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HomeMy WebLinkAboutInsurance Certificate: Mercy Flights Inc 4---;ACORD �3 DATE(MM/DD/YYYY) AR o® CERTIFICATE'OF LIABILITY-INSURANCE 12/13/2022 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 Arnie Hunter NAME: Umpqua Insurance Agency,member ofAcrisure LLC PHONE. (541)672-3348 FAX (541)673-3994 (A/c,No,Ext): (A/C,No): 808 SE Lane E-MAIL ADDRESS: ahunter@umpquainsurance.com PO Box 730 INSURER(S)AFFORDING COVERAGE NAIC# Roseburg OR 97470 INSURERA: NATIONAL UNION FIRE INS.CO.OF PITTSBURG PA 19720G INSURED INSURER B: STATES NATIONAL INS.CO. Mercy Flights,Inc. INSURER C: 2020 Milligan Way INSURER D INSURER E: Medford OR 97504 INSURER F: COVERAGES CERTIFICATE NUMBER: 22/23 GL,Auto,UMB 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 INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 �/ DD— E TO RENTED 1,000000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ , X Professional Liability$1M/$3M MED EXP(Any one person) $ 10,000 A Y VFIS-TR-0025952 12/15/2022 12/15/2023PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 X'POLICY PRO- 3,000,000 JECT LOC 'PRODUCTS-COMP/OPAGG $ OTHER: Professional Liability $ 1M occ/$3M agg AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANYAUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED Y VFIS-CM-002595312/15/2022 12/15/2023 BODILY INJURY(Per accident) $ • .i AUTOS ONLY AUTOS -HIRED X NON-OWNED PROPERTY DAMAGE X AUTOS ONLY /� AUTOS ONLY (Per accident) $ X Comp$500 X Coll.$1,000 $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 A EXCESS LIAB CLAIMS-MADE - VFIS-TR-0025952 12/15/2022 12/15/2023 AGGREGATE $ 20,000,000 DED X RETENTION$ 0 $ WORKERS COMPENSATION - PER OTH • - AND EMPLOYERS'LIABILITY Y/N - STATUTE ER - - --- ANY PROPRIETOR/PARTNER/EXECUTIVE N/A 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 $ Cyber Liability&Privacy Management Cyber Liab&Privacy Mgt $1,000,000 B 2533082 12/15/2022 12/15/2023 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) $3,000,000 Aggregate Limit Coverage A and B Combined CoverageA$1,000,000.each wrongful act and coverage B 25,000.each action for"Injunctive Relief'Additional Insured:City of Ashland,Oregon and its elected officials,officers,volunteers,agents&employees with respect to Mercy Flights activities to be performed under the contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. 20 E.Main St. AUTHORIZED REPRESENTATIVE Ashland OR 97520 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Provides VS With WittelilaindeliatiOri It'd! • • (a) Obtain records anthother-:Tnformation related to the'oSuitP5 and b) Conduct and ddiitt. 1ilhe4efetWi.drthe iindeniniteelti Uthu,SUit", 1186.long as the above;conditions are mety: .attorneyir fees incurred by<us in Cille defense of•-•that, ;In-L-010149:K 11#90§MlY Iltigi1011 xpses incurredby us 40)4OP.9PA.g.„074:"11f(9411:0„41 .§41.911.rf0.:11 by the Indemnitee at our request be paid as tUPPLEMENTAFtic PAYMENTS Notwithstandingthe p9s!10Ons pf paragraph of 40%040E., A. BODILY *AMYAND 040.P.E.06! DAMAGE such pyflens vittrb e 40-erflea to be 04(1140.g-.4 igr )oloy" Atomg_oof Will Irotta of itMirah.M. , • .,01:0; ',Obi:1400 Id le.0.10111:(1 ilit$tito4ft indemnitee OA 10 OW to t1106..qt! ,t00,$) 110-00:sq migarquokori--# )ws!..P_UPPLEMENTARr,PAVYNI_ENTP.O.tglitiiheinl a W.ehave,used up the applicable limit of insurance in-the:paymentg.OfiudgmeriteioNsettlementsTor b The conditions set forth above,or'the termsof the agreement described in paragraph aboveáiöñ ) , . longerhät W1,1:01$ L,ININ$U.fiED ifyou are:! organization other',than a ipartnerilitpdbilitlienture or limited liability companyt you are an b A11149.r.,44F, Tpartnership grigitit gopmtki you re in1.jred YO.ctt rnerrthrs 4.071:1-yqir itferlOgiaje also jil-P.IKPA*JJ filltPrOVitin the 5.9040v10 g9c1mq-1,01041i9pPrAtOnf;.z fox4watt logitatlYori members aro 01.4o togow,d43 bu .onlYotio.1 the course ari.j cdpYO:tyour operations Yèur manag re ihsured but miff within iiie A, attkaova dotti6 2., iti tO. ,oaort::Orth70. a Akiidateetiand „ Your '"employees"i ?elected or appdinted officers,11 directors, commissioners or trusteest but only for acts,within.06 course and scope of their • r91:9,1110CPPrlt',f?Y104;111),g9,100r§:±1.`11-41b 51,914 WWII)gl14€44,4011§: b: 'Medical Directots: Physicians who are your medical directors,but or4lbt,acts Within thecourse I and scope of tnectibai,trebtordulieszoodgr 0110,(Li , - --- -• g, W141-11**; four ',Y9411:1P,Pr§i 4PPPA 111ROPr§i oort.0410.0-arajlt.1110060110:WIN Faa a 0i005,4):Theiran thdepentlatittyoufik grgotwoOltiow 1C.if,1104r"1*111t bytPoityVor he or 011plano4uotit0 sudden actiOn In no 09.0.0.1*Iltsjh ijo-pitaort WhQ rogibldb- to the scene fdf an erirgicyWithoror MV ',f-.#tter-ortotorgyr'sitski*tirgo.oti:0 be anm,*(troid d Owners oftoiortaiitieworE4uiprnent The 69..oTa.f: bdithiatideeretteqUitinfent'Other.than an '.."autb' is an 44171.15'.ti&.1it is in your date, idatiddy: or zdaItifotAtio,Jo) being used as fiat of an 'feltieVenCy, e. Real EitateiManagersl,Any person or any organization while acting aslour Teal estate manager,: 0:1041s0.'40.4#01V1 lnsures, AtlY person oj Vt.g4t1W.141i17990Ir0 o ran 40clifiP-011 insureds ainderan?'!Insuf7ed contract", if agreed to by you prior to the "bodily injury" "property- damage"personalgq0gdyqftigng iniggrokor 0‘medroalboldaniN;t.9194,11Y,10t41-0,-0-99'fig liability aisig out PriYP.X.iPr9.1,114:g çr opea' os,1 • • • VGL101.( 8M), ;',..q.9Ryil044:0:AripArtcprtigtprri..klimrtnpm.rgnp.firOcrp.miftPO.., 11 19'• gillisgjiiitifinTO: • RAL ;09.N..1,c;PP,1014'cgski.P.41.ffilta pgef.Thkry _. ROVideS 1Ci With Wriittaiiiabthbbiatiri ltPi (a) Obtain records and other information related to the''suit,";;and (b) Conduct fOletnnitaain Stibiff. So long as the above, conditions 3 are met,,attorney ;fees, incurred by,us in the !defense or'.that, indemnitee- necessary litigatiop expenses i incurred by us and necessary lifigatrom expensesncurred by the indemnitee at our Tequesfinii be paid SUPPLEMENTARY PAYMENTS.Nl otwiths'fan611%16a pqvisions of 'paragraph 0,a4 of COVERAGE A. BODILY INJURY AND POPORTY: DAMAGE OfAtikiTY, such payments Ooorto0 to 0.4410.,g4.5'to injury" 400 14tPPOLISt af:60.1401'400iliri'olt07.001'4701.0:0 ifls.arzoore, ate KiblOtiOri• tOtt10t07ritl, itieutety0 jrigoffirittioo a5d to par for .Ott(itri:OW orto litigatien expenses as SUPPLEMENTARYPAYMENTS ends when a We have up,the..applicable limit of insurance in Thec,payment.bfsjudRmerits,br.settlements or b The conditions set forth above, orihe'lermsTof the agreement described in paragraph f abovei áèTh Joi'0.0;Yit • • • • 0171.0.N 11WHO.:IS,AN INSO_RE0 Ityou are;. a An.-organization other Than a: partnership,,joint venture or limited liability companyi,you are an trAPr-g$ are an bA - *Yt• and "d • parr ee are also ; pftogrojtt nit venture, you .„. _ Y,A11, tt10r940, bitiVi**01P the course and scope17,f•Sicgrvp,rgtf9Ft§T, P A IlinLi00. liability yo:Arom insured, Your glogtoors are also irsureds, but only Within 14-.00100 and scoe of your oprations yormanagers are insureds, but the 10airSe Wfr,tveC.0.0. eaCti friSare.dlji a. Volunteers and Employees-: Your :vOluriteers, ,eleoted or appointed ;.officers,., - directors, commissioners or;trustees,: but only for acts:,Within the course and scope of their' employment by you, membership Ofti you PC-44t*Ix00:94nm on your behalf, Medical Directors. PhysiCians.--viiho are your medieatirectOrs but only'fbradts Within thacourse-: and gcopgitif their mecircgitrjreefgr:tjoop,.790-19yi Samaritans Your volunteers, .1W61110070§:", alecjd Pr"00.9.11,40 officers, IlifOtPM; 00ThitiOSIOf)ht$:*10$100$;While:40110,4$:a Good§070-4(itAff independently of on your behalf, but 01p/0-og he or gtgpoo.ogtorgito:oono,91go orrtordortoymivertg4,00011 actidn In• willMsuch person Who rasponds to the k4010 lOftn 0.rtOr00.60YWilti Of for iany OttlefertiefdeffICTSerVi.C.e,organization be an teOfed., Owners of Com,mndeered Equipnint TheOWiief of commandeered equipmenti other than an !.:0-.UW IS an insured while th-af,etittiO:tilf.fit IS;lff your ten)"Oraly care, aiStodtbf! being used aS part of an 'emergency operation" e Real Estate Managers Anyperson br,aaybr,qanization while aCtina as your estate manager,. :046150 Additional Insureds Any person or organization required to be Poril'TP01,000t Insured under an 'insured,contractagreed to byyou prior to the bodily injury", "Iproperty damage' personal and g09AlpjhglifigrAqr 'Toodkgr;incfc!`..q01; but oNvithi;:roopo9tto liability'orKtag out t).:EY.0:41I1r0:01,$":0,0 PPP Pgr,41.011,$•:, • WOV101408103Y Copyright Insurance InsvrAngp acupprAtk4. ii Page 10 of 19 qdh1l.01094,16000.461.10t40,0101011 of the insuañce GENERAL LIABILITY permissionP • • th reepeet là. "Mbbild eq1J1Merit"registered Thyi5,4i.;ftaite ,Ariy, oter vehicle registration law any person is an insured While:drivingsuch equipment along, a publib,. highway With:s{.-oo keirriiiwOri:.Arif other pérsoti or organization iesponib1e forthe,concJut Of.S.:abh person is.!'also an insured, but only with:,respect to liability arising out of the operation of The. equipment, and only if no other insurance of any kind is available tolhat;:person or organization for thisliability IHowolorA rio person or organization is an IriPC90 with J7P.-§PgOtt9,'!Orp.Arty44mggg''''tq' propertyownedbyl rentedibt in the.charge of or occupied by yotimrtheemployer of any person who is an insured under this provisio 14.010VON.0.14013,0110, Any organization srot,mwisfT4oKtivito or Rein,Atritftjt otitufo, liability maintain OirierShip:of majority ifitet0:811;VIII qLalify07$, Named Irreklkel if there is no OM similar itroivoitoo,ovoilao10.to thouo.tgarivotion.. a Coverageunder this provision istafferded only until the 90th day after you acquire: ,:or form.qh DrganizatibriDrAheend of the policy period,whichever f&earlierl b .COVERAGE",,A,OOOS'fibt .,.4141t119; li.b•dily inj der.4r 'Prbberiffdartiae',"that•D6Cltted before you , . „ , _ acquired.or for medtlh e organizationi COVERAGE B does not apply to 11-4PrgPrigir and advertising arising out 0',49; offense liemniftiod before you gesi0*or org?Nzaioçi,and d COVERAGE apply' 7104.1 .41:111Pric_10 'took,place before you ggoipjtoo, or f911',10,01I10 orgo*gtiort, NOPetebn .00.4i4atiOn 'IS•f,..art insured Witft reSpeCt„fj Ô.C.OriduCt,Dfost opt: 'partne"rship, joint Venture Of limited liabiIit aorroprw 3ript is not ishOWn as a Named triecired.in the! Deblatatiifirts, , SECTION LIMITS:Of INSD 1, The Lr Itiparpriop:PhdiAth ifip,bpdardtiorip the ruleS: berow'fix fhe IA 4'pay .,„ 1VAW.,010e$ of the hotoorDff: 'b Claims made or"Auito.:' o. ;Paoi§ 5f.i,•firoptiii. ptror..i.8 making claims or brisinOtiCSUiw„ The eneral,AggregateLimit is the most we will pay for thesu m-45fi Medicalb Ope.nSeSAin.d,erC,OVERAGE .„ Damages under-COW—. PAGE A;' excebt,:damagestbecause,:e.`todilyinjury, or property damage" included in the products-pprnpipteo.pqrOti.pris:hazard c Damages under Ad Damages urder 40VE04E4 4.o.p.4,Jr1:4,14r,00": . 4,0nM tOg 0.„00,4rOPTIO.'"011c.i.i0,40b, 19:90tiptiwhp0: yr rentedlo7..yoq, The Prodijae. Pri:effitiOrikAM6.1:04teliftlitiS theIrkOSIVO.V111:11:10StUrt1Pr. WRAGE mot damages because 'bodily injury wand 1roportyidamge' 'incLue in the'tr..107Otrot$:-:_cotivietott Ariptptiotiotto:':-;:f.Ohoaori Named heated„shown:in th_el : aEtil91. Subject; >above, the Personal and Advertising Injury Limit Als The most we will pay,under COVERAGE B fdrili the damages beb4USe,Of all "tief,SOral.,,anti:faffertiSiriffrijiitfaiStairied iby anronaperson or or9antzetion, Subject to 2 qr.4 above l whichever topoliogi Rtg 1.Each Qccurrence r Medical Incident:Omit is the most will pay for to:go,ot a 4114goo.;under 09*.13:40:0*.grroJt and jjo.Torts:e-%14440-1000§A.01 • 3L11,,(913193), lOPIP,PrO'prt.. Jt ‘P04011rqf rights réserved itigWOA5Yilift0,:figgig GENERAL LIABILITY • ArAgeptilitc,93,ing,„Afti-N permission-; beCatiSe Of'all "POdilY NEW"drf.tt"PtoPeN f,darh4der Ni11, out Oftar(Y.'aleOCO.ilifferteen-*kr all ;damages arising out ofanyoneme.dtcah Reid-ea% 6., .1Subject to 5.,above),the Each Occurrence or Medical Incident Limit is the most we Will pay under 7COVERAG8 Aibr damages because of-'".proper,tYdama•getria any one premises,while, to you, orih'iheqcaset of damage by fire, while rented To you or temporarily foccupied'by you with perrriisSfon. of the owneN, 4 Subject to 5 boV , the ledicl Exerfse atAltijo the mOst47e will py under COVERAGE Dfqr 411 medical expenses iOkOkIMofbOdilyiitimytualtiott •00$01t • • • • Th-oLi MitS'Or;WARM.Of this ToWerge patt rapplOoparKely' 0.4,Cfi ce.OffSe.:OcitiVecatintal period ai.riO any,t0ftitrititfiedM of leSStha7h 12 rhOrithS;starting with We:beginning of the 05.lio,period showii in the Declarationsl unless the policy period;is extended after issuance for an additional period •.of:less than 12 months,In that case, the additional.peried will be deemed parttof•theilest preceding period for purposes! tirdeterThirlitigIhe LIMISOf . • • SECTION IVCONDITIONS Thglotl*or:Pmdittor)§VitrIbirg*ROrY:tg-t#P,zcAllOgri!Policy Conditions ,Bootow fAri.Kroley griiiy ttieii irtArrif MO joagottvotatomulriOttO.11,010:(1.$100:010.11,011011010! littlerthtSCOVetge p•art 2. MOOS:itilh' VAtit•TO4r)r.,;( 101f.01070,..0,ffej ,. MOdiOallti.0140k0a.initorAiiiti a 'You must see to ft that we are ncifilied:as soon as pradcable of-:an• ''Occurrence% Offense or ""Friedibat 4-fader which May 4feat'In ä claim TO qhdAitera pOSSiblej ft6ti, ShOUI'd 11PW1MtP11,PIAW4rO thel'e,90grqr190Pr.Ofgrv:Pc'''0441 IhP10910?9,1s place, (2).: IfigT,mgg.54.0gidcirgogog,gp-gpOrfiqPc1 40VOg0103,01100Aant rigigq,v4,19*pn of any injury or damage arising out offense or `5,n)0001-1101:00.rit trkrn is mador gal'ts7 OrogaRggAlostriylogArgd, you must Yux immediatelyreOord the sacifics Qfth claim or suit and the date received, and (2), Notify us as soon AS practicable You niust: :61:&it that we receive written notic&of the Clalth or'''SOit"'aS,.SOOS. practicable O. YoU!iafid.. -0 titfra.iiiiiblVediritfted MUSE RI Immediately send„us copies of any demands, summonses or legal papers received in oormgptiOrxvkfhg4gmqr suit „Ailtfrortiel.:us to obtainArecordSand other information; Cooperate with in the investigation or settlement OTIbe;cialm ortiefense,',againstAhe '!sui 01.4 „„ .,„; • , , Assist s, upon our trogvot, ;:in the enforcement of wiy, right r•against any WWI 4f' Which •--04Y liable insured because of injury or damage i tp:which this ..• insurance may also apply No insured Will, Wept at (nutotro,town cQst voluntarily .make a pamerit„woutyro. ny ObliptOhOr:Trietk•Aq•bAteriSkOtherthari forfirst aidwithout our corsent N1,91191013MI .;:09P10461100.2*(0k4MANTROW,@ Insurance019x.prAw. i Page 12 of 19 „,. fraitkNICEQW,Ng0t§bitiAaitgbgog litikNototo4 GENERAL ServicesLIABILITY Office;1 PC.,,Witi its permission. b. ,If S'ibU;iferiblt IbideUrrenbel",:Off-Oa& bi lnediCal iriatirer p'rbVidtqgih thh General Liability insurance1 which later lops,into a General Liabilityiclaim:covered' under this, cbverage part, failure to report "10704ffefib70",,, .offense or"Eltredial incident to the time of the 'triaccurrencetY), offense 'medical indidere shall not be deemed in ,VidlationOf these oonditiona.,, However,you,shall give notification to us, as soon as lareasonablYposaiblecthatAhe 49gqVPPOgglONDWAr Liability 01:071j 'knoWledgeofiart'laccurrenceA offense or'medical thdidentt! by any ofyour agents,volunteers or *10 not constitute knowledge by you unless oneof your officers or anyone responsible for administering your insurance pro:grArrc:has Ir00,&04,a rairitiorf tram. the V:010t0a-tir Vt.toirosoo"... vow mowv . 'NO persomororgarii2attontas a right underthiaxoveragelpartt a •Toiloin us as a party or otherwise bring us into a suit asking for damages from an insured,or IbJ To sue fira'Oftlffa.coverage part unless all of its terms have been figpoittOw with A personor organization may sue us to'recover on an 'agreed'settlement or on a'final judgment :agOih§f an'.insured, but we Will not be able for-4atio90 00 are not payable phdertifie tempi*** coverage part or that:are itt..0?;C000:0„ of AtIO=Avitog*limit of irj.surance An agreed $101P1104;MO.O.S: :§61Nrmt and release of)0014 signed by us, the insured and the 51011701itPi‘iN claimant's legal VIDOOPIONqe 4.. OW 11101i0140.0, Ifi3Oth.eraftd fti watibielttigtatiadié Mildb(6.Att th . Uéd V616a.6:ef, “eitiblOYeeIczelebted 4e, , . . appointed officer, director, icommissioner,, trustee, medical director or owner of commandeered :614106011 for a loss we COW Oder COVERAGES A, BbKO; of ifilrekEtitiT) Insurancei§70titii4rt With nocon s id e rt ion or Fcontribution with other insurance except with respect to wty. medical: 79014.9.4W JOArIMPM1199:V001019:, a phystcian who is acting on your behalf on- site7'.medical'treatment of a parsonWth respect to said 0011*110141:40.0g liability tIO.MrgsrM. our Troft *O.Ngs§PY.Ort:01:!:c9v..wom If valid an.cl collectible insurance 1:8J•g8010-1;q14#4:I)%4T04,.01.01.[1.0 Volunteers, employees', 01et700 or 00.01.0100 officers, yoaoo,. medical 'abaft,'for owners of commandeered equipment, ior a loss we cover undeTh COVERAGES A, S or 0, of our bIiàtioh Iihit L 'raw a. :Primarydnsurance This insurance is primary except when b10019.\*PPOW insurance is primary, our obligationsfarendtaffeCtedunlessariyOr the other.insurance lS,also.2 primary„Then,rwe Will share witfrallthatotherThsurance byte metnothdescribedin Oi below ..„ This insuranceWercgos, AtlY,01WPAID004302,whether primary,pigs ,,gogifgglt or on ms4!ottjgrAot That is fire0400.0 coverage, builders 'itff$10.1.1:010 risk opsimilar coverage for' Naiiv.am (b) That is MelhAt,gar0 for premises rented'fatWiti or temporarily occupied by you With oeyed§wriofth.e.;:owerek (d) That ls insurance purchased by you to cover your liability,as a'tenant,for '`!:Property damage opremises rented to you or temporartlyoccubled by you'aivth perrnissitmdthe, owner; (d) That is insurance covering;your liability for bodily injury” or 'property damage arising ggtt pr9,40g., FOAPPAPIP,heVVE4g0.P.10t.hP1§.; Vg1,391.08t9.3) ;O:qP,Ytidhit2(Wmgrikg.nAm.a.ftY,P Insurance 04pgrOgr,PJi Page 13 of 19 OtitRigkeil VAT.04,40#04,004t01§)of the GENERAL LIABIUTY ,,,:$1'grlii,ppg;.facg„Jne_Alitift0 That Itidakido td:Vorrribi yout fdif Itiyity dr"!ditifiMyt'd.ditg:67 .• ,,.„. , „ out of the igniting or.:)discharging oftireworks, including but not limited to firecrackers, aerial or ground dip1ays, in atiAtit:06,ViM, deftonstration or Mair, Oltitrate,d or sponsored *you, HOwever,,,-ttriSF.coverage,Shatintit be excess should the'-bodily injury or property- damageresult from an emergency response you provide in response to an , 011.0SP9M.Y4101.14 fitowt43.or (t): trthe lossaiises out 33f4h-emnaffitenance or use Pfaircrait erwatercraft to the:eXteritmit subject to exclusion h of COVERAGE A. 1130)1PY INJURY M11 PROPERTY DAMAGE LIMICirt ,AdY other primary 1:6ktoorioo„motoiro pools or self-insurance, 00S1,01.1.0.0'war liability for tor t10144:0§ arising oLit Qf the prcñiises or operations for which'yoa ftve been added Allen this insurance is excess,we will have no fdly'underOtiVERAGESpic .rfor-Zto defend th Insured against any nsuP ifancitherinsurerihasaidtitlailefend the InsurethagainStihersdifk If no bliter inStiref,defends!Ve.will Undertake to do so, Kit We will be efititled t the ltared!,t. •/ rights against aitlfhose other insurers: ' • this insurance i oxowoYor.,.0tOPr:Yrg4(4:4Pgi;we will pay only 00(share of the amount of th-9:1m§i,lf*.yilf*. cpaittlourrl (0) .Tho;'totegivottb4tot 44„412.Pit01 insurance 1 would pay!dr ft)g this insurance,arid (d) 7,1.-W.41041 dr0,1ridOirefiti.OAtid .'1fii.111640'.1dcilt§ 0'00401 thV.other We.,Vi will share:the, remaining loss, ifany with any other insurance that is not described in this excess''insurance proViSibrrand was not Pouglit speCifiCallyAo apply in excess.•-.6.f the'knits df naltarteISKOWfanithe tiedlaratiOne.tfittile,tiC.OVetagepatt, Pn Method Of*min If all tn17)o other insurance permits equal sh, res,v0)41 followthis rtiettidd Under this approach each Insurer contributes'equal amounts;urItij:itnas paid tp irlgt4r.aq,q0,10r (110.1110*,00 logvOrnim Otrortwor,-qqt:114g ftr:Pit A0707).lt ),Ofi5'ijt 1)74(0:$1,,r1W70 Mite. Under vil method, ,O,C0'ratio of its applidable limit of 1.h.' ..itan'','OktktnttOtatag'OltOaO.IO IttflittittWariWOtall ,Representations ••• 13)facceptih9INpolicy,:yo.0 agree: - -- a. IhesinfOrmatibn In the D'ecl'arations i's-aocurateand comOlete, b 'The information is bsd upon repre, entatioris you made tc.40g;,ArA Wehave issued this policy 1A.,:rOgrigozoon yourtorogotAilom failure to 0,d(0.g41 hazards xistinj1as of the inception date of lkomapy 04(1:riptirotolliAiog you .W.th woof t0:11,04*(AN MfbAtt, provided such failure or qraoOrt is ñ,ot intentional This :cover'ag'e, is void r#6y4-ttroodal fatt or :Orreifitt000,relatingto this insurance is1 wow-rimy Except with respect to the Limits ofInsurance, and any rights or tuTiesspeCitiballwasS14naPin•this ooveragepart to the first Named Insured thts4nsuranoe,ApO.Itesi a, As&each Named rnsure&werelhezorily Named.fhsuredii,'and '%Prar:Pf -!Stb: 0.1,1M9110,49Atnit 09110Atri)1,0TPAPVC (SIMght wool looton gppyild.RIMArrprikgnAftmA0y,,@ 09rppr411P.R.,Afi ,,P40014-01. !:4400*0090610,AgfOR OtiOltiMaff0.4: GENERAL LIABILITY Arliipe§Mokg;Anliffiftg permission • 4' A trA, Transfer of gightszof RecovetyAgaind,MhpreTo Ifthe insured has rights to recover all orpart of any payment wetiavalnade underthiScovera9ppart) those rights areAransferred to us,,,rtheInsured'must do nothing after Toss to'I impair Mem. At our 141W*ge or,transfer fisiap:i.),0-0: p q.: ,rtfbplo pg.-psilforwfb-grrt, 8 WhenWeDoNctRenew If 0010.0 not :SrOtiOWAhlkat.040:0 pArtmo.willt.t1iiW4.0.0810101tiklifaMIVO IWO: ITh 111'1M ,1-).0641tOtititi$written notice of the non renewal not less•' 30 days worolh4::001r4t106 date If tii tn.:010:4„OØt f01011.114.Vill.'be sufficient proof SECTION At DEFINITIONS 4,Ady.OrtOrtfairmeans ratoktriat 1.-coromowof published td tooqo-noroi toollocoropoitoborica segmentsabout ybdr: goods, oedtatk, or services purpose of attracting •;,etWOrti6if _.,.„ s or supporters. 2 ''=Auto means-:ia.fanch motor vehicle, trailer semitrailer designed for fravel on public roads,AnOludina anygttach eci mach ineryor p men t. aLit:o'f,?does not I ntlude: equipmentlf?, . 4. 'BOW injury mealis bodily injury, sickness or 41i4e4$0, %.104itiot, la'pemori, including death :VgitthtrOtitgly 011,10.$0 4.. 1`10f,k04,04WitittiritiWtil a 'The UOUTO .5.101.0.kVA11010:4 including its tOttitara and 000 #1.1kit)1tA)4 b International watefs or airspace, provided the tijapf attOkiii$0.0 not occur in the bourse of trwel,•:-.ortransoortthtionAcror,fromanxplace not indfUded ina,above or c. AlI other-parts ofIhs,world 10nktry,or clArrno:4174,PPo41 of (a) Goods or products rnadeior sold by you 4n the territory described fryz.•. 1-.Yovel,or (b) Ing740001vf-5.-gppr:§An whose hometo jrifteV.11PTFOOP60,903•11 a above, 410g away for altorf time on your nuooszKor0 The insured $: responsibility to pay 04f1lageA i determined in a 1suit'''on 10: merits, in 1110 .;;WrifArk.4.0 .0ritf.ggiirt.*0:1140,PV:f149. 0.06t0,:.6.tVgAgrO.010,, "E -VO407.0Atta):§7ttaff.§. 6, ..! a Mittilar'ard C.Itetit f01507§67W•fa protection„Of'ititOettyl human life, health or safety,and b eritoti result Ir46i, the pewit% or wejtortig. to pottitilVfirOtigtitioraservices, haardOt4,. materials Unit services, ftt; I'itilOOlared, or .resdue squad services, or related t services,:, Tholudinghestabilizingor securing ot an emergency and o Which ara sanctioned by Afire department, hazardous materials unit,or firStAid) ambulance or rescue squad qualifying as an hsord`1iindo...r1hts coverage part, or (2) Arl offro,:pro40000r '-AroofoyooHONAon-orggpizottort 6 "PrOMAYAg.includes VIOOggAtIAPc' EmplEmployee.'"`.OPW:rO.V.tr1:010..q4;10r.14:9T.W.YVTkeeE 7. "i' 1110.1.40e-fit practices bi0.46$ai t.Làl lleëd improper oditoyf 4ot; • or omission or former volunteer or vfforo0.61661(idtrtibt F41.1470',Whlit0i0freitOtfidVeW JTWronfuI disThissal, dscharge or .tiO.ffilefa101ft of employment or ffetriberShIO,-,whether actual or consfpudiVei VO;191(Q8:194} 09p,y666000zilop.opnAltelgattyp.insurance.0917P:Pr010, i Pge1W.19 frOW'MO1901 tfgia,*0.00tiA644104014 ii.OR#10440# GENERAL LIABILITY Services permission