HomeMy WebLinkAboutInsurance Certificate: DeVore Electric & Construction
~RDoa CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDOfYYYY)
OP 10 DR 03/01/11
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, ANP 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 NAME:
Insurance Marketplace, Inc. rl1g;tio Ext\: I (Alc.Nol'
1998 Skypark Dr suite 100 ~6"D~~SS:
Medford OR 97504 CUSTOMER ID #: DEVOR-1
Phone:541-779-0177 Fax: FAX 772-8235 INSURER(S) AFFORDING COVERAGE NAIC#
INSURED INSURER A : Liberty Northwest Ins
DeVQre Electric & Construction INSURER B :
Re~1nald DeVore ' .
24 4 Avenue A INSURER C :
White City OR 97503 INSURER 0 :
INSURER E :
INSURER F :
.------,
COVERAGES
/ CERTIFICATE NUMBER:
REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POllClI::S OF INSURANCE LISTED BELOW HAVE BEEN ISSUEC 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.
I~~~ TYPE OF INSURANCE :'~R WVD POLICY NUMBER (MMlDDfYYYY) (MMlDDfYYYY) LIMITS
GENERAL LIABILITY EACH OCCURRENCE , 1000000
- PREMISES (E~~Currence)
A X COMMERCIAL GENERAlllABILlTY BXS (12) 53 (1 93 Sol 02/;7/11 02/17/12 , 100000
I CLAIMS-MADE ~ OCCUR MED EXP (Anyone person) , 15000
- X PERSONAL & AOV INJURY ,1000000
e- GENERAl AGGREGATE , 1000000
~'L AGG:EnE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG , 1000000
PRO- n ,
POLICY JECT lOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT '750,000
- (Eaaccident)
A - ANY AUTO BAN" (12) 53 oil 93 5.. 02/17/11 02/17/12 BODILY INJURY (Per person) ,
- ALL OWNED AUTOS BODILY INJURY (Per accident) ,
0- SCHEDULED AUTOS X PROPERTY DAMAGE
,
I- HIRED AUTOS (Peraccldent)
NON-OWNED AUTOS ,
e- ,
UMBRELLA LIAB H ~CCUR EACH OCCURRENCE ,
f- EXCESS L1AB
CLAIMS-MADE AGGREGATE ,
- DEDUCTIBLE ,
RETENTION , ,
WORKERS COMPENSATION hB'~Y~LI~\i'S I ~- .
AND EMPLOYERS' LIABILITY Y/N
ANY PROPRIETORIPARTNERlEXECUTIVD " E.L. EACH ACCIDENT ,
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE
(Mandatory In NH) ,
g~~~f~:b~ On~bPERATlONS below E.L. DISEASE - POLlCY LIMIT ,
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remar1l:s Schedule, If more space is required)
~ity of Ashland, its officers, em~loyees and agents added as additional
~nsured as per attached CGB811 10709
Project #2006-18 Laurel Street Sidewalk Improvement
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
ASHLAND THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Ashland its Officers
and Employees AUTHORIZED REPRESENTATIVE
20 E Main Ave
Ashland OR 97520 R. Scott Weaver, CIC
I
ACORD 25 (2009/09)
@1988-2009ACORDCORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
~~~. ~- ;;;;l-ll
COMMERCIAL GENERAL LIABILITY
CG '88 11 10 09 .
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. .
COMMERCIAL GENERAL LIABILITY EXTENSION
(Oregon)
This endorsement modifies insurance provided under the following: .
COMMERCIAL GENERAL LIABILITY COVERAGE PART
INDEX
SUBJECT PAGE
NDN-DWNED AIRCRAFT . . 2
NDN-DWNED WATERCRAFT 2
PRDPERTY DAMAGE LIABILITY - ELEVATORS. 2
EXTENDED DAMAGE TO. PRDPERTY RENTED TO. YDU (Tenant's Property Damage) 2
MEDICAL PAYMENTS EXTENSIDN 3
EXTENSIDN DF SUPPLEMENTARY PAYMENTS - CDVERAGES A AND B 3
-fADDITIDNAL INSUREDS - BY CDNTRACT, AGREEMENT DR PERMIT. 3
-t PRIMARY AND NDN-CDNTRIBUTDRY- ADDITIDNAL INSURED EXTENSIDN 5
ADDITIDNAL INSUREDS- EXTENDED PRDTECTIDN DF YQUR "LIMITS DF INSURANCE" 5
WHO. IS AN INSURED - INCIDENTlAL MEDICAL ERRORS/MALPRACTICE AND WHO IS AN INSURED - 6
FELLDW EMPLDYEE EXTENSIDN - MANAGEMENT EMPLDYEES
. NEWLY FDRMED DR ADDlTIDNALL Y ACQUIRED ENTITIES 6
FAILURE TO. DISCLOSE HAZARDS AND PRIDR DCCURRENCES 7
KNOWLEDGE DF DCCURRENCE, DFFENSE, CLAIM DR SUIT 7
L1BERALlZATIDN CLAUSE 7
BODILY INJURY REDEFINED 7
EXTENDED PROPERTY DAMAGE 7.
WAIVER DF TRANSFER DF RIGHTS DF RECOVERY AGAINST DTHERS TO. US - 7.
WI-!EN REQUIRED IN A CDNTRACT DR AGREEMENT WITH YDU
CG 88 11 1009
CS>"2010 Liberty Mutual Insurance Company. AII.rights reserved.
Includes copyrighted material of Insurance Services Office Inc., with its permission.
Page 1 of 7
With respect to coverage afforded by this endorsement, the provisions of the poiicy 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 Or Watercraft does not apply to an aircraft provided:
1. It is not owned by any insured;
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 America or Canada, designating her or him a commercial or ai'riine pilot; and
4: It is not being used to carry persons or property for a charge.
However, the insurance afforded by this provision does not apply 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 poiicy), contingent or on any other basis, that would also apply to the loss covered under
this provision. -
. B. NON-OWNED WATERCRAFT
Under Paragraph 2. Exclu'sions of Section I - Coverage A - Bodily Injury And Property Damage Liabiiity,
Subparagraph (2) of exclusion g. Aircraft, Auto Or Watercraft is replaced by the following:
. 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'no include
vehicle iifts. Vehicle lifts are lifts or hoists used in automobile service or repair operations.
2. The following is added to'Sectiqn 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 insural)ce,
whether primary, excesS,contingent or on any other ba'sis.
D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage)
'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 DamageLiability:
a. The fourth from the last paragraph of exclusion j. Damage To Property is replaced by the follow-
ing:
Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage", other than damage
byfire, iightning, explosion, smoke or leakage from automatic fire 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 premises rental or lease agreement for a period of
more than 7 days.
Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" to contents of
premises rented to you for a period of 7 or fewer consecutive days.
CG 88 11 10 09
@2010 liberty Mutual Insurance Company. All rights reserved.
Includes copyrighted material of Insurance Services Office Inc., with its permission.
. Page 2 of 7
A separate limit of insurance applies to this coverage as described in Section III - Limits of
Insurance.
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 fire 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 Ill' Limits of Insurance.
2. Paragraph 6. under Section 111- Limits of Insurance is replaced by the following:
6. Subject to Paragraph' 5. above, the Damage T'o Premises Rented To You Limit is the most we will
pay under Coverage A for damages beca'use of "property damage" 'to:
a. Anyone premise:'
(1) While rented to you; or
(2) While rented to you or temporarily occupied by you with permission of the owner for
damage by fire, lightning, explosion, smoke or leakage from automatic protection sys-
tems; or
b. Contents that you rent or lease as part of a premises rental or lease agreement.
As regards coverage provided by this, provision D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU
(Tenant's Property Damage)- Paragraph 9.a.of DefinitionsJS']eplaced with the following:
, ." -. .
9.a. A contract for a lease of premises. Howeve'r, that portion of the contract for a lease of premises
that indemnifies any person or organization for damage by fire, Iigh'tning, explosion, smoke, or
leakagefrom automatic fire protection systems to premises while rented to youor temporarily
occupied' by you with the permission of the <?wner, or for damage to contents of such premises
that are included in your premises rental or lease agree-ment, is not an "ihsured 60ntract". .
E. MEDICAL PAYMENTS EXTENSION
If Coverage C Medical Payments is not oth'erwise excluded, the Medical Payments provided by this policy
are amended as follows:
Under ,Paragraph 1. Insuring Agr<<:>ement of Section I - Coverage C -Medical Payments, Subparagraph
(b) of Paragraph a. is replaced by the following:
l. /1 ,.
(b) The expenses are incurred and reported within three years ofthe date of the accident; and
F. 'EXTENSION OF SUPPLEMENTARY PAYMENTS - COVERAGES A AND B
1. Under Supplementary Payments - 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 any vehicle to which the Bodily Injury Liability Coverage applies'. We do not have
to furnish these bonds.
2. Paragraph 1.d. is replaced by the forlowing:
d. All 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 of earnings up to $500 a day because of time
oTf from work.
)j::" 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
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 insured but only with respect to
liability for "bodily injury", "property damage" or "personal and advertising injury" caused by:
CG 88 11 10 09
@2010 Liberty Mutual Insurance Company, All rights reserved.
Includes copyrighted material of Insurance Services Office Inc., with its permission.
Page 3 of 7
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 written contract or
written agreement provided that the "bodily injury" or "property damage" occurs, or the "per-
sonal and advertising injury" is committed, subsequent to the signing of such written contract or
written agreement; .or
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 subject to the following additional provisions:
(1) This insurance does not' apply to "bodily injury", "property damage", or "personal and ad-
vertising injury" arising out of the operations performed for the state or political subdivision;
(2) This insurance does not apply to "bodily injury" or "property damage" included within the
"completed operations hazard".
(3) Insurance applies to premises you own, rent, or control but only with respect to the following
hazards:
(a) The existence, maintenance, repair, Gonstructio'n,' erection, or removal of advertising
signs, awn.ings, canopies? cellar"e>ntrance.s; coal holes, driveways, manholes, marquees, '
hoist away openings, sidewalk vaults, street banners, or decorations and similar expo-
sures; or
(b) The construction; erection, or removal of elevators; or
,(c) The ownership, maintenance, or use of any elevators covered by this insurance.
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, including materials, parts or equipment furnished in connection with such work, on
the project (other than service, maintenance or repairs) \0 be performed by or on 'behalf of the
additional insured(s)'atthe location of the covered'operations has been completed; or
(2) That portion of "your work" out of which the injury or,damage arises hasbeen"put to its
intended use by,any ,person or organization .other than another contractor or subcontractor
engage>d in pe.rforming operations for a principal as a part of the same project.
With resp,ect 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 respects to Paragraph 1.c. above, this insurance does not ap'ply to any "occurrence" which takes
place after the equipment rental or lease agreement has expired or you have returned such equipment
to the lessor.
The insura'nce provided by this endorsement applies only if the written contract or written agreement
is signed prior to the "bodily injury" or "property damage".
We have no duty to defend an additional insured under this endorsement until we receive written
notice of a "suit" by the additional insured as required in Paragraph b. of Condition 2. 'Duties In the
Event Of Occurrence, Offense, Claim Or Suit under Section IV - Commercial Generall.iability condi-
tions.
2. With respect to the insurance provided by this endorsement, the following are added to Paragraph 2.
Exclusions under Section I - Coverage A - Bodily Injury And Property Damage Liability:
CG BB 11 10 09
@2010Liberty Mutual Insurance Co.mpany. All rights reserved.
Includes copyrighted material of Insurance Services Office Inc., with its permission.
Page 4 of 7
This insurance does not apply to:
a. "B6dily injury" or "property damage" arising from the sole negligence of the additional insured.
b. "Bodily injury" or "property damage" that occurs prior to you commencing operations at the
location where such "bodily injury" or "property damage" occurs.
c. "Bodily injury", "property damage" or "personal and advertising injury" arising out oftherender-
ing of, or the failure to re'nder, any professional architectural, engineering or surveying services,
including: .
(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.
d. "Bodily injury" or "property damage'.' occurring after:
(1) All work, including materials, parts or equipment furnished in connection with such work, on
the project (other than service, maintenance or repairs) to be performed by or on behalf ~f 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 or damage arises has been put to its
intended use by any. person or organization other than another contractor or subcontractor
engaged in performing operations for a principal as a part of the same. project.
e. Any person Of organization spe2if'iG;IlIy .designated as an additional insur~d f~rbngoing operations
by a separate ADDITIOrilALlNSUREp~OWNEFis, LESSEE50R CONTRACTORS endorsement is-
sued by us and made a part oftliis policy. ' '
tH.
'. .." .'
, '
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 anOther Insurance provision making its policy excess, and you
have,agreed in a written contract or written agreementto provide the additional insured coverage on a
primary and noncontributory basis,this policy shall be primary and we will not seek contribution from
the additional insured's policyfor damages we cover. '
b. The following is added to Paragraph b. Excess Insurance:
When a writte'n contract or written agreement, other than a premises lease, facilities rental contract or
agreement, an equipment rental or lease contract or agreement, or permit issued by a state or political
subdivision between you and an additional insured'does not require this insurance to be primary or
primary and non-contributory, this insurance is excess over any other insurance for which the addi-
tional insured is designated as a Named Insured.
Regardless of the written agreement between you and an 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 insured on other policies.
I. ADDITIONAL INSUREDS- EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE"
This provision applies to any person or organization who qualifies as an additional insured under 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:
CG 88.11 1009
@2010 Liberty Mutual Insurance Company_ All rights reserved.
Includes copyrighted material of Insurance Se.rvices Office Inc., with its permission.
Page 5 of 7
An additional insured under this endorsement will as s'oon as practicable:
a. Give written notice of an "occurrence" or an offense, that may result in a claim or "suit" under
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 m'ake 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 indemnify an additional insured under this endorsement until
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 are less. These limits are
inclusive of and not in addjtion to the limits of insurance available under this policy.
J. WHO IS AN INSURED- INCIDENTIAL MEDICAL ERRORS I MALPRACTICE
WHO IS AN INSURED - FELLOW EMPLOYEE EXTENSION-IVIANAGEMENT EMPLOYEES
Paraiiraph 2.a.(1) of Section II - Who Is An Insured is replaced with the following:
.. '
. (1) "Bodily injury" 'or "per~onal and advertising injury":
(a) To you, to your,partners or members (if you are a partnership or joint venture), to your members (if
you are a lirniied liability company), to a co-"ernployee" whil!! in the course of his or her employ-
ment or performi,ng duties related to the cbnducCofY9ur business, 'or to, your other "volunteer
workers" while performing duti_es related to the c:ondu'ct 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 e.lse who must pay
damages because ofthe injury described in Paragraphs (1) (a) or (b) above; or
(d) Arisin'g out of his or her providing or failing to provide'professional health care services. However,
if you are not in the business of 'providing professional health care service's or providing profes-
sional health care personnel to others, or if covera(Je for providing professional health care ser-
vices is not otherwise excluded by s'eparate endorsement, this provision (Paragraph (d)) does not
apply.
Paragraphs (a) and (b) above do notapply to "bodily injury" or "personal and advertising injury" caused by
an "employee" who fs acting in a supervisory capacity for you. Supervisory capacity 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" are insureds for "bodily injury" or "personal and
advertising injury" arising out of their willful conduct, which is. 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 11- Who Is An Insured 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 in
which the entity was acquired or formed by you:
b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you
acquired or formed the organization; and
CG,88 11 1009
@2010 Liberty Mutua'llnsuran.ce Company. All rights reserved.
Includes copyrighted, material of Insurance Services Office Inc., with its permission.
Page 6 of 7
c. Coverage B does not apply to "personal and advertising injury" arising out of an offense
committed before you acquired or formed the organization.
d. Records and descriptions of operations must be maintained by the first Named Insured.
No person or organization is an insured with respect to the conduct 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
for as an insured under this provision
L. FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES
Under Section IV _ Commercial General Liability Conditions, the following 'is added to Condition 6. Repre-
sentations: ,
Your failure to disclose all hazards or prior "occurrences" existing as ofthe inception date of the_policy
shall riot prejudice the coverage afforded 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, Claim 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 Is An Insured or a person who has been 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 CLAUSE
If, we revise this Commercial General Liability Extension Endorsement t9 provide more coverage without
additional premium'chatge', your policy will autoT'(latically provide the coverage as of the day the revision is
effective in you(state.
O. BODILY INJURY REDEFINED
Under Section V - Definitions, Definition 3. is replaced by the following:
3. "Bodily Injury" means physical 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.
P. EXTENPEP PROPERTY DAMAGE
Exclu~ion a. of COVERAGE A: BODILY INJU,RY 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.
Q. 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 RightsOf Recovery Against Others To Us:' '
We waive any right of recovery we may have against a person or organization because of payments we
make' for injury or damage arising 'out of-your ongoing 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 of the written contract or written agree-
ment.
CG 881110 09
@2010Liberty Mutual Insurance Company. All rights reserved.
Includes copyrighted material of Insurance Services Office Inc., with its permission.
Page 7 of 7
COMMERCIAL GENERAL LIABILITY
CG 88 60 12 08
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
EACH LOCATION GENERAL AGGREGATE LIMIT
,This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A: For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences"
under Section I _ Coverage A - Bodily Injury And Property Damage Liability, and for all medical ex-
penses caused by accidents under Section I - Coverage C Medical pay'ments, which can be attributed
oniy to operations at a singie "location" owned by or rented to you:
1. A separate Each Location General Aggregate Limit applies to each "location", and that limit is equal
to the amou.nt of the General Aggregate Limit shown in the Declarations.
2. ' The Each Location General Aggregate Limit is the most we will pay for the sum of all damages
under Coverage A, except damages 'because of "bodily injury" or "property damage" included in
the "products-completed operations hazard", and for medical expenses urider Coverage C regard-
less of the number of: '
a. Insureds;
b. . Claims made or "suits" brought; or
c. Persons or organizations making claims or bringing "suits".
. . . -
3. Any payments made under Coverage A for ciamages or under Coverage C for medical expenses
shall reduce the Each Location General Aggregate Limit for that "location". S'uch payments shall
not reduce the Genera,l Aggregate Limit shown in the Declarations nor shall they reduce any other
Each Location General Aggregate Limit for any other "location".
4. The limits 'shown in the Declarations for Each Occurrence, Fire Damage and Medical Expense
, continue to apply. However, instead of being subject to the General Aggregate Limit shown in the
Declarations, such limits will be s'ubject to the appiicable Each Location General Aggregate Limit.
B. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences"
under Section I _ Coverage A - Bodily Injury And Property Damage Liability, and for all medical ex-
penses caused by accidents under Section I - Coverage C Medical Payments, which canri6l be attrib-
uted only to operations at a sirigle" location" owned by or rented to you: ' .' ;
,1. Any payments made under Cove'rage A 'for damages or urider Coverage C for medical expense's
shall reduce' the amount available under the' General Aggregate Limit or the Products'Completed
,Operations Aggregate Limit, whichever is applicable; and
2. Such payments shall not reduce any Each Location General Aggregate Limit.
C" When coverage for liability arising out of the "products-completed operations hazard" is provided, any
payments for damages because of "bodily injury" or "property damage" included in the "products-
, completed operations hazard" will reduce the Products-Completed Operations Aggregate Limit, and' not
reduce the General Aggregate Limit nor the Each Location General Aggregate Limit.
D. For the purposes of this endorsement, the following definition is added to Section V - Definitions:
"Location" means, premises involving the same or connecting lots, or premises whose connection is
interrupted only by a street, roadway, waterway or right-of-way of a railr?ad.
E. The ,provisions of Sectiol1 III - Limits Of Insurance not otherwise, modified by this endorsement shall
continue to applyas stipulated.
CG 88601208
Includes copyrighted material of ISO Properties, Inc., with its permission.
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