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HomeMy WebLinkAboutJ-U-B Engineers, Inc. - Insurance Certificate 2024-2025 J-U-ENG-01 ANGUYEN ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 16. � 1 8/2/2024 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 Annie Nguyen NAME: The Hartwell Corporation PHONE FAX PO Box 400 (A/C,No,Ext):(208)459-1678 (A/C,No): Caldwell,ID 83606 ADDAIL RESS:Annie@thehartwellcorp.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Travelers Casualty Insurance Company 19046 INSURED INSURER B:Travelers Casualty and Surety 31194 J-U-B Engineers,Inc. INSURER C:Travelers Property Casualty Company of America 25674 2760 W Excursion Ln,Ste 400 INSURER D:XL Specialty Insurance Co. 37885 Meridian, ID 83642 INSURER E:Coalition Insurance Solutions Inc. 29530 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 ADDLSUBR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 6802R22997A 8/1/2024 8/1/2025 DAMAGE TO RENTED 1,000,000 X X PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY I X PRO ❑ LOG PRODUCTS-COMP/OP AGG $ 2,000,000 JECT OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ X ANY AUTO X X BA8P008954 8/1/2024 8/1/2025 BODILY INJURY(Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident) $ C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 9,000,000 EXCESS LIAB CLAIMS-MADE CUP1C547849 8/1/2024 8/1/2025 AGGREGATE $ 9,000,000 DED I X RETENTION$ 10,000 1 $ C WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N X UBSK158532 8l1/2024 8/1/2025 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N N/A I (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ D Professional Liabili DPR5025296 4/2/2024 4/2/2025 Each Claim/Aggregate 5,000,000 E Cyber Liability RPS-P-1202753M 4/16/2024 4/16/2025 EachClaim/Aggregate 3,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Fort Collins,its officers,agents and employees are are additional insureds for general liability as provided by policy forms CGD361 and CG2037. General liability is primary and noncontributory as provided by policy form CGT100 Section IVA.d. Waiver of subrogation provided per forms CGD379, CAT353 and WC000313.30 Day Notice of Cancellation applies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing Division P O Box 580 Fort Collins,CO 80522-0580 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY COVERAGE FORM TABLE OF CONTENTS Various provisions in this policy restrict coverage.Read (1) The"bodily injury"or"property damage"is COMMERCIAL GENERAL LIABILITY COVERAGE FORM the entire policy carefully to determine rights;duties and caused by an"occurrence"that takes place CG T1 00 02 19 what is and is not covered. in the"coverage territory" Throughout this policy the words"you"and"your"refer (2) The "bodily injury" or "property damage" to the Named Insured shown in the Declarations,and occurs during the policy period;and SECTION I—COVERAGES Beginning on Page any other person or organization qualifying as a Named Insured under this policy. The words "we", "us" and (3) prior to the policy period,no insured listed "our"refer to the company providing this insurance. under Paragraph 1.of Section 11—Who Is Coverage A— The word"insured"means any person or organization An Insured and no"employee"authorized qualifying as such under Section II — Who Is An by you to give or receive notice of an Bodily Injury and Property Insuring Agreement ........, ............1 Insured. "occurrence' or claim knew that the"bodily Damage Liability injury"or"property damage"had occurred, Exclusions....................................................................•2 Other words and phrases that appear in quotation in whole or in part.If such a listed insured Coverage B— marks have special meaning. Refer to Section V — or authorized"employee"knew,prior to the Personal and Advertising Insuring Agreement ....6 Definitions. policy period, that the "bodily injury" or "property damage" occurred, then any Injury Liability SECTION I—COVERAGES Exclusions....................................................................:6 continuation,change or resumption of such COVERAGE A—BODILY INJURY AND PROPERTY "bodily injury"or"property damage"during Coverage C— DAMAGE LIABILITY or after the policy period will be deemed to Medical Payments Insuring Agreement.......................................................9 have been known prior to the policy period. Exclusions....................................................................9 1. Insuring Agreement C. "Bodily injury" or "property damage" which Supplementary Payments...................................................................................................10 a. We will pay those sums that the insured occurs during the policy period and was not, becomes legally obligated to pay as damages prior to the policy period, known to have SECTION II—WHO IS AN INSURED.......................................................................................11 because of"bodily injury"or"property damage" occurred by any insured listed under Paragraph SECTION III—LIMITS OF INSURANCE............. 13 to which this insurance applies. We will have 1. of Section II—Who Is An Insured or any the right and duty to defend the insured against "employee"authorized by you to give or receive SECTION IV—COMMERCIAL GENERAL LIABILITY CONDITIONS........................................13 any "suit" seeking those damages. However, notice of an"occurrence"or claim,includes any we will have no duty to defend the insured continuation, change or resumption of that Bankruptcy.........................................................................................................................13 against any"suit"seeking damages for"bodily "bodily injury" or "property damage" after the Duties In The Event Of Occurrence,Offense,Claim Or Suit...............................................13 injury" or "property damage" to which this end of the policy period. Legal Action Against Us......................................................................................................14 insurance does not apply. We may, at our Other Insurance.................................................................................................................is discretion, investigate any "occurrence" and d. "Bodily injury" or "property damage" will be Premium Audit...................................................................................................................16 settle any claim or"suit"that may result.But: deemed to have been known to have occurred Representations.................................................................................................................16 at the earliest time when any insured listed Separation Of Insureds......................................................................................................16 (1) The amount we will pay for damages is under Paragraph 1.of Section II—Who Is An Transfer Of Rights Of Recovery Against Others To Us.......................................................16 limited as described in Section III—Limits Insured or any"employee"authorized by you to When We Do Not Renew...................................................................................................16 Of Insurance;and give or receive notice of an "occurrence" or SECTION V—DEFINITIONS.................. (2) Our right and duty to defend end when we claim: have used up the applicable limit of (1) Reports all, or any part, of the "bodily insurance in the payment of judgments or injury"or"property damage"to us or any settlements under Coverages A or B or other insurer; medical expenses under Coverage C. No other obligation or liability to pay sums or (2) Receives a written or verbal demand or perform acts or services is covered unless claim for damages because of the "bodily explicitly provided for under Supplementary injury"or"property damage";or Payments. (3) Becomes aware by any other means that b. This insurance applies to "bodily injury" and "bodily injury" or "property damage" has "property damage"only if: occurred or has begun to occur. CG TO 34 02 19 CG T1 00 02 19 0 2017 The Travelers Indemnity Company.PJI rights reserved. Page 1 of 21 Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY e. Damages because of "bodily injury" include (3) Any statute,ordinance or regulation relating is used to heat, cool or dehumidify to perform the normal electrical, damages claimed by any person or organization to the sale, gift, distribution or use of the building, or produced by or hydraulic or mechanical functions for care, loss of services or death resulting at alcoholic beverages. originating from equipment that is necessary for the operation of any time from the"bodily injury". This exclusion applies only if you are in the used to heat water for personal "mobile equipment" or its parts, if 2. Exclusions business of manufacturing, distributing, selling, use by the building's occupants or such fuels, lubricants or other serving or furnishing alcoholic beverages. For their guests; operating fluids escape from a This insurance does not apply to: the purposes of this exclusion, permitting a (il) "Bodily injury" or "property vehicle pan designed to hold,store a. Expected Or Intended Injury person to bring alcoholic beverages on your damage" for which you may be or receive them. This exception does not apply if the"bodily injury" premises, for consumption on your premises, held liable, if you are a contractor "Bodily injury"or"property damage"expected or whether or not a fee is charged or a license is and the owner or lessee of such or"property damage"arises out of intended from the standpoint of the insured. the intentional discharge,dispersal This exclusion.does not apply to"bodily injury" required for such activity, is not by itself premises, site or location has been ppy y' ry or release r the fuels, lubricants considered the business of selling, serving or added to your policy as an or"property damage"resulting from the use of or other operating fluids,or if such reasonable force to protect persons or property. furnishing alcoholic beverages. additional insured with respect to fuels,lubricants or other operating performed operations o p ongoing our ongg p d. Workers'Compensation And similar Laws y fluids are brought on or to the b. Contractual Liability for that additional insured at that premises., site or location with the Any obligation of the insured under a workers' premises, site or location and such "Bodily injury" or"property damage"for which intent that they be discharged, benefits compensat ion, disability fits or premises, site or location is not the insured is obligated to pay damages by dispersed or released as part of reason of the assumption of liability in a unemployment compensation law or any similar and never was owned or occupied the operations being performed by contrail law. by, or rented or loaned to, any or agreement. This exclusion does not such insured, contractor or apply to liability for damages: e. Employer's Liability insured, other than that additional subcontractor; (1) That the insured would have in the absence "Bodily injury"to: insured;or of the contract or agreement;or (iii)"Bodily injury" or "property (li) "Bodily injury" or "property (1) An"employee"of the insured arising out of damage" arising out of heat, damage" sustained within a (2) Assumed in a contract or agreement that is and in the course of: smoke or fumes from a "hostile building and caused by the release an "insured contract", provided that the (a) Employment by the insured;or fire" of gases, fumes or vapors from "bodily injury"or"property damage"occurs materials brought into that building subsequent to the execution of the contract (b) Performing duties related to the (b)At or from any premises, site or or agreement. Solely for the purposes of conduct of the insured's business;or location which is or was at any time in connection with operations being liability assumed in an "insured contract", used by or for any insured or others for performed by you or on your behalf (2) The spouse, child, parent, brother or sister the handling, storage, disposal, by a contractor or subcontractor;or reasonable attorneys' fees and necessary of that "employee" as a consequence of P litigation expenses incurred by or for a parry processing or treatment of waste; other than an insured will be deemed to be Paragraph(1)above. (c) If such "pollutants" are or were at any (III)"Bodily injury" or "property Yinjury" or dams es because of "bodily This exclusion applies whether the insured may damage" arising out of heat, 9stored handled, , , "property damage",provided that: be liable as an employer or in any other capacity time transported, smoke or fumes from a "hostile and to any obligation to share damages with or treated, disposed of, or processed as fire";or (a) Liability to such parry for, or for the repay someone else who must pay damages waste by or for: cost of, that party's defense has also because of the injury. (i) Any insured;or (e) At or from any premises, site or been assumed in the same "insured location on which any insured or any contract":and This exclusion does not apply to liability (!I) Any person or organization for contractors or subcontractors working assumed by the insured under an "insured whom you may be legally directly or indirectly on any insured's (b) Such attorneys' fees and litigation contract". responsible; behalf are or were at any time expenses are for defense of that party against a civil or alternative dispute f. Pollution (d) At or from any premises, site or performing operations to test for, resolution proceeding in which (1) "Bodily injury"or"property damage"arising location on which any insured or any monitor, clean up, remove, contain, damages to which this insurance out of the actual, alleged or threatened contractors or subcontractors working treat, detoxify or neutralize, or in any applies are alleged. discharge, dispersal, seepage, migration, directly or indirectly on any insured's way respond to,or assess the effects c. Liquor Liability release or escape of"pollutants": behalf are performing operations if the of,"pollutants". 9 y "pollutants" are brought on or to the "Bodily injury" or "property damage"for which (a) At or from any premises, site or premises, site or location in connection (2) Any loss, cost or expense arising out of location which is or was at any time with such operations b such insured, any: any insured may be held liable by reason of: P Y owned or occupied by, or rented or contractor or subcontractor. However, (1) Causing or contributing to the intoxication loaned to, any insured. However, this this subparagraph does not apply to: (a) Request,demand,order or statutory or of any person; subparagraph does not apply to: regulatory requirement that any insured (2) The furnishing of alcoholic beverages to a (q "Bodilyinjury" if sustained within a (1) "Bodily injury" or "property or others test for, monitor, clean up, person under the legal drinking e e or ry damage" arising out of the escape remove, contain, treat, detoxify or 9 9 9 building and caused by smoke, of fuels, lubricants or other neutralize,or in any way respond to,or under the influence of alcohol;or fumes, vapor or soot produced by operating fluids which are needed assess the effects of,"pollutants",or or originating from equipment that Page 2 of 21 ®2017 The Travelers Indemnity Company.All rights reserved. CIS T1 00 02 19 CG T1 00 02 19 0 2017 The Travelers Indemnity Company.Al rights reserved. Page 3 of 21 Includes copyrighted material of Insurance Services Office,Inc.with its permission. Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY (b) Claim or suit by or on behalf of any (b) The operation of any of the machinery (5) That particular part of real property on accidental physical injury to "your product" or governmental authority or any other or equipment listed in Paragraph f.(2) which you or any contractors or "your work"after it has been put to its intended person or organization because of or f.(3) of the definition of "mobile subcontractors working directly or indirectly use. testing for, monitoring, cleaning up, equipment";or on your behalf are performing operations,if n. Recall Of Products,Work Or Impaired removing, containing, treating, the "property damage" arises out of those detoxifying or neutralizing, or in any (6) An aircraft that is: operations;or Property way responding to, or assessing the (a) Chartered with a pilot to any insured; (6) That particular part of any property that Damages claimed for any loss,cost or expense effects of,"pollutants". (b) Not owned by any insured;and must be restored, repaired or replaced incurred by you or others for the loss of use, g. Aircraft,Auto Or Watercraft (c) Not being used to carry any person or because "your work" was incorrectly withdrawal, recall, inspection, repair, "Bodily injury"or"property damage"arising out property for a charge. Performed n it. replacement, adjustment, removal or disposalof: of the ownership, maintenance, use or do entrustment to others of any aircraft,"auto"or h. Mobile Equipment Paragraphs(1),(3)and(4)of this exclusion to "Bodily I p rty g g not apply to "premises damage". A separate (1) "Your product"; watercraft owned or operated by or rented or y injury"or'pro a damage"arisen out loaned to any insured.Use includes operation of: limit of insurance applies to"premises damage" (2) "Your work";or and"loading or unloading". as described in Paragraph 6. of Section III — (3) "Impaired property'; (1) The transportation of "mobile equipment' Limits Of Insurance. This exclusion applies even if the claims by an "auto" owned or operated by or if such product,work,or property is withdrawn against any insured allege negligence or other rented or loaned to any insured;or Paragraph(2)of this exclusion does not apply if or recalled from the market or from use by any wrongdoing in the supervision, hiring, the premises are "your work" and were never 9 9 P 9, person or organization because of a known or employment,trainin or monitoring of others b (2) The use of the equipment"in,or while occupied,rented or held for rental by you. 9 9 Y that insured, if the'occurrence"which caused in practice for,or while being prepared for, suspected defect, deficiency, inadequacy or Paragraphs (3), (4), (5) and (6) of this dangerous condition in it. the"bodilyinjury"or"property damage"involved any prearranged racing,speed,demolition, i ry P i en g or stunting activity exclusion do not apply to liability assumed o Personal And Advertising Injury the ownership, maintenance, use or under a sidetrack agreement. entrustment to others of any aircraft,"auto"or I. War "Bodily injury" arising out of "personal and watercraft that is owned or operated by or "Bodily injury"or"property damage"arising out Paragraph(6)of this exclusion does not apply advertising injury". rented or loaned to any insured. of: to"property damage"Included in the"products- This exclusion does not apply to: (1) War,including undeclared o completed operations hazard". p, Electronic Data r civil war; k. Damage To Your Product (1) A watercraft while ashore on premises you (2) Warlike action by a military force,including g Damages arising out of the loss of,loss of use own or rent; action in hindering or defending against an "Property damage"to"your product"arising out of,damage to,corruption of,inability to access, actual or expected attack, by any of it or any part of it. or inability to manipulate"electronic data". (2) A watercraft you do not own that is: government, sovereign or other authority I. Damage To Your Work However, this exclusion does not apply to (a) 50 feet long or less;and using military personnel or other agents;or liability for damages because of"bodily injury". (b) Not being used to carry any person or "Property damage"to"your work"arising out of e for a charge; (3) Insurrection, rebellion, revolution, usurped it or any part of it and included in the"products- q• Unsolicited Communication property 9 power, or action taken by governmental completed operations hazard". (3) Parking an"auto"on,or on the ways next authority in hindering or defending against P P "Bodily injury"or"property damage"arising out to, you ou own or rent,provided the any of these. This exclusion does not apply if the damaged of any actual or alleged violation of any law that P work or the work out of which the damage restricts or prohibits the sending, transmitting "auto"is not owned by or rented or loaned j, Damage To Property arises was performed on your behalf by a or distributing of"unsolicited communication". to you or the insured; "Property damage"to: subcontractor. P Y 9 r. Access Or Disclosure Of Conidfenital Or (4) Liability assumed under any "insured (1) Property you own, rent, or occupy, m. Damage To Impaired Property Or Property Personal Information contract"for the ownership,maintenance or includingcosts or expenses incurred Not Physically Injured use of aircraft or watercraft; any P y y � "Bodily injury"or"property damage"arising out by you,or any other person,organization or "Property damage" to "impaired property" or of any access to or disclosure of any person's (5) "Bodily injury"or"property damage"arising entity, for repair, replacement, property that has not been physically injured, g nization's confidential or personal out of: enhancement, restoration or maintenance in m i of such property for any reason, including arising out of: information. (a) The operation of machinery or prevention of injury to a person or damage (1) A defect, deficiency, inadequacy or s. Asbestos equipment that is attached to, or part to another's property; dangerous condition in 'your product" or " of,a land vehicle that would qualify as (1) "Bodily injury"or"property damage"arising "mobile equipment"under the definition (2) Premises you sell,give away or abandon,if your work";or out of the actual or alleged presence or of "mobile equipment" if such land the "property damage" arises out of any (2) A delay or failure by you or anyone acting actual, alleged or threatened dispersal of vehicle were not subject to a part of those premises; on your behalf to perform a contract or asbestos, asbestos fibers or products compulsory or financial responsibility agreement in accordance with its terms. containing asbestos, provided that the law, or other motor vehicle insurance (3) Property loaned to you; "bodily injury" or "property damage" is law, where it is licensed or (4) Personal property in the care, custody or This exclusion does not apply to the loss of use principally of other property arising out of sudden and caused or contributed to by the hazardous garaged;or control of the insured; properties of asbestos. Page 4 of 21 ®2017 The Travelers Indemnity Company.All rights reserved. CG T1 00 02 19 CG T1 00 02 19 0 2017 The Travelers Indemnity Company.Al rights reserved. Page 5 Of 21 Includes copyrighted material of Insurance Services Office,Inc.with its permission. Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY (2) "Bodily injury"or"property damage" arising employment-related practices described in This exclusion does not apply to "personal against a civil or alternative dispute out of the actual or alleged presence or Paragraph(a),(b),or(c)above is directed. injury"caused by malicious prosecution. resolution proceeding in which actual, alleged or threatened dispersal of This exclusion applies whether the insured may b. Material Published With Knowledge Of damages to which this insurance any solid, liquid, gaseous or thermal irritant be liable as an employer or in any other capacity Falsity applies are alleged. or contaminant, including smoke, vapors, and to any obligation to share damages with or "Personal and advertising injury"arising out of f. Breach Of Contract soot, fumes, acids, alkalis, chemicals and repay someone else who must pay damages oral or written publication, including publication "Advertising injury" arising out of a breach of waste, and that are part of any claim or because of the"bodily injury". by electronic means,of material,if done by or at contract. "suit" which also alleges any"bodily injury" Exclusions c.through n.do not apply to"premises the direction of the insured with knowledge of or "property damage" described in damage". A separate limit of insurance applies to its falsity. g• Quality Or Performance Of Goods- Failure Paragraph(1)above. To Conform To Statements "premises damage"as described in Paragraph 6.of c. Material Published Or Used Prior To Policy (3) Any loss, cost or expense arising out of Section III—Limits Of Insurance. Period "Advertising injury"arising out of the failure of goods, products or services rf conform with any: COVERAGE B—PERSONAL AND ADVERTISING INJURY LIABILITY (1) "Personal and advertising injury"arising out any statement of quality or performance made (a) Request, demand, order or statutory or of oral or written publication, including in your"advertisement". regulatory requirement that any insured 1. Insuring Agreement publication by electronic means,of material h. Wrong Description Of Prices pay or others test for, monitor, dean up, a. We will a those sums that the insured whose first publication took place before remove, contain, treat, detoxify or the beginning of the policy period;or "Advertising injury" arising out of the wrong becomes legally obligated to pay as damages description of the price of goods, products or neutralize, or in any way respond to,or because of"personal and advertising injury" to (2) "Advertising injury" arising out of services stated in your"advertisement". assess the effects of, asbestos, which this insurance applies. We will have the infringement of copyright,"title"or"slogan" asbestos fibers or products containing right and duty to defend the insured against any in your "advertisement" whose first 1. Intellectual Property asbestos;or "suit"seeking those damages. However,we will infringement in your "advertisement" was "Personal and advertising injury"arising out of (b) Claim or suit by or on behalf of any have no duty to defend the insured against any committed before the beginning of the any actual or alleged infringement or violation of governmental authority or any other "suit" seeking damages for "personal and policyperiod. any of the following rights or laws,or any other Person or or advertising injury"to which this insurance does "personal and advertising injury"alleged in any 9anization because of testing for, monitoring,. cleaning up, not apply. We may, at our discretion, claim or "suit" that also alleges any such removing, containing, treating, i d. Criminal Acts nvestigate any offense and settle any claim or "Personal and advertising injury"arising out of a infringement or violation: detoxifying or neutralizing, or in any "suit"that may result.But: criminal act committed by or at the direction of (1) Copyright; way responding to, or assessing the (1) The amount we will pay for damages is the insured. limited as described in Section III— Limits e. Contractual Liability (2) Patent; effects of, asbestos, asbestos fibers or products containing asbestos. Of Insurance;and "Personal and advertising injury"for which the (3) Trade dress; t. Employment-Related Practices (2) Our right and duty to defend end when we insured has assumed liability in a contract or (4) Trade name; "Bodily injury"to: have used up the applicable limit of agreement. This exclusion does not apply to (5) Trademark; insurance in the payment of judgments or liability for damages: (1) A person arising out of any: settlements under Coverages A or B or (6) Trade secret;or (a) Refusal to employ that person; medical expenses under Coverage C. (1) That the insured would have i the absence o of the contract or agreement;or (7) Other intellectual property rights or laws. (b)Termination of that person's No other obligation or liability to pay sums or This exclusion does not apply to: employment;or (2) Because of"personal injury" assumed by perform acts or services is covered unless (c) Employment-related practice, policy, explicitly provided for under Supplementary you in a contract or agreement that is an (1) "Advertising injury"arising out of any actual act or omission, such as coercion, Payments. insured contract", provided that the or alleged infringement or violation of demotion, evaluation, reassignment, "personal injury" Is caused by an offense another's copyright, "title" or "slogan" in b. This insurance applies to personal and committed subsequent to the execution of your"advertisement';or discipline, failure to promote or advertising injury"caused by an offense arising the contract or agreement. Solely for the advance, harassment, humiliation, out of your business but only if the offense was purposes of liability assumed by you in an (2) Any other"personal and advertising injury" discrimination, libel, slander, violation committed in the"coverage territory"during the "insured contract", reasonable attorneys' alleged in any claim or "suit" that also of the person's right of privacy, policy period. alleges an such or malicious prosecution or false arrest, fees and necessary litigation expenses of another's copyright. or"slogan" in detention or imprisonment applied to or 2. Exclusions incurred by or fora party other than an PY 9 9 p PP insured will be deemed to be damages your"advertisement". directed at that person, regardless of This insurance does not apply to: g whether such practice, policy, act or a. Knowing Violation Of Rights Of Another because of"personal injury",provided that: j, Insureds In Media And Internet Type omission occurs, is applied or is "Personal and advertising injury" caused by or (a) Liability to such parry for, or for the Businesses committed before, during or after the at the direction of the insured with the cost of, that parry's defense has also "Personal and advertising injury"caused by an time of that person's employment;or knowledge that the act would violate the rights been assumed by you in the same offense committed by an insured whose (2) The spouse, child, parent, brother or sister of another and would inflict "personal and "insured contract";and business is: of that person as a consequence of"bodily advertising injury". (b) Such attorneys' fees and litigation injury" to that person at whom any of the expenses are for defense of that party (1) Advertising,"broadcasting"or publishing; Page 6 Of 21 ®2017 The Travelers Indemnity Company.All rights reserved. CG T1 00 02 19 CG T1 00 02 19 0 2017 The Travelers Indemnity Company.Al rights reserved. Page 7 of 21 Includes copyrighted material of Insurance Services Office,Inc.with its permission. Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY (2) Designing or determining content of neutralizing,or in any way responding to,or assess the effects of, asbestos, (3) Because of your operations; websites for others;or assessing the effects of,"pollutants". asbestos fibers or products containing provided that: (3) An Internet search, access, content or o. War asbestos;or service provider. (b) Claim or suit by or on behalf of any (a) The accident takes place the "coverage "Personal and advertising injury"arising out of: territory"and during the policy period; However, this exclusion does not apply to governmental authority or any other Paragraphs a.(1),(2)and(3)of the definition of (1) War,including undeclared or civil war; person or organization because of (b)The expenses are incurred and reported to "personal injury". (2) Warlike action by a military force,including testing for, monitoring, cleaning up, us within one year of the date of the action in hindering or defending against an removing, containing, treating, accident;and For the purposes of this exclusion: actual or expected attack, by any detoxifying or neutralizing, or in any (c) The injured person submits to examination, (1) Creating and producing correspondence government, sovereign or other authority way responding to, or assessing the at our expense,by physicians of our choice written in the conduct of your business, using military personnel or other agents;or effects of,asbestos, asbestos fibers or as often as we reasonably require. bulletins, financial or annual reports, or products containing asbestos. or newsletters about your goods, produc ts (3) Insurrection, rebellion, revolution, usurped b. We will make these payments regardless of s. Employment-Related Practices fault. These a services will not be considered the power, or action taken by governmental payments will not exceed the business of publishing;and authority in hindering or defending against "Personal injury"to: applicable limit of insurance. We will pay any of these. reasonable expenses for: (2) The placing of frames, borders or links, or Unsolicited Communication (1) A person arising out of any: (1) First aid administered at the time of an advertising,for you or others anywhere on P' (a) Refusal to employ that person; accident; the Internet will not,by itself,be considered "Personal and advertising injury"arising out of the business of advertising, "broadcasting" any actual or alleged violation of any law that (b)Termination of that person's (2) Necessary medical, surgical, X-ray and or publishing. restricts or prohibits the sending, transmitting employment;or dental services, including prosthetic k. Electronic Chatrooms Or Bulletin Boards or distributing of"unsolicited communication". (c) Employment-related practice, policy, devices;and q. Access Or Disclosure Of Confidenital Or act or omission, such as coercion, (3) Necessary ambulance, hospital, "Personal and advertising injury"arising out of Personal Information demotion, evaluation, reassignment, professional nursing and funeral services. an electronic chatroom or bulletin board the "Personal and advertising injury"arisin out of discipline, failure to promote or 2. Exclusions insured hosts or owns, or over which the 9 g advance, harassment, humiliation, insured exercises control. any access to or disclosure of any person's or discrimination, libel, slander, violation We will not pay expenses for"bodily injury": organization's confidential or personal of the person's right of privacy, a. Any Insured I. Unauthorized Use Of Another's Name Or information. malicious prosecution or false arrest, Product r. Asbestos detention or imprisonment applied to or To any insured,except"volunteer workers". "Personal and advertising injury"arising out of directed at that person, regardless of b. Hired Person the unauthorized use of anothers name or (1) 'Personal and advertising injury"arising out whether such practice, policy, act or To a person hired to do work for or on behalf of of the actual or alleged presence or actual, omission occurs, is applied or is product in your e-mail address,domain name or any insured or a tenant of any insured. metatag,or any other similar tactics to mislead alleged or threatened dispersal of asbestos, committed before, during or after the anothers potential customers. asbestos fibers or products containing time of that person's employment;or c. Injury On Normally Occupied Premises asbestos, provided that the"personal and m. Pollution advertising injury"is caused or contributed (2) The spouse,child, parent,brother or sister To a person injured on that part of premises to by the hazardous properties of asbestos. of that person as a consequence of you own or rent that the person normally "Personal and advertising injury"arising out of "personal injury" to that person at whom occupies. the actual, alleged or threatened discharge, (2) "Personal and advertising injury"arising out any of the employment-related practices d. Workers'Compensation And Similar Laws dispersal, seepage, migration, release or of the actual or alleged presence or actual, described in Paragraph (a), (b), or (c) escape of"pollutants"at any time. alleged or threatened dispersal of any solid, above is directed. To a person,whether o notr the"bodily "employee"of f liquid, gaseous or thermal irritant or any insured,if benefits for injury"are n. Pollution-Related contaminant, including smoke, vapors, This exclusion applies whether the insured may payable or must be provided under a workers' Any loss,cost or expense arising out of any: soot,fumes, acids, alkalis, chemicals and be liable as an employer or in any other capacity compensation or disability benefits law or a waste, and that are part of any claim or and to any obligation to share damages with or similar law. (1) Request, demand, order or statutory or "suit"which also alleges an "personal and repay someone else who must pay damages g Y'P e. Athletics Activities regulatory requirement that any insured or advertising injury" described in Paragraph because of the"personal injury". others test for, monitor, clean up, remove, To a person injured while practicing,instructing contain, treat, detoxify or neutralize, or in (1)above. COVERAGE C—MEDICAL PAYMENTS or participating in any physical exercises or any way respond to; or assess the effects (3) Any loss, cost or expense arising out of 1. Insuring Agreement games,sports,or athletic contests. of,"pollutants";or any f. Products-Completed Operations Hazard a. We will pay medical expenses as described (2) Claim or suit by or on behalf of any (a) Request,demand,order or statutory or below for"bodily injury"caused by an accident: Included within the "products-completed governmental authority or any other person regulatory requirement that any insured (1) On premises you own or rent; operations hazard". or organization because of testing for, or others test for, monitor, clean up, monitoring, cleaning up, removing, remove, contain, treat, detoxify or (2) On ways next to premises you own or rent; 9• Coverage A Exclusions containing, treating, detoxifying or neutralize,or in any way respond to,or or Excluded under Coverage A. Page 8 of 21 ®2017 The Travelers Indemnity Company.All rights reserved. CG T1 00 02 19 CG T1 00 02 19 0 2017 The Travelers Indemnity Company.Al rights reserved. Page 9 Of 21 Includes copyrighted material of Insurance Services Office,Inc.with its permission. Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY SUPPLEMENTARY PAYMENTS assumed by the insured in the same"insured a. We have used up the applicable limit of workers" while .performing duties contract"; insurance in the payment of judgments, related to the conduct of your 1. We will pay, with respect to any claim we settlements or medical expenses;or business; investigate or settle,or any"suit"against an insured d. The allegations in the"suit"and the information we defend: we know about the"occurrence"or offense are b. The conditions set forth above,or the terms of (b) To the spouse,child,parent,brother or such that no conflict appears to exist between the agreement described in Paragraph f.above, sister of that co-"employee" or a. All expenses we incur. the interests of the insured and the interests of are no longer met. "volunteer worker" as a consequence b. Up to$2,500 for the cost of bail bonds required the indemnitee; SECTION II—WHO IS AN INSURED of Paragraph(1)(a)above: because of accidents or traffic law violations e. The indemnitee and the insured ask us to 1. If you are designated in the Declarations as: (c) For which there is any obligation to arising out of the use of any vehicle to which conduct and control the defense of that share damages with or repay someone a. An individual, you and your spouse are the Bodily Injury Liability Coverage applies.We indemnitee against such"suit"and agree that else who must pay damages because do not have to furnish these bonds. we can assign the same counsel to defend the insureds, but only with respect to the conduct insured and the indemnitee;and of the injury described in Paragraph of a business of which you are the sole owner. c. The cost of bonds to release attachments, but b. A partnership or joint venture, you are an (1)(a)or(b)above;or only for bond amounts within the applicable limit f. The indemnitee: insured. Your members, your partners, and (d) Arising out of his or her providing or of insurance. We do not have to furnish these their spouses are also insureds, but only with failing to provide professional health bonds. (1) Agrees in writing to: care services. respect to the conduct of your business. d. All reasonable expenses incurred by the (a) Cooperate with us in the investigation, c, A limited liability company,you are an insured. Unless you are in the business or insured at our request to assist us in the settlement or defense of the"suit"; Your members are also insureds,but only with occupation of providing professional health investigation or defense of the claim or"suit", (b) Immediately send us copies of any respect to the conduct of your business. Your care services, Paragraphs (1)(a), (b), (c) including actual loss of earnings up to$500 a demands,notices,summonses or legal managers are insureds,but only with respect to and(d)above do not apply to"bodily injury" day because of time off from work. papers received in connection with the their duties as your managers. arising out of providing or failing to provide e. All court costs taxed against the insured in the "suit"; d. An organization other than a partnership,joint first aid or"Good Samaritan services" by "suit".However,these payments do not include (c) Notify any other insurer whose venture or limited liability company,you are an any of your "employees" or "volunteer attorneys' fees or attorneys' expenses taxed coverage is available to the indemnitee; insured. Your"executive officers"and directors workers", other than an employed or against the insured. and are insureds, but only with respect to their volunteer doctor.Any such"employees"or duties your officers directors. Your "volunteer workers" providing or failing to f. Prejudgment interest awarded against the (d) Cooperate with us with respect to stockholders are also insureds, but only with provide first aid or "Good Samaritan insured on that art of the judgment we pay. If coordinating other applicable insurance services" during their work hours for you P 1 9 P Y respect to their liability as stockholders. we make an offer to pay the applicable limit of available to the indemnitee;and will be deemed to be acting within the insurance, we will not pay any prejudgment e. A trust,you are an insured. Your trustees are scope of their employment by you or interest based on that period of time after the (2) Provides us with written authorization to: also insureds, but only with respect to their performing duties related to the conduct of offer. (a) Obtain records and other information duties as trustees. your business. g. All interest on the full amount of any judgment related to the"suit";and 2. Each of the followingIs also an insured: (2) "Property damage"to property: that accrues after entry of the judgment and (b) Conduct and control the defense of the a. Your"volunteer workers"only while performing (a) Owned,occupied or used by; before we have aid, offered to pay, or indemnitee in such"suit". P P Y duties related to the conduct of your business, (b) Rented to, in the care, custody or deposited in court the part of the judgment that So long as the above conditions are met,attorneys' or your "employees", other than either your control of, or over which physical is within the applicable limit of insurance. fees incurred by us in the defense of that "executive officers" (if you are an organization control is being exercised for any These payments will not reduce the limits of indemnitee, necessary litigation expenses incurred other than a partnership,joint venture or limited purpose b b us and necessary litigation expenses incurred b liability company)or your managers If you are a P y' insurance. Y rY 9 P Y Y P Y g ( Y the indemnitee at our request will be paid as limited liability company), but only for acts You, any of your "employees", "volunteer 2. If we defend an insured against a "suit" and an Supplementary Payments. Notwithstanding the within the scope of their employment by you or workers",any partner or member(if you are indemnitee of the insured is also named as a party provisions of Paragraph 2.b,(2) of Section I — while performing duties related to the conduct a partnership or joint venture), or any to the"suit",we will defend that indemnitee if all of Coverages — Coverage A — Bodily Injury And of your business. However, none of these member (if you are a limited liability the following conditions are met: Property Damage Liability or Paragraph 2.e. of "employees" or "volunteer workers" are company). Section I—Coverages—Coverage insureds for: a. The "suit" against the indemnitee seeks 9 g B— Personal b. Any person (other than your "employee" or damages for which the insured has assumed And Advertising Injury Liability,such payments will (1) "Bodily injury"or"personal injury": "volunteer worker"), or any organization, while the liability of the indemnitee in a contract or not be deemed to be damages for"bodily injury", acting as your real estate manager. agreement that is an"insured contract"; "property damage"or"personal injury",and will not (a) To you,to your partners or members(if reduce the limits of insurance. you are a partnership or joint venture), c. Any person or organization having proper b. This insurance applies to such liability assumed to your members (if you are a limited temporary custody of your property if you die, by the insured; Our obligation to defend an insured's indemnitee liability company), to a co-"employee" but only: and to pay for attorneys' fees and necessary while in the course of his or her c. The obligation to defend, or the cost of the litigation expenses as Supplementary Payments employment or performing duties (1) With respect to liability arising out the defense of, that indemnitee, has also been ends when: related to the conduct of your maintenance or use of that property;and business, or to your other "volunteer (2) Until your legal representative has been appointed. Page 10 of 21 ®2017 The Travelers Indemnity Company.All rights reserved. CG T1 00 02 19 CG T1 00 02 19 0 2017 The Travelers Indemnity Company.All rights reserved. Page 11 of 21 Includes copyrighted material of Insurance Services Office,Inc.with its permission. Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY d. Your legal representative if you die, but only b. Arises out of the ownership, maintenance or venture or limited liability company that is not shown as a. The amount shown for the Damage To with respect to duties as such. That use of that part of any premises leased to you. a Named Insured in the Declarations. This paragraph Premises Rented To You Limit in the representative will have all your rights and The insurance provided to such premises owner, does not apply to any such partnership,joint venture or Declarations of this Coverage Part;or duties under this Coverage Part. manager or lessor is subject to the following limited liability company that otherwise qualifies as an b. $300,000 if no amount is shown for the e. Any person or organization that, with your provisions: insured under Section II—Who Is An Insured. Damage To Premises Rented To You Limit in express or implied consent, either uses or is a. The limits of insurance provided to such SECTION III—LIMITS OF INSURANCE the Declarations of this Coverage Part. responsible for the use of a watercraft that you premises owner, manager or lessor will be the 1. The Limits of Insurance shown in the Declarations 7. Subject to Paragraph S. above, the Medical do not own that is: minimum limits that you agreed to provide in the and the rules below fix the most we will pay Expense Limit is the most we will pay under (1) 50 feet long or less;and written contract or agreement, or the limits regardless of the number of: Coverage C for all medical expenses because of a. Insureds; shown in the Declarations,whichever are less. "bodily injury"sustained by any one person. (2) Not being used to carry any person or The Limits of Insurance of this Coverage Part apply property for a charge. b. The insurance provided such premises b.. Claims made or"suits"'brought;or separately to each consecutive annual period and to any 3. Any organization you newly acquire or form, other owner,manager or lessor does not apply to: c. Persons or organizations making claims or remaining period of less than 12 months,starting with than a partnership,joint venture or limited liability (1) Any "bodily injury" or "property damage" bringing"suits". the beginning of the policy period shown in the company,and of which you are the sole owner or in that occurs, or "personal and advertising Declarations,unless the policy period is extended after which you maintain an ownership interest of more injury" caused by an offense that is 2. The General Aggregate Limit is the most we will pay issuance for an additional period of less than 12 than 50%,will qualify as a Named Insured if there is committed,after you cease to be a tenant in for the sum of: months. In that case, the additional period will be no other similar insurance available to that that premises;or a. Medical expenses under Coverage C; deemed part of the last preceding period for purposes of organization.However: determining the Limits of Insurance. (2) Structural alterations, new construction or b. Damages under Coverage A, except damages a. Coverage under this provision is afforded only demolition operations performed by or on because of"bodily injury"or"property damage" SECTION IV— COMMERCIAL GENERAL LIABILITY until the 180th day after you acquire or form the behalf of such premises owner,manager or included in the"products-completed operations CONDITIONS organization or the end of the policy period, lessor. hazard";and 1. Bankruptcy whichever is earlier; S. Any person or organization that is an equipment c. Damages under Coverage B. Bankruptcy or insolvency of the insured or of the b. Coverage A does not apply to"bodily injury"or lessor and that you have agreed in a written contract 3. The Products-Completed Operations Aggregate insured's estate will not relieve us of our obligations "property damage" that occurred before you or agreement to include as an additional insured on under this Coverage Part. acquired or formed the organization;and this Coverage Part is an insured, but only with Limit is the most we will pay under Coverage A for respect to liability for "bodily injury", damages because of"bodily injury" and property 2, Duties In The Event Of Occurrence, Offense, P ty Y 1 rY 'property c. Coverage B does not apply to "personal and damage" included in the "products-completed Claim Or Suit damage",or'personal and advertising injury"that: .advertising injury' arising out of an offense operations hazard". committed before you acquired or formed the a. Is "bodily injury' or "property damage" that a. You must see to it that we are notified as soon organization. occurs, or is "personal and advertising injury" 4. Subject to Paragraph 2. above,the Personal And as practicable of an"occurrence"or an offense caused by an offense that is committed, Advertising Injury Limit is the most we will pay which may result in a claim. To the extent For the purposes of Paragraph 1. of Section II— subsequent to the signing of that contract or under Coverage B for the sum of all damages possible,notice should include: Who Is An Insured, each such organization will be because of all "personal injury" and "advertising deemed to be designated in the Declarations as: agreement;and injury"sustained by any one person or organization. (1) How, when and where the"occurrence"or b. Is caused, in whole or in part, by your acts or offense took place; a. An organization, other than a partnership,joint omissions in the maintenance,operation or use S. Subject to Paragraph 2. or 3. above, whichever 2 The names and addresses of an venture or limited liability company;or of equipment leased to you by such equipment applies,the Each Occurrence Limit is the most we ( ) y injured lessor. will pay for the sum of: persons and witnesses;and b. A trust; a. Damages under Coverage A;and (3) The nature and location of any injury or The insurance provided to such equipment lessor is 9 9 as indicated in its name or the documents that subject to the following provisions: b. Medical expenses under Coverage C; damage arising out of the"occurrence" or govern its structure. offense. a. The limits of insurance provided to such because of all"bodily injury"and"property damage" 4. Any person or organization that is a premises equipment lessor will be the minimum limits that arising out of any one"occurrence". b. If a claim is made or"suit"is brought against owner,manager or lessor and that you have agreed you agreed to provide in the written contract or any insured,you must: Y 9 P For the purposes of determining the applicable in a written contract or agreement to include as an agreement, or the limits shown in the Each Occurrence Limit, all related acts or (1) Immediately record the specifics of the additional insured on this Coverage Part is an Declarations,whichever are less. omissions committed in providing or failing to claim or"suit"and the date received;and insured, but only with respect to liability for"bodily provide first aid or "Good Samaritan services" to injury", "property damage" or "personal and b. The insurance provided to such equipment p (2) Notify us as soon as practicable. advertising injury"that: lessor does not apply to any"bodily injury" or any one person will be deemed to be one "occurrence". You must see to it that we receive written notice ,� "property damage" that occurs, or personal of the claim or"suit"as soon as practicable. a. Is 'bodily injury" or "property damage" that and advertising injury" caused by an offense 6. Subject to Paragraph S. above, the Damage To occurs, or is "personal and advertising injury" that is committed, after the equipment lease Premises Rented To You Limit is the most we will c. You and any other involved insured must: caused by an offense that is committed, expires. pay under Coverage A for damages because of (1) Immediately send us copies of any subsequent to the signing of that contract or No person or organization is an insured with respect to "premises damage" to any one premises. The demands, notices, summonses or legal agreement;and the conduct of any current or past partnership, joint Damage To Premises Rented To You Limit will be: papers received in connection with the claim or"suit"; Page 12 Of 21 ®2017 The Travelers Indemnity Company.All rights reserved. CG T1 00 02 19 CG T1 00 02 19 0 2017 The Travelers Indemnity Company.Al rights reserved. Page 13 of 21 Includes copyrighted material of Insurance Services Office,Inc.with its permission. Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY (2) Authorize us to obtain records and other (ill)An executive officer or director of 4. Other Insurance (ii) That is insurance for "premises information; any other organization;or If valid and collectible other insurance is available to damage"; (3) Cooperate with us in the investigation or (iv)A trustee of any trust; the insured for a loss we cover under Coverages A (ill)If the loss arises out of the settlement of the claim or defense against or B of this Coverage Part, our obligations are maintenance or use of aircraft, that is your partner, joint venture limited described in Paragraphs a.and b. below. "autos"or watercraft to the extent the"suit";and as gra P member,manager or trustee;or As used anywhere in this Coverage Part, other not subject to any exclusion in this (4) Assist us, upon our request, in the insurance means insurance, or the fundingof Coverage Part that applies to enforcement of any right against any (b) Any employee authorized by such losses,that is provided partnership, joint venture, limited p vided by,through or on behalf of: aircraft,"autos"or watercraft; person or organization which may be liable liability company, trust or other (1) Another insurance company; (iv)That is insurance available to a to the insured because of injury or damage organization to give notice of an P Y' premises owner, manager or to which this insurance may also apply. "occurrence"or offense. (ii)Us or any of our affiliated insurance companies, lessor that qualifies as an insured except when the Non cumulation of Each under Paragraph 4. of Section II— d. No insured will, except at that insured's own (3) Notice to us of such "occurrence" or Occurrence Limit provision of Paragraph S. of Who Is An Insured, except when cost, voluntarily make a payment, assume any offense will be deemed to be given as soon Section III — Limits Of Insurance or the Non Paragraph d.below applies;or obligation, or incur any expense, other than for as practicable if it is given in good faith as cumulation of Personal and Advertising Injury first aid,without our consent. soon as practicable to your workers' Limit provision of Paragraph 4. of Section III— (v) That is insurance available to an e. The followingprovisions apply to Paragraph a. compensation insurer. This applies only if Limits of Insurance applies because the equipment lessor that gra h S. of P purposes 9 P an insured under Paragraph 5. of .above, but only for ur oses of the insurance you subsequently give notice to us of the Amendment — Nan Cumulation Of Each Y P P Section II— Who Is An Insured, provided under this Coverage Part to you or any "occurrence" or offense as soon as Occurrence Limit Of Liability And Non except when Paragraph d. below insured listed in Paragraph 1. or 2. of section II practicable after any of the persons Cumulation Of Personal And Advertising Injury a e —Who Is An Insured: described in Paragraph e.(1) or(2) above Limit endorsement is included in this policy; pales. discovers that the "occurrence" or offense (b) Any of the other insurance, whether (1) Notice to us of such "occurrence" or may result in sums to which the insurance (ill)Any risk retention group;or primary,excess, contingent or on any offense must be given as soon as provided under this Coverage Part may (iv)Any self-insurance method or program, in other basis, that is available to the practicable only after the "occurrence" or apply. which case the insured will be deemed to be insured when the insured is an offense is known to you (if you are an the provider of other insurance. additional insured, or is any other individual), any of our partners or However,if this policy includes or endorsement insured that does not qualify as a Y P that provides limited coverage for"bodily injury" Other insurance does not include umbrella members who is an individual (if you are a or"property damage"or pollution costs arising insurance, or excess insurance, that was bought named insured, under such other partnership or joint venture), any of your out of a discharge, release or escape of specifically to apply in excess of the Limits of insurance. managers who is an individual(if you are a "pollutants" which contains a requirement that Insurance shown in the Declarations of this (2) When this insurance is excess, we will limited liability company), any of your the discharge,release or escape of"pollutants" Coverage Part. have no duty under Coverages A or B to "executive officers" or directors (if you are must be reported to us within a specific number defend the insured against any"suit"if any an organization other than a partnership, As used anywhere in this Coverage Part, other of days after its abrupt commencement, this other insurer has a duty to defend the joint venture, or limited liability company), insurer means a provider of other insurance. As Paragraph e.does not affect that requirement. insured against that "suit". If no other any of your trustees who is an individual(if used in Paragraph c. below, insurer means a insurer defends,we will undertake to do so, you are a trust) or any "employee" 3. Legal Action Against Us provider of insurance. but we will be entitled to the insured's rights authorized by you to give notice of an No person or organization has a right under this against all those other insurers. "occurrence"or offense. Coverage Part: a. Primary Insurance This insurance is primary except when (3) When this insurance is excess over other (2) If you are a partnership, joint venture, a. To join us as a party or otherwise bring us into insurance,we will pay only our share of the limited liability company or trust, and none a"suit"asking for damages from an insured;or Paragraph b. below applies.If this insurance is amount of the loss,if any,that exceeds the of our primary,our obligations are not affected unless sum of: y partners, joint venture members, b. To sue us on this Coverage Part unless all of any of the other insurance is also primary. managers or trustees are individuals, notice its terms have been fully complied with. Then,we will share with all that other insurance (a) The total amount that all such other to us of such"occurrence"or offense must be given as soon as practicable only after A person or organization may sue us to recover on by the method described in Paragraph c. below, insurance would pay far the loss in the 9 P Y absence of this insurance;and the"occurrence"or offense is known by: an agreed settlement or on a final judgment against except when Paragraph d. below applies. an insured; but we will not be liable for damages b. Excess Insurance (b) The total of all deductible and self- (a) Any individual who is: that are not payable under the terms of this insured amounts under all that other Coverage Part or that are in excess of the (1) This insurance is excess over: insurance. (i) A partner or member of any applicable limit of insurance. An agreed settlement (4) We will share the remaining loss, f any, partnership or joint venture; (a) Any of the other insurance, whether means a settlement and release of liability signed by with any other insurance that is not primary, excess, contingent or on any us,the insured, and the claimant or the claimant's described in this Excess Insurance (II) A manager of any limited liability other basis: company; legal representative. provision and was not bought specifically to (1) That is Fire, Extended Coverage, apply in excess of the Limits of Insurance Builder's Risk, Installation Risk or shown in the Declarations of this Coverage similar coverage for"your work"; Part. Page 14 of 21 ®2017 The Travelers Indemnity Company.All rights reserved. CG T1 00 02 19 CG T1 00 02 19 0 2017 The Travelers Indemnity Company.Al rights reserved. Page 15 of 21 Includes copyrighted material of Insurance Services Office,Inc.with its permission. Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY c. Method Of Sharing a. The statements in the Declarations are 2. "Advertising injury": b. In, by or with any other electronic means of If all of the other insurance permits contribution accurate and complete; a. Means injury caused by one or more of the communication, such as the Internet, if that by equal shares,we will follow this method also. b. Those statements are based upon following offenses: material is part of: Under this approach each insurer contributes representations you made to us;and 1 equal amounts until it has paid its applicable c. We have issued this policy in reliance upon (1) Oral ti written publication, including ( ) Radio transmitted; programming being limit of insurance or none of the loss remains, P Y P publication by electronic means,of material your representations. in your "advertisement" that slanders or whichever comes first. (2) Other entertainment, educational, The unintentional omission of,or unintentional error libels a person or organization or instructional, music or news programming If any of the other insurance does not permit in,any information provided by you which we relied disparages a person's or organization's being transmitted;or contribution by equal shares,we will contribute upon in issuing this policy will not prejudice your goods, products or services, provided that by limits. Under this method, each insurer's rights under this insurance.However,this provision the Claim is made or the"suit"is brought by (3) Advertising transmitted with any of such share is based on the ratio of its applicable limit does not affect our right to collect additional a person or organization that claims to have programming. of insurance to the total applicable limits of premium or to exercise our rights of cancellation or been slandered or libeled,or that claims to insurance of all insurers. nonrenewal in accordance with applicable insurance have had its goods, products or services 6. "Coverage territory"means: d. Primary And Non-Contributory Insurance If laws or regulations. disparaged; a. The United States of America (including its Required By Written Contract 7. Separation Of Insureds (2) Oral or written publication, including territories and possessions), Puerto Rico and If you specifically agree in a written contract or Except with respect to the Limits of Insurance,and publication by electronic means,of material Canada; agreement that the insurance afforded to an any rights or duties specifically assigned in this in your"advertisement"that: b. International waters or airspace, but only if the insured under this Coverage Part must apply on Coverage Part to the first Named Insured, this (a) Appropriates a person's name, voice, injury or damage occurs in the course of travel a primary basis, or a primary and non- insurance applies: photograph or likeness;or or transportation between any places included contributory basis, this insurance is primary to a. As if each Named Insured were the only in Paragraph a.above;or other insurance that is available to such insured Named Insured;and (b) Unreasonably places a person in a which covers such insured as a named insured, false light;or c. All other parts of the world if the injury or and we will not share with that other insurance, b. Separately to each insured against whom claim (3) Infringement of copyright,"title"or"slogan" damage arises out of: Is made or"suit'Is brought: provided that: in your "advertisement", provided that the (1) Goods or products made or sold by you in 1 The"bodily injury" 8. Transfer Of Rights Of Recovery Against Others claim is made or the"suit"is brought by a ( ) y'j ry"or'property damage"for To Us person or organization that Claims the territory described in Paragraph a. which coverage is sought occurs,and ownership of such copyright, "titre" or above; (2) The "personal and advertising injury" for If the insured has rights to recover all or part of any g (2) The activities of a person whose home is in P g J ry' "slogan". which coverage is sought is caused by an payment we have made under this Coverage Part, offense that is committed; those rights are transferred to us.The insured must b. Includes"bodily injury"caused by one or more the territory described in Paragraph a. do nothing after loss to impair them.At our request, of the offenses described in Paragraph a. above,but is away for a short time on your subsequent to the signing of that contract or the insured will bring"suit"or transfer those rights above. business;or agreement by you. to us and help us enforce them. 3. "Auto"means: (3) "Personal and advertising injury" offenses S. Premium Audit 9. When We Do Not Renew that take place through the Internet or d a. land motor vehicle, trailer semitrailer similar electronic means of communication; a. We will compute all premiums for this Coverage If we decide not to renew this Coverage Part,we will designed for travel on public roads, s, including Part in accordance with our rules and rates. mail or deliver to the first Named Insured shown in any attached machinery or equipment;or provided the insured's responsibility to pay the Declarations written notice of the nonrenewal b. Premium shown in this Coverage Part as not less than 30 days before the expiration date. b. Any other land vehicle that is subject to a damages is determined in a"suit"on the merits in advance premium is a deposit premium only.At compulsory or financial responsibility law, or the territory described in Paragraph a.above,or in a the close of each audit period we will compute If notice is mailed,proof of mailing will be sufficient settlement we agree to. the earned premium for that period and send proof of notice. other motor vehicle insurance law, where it is notice to the first Named Insured.The due date licensed or principally garaged. 7, "Electronic data" means information, facts or SECTION V—DEFINITIONS However, "auto" does not include "mobile programs stored as or on, created or used on, or for audit and retrospective premiums is the date 1 "Advertisement'means a notice that is broadcast or equipment". transmitted to or from computer software(including shown the due date o the.bill.If the sum of published to the general public or specific market systems and applications software), hard or floppy policy period the advance and audit premiums paid for the segments about your goods, products or services 4. "Bodily injury"means: disks. CD-ROMs, tapes, drives, cells, data is greater than the earned premium,we will return the excess to the first for thepurpose of attracting customers or a. Physical harm, including sickness or disease, processing devices or any other media which are Named Insured. supporters.For the purposes of this definition: sustained by a person;or used with electronically controlled equipment. c. The first Named Insured must keep records of a. Notices that are published include material b. Mental anguish, injury or illness, or emotional 8. "Employee"includes a"leased worker"."Employee" the information we need for premium placed on the Internet or on similar electronic distress, resulting at any time from such does not include a"temporary worker". computation,and send us copies at such times means of communication;and physical harm,sickness or disease. 9 "Executive officer means a person holding any of as we may request. b. Regarding websites,only that part of a website 5. "Broadcasting" means transmitting any audio or ' that is about your goods, products or services visual material for any purpose: the officer positions created by your charter, 6. Representations constitution, bylaws or any other similar governing for the purposes attracting customers or By accepting this policy,you agree: supporters is considered ed an advertisement. a. By radio or television;or document. Page 16 of 21 ®2017 The Travelers Indemnity Company.All rights reserved. CG T1 00 02 19 CG T1 00 02 19 0 2017 The Travelers Indemnity Company.Al rights reserved. Page 17 of 21 Includes copyrighted material of Insurance Services Office,Inc.with its permission. Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY 10."Good Samaritan services" means any emergency tracks, roadbeds, tunnel, underpass or d. Vehicles, whether self-propelled or not, b. An act or omission committed in providing or medical services for which no compensation is crossing; maintained primarily to provide mobility to failing to provide first aid or"Good Samaritan demanded or received. (2) That indemnifies an architect, engineer or permanently mounted: services" to a person, unless you are in the 11."Hostile fire" means a fire which becomes surveyor for injury or damage arising out of: (1) Power cranes, shovels,loaders,diggers or business or occupation of providing uncontrollable or breaks out from where it was drills;or professional health care services. intended to be. (a) Preparing, approving, or failing to prepare or approve, maps, shop (2) Road construction or resurfacing 18."Personal and advertising injury" means "personal 12."Impaired property"means tangible property, other drawings, opinions, reports, surveys, equipment such as graders, scrapers or injury"or"advertising injury". than "your product"or"your work",that cannot be field orders,change orders or drawings rollers; 19."Personal injury": used or is less useful because: and specifications;or e. Vehicles not described in Paragraph a., b., c. a. It incorporates "your product" or "your work" (b) Giving directions or instructions, or or d.above that are not self-propelled and are a. Means injury, other than "advertising injury", that is known or thought to be defective, failing to give them, if that is the maintained primarily to provide mobility to caused by one or more of the following deficient,inadequate or dangerous;or primary cause of the injury or damage; permanently attached equipment of the offenses: b. You have failed to fulfill the terms of a contract or following types: (1) False arrest,detention or imprisonment; or agreement; (3) Under which the insured, if an architect, (1) Air compressors, pumps and generators, engineer or surveyor, assumes liability for including spraying, welding, building (2) Malicious prosecution; if such property can be restored to use by the an injury or damage arising out of the cleaning, geophysical exploration, lighting repair,replacement,adjustment or removal of"your insured's rendering or failure to render and well servicing equipment;or (3) The wrongful eviction from, wrongful entry product"or"your work"or your fulfilling the terms of professional services, including those listed into, or invasion of the right of private the contract or agreement. (2) Cherry pickers and similar devices used to occupancy of a room,dwellingor remises in Paragraph (2) above and supervisory, raise or lower workers; that a person occupies, provided t that the 13."Insured contract"means: inspection, architectural or engineering P P P activities. f. Vehicles not described in Paragraph a., b., c. wrongful eviction,wrongful entry or invasion a. A contract for a lease of premises. However, or d. above maintained primarily for purposes of the right of private occupancy is that portion of the contract for a lease of 14."Leased worker"means a person leased to you by a other than the transportation of persons or committed by or on behalf of the owner, premises that indemnifies any person or labor leasing firm under an agreement between you cargo. landlord or lessor of that room,dwelling or organization for "premises damage" is not an and the labor leasing firm,to perform duties related premises; "insured contract"; to the conduct of your business. "Leased worker" However, self-propelled vehicles with the does not include a"temporary worker". following types of permanently attached (4) Oral or written publication, including b. A sidetrack agreement; equipment are not"mobile equipment" but will publication by electronic means,of material c. Any easement or license agreement,except in 15."Loading or unloading" means the handling of be considered"autos": that slanders or libels a person or connection with construction or demolition property: organization or disparages a erson's or a. After it is moved from the lace where it is (1) Equipment designed primarily for: or P operations on or within 50 feet of a railroad; P ganization's goods, products or services, d. An obligation, as required by ordinance, to accepted for movement into or onto an aircraft, (a) Snow removal; provided that the claim is made or the"suit" watercraft or"auto'; (b) Road maintenance, but not is brought by a person or organization that indemnify a municipality, except in connection claims to have been slandered or libeled,or with work for a municipality; b. While it is in or on an aircraft, watercraft or construction or resurfacing;or "auto";or (c) Street cleaning; that claims to have had its goods,products e. An elevator maintenance agreement; or services disparaged;or f. That part of any other contract or agreement watercraft While it is being moved from an aircraft, (2) Cherry pickers and similar devices pertaining to your business (including an watercraft or "auto" to the place where it is mounted on automobile or truck chassis (5) Oral or written publication, including indemnification of a municipality in connection finally delivered; and used to raise or lower workers;and puablication by electronic means,of material with work performed for a municipality) under but "loading or unloading" does not include the (3) Air compressors, pumps and generators, which you assume the tort liability of another movement of property by means of a mechanical including spraying, welding, building (a) Appropriates a person's name, voice, party to pay for "bodily injury", "property device,other than a hand truck,that is not attached cleaning, geophysical exploration, lighting photograph or likeness;or damage"or"personal injury" to a third person to the aircraft,watercraft or"auto". and well servicing equipment. or organization.Tort liability means a liability that 16."Mobile equipment" means any of the following However,"mobile equipment"does not include any (b) Unreasonably places a person in a would be imposed by law in the absence of any types of land vehicles, including any attached land vehicle that is subject to a compulsory or false light. contract or agreement. machinery or equipment: financial responsibility law, or other motor vehicle b. Includes"bodily injury"caused by one or more Paragraph f.does not include that part of any a. Bulldozers, farm machinery, forklifts and other insurance law, where it is licensed or principally of the offenses described in Paragraph a, contract or agreement: vehicles designed for use principally off public garaged. Such land vehicles are considered above. "autos". (1) That indemnifies a railroad for "bodily roads; 20."Pollutants" mean any solid, liquid, gaseous or injury" or"property damage" arising out of b. Vehicles maintained for use solely on or next to 17."Occurrence'means: thermal irritant or contaminant, including smoke, construction or demolition operations, premises you own or rent; a. An accident, including continuous or repeated vapor, soot, fumes, acids, alkalis, chemicals and within 50 feet of any railroad property and affecting any railroad bridge or trestle, c. Vehicles that travel on crawler treads; exposure to substantially the same general waste. Waste includes materials to be recycled, harmful conditions;or reconditioned or reclaimed. Page 18 of 21 ®2017 The Travelers Indemnity Company.All rights reserved. CG T1 00 02 19 CG T1 00 02 19 0 2017 The Travelers Indemnity Company.Al rights reserved. Page 19 of 21 Includes copyrighted material of Insurance Services Office,Inc.with its permission. Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY 21."Premises damage"means: contract calls for work at more than 25."Suit' means a civil proceeding in which damages (a) You; a. With respect to the first paragraph of the one job site. because of "bodily injury", "property damage" or p p g p (b) Others trading under your name;or exceptions in Exclusion J. of Section 1 — (c) When that part of the work done at a "personal and advertising injury" to which this Coverage A — Bodily Injury And Property job site has been put to its intended insurance applies are alleged."Suit"includes: (c) A person or organization whose Damage Liability, "property damage" to any use by any person or organization other a. An arbitration proceeding in which such business or assets you have acquired; premises while rented to you for a period of than another contractor or damages are claimed and to which the insured and seven or fewer consecutive days, including the subcontractor working on the same must submit or does submit with our consent; (2) Containers(other than vehicles), materials, contents of such premises;or project. or parts or equipment furnished in connection b. With respect to the exception to Exclusions c. Work that may need service, maintenance, b. Any other alternative dispute resolution with such goods or products. through n. in the last paragraph of Paragraph 2. correction,repair or replacement,but which proceeding in which such damages are claimed b. Includes: ill b t l i therwse complete, w e treated as of Section I—Coverage A—Bodily Injury And is o and to which the insured submits with our 1 Warranties or representations made at an completed. O P Y Property Damage Liability,"property damage"to consent. time with respect to the fitness, quality, any premises while rented to you for a period of b. Does not include "bodily injury" or "property 26."Temporary worker means a person who is durability, performance or use of "your more than seven consecutive days, while damage"arising out of: furnished to you to substitute for a permanent product";and temporarily occupied by you with permission of 1 The transportation of property,the owner:caused by: ( ) P p p rty, unless the "employee"on leave or to meet seasonal or short- (2) The providing of or failure to provide injury or damage arises out of a condition in term workload conditions. warnings or instructions. (1) Fire; or on a vehicle not owned or operated by (2) Explosion; you, and that condition was created by the 27."Title"means a name of a literary or artistic work. c. Does not include vending machines or other "loading or unloading"of that vehicle by any 28."Unsolicited communication" means any property rented to or located for the use of (3) Lightning; insured; communication, in any form, that the recipient of others but not sold. (4) Smoke resulting from fire, explosion or (2) The existence of tools, uninstalled such communication did not specifically request to 31."Your work": lightning;or equipment or abandoned or unused receive. (5) Water. materials;or a. Means: 24."Volunteer worker"means a person who is not your But "premises damage" under this Paragraph (3) Products or operations for which the "employee",and who donates his or her work and (1) Work or operations performed by you or on b. does not include"property damage"to any classification, listed in the Declarations or acts at the direction of and within the scope of Your behalf;and premises caused by: in a policy Schedule, states that products- duties determined by you, and is not paid a fee, (2) Materials, parts or equipment furnished in completed operations are subject to the salary or other compensation by you or anyone else connection with such work or operations. (1) Rupture, bursting, or operation of pressure General Aggregate Limit. for their work performed for you. relief devices; b. Includes: (2) Rupture or bursting due to expansion or 23."Property damage"means: 30."Your product": (1) Warranties or representations made at any swelling of the contents of any building or a. Physical injury to tangible property, including all a. Means: time with respect to the fitness, quality, structure caused by or resulting from water; resulting loss of use of that property. All such durability, performance or use of "your or loss of use will be deemed to occur at the time of (1) Any goods or products, other than real work";and (3) Explosion of steam boilers, steam pipes, the physical injury that caused it;or property, manufactured, sold, handled, distributed or disposed of by: (2) The providing of or failure to provide steam engines or steam turbines. b. Loss of use of tangible property that is not warnings or instructions. 22."Products-completed operations hazard": physically injured. All such loss of use will be deemed to occur at the time of the"occurrence" a. Includes all "bodily injury" and "property that caused it. damage" occurring away from premises you For the purposes of this insurance,"electronic data" own or rent and arising out of"your product"or is not tangible property. "your work"except: (1) Products that are still in your physical 24,"Slogan": possession:or a. Means a phrase that others use for the purpose (2) Work that has not yet been completed or of attracting attention in their advertising. abandoned. However, "your work"will be b. Does not include a phrase used as, or in,the deemed completed at the earliest of the name of: following times: (1) Any person or organization,other than you; (a) When all of the work called for in your or contract has been completed. (2) Any business, or any of the premises, (b)When all of the work to be done at the goods, products, services or work, of any job site has been completed if your person or organization,other than you. Page 20 of 21 ®2017 The Travelers Indemnity Company.All rights reserved. CG T1 00 02 19 CG T1 00 02 19 0 2017 The Travelers Indemnity Company.Al rights reserved. Page 21 of 21 Includes copyrighted material of Insurance Services Office,Inc.with its permission. Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. b. Such subsidiary is not an insured under Unless you are in the business or occupation similar other insurance. of providing professional health care No such subsidiary is an insured for "bodily services,Paragraphs(1)(a),(b),(c)and(d) XTEND ENDORSEMENT FOR ARCHITECTS, ENGINEERS injury" or "property damage" that occurred, or above do not apply to"bodily injury"arising AND SURVEYORS "personal and advertising injury"caused by an out of providing or failing to provide first aid offense committed: or"Good Samaritan services"by any of your retired partners, members, directors or a. Before you maintained an ownership interest "employees",other than a doctor.Any such This endorsement modifies insurance provided under the following: of more than 50%in such subsidiary;or retired partners; members, directors or COMMERCIAL GENERAL LIABILITY COVERAGE PART b. After the date,if any,during the policy period "employees" providing or failing to provide that you no longer maintain an ownership first aid or"Good Samaritan services"during GENERAL DESCRIPTION OF COVERAGE—This endorsement broadens coverage.However,coverage for interest of more than 50%in such subsidiary. their work hours for you will be deemed to be any injury, damage or medical expenses described in any of the provisions of this endorsement may be acting within the scope of their employment excluded or limited by another endorsement to this Coverage Part,and these coverage broadening provisions For purposes of Paragraph 1.of Section II—Who by you or performing duties related to the do not apply to the extent that coverage is excluded or limited by such an endorsement.The following listing is a Is An Insured, each such subsidiary will be conduct of your business. general coverage description only. Read all the provisions of this endorsement and the rest of your policy deemed to be designated in the Declarations as: carefully to determine rights,duties,and what is and is not covered. a. A limited liability company; (2) "Personal injury": b. An organization other than a partnership, (a)To you, to your current or retired A. Non-Owned Watercraft—75 Feet Long Or Less H. Blanket Additional Insured — Governmental joint venture or limited liability company;or partners or members (if you are a partnership or joint venture), to your Entities—Permits Or Authorizations Relating To B. Who Is An Insured—Unnamed Subsidiaries c. A trust; current or retired members(if you are a C. Who Is An Insured—Retired Partners,Members, Premises as indicated in its name or the documents that limited liability company), to your other Directors And Employees I. Blanket Additional Insured — Governmental govern its structure. current or retired directors or Entities—Permits Or Authorizations Relating To "employees"while in the course of his or C. WHO IS AN INSURED—RETIRED PARTNERS, her employment or performing duties D. Who Is An Insured—Employees And Volunteer Operations Workers—Bodily Injury To Co-Employees,Co- MEMBERS,DIRECTORS AND EMPLOYEES related to the conduct of your business, Volunteer Workers And Retired Partners, J. Incidental Medical Malpractice The following is added to Paragraph 2. of or to your other "volunteer workers" Members,Directors And Employees K. Medical Payments—Increased Limit SECTION II—WHO IS AN INSURED: while performing duties related to the An person who is our retired partner,member, conduct of your business; E. Who Is An Insured—Newly Acquired Or Formed L. Amendment Of Excess Insurance Condition — Y P Y P Limited Liability Companies Professional Liability director or"employee"that is performing services (b)To the spouse,child,parent,brother or for you under your direct supervision,but only for sister of that current or retired partner, F. Blanket Additional Insured—Controlling Interest M. Blanket Waiver Of Subrogation—When Required acts within the scope of their employment by you member, director, "employee" or G. Blanket Additional Insured — Mortgagees, By Written Contract Or Agreement or while performing duties related to the conduct "volunteer worker"as a consequence of Assignees,Successors Or Receivers N. Contractual Liability—Railroads of your business. However, no such retired Paragraph(2)(a)above; partner, member, director or "employee" is an (c) For which there is any obligation to PROVISIONS uses or is responsible for the use of a insured for: share damages with or repay someone A. NON-OWNED WATERCRAFT — 75 FEET watercraft that you do not own that is: (1) "Bodily injury": else who must pay damages because of LONG OR LESS (1) 75 feet long or less;and (a) To you, to your current partners or the injury described in Paragraph(2)(a) 1. The following replaces Paragraph (2) of (2) Not being used to carry any person members (if you are a partnership or or(b)above;or Exclusion g.,Aircraft,Auto Or Watercraft, or property for a charge; joint venture),to your current members (d)Arising out of his or her providing or in Paragraph 2. of SECTION I — (if you are a limited liability company)or failing to provide professional health care 9 P B. WHO IS AN INSURED — UNNAMED to your current directors; services. COVERAGES—COVERAGE A—BODILY SUBSIDIARIES (b)To the spouse,child,parent,brother or (3) "Property damage"to property: INJURY AND PROPERTY DAMAGE The following is added to SECTION II—WHO IS LIABILITY: AN INSURED: sister of that current partner,member or P director as a consequence of Paragraph (a) Owned,occupied or used by; or (2) A watercraft you do not own that is: Any of your subsidiaries,other than a partnership (1)(a)above; (b) Rented to,in the care,custody or control (a) 75 feet long or less;and or joint venture,that is not shown as a Named of, or over which physical control is obligation to oblig (b) Not being used to carry any person Insured in the Declarations is a Named Insured (c) For which there is any being exercised for any purpose by; or property for a charge; if: share damages with or repay someone else who must pay damages because of you,any of your retired partners,members 2. The following replaces Paragraph 2.e. of a. You are the sole owner of,or maintain an the injury described in Paragraph(1)(a) or directors, your current or retired SECTION 11—WHO IS AN INSURED: ownership interest of more than 50%in,such or(b)above;or "employees" or "volunteer workers", any e. Any person or organization that, with subsidiary on the first day of the policy current partner or member (if you are a and (d)Arising out of his or her providing or partnership or joint venture),or any current your express or implied consent,either period;subsidiary failing to provide professional health care member (if you are a limited liability services. company)or current director. CG D3 79 02 19 0201T The Travelers Indemnity Company.All rights reserved. Page 1 of 6 Page 2 of 6 C 2017 The Travelers Indemnity Company.All rights reserved. CG D3 79 02 19 Includes copyrighted material of Insurance Services Office,Inc.with Its permission. Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY D. WHO IS AN INSURED — EMPLOYEES AND organization will be deemed to be subsequent to the signing of that contract or openings, sidewalk vaults, elevators, street VOLUNTEER WORKERS — BODILY INJURY designated in the Declarations as: agreement;and banners or decorations. TO CO-EMPLOYEES, CO-VOLUNTEER a. A limited liability company; b. Arises out of the ownership,maintenance or I. BLANKET ADDITIONAL INSURED — WORKERS AND RETIRED PARTNERS, b. An organization other than a partnership, use of the premises for which that GOVERNMENTAL ENTITIES — PERMITS MEMBERS,DIRECTORS AND EMPLOYEES joint venture or limited liability company; mortgagee,assignee,successor or receiver OR AUTHORIZATIONS RELATING TO The following is added to Paragraph 2.a.(1)of or is required under that contract or agreement OPERATIONS SECTION II—WHO IS AN INSURED: c. A trust; to be included as an additional insured on The following is added to SECTION 11—WHO IS this Coverage Part. Paragraphs"bodily injury" (" and rr above do not AN INSURED: as indicated in its name or the documents The insurance provided to such mortgagee, apply to"bodily injury"to a current or retired co- PAn governmental entity that has issued a permit "employee" while in the course of the co- that govern its structure. assignee,successor or receiver is subject to the y g Y P or authorization with respect to operations "employee's"employment by you or performing F. BLANKET ADDITIONAL INSURED — following provisions: performed by you or on your behalf and that you duties related to the conduct of your business,or CONTROLLING INTEREST a. The limits of insurance provided to such are required by any ordinance,law,building code to "bodily injury" to your other "volunteer 1. The following is added to SECTION II — mortgagee,assignee,successor or receiver or written contract or agreement to include as an workers" or retired partners, members or WHO IS AN INSURED: will be the minimum limits that you agreed to additional insured on this Coverage Part is an directors while performing duties related to the provide in the written contract or agreement, insured, but only with respect to liability for conduct of your business. Any person or organization that has financial or the limits shown in the Declarations, "bodily injury", "property damage" or"personal control of you is an insured with respect to whichever are less. and advertising injury" arising out of such E. WHO IS AN INSURED—NEWLY ACQUIRED liability for"bodily injury","property damage" OR FORMED LIMITED LIABILITY COMPANIES or "personal and advertising injury" that b. The insurance provided to such person or operations. The following replaces Paragraph 3. of arises out of: organization does not apply to: The insurance provided to such governmental SECTION II—WHO IS AN INSURED: a. Such financial control;or (1) An "bodily injury"or"property dame e" entity does not apply to: Y" Y�1 ry,� 9 3. Any organization you newly acquire or form, b. Such person's or organization's that occurs, or any "personal and a. Any "bodily injury", "property damage" or other than a partnership or joint venture,and ownership, maintenance or use of advertising injury"caused by an offense "personal and advertising injury"arising out of which you are the sole owner or in which premises leased to or occupied by you. that is committed,after such contract or of operations performed for the you maintain an ownership interest of more agreement is no longer in effect;or governmental entity;or than 50%,will qualify as a Named Insured if The insurance provided to such person or there is no other similar insurance available organization does not apply to structural (2) Any"bodily injury","property damage"or b. Any "bodily injury" or "property damage" to that organization.However: alterations, new construction or demolition "personal and advertising injury"arising included in the "products-completed operations performed by or on behalf of such out of any structural alterations, new operations hazard". a. Coverage under this provision is person or organization. construction or demolition operations J. INCIDENTAL MEDICAL MALPRACTICE afforded only: performed by or on behalf of such 2. The following is added to Paragraph 4. of mortgagee, assignee, successor or 1. The following replaces Paragraph b.of the (1) Until the 180th day after you acquire SECTIO N 11—WHO IS AN INSURED: receiver. definition of "occurrence" in the or form the organization or the end of This the policy period, whichever is paragraph does not apply any H. BLANKET ADDITIONAL INSURED — DEFINITIONS Section: earlier. if you do not report such premises owner,manager or lessor that has GOVERNMENTAL ENTITIES— PERMITS OR b. An act or omission committed in organization in writing to us within financial control of you. AUTHORIZATIONS RELATING TO PREMISES providing or failing to provide"incidental 180 days after you acquire or form @; G. BLANKET ADDITIONAL INSURED — medical services", first aid or "Good The following is added to SECTION II—WHO IS Samaritan services"to a person,unless or MORTGAGEES, ASSIGNEES, SUCCESSORS AN INSURED: (2) Until the end of the policy period, OR RECEIVERS you are in the business or occupation of Any governmental entity that has issued a permit providing professional health care when that date is later than 180 days The following is added to SECTION II—WHO IS or authorization with respect to premises owned services. after you acquire or form such AN INSURED: or occupied by,or rented or loaned to,you and organization, if you report such Any person or organization that is a mortgagee, that you are required by any ordinance, law, 2. The following replaces the last paragraph of organization in writing to us within assignee, successor or receiver and that you building code or written contract or agreement to Paragraph 2.a.(1)of SECTION II—WHO IS 180 days after you acquire or form it; have agreed in a written contract or agreement include as an additional insured on this AN INSURED: b. Coverage A does not apply to "bodily to include as an additional insured on this Coverage Part is an insured, but only with Unless you are in the business or occupation injury" or "property damage" that Coverage Part is an insured, but only with respect to liability for "bodily injury", "property of providing professional health care occurred before you acquired or formed respect to its liability as mortgagee, assignee, damage" or "personal and advertising injury" services,Paragraphs(1)(a),(b),(c)and(d) the organization;and successor or receiver for"bodily injury","property arising out of the existence, ownership, use, above do not apply to"bodily injury"arising damage" or "personal and advertising injury" maintenance, repair, construction, erection or out of providing or failing to provide: c. Coverage B does not apply to"personal that: removal of any of the following for which that (a) 'Incidental medical services"by any of and advertising injury' arising you out ui an governmental entity has Issued such permit or offense committed before ou acquired a. Is"bodily injury"or'property damage"that your "employees" who n a nurse, Y q authorization: advertising signs, awnings, nurse assistant, emergency medical or formed the organization. occurs,or is"personal and advertising injury's 9 Y 9 canopies, cellar entrances., coal holes,i technician, paramedic, athletic trainer, caused by an offense that is committed, driveways, manholes, marquees, host away For the purposes of Paragraph 1.of Section audiologist, dietician, nutritionist, II — Who Is An Insured, each such CIS D3 79 02 19 02017 The Travelers Indemnity Company.All rights reserved. Page 3 of 6 Page 4 of 6 m 2017 The Travelers Indemnity Company.All rights reserved. CG D3 79 02 19 Includes copyrighted material of Insurance Services Office,Inc.with Its permission. Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY occupational therapist or occupational that is available to any of your"employees" N. CONTRACTUAL LIABILITY—RAILROADS therapy assistant, physical therapist or for"bodily injury"that arises out of providing 1. The following replaces Paragraph c.of the speech-language pathologist;or or failing to provide "incidental medical definition of "insured contract" in the (b) First aid or"Good Samaritan services" services" to any person to the extent not DEFINITIONS Section: by any of your"employees"or"volunteer subject to Paragraph 2.a.(1)of Section II— workers", other than an employed or Who Is An Insured. c. Any easement or license agreement; volunteer doctor.Any such"employees" K. MEDICAL PAYMENTS—INCREASED LIMIT 2. Paragraph f.(1)of the definition of"insured or"volunteer workers"providing or failing contract" in the DEFINITIONS Section is to provide first aid or"Good Samaritan The following replaces Paragraph 7. of deleted. services"during their work hours for you SECTION III—LIMITS OF INSURANCE: will be deemed to be acting within the 7. Subject to Paragraph 5.above,the Medical scope of their employment by you or Expense Limit is the most we will pay under performing duties related to the conduct Coverage C for all medical expenses of your business. because of"bodily injury"sustained by any 3. The following replaces the last sentence of one person,and will be the higher of: Paragraph 5.of SECTION III—LIMITS OF a. $10,000;or INSURANCE: For the purposes of determining the b. The amount shown in the Declarations of applicable Each Occurrence Limit,all related this Coverage Part for Medical Expense acts or omissions committed in providing or Limit. failing to provide "incidental medical L. AMENDMENT OF EXCESS INSURANCE services", first aid or "Good Samaritan CONDITION—PROFESSIONAL LIABILITY services"to any one person will be deemed to be one"occurrence". The following is added to Paragraph 4.1b., 4. The following exclusion is added to Excess Insurance, of SECTION IV — Paragraph 2.,Exclusions.of SECTION I— COMMERCIAL GENERAL LIABILITY CONDITIONS: COVERAGES—COVERAGE A—BODILY INJURY AND PROPERTY DAMAGE This insurance is excess over any of the other LIABILITY: insurance,whether primary, excess, contingent or on any other basis, that is Professional Sale Of Pharmaceuticals Liability or similar coverage, to the extent the "Bodily injury"or"property damage"arising loss is not subject to the professional services out of the violation of a penal statute or exclusion of Coverage A or Coverage B. ordinance relating to the sale of pharmaceuticals committed by, or with the M. BLANKET WAIVER OF SUBROGATION — knowledge or consent of the insured. WHEN REQUIRED BY WRITTEN CONTRACT S. The following is added to the DEFINITIONS OR AGREEMENT Section: The following is added to Paragraph B.,Transfer "Incidental medical services"means: Of Rights Of Recovery Against Others To Us, of SECTION IV — COMMERCIAL GENERAL a. Medical, surgical, dental, laboratory, x- LIABILITY CONDITIONS: ray or nursing service or treatment, If the insured has agreed in a written contract or advice or instruction, or the related agreement to waive that insured's right of furnishing of food or beverages;or recovery against any person or organization,we b. The furnishing or dispensing of drugs or waive our right of recovery against such person medical, dental, or surgical supplies or or organization,but only for payments we make appliances. because of: 6. The following is added to Paragraph 4.b., a. "Bodily injury" or "property damage" that Excess Insurance, of SECTION IV — occurs;or COMMERCIAL GENERAL LIABILITY CONDITIONS: b. "Personal and advertising injury"caused by This insurance is excess over any valid and an offense that is committed; collectible other insurance,whether primary, subsequent to the signing of that contract or excess, contingent or on any other basis, agreement. CG D3 79 02 19 02017 The Travelers Indemnity Company.All rights reserved. Page 5 of 6 Page 6 of 6 m 2017 The Travelers Indemnity Company.All rights reserved. CG D3 79 02 19 Includes copyrighted material of Insurance services Office,Inc.with Its permission. Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GENERAL DESCRIPTION OF COVERAGE —This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. BROAD FORM NAMED INSURED H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF B. BLANKET ADDITIONAL INSURED USE— INCREASED LIMIT C. EMPLOYEE HIRED AUTO I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES—INCREASED LIMIT D. EMPLOYEES AS INSURED J. PERSONAL PROPERTY E. SUPPLEMENTARY PAYMENTS — INCREASED K. AIRBAGS LIMITS L. NOTICE AND KNOWLEDGE OF ACCIDENT OR F. HIRED AUTO — LIMITED WORLDWIDE COV- LOSS ERAGE —INDEMNITY BASIS M. BLANKET WAIVER OF SUBROGATION G. WAIVER OF DEDUCTIBLE —GLASS N. UNINTENTIONAL ERRORS OR OMISSIONS PROVISIONS A. BROAD FORM NAMED INSURED this insurance applies and only to the extent that The following is added to Paragraph A.1., Who Is person or organization qualifies as an "insured" An Insured, of SECTION II —COVERED AUTOS under the Who Is An Insured provision contained LIABILITY COVERAGE: in Section II. Any organization you newly acquire or form dur- C. EMPLOYEE HIRED AUTO ing the policy period over which you maintain 1. The following is added to Paragraph A.1., 50% or more ownership interest and that is not Who Is An Insured, of SECTION II — COV- separately insured for Business Auto Coverage. ERED AUTOS LIABILITY COVERAGE: Coverage under this provision is afforded only un- An "employee" of yours is an "insured" while til the 180th day after you acquire or form the or- operating an "auto" hired or rented under a ganization or the end of the policy period, which- contract or agreement in an "employee's" ever is earlier. name, with your permission, while performing duties related to the conduct of your busi- B. BLANKET ADDITIONAL INSURED ness. The following is added to Paragraph c. in A.1., 2. The following replaces Paragraph b. in B.5., Who Is An Insured, of SECTION II — COVERED Other Insurance, of SECTION IV — BUSI- AUTOS LIABILITY COVERAGE: NESS AUTO CONDITIONS: Any person or organization who is required under b. For Hired Auto Physical Damage Cover- a written contract or agreement between you and age, the following are deemed to be cov- that person or organization, that is signed and ered "autos"you own: executed by you before the "bodily injury" or (1) Any covered "auto" you lease, hire, "property damage" occurs and that is in effect rent or borrow; and during the policy period, to be named as an addi- (2) Any covered "auto" hired or rented by tional insured is an "insured" for Covered Autos your "employee" under a contract in Liability Coverage, but only for damages to which an "employee's" name, with your CA T3 53 02 15 ©2015 The Travelers Indemnity Company.All rights reserved. Page 1 of 4 Includes copyrighted material of Insurance Services Office, Inc.with its permission. COMMERCIAL AUTO permission, while performing duties (a) With respect to any claim made or "suit" related to the conduct of your busi- brought outside the United States of ness. America, the territories and possessions However, any "auto" that is leased, hired, of the United States of America, Puerto rented or borrowed with a driver is not a Rico and Canada: covered "auto". (i) You must arrange to defend the "in- D. EMPLOYEES AS INSURED sured"against, and investigate or set- The following is added to Paragraph A.1., Who Is tle any such claim or "suit" and keep An Insured, of SECTION II —COVERED AUTOS us advised of all proceedings and ac- tions. LIABILITY COVERAGE: (ii) Neither you nor any other involved Any "employee" of yours is an "insured" while us- "insured" will make any settlement ing a covered "auto" you don't own, hire or borrow without our consent. in your business or your personal affairs. E. SUPPLEMENTARY PAYMENTS — INCREASED (iii) in may, at our discretion, participate LIMITS in defending the "insured" against, or in the settlement of, any claim or 1. The following replaces Paragraph A.2.a.(2), "suit". of SECTION II — COVERED AUTOS LIABIL- (iv) We will reimburse the "insured" for ITY COVERAGE: sums that the "insured" legally must (2) Up to $3,000 for cost of bail bonds (in- pay as damages because of "bodily cluding bonds for related traffic law viola- injury" or "property damage" to which tions) required because of an "accident" this insurance applies, that the "in- we cover. We do not have to furnish sured" pays with our consent, but these bonds. only up to the limit described in Para- 2. The following replaces Paragraph A.2.a.(4), graph C., Limits Of Insurance, of of SECTION II — COVERED AUTOS LIABIL- SECTION II — COVERED AUTOS ITY COVERAGE: LIABILITY COVERAGE. (4) All reasonable expenses incurred by the (v) We will reimburse the "insured" for "insured" at our request, including actual the reasonable expenses incurred loss of earnings up to $500 a day be- with our consent for your investiga- cause of time off from work. tion of such claims and your defense of the "insured" against any such F. HIRED AUTO — LIMITED WORLDWIDE COV- "suit", but only up to and included ERAGE —INDEMNITY BASIS within the limit described in Para- The following replaces Subparagraph (5) in Para- graph C., Limits Of Insurance, of graph B.7., Policy Period, Coverage Territory, SECTION II — COVERED AUTOS of SECTION IV — BUSINESS AUTO CONDI- LIABILITY COVERAGE, and not in TIONS: addition to such limit. Our duty to (5) Anywhere in the world, except any country or make such payments ends when we jurisdiction while any trade sanction, em- have used up the applicable limit of bargo, or similar regulation imposed by the insurance in payments for damages, United States of America applies to and pro- settlements or defense expenses. hibits the transaction of business with or (b) This insurance is excess over any valid within such country or jurisdiction, for Cov- and collectible other insurance available ered Autos Liability Coverage for any covered to the "insured" whether primary, excess, "auto" that you lease, hire, rent or borrow contingent or on any other basis. without a driver for a period of 30 days or less (c) This insurance is not a substitute for re- and that is not an "auto" you lease, hire, rent quired or compulsory insurance in any or borrow from any of your "employees", country outside the United States, its ter- partners (if you are a partnership), members ritories and possessions, Puerto Rico and (if you are a limited liability company) or Canada. members of their households. Page 2 of 4 ©2015 The Travelers Indemnity Company.All rights reserved. CA T3 53 02 15 Includes copyrighted material of Insurance Services Office, Inc.with its permission. COMMERCIAL AUTO You agree to maintain all required or (2) In or on your covered "auto". compulsory insurance in any such coun- This coverage applies only in the event of a total try up to the minimum limits required by theft of your covered "auto". local law. Your failure to comply with No deductibles apply to this Personal Property compulsory insurance requirements will not invalidate the coverage afforded by coverage. this policy, but we will only be liable to the K. AIRBAGS same extent we would have been liable The following is added to Paragraph B.3., Exclu- had you complied with the compulsory in- sions, of SECTION III — PHYSICAL DAMAGE surance requirements. COVERAGE: (d) It is understood that we are not an admit- Exclusion 3.a. does not apply to 'loss" to one or ted or authorized insurer outside the more airbags in a covered "auto" you own that in- United States of America, its territories flate due to a cause other than a cause of 'loss" and possessions, Puerto Rico and Can- set forth in Paragraphs A.1.b. and A.1.c., but ada. We assume no responsibility for the only: furnishing of certificates of insurance, or a. If that "auto" is a covered "auto" for Compre- for compliance in any way with the laws hensive Coverage under this policy; of other countries relating to insurance. b. The airbags are not covered under any war- G. WAIVER OF DEDUCTIBLE —GLASS ranty; and The following is added to Paragraph D., Deducti- c. The airbags were not intentionally inflated. ble, of SECTION III — PHYSICAL DAMAGE We will pay up to a maximum of $1,000 for any COVERAGE: one 'loss". No deductible for a covered "auto" will apply to L. NOTICE AND KNOWLEDGE OF ACCIDENT OR glass damage if the glass is repaired rather than LOSS replaced. The following is added to Paragraph A.2.a., of H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF SECTION IV— BUSINESS AUTO CONDITIONS: USE —INCREASED LIMIT Your duty to give us or our authorized representa- The following replaces the last sentence of Para- tive prompt notice of the "accident" or 'loss" ap- graph AA.b., Loss Of Use Expenses, of SEC- plies only when the "accident" or 'loss" is known TION III—PHYSICAL DAMAGE COVERAGE: to: However, the most we will pay for any expenses (a) You (if you are an individual); for loss of use is $65 per day, to a maximum of (b) A partner (if you are a partnership); $750 for any one "accident". (c) A member (if you are a limited liability com- I. PHYSICAL DAMAGE — TRANSPORTATION pany); EXPENSES—INCREASED LIMIT (d) An executive officer, director or insurance The following replaces the first sentence in Para- manager (if you are a corporation or other or- graph A.4.a., Transportation Expenses, of ganization); or SECTION III — PHYSICAL DAMAGE COVER- (e) Any "employee" authorized by you to give no- AGE: tice of the "accident" or"loss". We will pay up to $50 per day to a maximum of M. BLANKET WAIVER OF SUBROGATION $1,500 for temporary transportation expense in- The following replaces Paragraph A.5., Transfer curred by you because of the total theft of a cov- Of Rights Of Recovery Against Others To Us, ered "auto" of the private passenger type. of SECTION IV — BUSINESS AUTO CONDI- J. PERSONAL PROPERTY TIONS: The following is added to Paragraph AA., Cover- 5. Transfer Of Rights Of Recovery Against age Extensions, of SECTION III — PHYSICAL Others To Us DAMAGE COVERAGE: We waive any right of recovery we may have Personal Property against any person or organization to the ex- tent required of you by a written contract We will pay up to $400 for 'loss" to wearing ap- signed and executed prior to any "accident" parel and other personal property which is: or"loss", provided that the "accident" or"loss" (1) Owned by an "insured"; and arises out of operations contemplated by CA T3 53 02 15 ©2015 The Travelers Indemnity Company.All rights reserved. Page 3 of 4 Includes copyrighted material of Insurance Services Office, Inc.with its permission. COMMERCIAL AUTO such contract. The waiver applies only to the The unintentional omission of, or unintentional person or organization designated in such error in, any information given by you shall not contract. prejudice your rights under this insurance. How- N. UNINTENTIONAL ERRORS OR OMISSIONS ever this provision does not affect our right to col- The following is added to Paragraph B.2., Con- lect additional premium or exercise our right of cealment, Misrepresentation, Or Fraud, of cancellation or non-renewal. SECTION IV—BUSINESS AUTO CONDITIONS: Page 4 of 4 ©2015 The Travelers Indemnity Company.All rights reserved. CA T3 53 02 15 Includes copyrighted material of Insurance Services Office, Inc.with its permission. This endorsement, effective 12:01 a.m., 04/02/2023 forms a part of Policy No. DPR5009012 Issued to J-U-B Engineers, Inc. by XL Specialty Insurance Company. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. INDIVIDUAL NOTICE OF CANCELLATION This endorsement modifies insurance provided under the following: PROFESSIONAL, ENVIRONMENTAL AND NETWORK SECURITY LIABILITY POLICY—ARCHITECTS, CONSULTANTS AND ENGINEERS It is agreed that, in the event this Policy is cancelled by the Company for any reason, or cancelled by the NAMED INSURED, a thirty (30)days' notice of cancellation will be provided to the following entity: Entity Name and Address: City of Sparks P O Box 857 Sparks, NV 89432-0857 Brown & Caldwell Attn: Legal Department P O Box 8045 Walnut Creek, CA 94596-1220 City of Fort Collins Attn: Purchasing Dept P O Box 580 Fort Collins, CO 80522 HNTB Corporation 7730 S. Union Park Ave, Suite 110 Midvale, UT 84047 City of Reno PO Box 1900 Reno, NV 89505 This provision does not apply to a cancellation due to non-payment of premium to the Company or to a premium finance company authorized to cancel the Policy. All other terms and conditions of the Policy remain unchanged. LDD 406 0317 Page 1 of 1 2/14/2023 2:16:34 PM ©2017 X.L. America, Inc. All Rights Reserved. May not be copied without permission. POLICY NUMBER: BA-8P008954-23-47-G ISSUE DATE: 07-06-23 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED PERSON OR ORGANIZATION - NOTICE OF CANCELLATION OR NONRENEWAL PROVIDED BY US This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS INCLUDED IN THIS POLICY SCHEDULE CANCELLATION: Number of Days Notice: WHEN WE DO NOT RENEW (Nonrenewal): Number of Days Notice: PERSON OR ORGANIZATION: CITY OF FORT COLLINS ADDRESS: PO BOX 580 FORT COLLINS CO 80522 PROVISIONS B. If we do not renew this policy for any legally A. If we cancel this policy for any legally permitted permitted reason other than nonpayment of reason other than nonpayment of premium, and a premium, and a number of days is shown for number of days is shown for Cancellation in the When We Do Not Renew (Nonrenewal) in the Schedule above, we will mail notice of Schedule above, we will mail notice of cancellation to the person or organization shown nonrenewal to the person or organization shown in such Schedule. We will mail such notice to the in such Schedule. We will mail such notice to the address shown in the Schedule above at least the address shown in the Schedule above at least the number of days shown for Cancellation in such number of days shown for When We Do Not Schedule before the effective date of cancellation. Renew (Nonrenewal) in such Schedule before the effective date of nonrenewal. IL T4 00 05 19 ©2019 The Travelers Indemnity Company.All rights reserved. Page 1 of 1 TRAVELERS JW WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 99 06 R3 (00) - 003 POLICY NUMBER: UB-8K158532-23-47-E NOTICE OF CANCELLATION TO DESIGNATED PERSONS OR ORGANIZATIONS The following is added to PART SIX—CONDITIONS : Notice Of Cancellation To Designated Persons Or Organizations If we cancel this policy for any reason other than non-payment of premium by you, we will provide notice of such cancellation to each person or organization designated in the Schedule below. We will mail or deliver such notice to each person or organization at its listed address at least the number of days shown for that person or organiza- tion before the cancellation is to take effect. You are responsible for providing us with the information necessary to accurately complete the Schedule below. If we cannot mail or deliver a notice of cancellation to a designated person or organization because the name or address of such designated person or organization provided to us is not accurate or complete, we have no responsibility to mail, deliver or otherwise notify such designated person or organization of the cancellation. SCHEDULE Name and Address of Designated Persons or Organizations: Number of Days Notice CITY OF FORT COLLINS PURCHASING DEPT 30 P.O. BOX 580 FORT COLLINS CO 80522 All other terms and conditions of this policy remain unchanged. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No. Insured Premium $ Insurance Company Countersigned by DATE OF ISSUE: 07-07-23 STASSIGN: Page 1 of 1 ©2013 The Travelers Indemnity Company.All rights reserved. This endorsement, effective 12:01 a.m., 04/02/2023 forms a part of Policy No. DPR5009012 Issued to J-U-B Engineers, Inc. by XL Specialty Insurance Company. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. INDIVIDUAL NOTICE OF CANCELLATION This endorsement modifies insurance provided under the following: PROFESSIONAL, ENVIRONMENTAL AND NETWORK SECURITY LIABILITY POLICY—ARCHITECTS, CONSULTANTS AND ENGINEERS It is agreed that, in the event this Policy is cancelled by the Company for any reason, or cancelled by the NAMED INSURED, a ten (10) days' notice of cancellation will be provided to the following entity: Entity Name and Address: City of Fort Collins Attention: Purchasing Dept P.O. Box 580 Fort Collins, CO 80522 The City of Greeley 1000-10th Street Greeley, CO 80631 This provision does not apply to a cancellation due to non-payment of premium to the Company or to a premium finance company authorized to cancel the Policy. All other terms and conditions of the Policy remain unchanged. LDD 406 0317 Page 1 of 1 2/14/2023 2:16:34 PM ©2017 X.L. America, Inc. All Rights Reserved. May not be copied without permission. POLICY NUMBER:680-2R22997A COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Names of Additional Insured Person(s) or Organization(s): Any person or organization that you agree in a written contract to include as an additional insured on this Coverage Part, provided that such written contract was signed by you before,and is in effect when, the"bodily injury"or"property damage"occurs or the"personal injury"or"advertising injury"offense is committed. Location of Covered Operations: Any project to which a written contract with the Additional Insured Person(s)or Organization(s)in the Schedule applies. (Information required to complete this Schedule, if not shown above,will be shown in the Declarations.) A. Section II—Who Is An Insured is amended to in- This insurance does not apply to"bodily injury"or clude as an additional insured the person(s) or "property damage" occurring, or "personal injury" organization(s) shown in the Schedule, but only or "advertising injury" arising out of an offense with respect to liability for'bodily injury","property committed,after: damage", "personal injury" or "advertising injury" 1. All work, including materials, parts or equip- caused, in whole or in part, by: ment furnished in connection with such work, 1. Your acts or omissions;or on the project (other than service, mainte- 2. The acts or omissions of those acting on your nance or repairs) to be performed by or on behalf; behalf of the additional insured(s)at the loca- tion of the covered operations has been com- in the performance of your ongoing operations for pleted;or the additional insured(s) at the location(s) desig- nated above. 2. That portion of "your work" out of which the injury or damage arises has been put to its in- B. With respect to the insurance afforded to these tended use by any person or organization additional insureds, the following additional exclu- other than another contractor or subcontrac- sions apply: for engaged in performing operations for a principal as a part of the same project. CG D3 61 03 05 Copyright 2005 The St. Paul Travelers Companies, Inc.All rights reserved. CG T8 01 08 231ncludes copyrighted material of Insurance Services Office, Inc.with its permission. DATE OF ISSUE: 08/01/2024 Page 1 of 1 POLICY NUMBER:680-2R22997A COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s)Or Organ ization(s): Any person or organization that you agree in a written contract to include as an additional insured on this Coverage Part for"bodily injury"or"property damage"included in the products-completed operations hazard, provided that such contract was signed by you before,and is in effect when,the"bodily injury or"property damage"occurs. Location And Description Of Completed Operations Any project to which a written contract with the Additional Insured Person(s)or Organization(s)in the Schedule applies. Information required to complete this Schedule,if not shown above,will be shown in the Declarations. Section II — Who Is An Insured is amended to in- location designated and described in the schedule of clude as an additional insured the person(s) or or- this endorsement performed for that additional in- ganization(s) shown in the Schedule, but only with sured and included in the "products-completed opera- respect to liability for"bodily injury"or"property dam- tions hazard". age"caused, in whole or in part, by"your work"at the CG 20 37 07 04 CG T8 02 08 23 ©ISO Properties, Inc.,2004 DATE OF ISSUE:08/01/2024 Page 1 of 1 TRAVELERS WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 00 03 13 (00) - 001 POLICY NUMBER: UB-8R158532-23-47-E WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule. SCHEDULE DESIGNATED PERSON: DESIGNATED ORGANIZATION: ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. DATE OF ISSUE: 08-01-24 STASSIGN: PAGE 1 OF