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HomeMy WebLinkAboutInsurance Certificate: Cascadia Consulting Group Inc OP ID:SR ACC:M O* CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 03/09/2021 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 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 Sprague Israel Giles PHONE FAX 1501 Fourth Avenue,Suite 730 INC.No.Ext): (NC,No): Seattle,WA 98101-3225 E-MAIL ADDRESS: Robert Karl PRODUCER CASCA-1 CUSTOMER ID#: INSURER(S)AFFORDING COVERAGE NAIC# INSURED Cascadia Consulting Group,Inc INSURER A:Ohio Casualty Ins Company 24074 1109 1st Ave.,Ste.400 INSURER B:West American Insurance Co 44393 Seattle,WA 98101 INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: . REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP • LIMITS LTR INSR VD POLICY NUMBER (MM/DD/YYYY) IMM/DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X BK05769640503/19/2021 03/19/2022 DAMAGPREMISES TO RENTED 1 000 000 PREMISES(Ea occurrence) $ CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO- JFCT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 B X ANY AUTO BAW57696405 03/19/2021 03/19/2022 (Ea accident) BODILY INJURY(Per person) $ X ALL OWNED AUTOS BODILY INJURY(Per accident) $ X SCHEDULED AUTOS - PROPERTY DAMAGE $ X HIRED AUTOS (PER ACCIDENT) X NON-OWNED AUTOS $ X UMBRELLA LIAB X OCCUR • EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,000 A — US057696405 03/19/2021 03/19/2022 DEDUCTIBLE $ X RETENTION $ 10,000 $ WORKERS COMPENSATION WC STATU- X OTH- AND EMPLOYERS'LIABILITY TORY LIMITS ER A ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N BK057696405 03/19/2021 03/19/2022 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) WA STOP GAP E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) The City of Ashland,Oregon,,and its elected officials,officers&employees are additional insured if required by written contract or agreement,subject to the General Liability additional insured provision endorsement. Insurance is Primary and Non Contributory. 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 East Main Street • • Ashland,OR 97520 AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD Policy.#BK057696405 :. . 4.. O C MMERCIAL:GENERALLIABILITY: . .. CG 88 10 04 13 • • -- THIS ENDORSEMENT CHANGES'THE•POLICY. PLEASE READ IT CAREFULLY: • . .COMMERCIAL; GENERAL :LIABILITY EXTENSION: :... : .. :This endorsement• modifies. insurance: provided .under the.followiing:•': : ..H:.. .. • • . . COMMERCIAL:GENERAL LIABILITY. COVERAGE PART : : . .. INDEX.. . SUBJECT AGE , NON-OWNED AIRCRAFT .., 2. NON=.OWNED WATERCRAFT '.. '. :. . • ROPERTY.DAMAGE.LIABILITY:-ELEVATORS::: ; : • : :• 2. • EXTENDED DAMAGE TO PROPERTY RENTED TO.YOU.(Tenant's.Property.Damage): :. : :. :. .2 :: - MEDICAL:PAYMENTS EXTENSION: : . : :: 3 • . . . EXTENSION 'OF SUPPLEMENTARY PAYMENTS COVERAGES A AND B; : • • _ •. • : ::- ; 3 • ADDITIONAL INSUREDS =BY CONTRACT;-AGREEMENT OR PERMIT. - •. 3 : . . : •PRIMARY,AND.NON CONTRIBUTORY= -ADDITIONAL:INSURED EXTENSION: : •• : . : 5 : : •••••••:. : ADDITIONAL:INSUREDS:.-EXTENDED PROTECTION•OF YOUR:"LIMITS:.OF INSURANCE" : • : • : .; .6 •: -- :WHO 1S:AN INSURED-INCIDENTAL MEDICAL ERRORSIMALPRACTICE AND.WHO IS AN -: • :, • • :. • -. INSURED.-FELLOW.EMP.LOYEE EXTENSION:-MANAGEMENT .EMPLOYEES: . • :: :. :: . • :. • .••• • ...6•:. - • -. - - : • •NEWLY:FORMED OR ADDITIONALLY ACQUIRED:ENTITIES • . :: • • • : • :. .• 7 :. •- ' •. . . ..TO DISCLOSE•HAZARDS AND•PRIOR OCCURRENCES . . . :. • - .. ,• , • 7 - . , . KNOWLEDGE•OF OCCURRENCE, OFFENSE,•CLAIM-OR SUIT . .. :. . 7.' . LIBERALIZATION CLAUSE..., •:- :.• 7 : . • s. :BODILY;INJURY REDEFINED • : . :: 1:1 • • : :.7. :. :: : . :- • -EXTENDED PROPERTY.DAMAGE . • . • : • :. :: 8 ..•: , • . . WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US : :: .' .. 8 :. -- . '. "- : WHEN REQUIRED.IN A.CONTRACT•OR AGREEMENT WITH:YOU . •• : - , • .. • .. : . - : • • . • •:© 2013 Liberty Mutual Insurance " - : • CG 88 10 04 13 Includes copyrighted material of Insurance Services Office,.Inc.,with its permission..' - Page 1 of 8 . • • • -With respect•to: coverage afforded by m this endorseent, -the provisions of the; policy•:apply unless modified by • •.• • - . . • • 'the.endorsement:- ::• - .- . . , . . . • .. .. • : . : :A: : NON-OWNED. AIRCRAFT : • . :. •• .. • •: Under: Paragraph. 2.: Exclusions. of Section' I 'Coverage A' Bodily":Injury And Property Damage.Liability,: • • exclusion; g:Aircraft,-Auto 'OrWatercraft: "does not::apply: to an aircraft:.provided: ; 1.• Itis not:owned.'by any"i • nsured . •• • 2.: It is.hired, chartered •or.loaned with. a trained paid crew;. - • : 3: :The pilot in.command. holds a:currently, effective"certificate; •issued:.by the"duly. constituted" authority of, . " -'the United::States of:Anierica .or..Canada;designating: her:or him a commercial :or airline :path; :and :- :. : :4.: ••It is not being: used-to carry.persons•or property for.a charge: •••• • - P • • ••. ; However, the .insurance .afforded •by :this provision does not•appl :.if'there•.is available to the insured "other: ' - • •valid and collectible insurance whether::primary,' excess.(other :than insurance :written ;to apply. specifically •,in excess:Of:this policy),• ;contingent: ;or.on:any other.basis,:that would- also apply:to -"theloss covered•.under this rov ' •• .B NON-OWNED•WATERCRAFT .. • :. . • : ' : • • • :. • • • • :. • . : Under Paragraph 2::Exclusions of Section.I-Coverage A-Bodily Injury::And:P'roperty Damage Liability,. • . . Subparagraph. (2):of exclusion g.Aircraft, :Auto.-Or:Watercraft••is:replaced:.by the following; . :.: -• , . o This exclusion does not'apply to • • • .. :. : :. • :' :• :(2). A watercraft you:do not:own that Is:•:: :: -:. • : (a) Less than 52 feet:long;:and:: • : (b), Not being used,to carry persons. or property: for a charge.. :• • . • C: :PROPERTY DAMAGE":LIABILITY.="ELEVATORS •• " • • . •• 1;: •Under_Paragraph: 2: Exclusions :of.Section 'I:- Coverage A=.Bodily Injury And: Property,:Damage. Liabil-: • .' . • ity,. Subparagraphs. •.(3),:(4):and:(6) of•exclusion ..j. Damage.To Property:;do.not.apply: if:such:"property .. : . • damage': :results':from: .the. use :of:elevators For the:purpose of this; provision,.: elevators: do•not:include :. . • •• ••- :vehicle:. lifts: Vehicle lifts ere:lifts:or hoists:used in.automobile serviceor repair :operations: :: • • . ; • ::2: '' The following, is added •to .Section :IV Commercial. General:Liability"Conditions, .Condition:. 4. Other: • •. .. Insurance,:.Paragraph b.Excess Insurance: : : -• The insurance.."afforded by this provision:::of.this endorsement "is-excess:over any property .insurance •- •.whether primary,• excess contingent: or.on any other basis " •_ • D. EXTENDED.DAMAGE TO PROPERTY RE• NTED.TO. •YOU.'(Tena• nt's Property Dama• ge) • • • If Damage To-Premises Rented To You is not otherwise. excluded: from.this Coverage Part: 1.. -.Under Paragraph:.2:Exclusions of Section I.-.Coverage,:A-:Bodily.Injury and.Property:Damage Liabilityr . . . • .. • a. .The fourth•from :the last:paragraph of:exclusion j: Damage To:Property is replaced by the follow- :. •• Paragraphs:(1), (3) and(4).of this:exclusion: do not apply to"Property: "damage":: (other thane damage: .. " • • • by fire; lightning;: explosion; : smoke,•or leakage from.:an•automatic •flee'protection system). to:• : :. • : • ' • (i) Premises rented to you for a period.'of:7:or fewer consecutive days; .or (ii) Contents that.you.rent:or lease as•part.of a preniises::rental -or lease:agreement:.for a.period of rnore than 7:days;: : . . • :. • - • Paragraphs 1) :(3) and (4) of :this exclusion do ...apply 1 to:"R .roPertY damg. �s e_" to• contents •of :. " :. " • .• .premises rented to you for period; of 7 or:fewer consecutive. days. .. . • A separa•te limit_ •• •of• -in•surance :.applies "to this• ..coverage•• as• described' in..•Secti•on III Limits• of • .. • Insurance.-. :. • . © 2013 LibertyMutual In r . . . . , •• .. • . CG:88 10 04 13': "'Includes copyrighted:material':of Insurace Services Office,Inc.;with:its permissiori. Page 2.'of 8 '.• • - • • • .b. -The last paragraph of subsection •2. Exclusions:is replaced by•the following - • .. :: : •Exclusions c: through: n.-do:not apply to damage by fire; lightning;: explosion, smoke.or leakage: . - from automatic protection .systems, to.premises. while. rented to you or' temporarily .occupied .by : • you with' permission .of:the owner. 'A separate limit •of•insurance applies: to Damage To Premises - Rented To:You as described -in Section III:-Limits Of Insurance: - . • • . 2.: Paragraph:6'..under Section.'III -Limits, Of Insurance:is replaced :by the following :. • 6: Subject to Paragraph .5: 'above, the.Damage: To Premises :Rented. To You- Limit.is.the'most :we will : - • pay under Coverage•A for damages because Of"property: :damage"- to: : - •. •: : . : a. -:Any one premise: • • . : . .(1) .While: rented;to.you;;:or ; .. : : • . . .. . : :. . 2 While rented to ou ,or tem oraril occu ied byou withpermission of the::owner for..O y P Y P Y Y . P :. .damage by :fire; lightning; explosion,•. smoke or leakage from automatic ::protection sys=: - . tems; or - - - . • b..'. Contents -that you rent or'lege as part:of a premises rental ;or:lease;agreement. • : . • 3. As-regards coverage provided.:by this -provision: D. EXTENDED:DAMAGE. TO PROPERTY.RENTED TO : • ' ;YOU:(Tenant's:Property. Damage).=Paragraph:9.a. of:Definitions. is replaced withthe.following:: . .1 '. :.1 - 9.a. A.contract :for a:lease of premises. However; that portion. .of the contract for a lease of.premises:: . • • .. • . ',. that indemnifies:: •any:person or: organization for damage: .by fire, lightning, explosion; .smoke, or'. :: - leakage from automatic fire rotection• :s stems to:: remises :while.rented to ou or tem oraril P Y . . P Y' P. y • occupied :by you With The permission of-the owner;: or-for damage: to contents -of such .premises:: •' :- that are included: in your premises rental or.lease agreement; is not an "insured- .contract". . • E. ::MEDICAL PAYMENTS EXTENSION' '. ' • •• - - -- :: -• .. . . . . :. If.Coverage. C Medical •Payments; is not•otherwise excluded;' the Medical:.Payments provided by this policy: :.: . : are amended as follows:. . •- • : ; Under Paragraph 1.:Insuring'Agreement of Section:I. Coverage•C .Medical Payments,.Subparagraph ': ; • . i(b) of:paragraph. a. is replaced bythe following :• ' ' (b): Theexpenses: are incurred and reported .within three:years of the.date:.of the:accident.. and :: :. F: : EXTENSION :OF.SUPPLEMENTARY;:PAYMENTS -COVERAGES A AND B. : : 1, • Under•SupplementaryPayments Coverages A•and B, Paragraph 1.;b. is'replaced by the'following: - • .b. '.Up:to:.$3,000 for:.cost of bail bonds required because of:accidents or. traffic law.violations ' arising:. • . - out of:the use of an vehicle•.to which the. Bodily Injury' Liability--Coverage applies: :We'do hot'.have- • . to-furnish these:bonds. . .. • .. • • 2: Paragraph :1:d. is replaced by the following: • .. : : :. : : ' . : :, . : d. , AII..-reasonable, expenses- incurred by-the insured:. at our request-to assist us.in the investigation: or 'defense of the claim or "suit", • including actual •loss-ofearnings up to $500 a day because' of•time• off.from: work. .. • G. ADDITIONAL INSUREDS :-BY CONTRACT;.AGREEMENT.:OR PERMIT '• . . . • - -. :1. Paragraph •2. under Section II =Who Is An.Insured:is amended•to:include- as.an•insured. any-person_ or. : : • ; 1 -. . .: :Organization : whom :you have :agreed to: add::as an:additional; insured : in:a written contract; written : :; . agreement: .or permit: Such person.:or organization:' is an -additional 1:insured. but.only:with :respect::to: liability .for. "bodily injury; m :or ' - "property. daage" "personal :and;advertising" injury" 'caused in whole: :,or in part by:: . - •a, Your :acts or omissions,. or the acts or omissions of those acting on. your•behalf, in the performance-: : of.your. on going. operations. for the additional insured that.are•the subject of the wriften :contract or. • . • written . agreement provided .that the "bodily injury." or::"property :damage"' occurs, or the "per- • s.onal:and advertising 'injury" is committed, subsequent to the signing of such written • contract or' • written agreement; or. : : - - . - © 2 013 Liberty Mutual Insurance : • •- : ' CG 88 10 04 13- includes copyrighted.material of Insurance Services Office,Inc.,with its permission.. Page 3 of 8 - • ._ . b. .Premises:or,facilities rented by:you or used.by you; or: : • • .. •_ c:• The maintenance, operation:•or.use by you: of equipment .rented'or leased:to you:by such person:or.: • - • - .. .. organization; :or: : •:d.. .Operations :performed by.you or_on: your behalf for which the state•or: political ,subdivision:- has. : . • .- . • - :: issued: a permit :subje:ct to:the following: additional provisions: :: .. :: . •• • •• : • ury ,•-•,property. .damage. Crersonal •and-ad- . . . ) :This: insura es not •apply "bodily.. 'inj .• '•vertisirig inj rising::o•ut-of the operations performed for the.state or:political: subdivision • . • : • • •:•.: -•• • . •(2). ,Th•is:,: • :: : • •does not .apply to.-"bodily:inj'ury" .or "property :damage" included within :the • : • . • • _— . . • . • : : •.• "completed :operations hazard"...-.. •• - :. .' • :. • .: __ (• )• Insurance applies ,to: premises you: own, 'rent;•'or control but only :with respect to:the following : • . :hazards: :•• •: ...(a):.The existence;. .maintenance, :. repair, ::construction, :- erection; .or:removal-. of. advertising : • x• •• : ::. . •. :signs, awnings,: canopies,. cellar:entrances, coal:holes,:.driveways,. :manholes; ;marquees, : • ,_•- :.hoist .away,openings, . sidewalk.-vaults;•street: banners; or decorations and: similar •expo ' • • -=—.: : ' :' •--. :(b)- The:construction,-:erection, or.removal•:of elevators; "or:. - - (c) The•ownership; maintenance, ••or use of any elevators covered by-this-insurance:.: : • However: . • .. • . : • • :1: ' The insurance afforded to such:additlo.naL insured only applies:sto.the extent'permitted': by law; and •2:. : If-coverage: provided- to the:.additional:.insured :is::required :.by•a contract;or.agreement,.:the-insur-: : . -: ance afforded•:to .such additional insured will: not be broader than' that which you are:required .by . - ,.F.,,,• ... the contract or agreement :to provide .for such additional: insured... . - : • • .. . • • .' With••.respect to. Paragraph' 1.a...above;. a person's:: or.organization's .status •as:an additional insured:: • : under this :endorsement ends when::.. :. •: • - • - • • • : (1) •All work;- includin . ..: •: al's; :parts•or equipment: furnished• in connection"with;:such :work; :on:. . _� : • g: .materi • ...the::project (other:than service,._maintenance: •or•repairs):to:be•performed by or,on behalf of the. : .. additional insured(s) at:the'location of the covered:operations has been completed;: or • • • - _ (2) That portion: •of "your :.• work out•of which: _the.:injury pr::damage .arises::has:been:put :to its: • - • • • ••• .. •• - a by :any person or:organization other than another contractor or subcontractor intended • engaged. in'performing:. operations for a principal: as-a:part of the same"project: - •:: - • :. : With :respect.to Paragraph• 1.b: above, a:.person's' or.organization's. . status :as:an, additional:::insured.. •••.• - under :this endorsement ends•when..their-:written•:contract: or.written :agreement :.with•you for such• •' • . . premises or.facilities :ends. . ' • .. . : : • :With ove, this insurance does:notapply to:any'"occurrence:'- .which takes:... : i h�respecfs• to.Paragraph�:1.c:.ab • •• :: "••:. place:after the :equipment;:rental."or-lease agreement,has•expired• or.you have:returned such equipment• . :. •• ' ••:' • to the lessor. • • :.': 2. With respect :to the insurance••provided .by:this endorsement; • the•following: ate-added to Paragraph. 2.: Exclusions under'Section I-.Coverage A-Bodily.lnjury Anil Property:Damage. Liability • • . :. , This insurance does not'apply: to':: ::: . ••. .• .: • •• • •I :. . :, . a.• •"Bodiily injury ••or"property damage" .arising from: the'sole negligence- of.the additional. insured: : injury!! c-• • : - ti:: "Bodily :or•"ProPerty :• damage •that•occurs prior to ou commencingoperations atthe: •• • : • • location :where such•"bodily .injury" 'or''.property: •damage": :occurs: ' :: •: • • • :. • • : • c, "Bodily • injury'; :"p• roperty.. -damage ..or personal and advertising injury! •arising out-of,the_render-:• •• • • •• •• • •ing of,•or the failure to.render,::any:professional• architectural,:: engineering or surveying.-services,••• •• • • •• . . •: :. • ;: (1).:The preparing,.. approving; or. failing• to:prepare: or approve,. .maps, shop drawings, : Opinions; : :. .• : • :: ' •; :. .reports; :surveys; field-orders,:.change orders or drawings and specifications or:• : • .• • • .: (2) Supervisory . inspection .• architectural; •or.engineering.. activities ..: - •__• :. . •• • • : . •This•exclusion applies even:if the.claims against.any:.insured allege: .negligence: .or other:Wrongdoing:. :•• : •the supervision;i :hirings.: employment;,;.training;;o[ :monitoring of.others f;by :that,.insured; if the "occur- : •• :. •• rence'':.which. caused; .the :"bodily injury :..dr:"property : damage';• :or the. offense:which. caused: the: :. .• :• :: • "personal• :and advertising :•injury',.'involved.:the rendering of,::or the:.failure:to:render, any professional . • - architectural;. .engineering;:or.surveying::services.:. • • • :. • •• • • :. •:- :d. •"Bodily:injury' • Or"property. • damage occurring: after . .•• • • . • .• - • • :. a• ' (1) All workincludingmaterials -parte or equipment furnished in•connection• with. such workon ••• • '••the':project. (other:than service, maintenance . or repairs)•to:be performed by,'Or on behalf. of.the: : : ' : additional •insured(s)".at the location of the covered operations :has'been•completed or • :. • : . •.. :• (2) That:portion: •of."your.••work out .which: the injury • or::damage: •arises::has.•been put :to its_ ..• ' - • - intended use by.:any :person or.-organizationi other than..another contractor or.subcontractor. •.. • =•engaged::in.performing•- operations fora principal:as.a•part.of the same ,project: ::• •.•• :•.• : • - :• e.. Any.person: or.organization specifically :design'ated. as'an additional...insuredfor ongoing operations.: r:: • •by'a separate.ADDITIONAL:.INSURED .-OWNERS,: LESSEES.OR'CONTRACTORS: endorsement is .• •: -• : :. . :: sued by.us and made :a.part of this. policy. : • •• • • • •• •3:• :With.• respect to::the insurance afforded:. to.these:additional insureds;-the following •.is added to::Section.III Limits:Of.Insurance: • : If coverage.provided:.to the':additional insured is required by a contract or agreement; the most-'we will :. • • • :. : : . •pay.on:behalf of the-additional. insured: is the amount of insurance • : - : . • • .• a., Required by the:contract or agreement;:•or • :. _• • :. • ' ' : •b. .•Available: under.the:applicable._Limits:of.Insurance .Shown in the Declarations; •• :. . .• • .. . . . .whichever::'is.less: . _ '. _ . • This•endorsementshall•not--increase:the applicable. •Limits of Insurance•shown.in'the.Declaratio, ns: • ;, - H. PRIMARY'AND:NON-CONTRIBUTORY -ADDITIONAL•INSURED•EXTENSION ::• ••:This:provision applies to.any-person or organization • who 'qualifies as.an additional insured-under any,form : •: : or endorsement under this:policy. • •• - • • • • • ••. Condition.4.•Other .Insurance.of SECTION IV.- COMMERCIAL- GENERAL LIABILITY CONDITIONS.-is amend • ed as follows: . :. . a.. The following . is'added.to Paragraph a. Primary Insurance::. . • - . • If an-additional::insured's..policy has.an:Other Insurance. provision making • its policy- excess,:and•you. • : • • have: agreed in a.written.•contract• or:written:.•agreement •to•provide the additionaj insured coverage.on•a • • : • • :Primary and.noncontributory..: basis,:thie policy. shall be primary and•we will not seek contribution : from •:. :. the additional insureds. policy :for damages we cover.:.• ..- • :. • :. ©:.201 . - CG 88 10 04.13 •.• • Includes copyrighted:material-of3Insurance Services Office,'Inc.;with its permission... Page 5 of 8 ' •• : . . • .h.: •The following : is added-to Paragraph:b:Excess Insurance:.': : - • • • .. • When a written contract or written_ agreement; other than a premises:•lease,.facilities:•rental :contract:or. • -- agreement; an.equipment rental or:lease contract or agreement; •or permit, i•ssued :by a.state.or political - •• - - -subdivision - between you and:an. additional insure•d •does not req•uire; this•insuran• ce to be :primary- or • • • - -• primary: and.non-contributory.; .this. insurance: is •excess:over:any.Other:insurance..for. :which: the.addi=: - - •.-. : • : .tional: insured, is designated-,es a Named.-Insured: :' " . : :' •. .' .:: •Regardless ;of the .written •agreement-between:you :and fan.additional::insured; .this: insurance: is excess : •: •. :. . over any •other.insurance; whether ;,primary,. excess; .:contingent:. or: on•,any-.other:basis :for which:the' :. . :. additional ;insured .has.been added'as:an additional •inured:on other :policies. :: • -. •: - •I. ::ADDITIONAL•INSUREDS:.-EXTENDED PROTECTION OF YOUR."LIMITS:.OF INSURANCE" . This: rovision a lies to,an p pp y:person.'or organization . who.qualifies: as an:additional•.insured::ynder any:form.: . -- • .:or endorsement-.'under:this policy .. . .. . .. ... .. .•' . : . : . - .1-. -.The following is added-to Condition-2.•Duties In The.Event:Of.Occurrence.,:Offense,•Claim or Suit: . - An-additional':insured:under 'this endorsement will as soon as'practicable: • .. . . • •• •a. Give written :.notice 'of:an."occurrence":: ..Or an-. offense:that may result:in•a•claim::or"suit" under • • •• • I. ' - • . • this •insurance .to:us; •• :. . .. : :• • • ' :. . . - . -: •: • b.:. -Tender: :the::defense and-indemnity .of'any claim: or "suit":. 'to all insurers 'whom ::also.:have:.• : - •• .. insurance :available•.to the additional' insured; :and :. • •• .. • •. - ' .• •:. •• •• c.• ' Agree:to make -available any'other.:insurance 'which:.the additional :insured •has.-for.a loss we•- . :: ' . ,:cover under•this :Coverage- .' Part . :.. : .. . • • - : d.. . We.have;no :duty; to. defend :or indemn-nify' aadditional-::insured: under:this: endorsement until: ..•. :: :13:: •• ': : :. .we-receive written notice.of a suit':: by:the;additional -insured.. • :'•':: • 2: The limits' of-insurance•.applicable 'to:the additional -insured. •are:those specified::in'a written. contract • •': - • •• :-•- •• •or.written agreement:.or the'limits of•insurance- •as:stated in::the':Declarations of this :policy: and:. • .' • • •defined. 'in::Section• III Limits of Insurance of this. policy, .whichever •ate.less. These::limits...are: . ' • • • inclusive of.and:not in addition to the:limits. of insurance•'available under-this: policy.:: • ' : ' -J: •WHO:IS AN INSURED -INCIDENTAL:MEDICAL.ERRORS/MALPRACTICE ' ' ' :' :::'.•.:. - ' ' WOO lS AN INSURED..-FELLOW'EMPLOYEE EXTENSION'-:MANAGEMENT:EMPLOYEES- :: : :: : '. - •: • ' •. -. . - - : .- - -Paragraph 2.a:(1.).of.Section II-Who IsAn•Insured:is replaced•with:.the following - •.: ' :(1) "Bodily injury". or "personal.:.and:advertising.•injury" (a) To.you; to your partners::or members -Of or:joint •venture) to.your.members .(if; . .. •you.are.a limited. liability. company), 'to a co-"employee". 'while:•in:the.course•Of his or.her:.employ- : ; . . - - :. ment-or .performing 'duties'•related. to:.the:•conduct 'of. your;business,. Or:to.:your.-other•"volunteer-; :. . ;••••: • ; :. . . workers";:while performing:' duties. related ;to.the conduct of your:business; : . .: •; • . . :. , . • (b): 'To the spouse, •child parent :brother •or.sister 'of that co"employee"• :Or "volunteer•• worker • as.a • •• •• .. ' • . '•. consequence of Paragraph•(1).(a) above;: .. -: ... •.. : - •:(c) .,For•which .there'is•any obligation. .;to• share damages' with -or. repay. •someone-else.who••must•.pay• • - •.: :: : damages •because of the injury described•.in-•Paragraphs (1).(a).or(b) above;..or-•• ' ' : : :(d) .Arising •out-of his or her providing or.:failing.to.provide professional .:health: care services::However;.: .' ' •if you:are.not'in the business •of rovidin� : p g professional health •cane services. or'provi,ding' profes - • sional: health care'.personnel: to:others', or if•covers e for ro• vidinprofessional ..he•alth.care:ser.: - .- g . : p ... . g .p • • vices.is not otherwise excluded: by separate',endorsement; : 'this provision: (Para• graph (d);)does-not: . Paragraphs- (a) and:(b) above.do.not'apply;,to.."bodily _injury".' or, "personal .'and.advertising:.•.injury" : caused by'••,: .. • :: •- • .- - an "employee": who is acting 'in.a supervisory:. capacity for.you. Supervisory :.capaciity, as.used herein means ::the. "employee'•s", job:responsibilities..;assigned...by-you,. •'includes:the direct :supervision of:other'"employ_ •'ees". •of•yours.••However,: none-of these "employees" • :ere•.insureds for "bodily ..injury or•'"personal� and- © 20 -CG 88 10 04-13-: : •Includes copyrighted'material:of Insurance Services Office Inc.;with its permission. '• ' Page•6.'of i8 . advertising: .injury". arising out:of their willful conduct which :it defined::as.the purposeful or:willful :intent to: :cause "bodily injury" •or"personal .and advertising injury", or caused:in whole' or:in part by their:intoxica ' :- : : ' : •;tion by liquor or controlled:substances:•,.•• : • . : • • : •: : : ' The..coverage:provided by provision. •J. is excess over any other ,valid and. collectable. insurance available to - • . . .. � your:"employee ••••• - : :' :. :. • :. :. : • . . :. . • • .. :: •K.:•NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES .. ' • ' :-• : • •. • •• - - . . • : Paragraph 3:of Section II-:Who Is AnInsured:is replaced. by the following:. . . :. . . : 3.•. Any, organization •you newly. :acquire: or.form;and over which :you maintain .;ownership. .or.majority.: :. • :; • • :. interest, .will- .qualify•• as. a:Named Insured if there .is no:other similar insurance.•available •to that--...; - . • •. • organization.: However:- • • • • .. • .. • � •:. . ; • • .. • . . .• -:: a.: _ Coverage:.under•this .provision ••is. afforded; :only :.until the:expiration- of:the•policy. period.1p: :. . .. - • : :. whioi the entity was acquiredor:formed byyou;: ::; .. : : •, .. :. . • • •• •-. : b.-: Coverage ;A does:not apply to•"bodily injury' •or-"property- damage that occurred .before you: . • -• ' .•• . acquired or:formed..the organization;;•_and :: :. • • • .. . : • :. - c..-.:.:Coverage. B:.does.not•apply, to:."personal: :and::advertising:. injury • :arising out.'of an•offense•. .: _- - - .• • - committed; before.•you:acquired. or formed the organization:: . • .: • . • •. : • .• ' •:.; : - s ••d.:. descnptions .of operations muyst•be maintained bthe.first.Named •Insured.. •- :.•. • • .-. . ::- ::No person or.organization:. is.an.insured with :respect:to.the.conduct 1-.Of any current:.or past partnership,;:joint;: •:. : -. . :venture .or.limited: liability.-.company .that 'is not shown- as a Named. Insured in the Declarations:.or.qualifies : •. .; . • . • � as an'insured under:this•proviision:.; : . - •• :. :: :1,.. :FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES :: : .. : ::: • . ••• -•• • : • :- Under •Section•IV.= Commercial .General Liability. Conditions;, the following is added,to•Condition• 6. Repre-:; •: :.. -• ;: septations: . :: ' :. . : • . • :. :. - • :-. ' Your failure to disclose all; hazards 'or prior. "occurrences".:.existing_as.of;the inception date of the policy :: • shall::not-prejudice. the coverage:afforde_d:: by this policy provided such failure:.to disclose•.all hazards or: • .. • • . :: • .. :prior::"occurrences is.not:intentional: •• :. • - : :' . : : • :. : M. :KNOWLEDGE OF.OCCURRENCE,-OFFENSE,CLAIM OR SUIT: • '.'. • -: : • ; : : : •.:Under•Section:IV ;Commercial•.General:Liability Conditions,: the:following •IS:added.to Condition, :2:Duties: : .: In The Event of Occurrence;:Offense, Claire Or:Suit • • - . . : -Knowledge: :of an. "occurrence'`, .offense, claim; .or ."suit" .by an .agent servant.or "employee" -•of :any;•::: :• • insured shall .not:in itself constitute knowledge of the insured unless.an:insured. listed: under Paragraph • 1. of Section II --Who•IsAn:Insured•or.a person•.who has Elpeen designated :.by them to receive:reports .of: :.•. :: - • occurrences., :offenses,. claims or 'suits . ,shall, have.received-.such. notice from' the.agent,•servant ..or .. . "employee„ _._' -- .. .- • .N: :.LIBERALIZATION:C.LAUSE. • .. - • • • :. ' ' •• If we revise this, Commercial ;General Liability-,•Extension Endorsement to provide more :coverage; without : •. •: -• additional: premium :charge; your:policy :will-.automatically- provide:the.coverage as of the'.day the revision. is;. ' •-. : effective. in:your state:. . . • •.• : . :p.....BODILY INJURY REDEFINED..': : - :. - - ; - -: ". • ..: Under Section V.-Definitions,- Definition :3.is replaced by the following: :•••..: •: .• : :. . • .. . :3. • "Bodily. Injury" ,means. physibar injury;.•sickness. or :disease sustained •by. a person:-.This. includes .. • • : :. • - .:. • •. mental -anguish;:.mental injury;. :shock, fright or.death that..results from :such, physical injury, :sick:::: . • :' . : . ness or.disease.; � . . • •• • • •._ :20� • CO 88 10 04.13" -:includes copyrighted material-of3Insu arnce Services Office-Inc.;with its permission.. . - Paget of 8 . • P. 'EXTENDED'PROP:ERTY.DAMAGE: . Exclusion a. of COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY is replaced by the. :following:.. : . a.- Expected Or. Intended Injury : •• :: • • "Bodily injury" or '`property : damage":' 'expected'or:intended :from.•:the standpoint :Of the insured. .• This exclusion' does not apply to'"bodily .injury": or."property ::damage" ::resulting from:the use of' reasonable':force. to protect:persons or property, - - :. ' ii: :WAIVER:OF TRANSFER::OF RIGHTS OF RECOVERY AGAINST OTHERS TO-,US::-.WHEN REQUIRED.:IN A : CONTRACT OR AGREEMENT.WITH YOU - • : : .• : . • • Under Section IV -.Commercial-General:Liability Conditions, the.following :is added to Condition 8:Trans fer Of Rights Of Recovery Against Others To.Us: :. . • - ,_.— '- We waive any.right of recovery we may have againeti a person:or:organization because of payments we - make for injury' or damage. arising out of your on oin .�N-: - y g g.';:operations or. ."your work" done under a ; ._. . 'Contract::with that person or organization •and•included in the ';products-completed operations• hazard" :. provided; 1.' '.You and: that person or organization.: have:agreed in writing in'a contract'or:agreement that you waive::such:rights against that' person; or organization:; : and :2. The injury :or damage: occurs subsequent :to the execution .cif-the written :.contract or•written agree= ment.: . . • • • • - . . .. 0 2013 Liberty Mutual.Insurance: • .. . CG.08'10 04 13: Includes copyrighted material:of Insurance Services Office,Inc.,with:its permission. Page of 8 '