢9 . ;,..a., . U u or your "executive officers" or members of their households. This doesnot include a long-term leased • - , . • "auto" that you insure as an owned "auto" under any other auto liability insurance policy or a temporary substitute for...an --"auto you. own. that,.is: out .of. service because of its breakdown, repair, servicing or destruction. 2. "Non-owned .auto " means any "auto" you do not own, lease, hire, rent or borrow which is used in connection with your business. This includes: a. "Autos" owned by your "employees" your partners (if you are a partnership), members (if you are a limited liability company), or your "executive officers", . or members of their households, but only while used in your business or your personal affairs. b. Customer's "auto" that is in your care, . custody or control for service. • A • Form SS 04 38 09 09 gt.t . Pageglof 3i1iJe THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured Endorsement Number Good Company LLC Policy Symbol Policy Number Policy Period Effective Date of Endorsement EONORF111767812 2/10/2022 to 2/10/2023 2/10/2022 • Issued By(Name of Insurance Company) Ace Fire Underwriters Insurance Company Additional Insured (Automatic Pursuant to Contract) It is agreed that: • 1. Section II, Definitions, subsection I, the definition of Insured, is amended by adding the following: Insured also means any client or customer of the Named Insured, but only if a written contract entered into by the Named Insured specifically requires that such client or customer be added as an additional Insured for professional liability or errors and omissions insurance, and only for Claims (i) first made on or after the effective date of this endorsement and (ii) for vicarious or imputed liability of such client or customer which results from Wrongful Acts committed solely by the Named Insured. The Policy will not provide coverage for any Wrongful Act committed by such client or customer referenced above which is added to this Policy as an additional Insured. 2. • Section Ill, Exclusions, is amended by deleting exclusion E, but solely with respect to Claims asserted by such client or customer referenced above for Wrongful Acts actually or allegedly committed by an Insured in the performance of or failure to perform Professional Services. All other terms and conditions of this Policy remain unchanged. • • • Authorized Representative PF-19806(02/06) EO Page 1 of 1 t,:. . uL:. :c�: • . v2.